Sexuality among couples living with acquired deafblindness (ADB) is an untouched research area, although recent research has reported an association between couples’ sexual activity and vision and hearing loss, respectively. The aim of the current study was to investigate sexuality among couples living with ADB in Denmark and its association with psychological well-being. Deafblind individuals and their partners (n = 45) were recruited from the national institute providing services for the deafblind in Denmark. Partners were asked about sexual activity, reductions in sexual desire and sexual satisfaction over the past year. Both individuals and their partners completed the WHO-5 measure of psychological well-being. Further, information about degree of hearing and vision loss and use of hearing aids was also obtained. Compared to other population based studies, level of sexual activity was low and more participants reported poor psychological well-being. Sexual activity significantly predicted psychological well-being among partners but not individuals with deafblindness. Gender differences were found indicating that sexual activity was important for male partner’s well-being but satisfaction with sex life was important for female partner’s well-being. Degree of hearing loss and use of hearing aids were also associated with sexual activity and desire among couples where the deafblind individual-partner gender distribution was male–female.
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Kalra, G., Subramanyam, A., Pinto, C.: Sexuality: desire, activity and intimacy in the elderly. Indian J. Psychiatry 53(4), 300–306 (2011). doi:10.4103/0019-5545.91902
WHO: Defining sexual health: report of a technical consultation on sexual health 28–31 January 2002, Geneva. http://www.who.int/reproductivehealth/publications/sexual_health/defining_sexual_health.pdf (2006). Accessed 23 Mar 2016
Bach, L.E., Mortimer, J.A., VandeWeerd, C., Corvin, J.: The association of physical and mental health with sexual activity in older adults in a retirement community. J. Sex. Med. 10(11), 2671–2678 (2013). doi:10.1111/jsm.12308
Ventegodt, S.: Sex and the quality of life in Denmark. Arch. Sex. Behav. 27(3), 295–307 (1998). doi:10.1023/A:1018655219133
Laumann, E.O., Nicolosi, A., Glasser, D.B., Paik, A., Gingell, C., Moreira, E., Wang, T.: GSSAB investigators’ group: sexual problems among women and men aged 40–80 year: prevalence and correlates identified in the global study of sexual attitudes and behaviors. Int. J. Impot. Res. 17(1), 39–57 (2004). doi:10.1038/sj.ijir.3901250
Lindau, S.T., Schumm, L.P., Laumann, E.O., Levinson, W., O’Muircheartaigh, C.A., Waite, L.J.: A study of sexuality and health among older adults in the United States. N. Engl. J. Med. 357(8), 762–774 (2007). doi:10.1056/NEJMoa067423
Aboderin, I.: Sexual and reproductive health and rights of older men and women: addressing a policy blind spot. Reprod. Health Matters 22(44), 185–190 (2014). doi:10.1016/S0968-8080(14)44814-6
Cole, S.S., Cole, T.M.: Sexuality, disability, and reproductive issues through the lifespan. Sex. Disabil. 11(3), 189–205 (1993). doi:10.1007/BF01102578
Pedersen, M.B., Giraldi, A., Kristensen, E., Lauritzen, T., Sandbæk, A., Charles, M.: Prevalence of sexual desire and satisfaction among patients with screen-detected diabetes and impact of intensive multifactorial treatment: results from the ADDITION-Denmark study. Scand. J. Prim. Health Care 33(1), 3–10 (2015). doi:10.3109/02813432.2014.1002295
Brown, R.G., Jahanshahi, M., Quinn, N., Marsden, C.D.: Sexual function in patients with Parkinson’s disease and their partners. J. Neurol. Neurosurg. Psychiatry 53(6), 480–486 (1990). doi:10.1136/jnnp.53.6.480
Davies, H.D., Zeiss, A.M., Shea, E.A., Tinklenberg, J.R.: Sexuality and intimacy in Alzheimer’s patients and their partners. Sex. Disabil. 16(3), 193–203 (1998). doi:10.1023/A:1023047125906
Verschuren, J.E.A., Enzlin, P., Dijkstra, P.U., Geertzen, J.H.B., Dekker, R.: Chronic disease and sexuality: a generic conceptual framework. J. Sex. Res. 47(2–3), 153–170 (2010). doi:10.1080/00224491003658227
Heine, C., Browning, C.J.: Communication and psychosocial consequences of sensory loss in older adults: overview and rehabilitation directions. Disabil. Rehabil. 24(15), 763–773 (2002). doi:10.1080/09638280210129162
Anderson, D.L., Noble, W.: Couples’ attributions about behaviours modulated by hearing impairment: links with relationship satisfaction. Int. J. Audiol. 44(4), 197–205 (2005)
Bernbaum, M., Albert, S.G., Duckro, P.N., Merkel, W.: Personal and family stress in individuals with diabetes and vision loss. J. Clin. Psychol. 49(5), 670–677 (1993)
Fitz-Gerald, D., Fitz-Gerald, M.: Sexual implications of deaf-blindness. Sex. Disabil. 2(3), 212–215 (1979). doi:10.1007/BF01100793
Govender, N.G., Maistry, N., Soomar, N., Paken, J.: Hearing loss within a marriage: perceptions of the spouse with normal hearing. South Afr. Fam. Pract. 56(1), 50–56 (2014). doi:10.1080/20786204.2014.10844583
Hicks, S.: Relationship and sexual problems of the visually handicapped. Sex. Disabil. 3(3), 165–176 (1980). doi:10.1007/BF01100751
McNicoll, L.: Issues of sexuality in the elderly. Geriatr. Pract. Physician 91(10), 321–322 (2008)
Scarinci, N., Worrall, L., Hickson, L.: The effect of hearing impairment in older people on the spouse. Int. J. Audiol. 47(3), 141–151 (2008). doi:10.1080/14992020701689696
Gullacksen, A.C., Göransson, L., Rönnblom, G.H., Koppen, A., Jørgensen, A.R.: Life adjustment and combined visual and hearing disability/deafblindness—an internal process over time. http://www.nordicwelfare.org/PageFiles/5593/168730_Engelsk.pdf (2011). Accessed 22 Mar 2016
Greenfield, D.M., Walters, S.J., Coleman, R.E., Hancock, B.W., Snowden, J.A., Shalet, S.M., DeRogatis, L.R., Ross, R.J.: Quality of life, self-esteem, fatigue, and sexual function in young men after cancer. Cancer 116(6), 1592–1601 (2010). doi:10.1002/cncr.24898
Wilmoth, M.C., Coleman, E.A., Smith, S.C., Davis, C.: Fatigue, weight gain, and altered sexuality in patients with breast cancer: exploration of a symptom cluster. Oncol. Nurs. Forum 31(6), 1069–1075 (2004). doi:10.1188/04.ONF.1069-1075
Stark, P., Hickson, L.: Outcomes of hearing aid fitting for older people with hearing impairment and their significant others. Int. J. Audiol. 43(7), 390–398 (2004). doi:10.1080/14992020400050050
Wallhagen, M.I.: The stigma of hearing loss. Gerontologist 50(1), 66–75 (2010). doi:10.1093/geront/gnp107
MacNeil, S., Byers, E.S.: Dyadic assessment of sexual self-disclosure and sexual satisfaction in heterosexual dating couples. J. Soc. Pers. Relatsh. 22(2), 169–181 (2005). doi:10.1177/0265407505050942
Gott, M., Hinchliff, S., Galena, E.: General practitioner attitudes to discussing sexual health issues with older people. Soc. Sci. Med. 58(11), 2093–2103 (2004). doi:10.1016/j.socscimed.2003.08.025
Watters, Y., Boyd, T.V.: Sexuality in later life: opportunity for reflections for healthcare providers. Sex. Relatsh. Ther. 24(3–4), 307–315 (2009). doi:10.1080/14681990903398047
Zeiss, A., Kasl-Godley, J.: Sexuality in older adults’ relationships. Generations 25(2), 18–25 (2001)
Moreira, E.D., Brock, G., Glasser, D., Nicolosi, A., Laumann, E.O., Paik, A., Wang, T., Gingell, C.: GSSAB investigators’ group: help-seeking behaviour for sexual problems: the global study of sexual attitudes and behaviors. Int. J. Clin. Pract. 59(1), 6–16 (2005). doi:10.1111/j.1742-1241.2005.00382.x
Ask Larsen, F., Damen, S.: Definitions of deafblindness and congenital deafblindness. Res. Dev. Disabil. 35(10), 2568–2576 (2014). doi:10.1016/j.ridd.2014.05.029
Korpelainen, J.T., Nieminen, P., Myllylä, V.V.: Sexual functioning among stroke patients and their spouses. Stroke 30(4), 715–719 (1999). doi:10.1161/01.STR.30.4.715
Statens Institut For Folkesundhed: Hvordan har du det? En undersøgelse af trivsel, sunded og sygdom blandt voksne i Danmark. http://www.si-folkesundhed.dk/upload/sp%C3%B8rgeskema_-_susy2013.pdf (2013). Accessed 15 Apr 2016
Bech, P.: Clinical Psychometrics. Wiley, West Sussex (2012)
Bonsignore, M., Barkow, K., Jessen, F., Heun, R.: Validity of the five-item WHO well-being index (WHO-5) in an elderly population. Eur. Arch. Psychiatry Clin. Neurosci. 251(Suppl 2), II27–II31 (2001)
Ellervik, C., Kvetny, J., Christensen, K.S., Vestergaard, M., Bech, P.: Prevalence of depression, quality of life and antidepressant treatment in the Danish General Suburban Population Study. Nord. J. Psychiatry 68(7), 507–512 (2014). doi:10.3109/08039488.2013.877074
Topp, C.W., Østergaard, S.D., Søndergaard, S., Bech, P.: The WHO-5 well-being index: a systematic review of the literature. Psychother. Psychosom. 84(3), 167–176 (2015). doi:10.1159/000376585
Baumeister, R.F., Catanese, K.R., Vohs, K.D.: Is there a gender difference in strength of sex drive? Theoretical views, conceptual distinctions, and a review of relevant evidence. Personal. Soc. Psychol. Rev. 5(3), 242–273 (2001). doi:10.1207/S15327957PSPR0503_5
Elliott, S., Umberson, D.: The performance of desire: gender and sexual negotiation in long-term marriages. J. Marriage Fam. 70(2), 391–406 (2008). doi:10.1111/j.1741-3737.2008.00489.x
Cooney, T.M., Dunne, K.: Intimate relationships in later life current realities, future prospects. J. Fam. Issues 22(7), 838–858 (2001). doi:10.1177/019251301022007003
Henry, N.J.M., Berg, C.A., Smith, T.W., Florsheim, P.: Positive and negative characteristics of marital interaction and their association with marital satisfaction in middle-aged and older couples. Psychol. Aging 22(3), 428–441 (2007). doi:10.1037/0882-79126.96.36.1998
Manne, S., Badr, H.: Intimacy and relationship processes in couples’ psychosocial adaptation to cancer. Cancer 112(S11), 2541–2555 (2008). doi:10.1002/cncr.23450
This study was supported by the VELUX Foundation under Grant VELUX33847.
Conflict of interest
The authors declare that they have no conflict of interest.
All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards. The ethical approval number for the current study is 2015/02.
Informed consent was obtained from all individual participants included in the study.
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Lehane, C.M., Dammeyer, J., Hovaldt, H.B. et al. Sexuality and Well-Being Among Couples Living with Acquired Deafblindness. Sex Disabil 35, 135–146 (2017). https://doi.org/10.1007/s11195-016-9470-8
- Sensory loss