Digestive Diseases and Sciences

, Volume 57, Issue 6, pp 1636–1646

Comprehensive Self-Management Reduces the Negative Impact of Irritable Bowel Syndrome Symptoms on Sexual Functioning

  • Margaret D. Eugenio
  • Sang-Eun Jun
  • Kevin C. Cain
  • Monica E. Jarrett
  • Margaret M. Heitkemper
Original Article

DOI: 10.1007/s10620-012-2047-1

Cite this article as:
Eugenio, M.D., Jun, SE., Cain, K.C. et al. Dig Dis Sci (2012) 57: 1636. doi:10.1007/s10620-012-2047-1



Women with irritable bowel syndrome (IBS) report sexual dysfunction. Comprehensive self-management (CSM) intervention has been shown to reduce gastrointestinal, psychological, and somatic symptoms in IBS women. Whether this intervention also reduces sexual dysfunction is not known.


We sought to compare demographic and clinical factors in IBS women with and without sexual dysfunction as defined by the Arizona sexual experiences scale (ASEX) and to test the effects of CSM treatment on sexual dysfunction scores and on the sexual relations subscale of an IBS quality of life (IBSQOL) scale which measures the effect of IBS on sexual QOL.


IBS (Rome II) women enrolled in a randomized clinical trial of CSM treatment were characterized as having sexual dysfunction (N = 89) or not (N = 86) at baseline based on ASEX criteria. Baseline characteristics and symptoms were compared between the two groups. Post-intervention changes were compared between the CSM and the usual care arms of the randomized trial.


Women meeting ASEX criteria for sexual dysfunction were older, had higher lifetime depression and antidepressant use, more primary care/MD visits, fewer mental healthcare visits, and greater sleep disturbance than those without sexual dysfunction. No significant group differences in gastrointestinal or somatic symptoms were observed. Compared with usual care treatment, CSM increased sexual QOL scores and had a weaker effect on ASEX scores.


Severity of IBS symptoms at baseline did not differ between IBS women with or without sexual dysfunction. The CSM intervention can reduce the effect of IBS on sexual QOL.


Arizona Sexual Experiences ScaleIrritable bowel syndromeSexual dysfunctionWomen



Arizona Sexual Experiences Scale


Comprehensive self-management


Irritable bowel syndrome


No sexual dysfunction group


Quality of life


Sexual dysfunction group


Selective serotonin reuptake inhibitors

Copyright information

© Springer Science+Business Media, LLC 2012

Authors and Affiliations

  • Margaret D. Eugenio
    • 1
  • Sang-Eun Jun
    • 2
  • Kevin C. Cain
    • 3
  • Monica E. Jarrett
    • 4
  • Margaret M. Heitkemper
    • 4
  1. 1.Department of Internal Medicine, Division of Gastroenterology, School of MedicineUniversity of WashingtonSeattleUSA
  2. 2.College of NursingKeimyung UniversityDalseo-qu, DaeguKorea
  3. 3.Department of Biostatistics, Office for Nursing ResearchUniversity of WashingtonSeattleUSA
  4. 4.Department of Biobehavioral Nursing and Health SystemsUniversity of WashingtonSeattleUSA