The relationship between coping strategies with sexual satisfaction and sexual intimacy in women with multiple sclerosis

Imanpour Barough, Samaneh; Riazi, Hedyeh; Keshavarz, Zohreh; Nasiri, Maliheh; Montazeri, Ali

doi:10.1186/s12991-023-00451-4

Cited by 4 publications

(1 citation statement)

References 48 publications

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“…Discord, lack of emotional intimacy, and communication difficulties within a relationship can lead to reduced sexual interest. Conversely, a positive and supportive relationship often correlates with higher levels of sexual desire [ 6 ].…”

Section: Reviewmentioning

confidence: 99%

Understanding Hypoactive Sexual Desire Disorder (HSDD) in Women: Etiology, Diagnosis, and Treatment

Ronghe,

Pannase,

Gomase

et al. 2023

Cureus

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Hypoactive Sexual Desire Disorder (HSDD) is a complex and multifaceted condition that significantly impacts the sexual well-being and overall quality of life of women. This comprehensive review aims to provide a holistic understanding of HSDD by exploring its etiology, diagnostic criteria, treatment approaches, and broader societal implications. The review delves into the intricate interplay of biological factors, including hormonal changes and neurotransmitter imbalances, that contribute to HSDD. Psychological factors, such as relationship issues, body image, and stress, are examined with sociocultural factors like societal norms, cultural influences, and media portrayals of sexuality. Diagnostic criteria and assessment methods, including The Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition criteria, and self-report questionnaires, are explored to facilitate accurate identification of HSDD and differentiation from other sexual disorders. The impact of HSDD on women's quality of life and relationships is examined, highlighting the emotional strain and interpersonal challenges associated with the disorder. Societal and personal consequences of untreated HSDD underscore the need for increased awareness and support. Treatment approaches encompass non-pharmacological interventions such as cognitive-behavioral therapy, sex therapy, and couples therapy and pharmacological interventions like hormone therapy and selective serotonin reuptake inhibitors. Novel treatments like bremelanotide, flibanserin, and integrative strategies combining psychotherapy and lifestyle changes are discussed. Challenges and controversies surrounding HSDD, including the lack of consensus on diagnostic criteria, debates about the medicalization of sexuality, ethical concerns regarding pharmaceutical interventions, and cultural considerations, are addressed. Future directions in research, including advances in neurobiological understanding, personalized medicine, long-term treatment studies, and destigmatization initiatives, offer promising pathways for enhancing the management of HSDD.

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Section: Reviewmentioning

confidence: 99%

Understanding Hypoactive Sexual Desire Disorder (HSDD) in Women: Etiology, Diagnosis, and Treatment

Ronghe,

Pannase,

Gomase

et al. 2023

Cureus

View full text Add to dashboard Cite

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Letter to the editor: Classification and management of sexual dysfunctions in multiple sclerosis patients: A review of current literature, Campetella et al

Atayi,

Khadr,

Floyd

et al. 2023

Urologia

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We read with interest the recent article by Campetella et al in which the authors review the current literature pertaining to sexual dysfunction in the Multiple Sclerosis (MS) patient. 1 They highlight the importance of treating sexual dysfunction to improve quality of life. The Multiple Sclerosis Intimacy and Sexuality Questionnaire (MSISQ-19) is discussed with examples of primary, secondary and tertiary dysfunction provided.Although a thorough literature review is discussed in the article the authors omit to mention the Tonic Study. 2 This national study of 722 MS patients examined the relationship between depression, fatigue, physical impairments, demographic factors and sexual dysfunction. 2 Over 80% answered questions related to sexual function with only 18.5% reporting no impact on intimacy. Sexual Dysfunction was found to be linked to MS subtype and expanded disability status scale. Additionally, depression was not directly associated with sexual functioning, but following analysis appeared as a consequence of the psychological issues regarding sexual dysfunction. 2 Another paper not covered in the review is the recent study employing the Index of Sexual Satisfaction (ISS), the Sexual Intimacy Questionnaire (SIQ), and the Folkman and Lazarus Coping Strategies Questionnaire to assess coping mechanisms in 122 female MS patients. 3 Analysis showed that problem-focused coping strategy improved sexual satisfaction whereas emotion focused coping strategies had negative impacts on improved sexual intimacy.Treatment of sexual dysfunction in the MS patient requires a multidisciplinary approach involving Neurology, Urology and Rehabilitation teams, with all team members remaining aware of the patient's age, relationship status, manual dexterity, disease course and disability.The authors are to be commended for this review and in particular emphasizing the tertiary elements of sexual dysfunction, which are often overlooked by the neurourologist.

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Importance of Coping Strategies on Quality of Life in People with Multiple Sclerosis: A Systematic Review

Culicetto,

Lo Buono,

Donato

et al. 2024

JCM

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Multiple sclerosis (MS) is a neurodegenerative disorder of the central nervous system characterized by a variety of symptoms such as fatigue, spasticity, tremors, and cognitive disorders. Individuals with MS may employ different coping strategies to manage these symptoms, which in turn can significantly impact their quality of life (QoL). This review aims to analyze these coping strategies and their impact on QoL. Furthermore, it seeks to identify the key factors that influence the choice and effectiveness of these coping strategies, providing insights into which strategies are most beneficial for enhancing QoL in people with MS. Methods: Systematic searches were performed in Scopus, PubMed, Web of Science, and Scopus databases. This systematic review has been registered in OSF with the number DOI 10.17605/OSF.IO/QY37X. Results: A total of 1192 studies were identified. After reading the full text of the selected studies and applying predefined inclusion criteria, 19 studies were included based on their pertinence and relevance to the topic. The results revealed that emotional variables, demographic factors, personality traits, and family support significantly influence the choice of coping strategies used to manage the symptoms of MS. Problem-solving and task-oriented coping were prevalent among MS patients and associated with better QoL outcomes. Emotional-focused and avoidance strategies were generally linked to poorer QoL, though avoidance provided temporary relief in certain contexts. Social support, emotional health, and cognitive reframing were crucial in enhancing QoL. Conclusions: The findings underscore the importance of tailored psychoeducational and therapeutic interventions focusing on emotional health, social support, and adaptive coping strategies. These interventions can significantly improve the long-term outcomes for individuals with MS. Future research should explore the dynamic interactions between coping strategies and QoL over time, providing a comprehensive understanding of how to best support MS patients in managing their disease.

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The relationship between coping strategies with sexual satisfaction and sexual intimacy in women with multiple sclerosis

Cited by 4 publications

References 48 publications

Understanding Hypoactive Sexual Desire Disorder (HSDD) in Women: Etiology, Diagnosis, and Treatment

Understanding Hypoactive Sexual Desire Disorder (HSDD) in Women: Etiology, Diagnosis, and Treatment

Letter to the editor: Classification and management of sexual dysfunctions in multiple sclerosis patients: A review of current literature, Campetella et al

Importance of Coping Strategies on Quality of Life in People with Multiple Sclerosis: A Systematic Review

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