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Sexual Dysfunction and Coping Strategies in Multiple Sclerosis Patients

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Abstract

Although sexual problems are not as serious as physical problems for patients with Multiple Sclerosis (MS) in terms of their daily life routines, these problems also lead to significant effects on their daily life. This study was planned and applied as a descriptive and a cross-sectional study. Study was conducted at Neurology Department of Gulhane Military Medical Academy from December 2009 to February 2010. This study was carried out using 45 participants with MS. The results of the comparison between ASEX scores and general total scores based on gender shows a statistically significant difference between female and male patients (P < 0.05). The findings of the study point out that health care staff should improve their perceptions and understanding in regard to sexual problems of the patients.

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References

  1. Tristano, G.A.: The impact of rheumatic diseases on sexual function. Rheumatol. Int. 29, 853–860 (2009)

    Article  PubMed  Google Scholar 

  2. Lensch, E., Jost, W.H.: Autonomic disorders in multiple sclerosis. doi:10.4061/2011/803841

  3. Gunal, D.I., Afsar, N., Tanridag, T., Aktan, S.: Autonomic dysfunction in multiple sclerosis: correlation with disease-related parameters. Eur. Neurol. 48, 1–5 (2002)

    Article  PubMed  Google Scholar 

  4. Borello-France, D., Leng, W., O’Leary, M., Xavier, M., Erickson, J., Chancellor, M.B., Cannon, T.W.: Bladder and sexual function among women with multiple sclerosis. Mult. Scler. 10, 455–461 (2004)

    Article  PubMed  Google Scholar 

  5. Foley, F.W., Sanders, A.: Sexuality, multiple sclerosis and women. Mult. Scler. Manag. 1, 1–9 (1997)

    Google Scholar 

  6. Foley, F.W., Iverson, J.: Sexuality and multiple sclerosis. In: Kalb, R.C., Scheinberg, L.C. (eds.) Multiple Sclerosis and the Family. Demos, New York (1992)

    Google Scholar 

  7. Sanders, A.S., Foley, F.W., LaRocca, G.L., Zemon, V.: The multiple sclerosis intimacy and sexuality questionnaire-19 (MSISQ-19). Sex. Disabil. 18, 3–26 (2000)

    Article  Google Scholar 

  8. Steinke, E., Patterson-Midgley, P.: Sexual counseling following acute myocardial infarction. Clin. Nurs. Res. 5, 462–472 (1996)

    Article  PubMed  Google Scholar 

  9. Sinha, A., Palep-Singh, M.: Taking a sexual history. Obstet. Gynecol. Reprod. Med. 18, 49–50 (2008)

    Article  Google Scholar 

  10. McGahuey, C.A., Gelenberg, A.J., Laukers, C.A., Moreno, F.A., Delgado, P.L.: The arizona sexual experience scale (ASEX): reliability and validity. J. Sex Marital Ther. 26, 25–40 (2000)

    Article  PubMed  Google Scholar 

  11. Beck, A.T., Waed, C.H., Mendelson, M.: An inventory for measuring depression. Arch. Gen. Psychiatry 4, 561–571 (1961)

    Article  PubMed  Google Scholar 

  12. Beck, A.T., Epstein, N., Brown, G., Steer, R.A.: An inventory for measuring clinical anxiety: psychometric properties. J. Consult. Clin. Psychol. 56, 893–897 (1988)

    Article  PubMed  Google Scholar 

  13. Carver, C.S., Scheier, M.F., Weintraub, J.K.: Assessing coping strategies: a theoretically based approach. J. Pers. Soc. Psychol. 56, 267–283 (1989)

    Article  PubMed  Google Scholar 

  14. Soykan, A.: The reliability and validity of Arizona sexual experiences scale in Turkish ESRD patients undergoing hemodialysis. Int. J. Impot. Res. 16, 531–534 (2004)

    Article  PubMed  Google Scholar 

  15. Hisli, N.: Beck depresyon envanteri’nin geçerliği üzerine bir çalışma. Psikoloji Dergisi 6, 118–122 (1988)

    Google Scholar 

  16. Ulusoy, M.: Beck anksiyete ölçeğinin psikometrik özellikleri (Psychometric Properties of the Beck Anxiety Scale). Uzmanlık Tezi, Bakırköy Ruh ve Sinir Hastalıkları Hastanesi, İstanbul (1993)

  17. Ağargün, M.Y., Beşiroğlu, L., Kıran, Ü., Özer, Ö.A., Kara, H.: The psychometric properties of the COPE inventory in Turkish sample: a preliminary research. Anadolu Psikiyatr De (Anatolian Journal of Psychiatry) 6, 221–226 (2005)

    Google Scholar 

  18. Wylie, K.: Sexual dysfunction in women. Obstet. Gynecol. Reprod. Med. 18, 39–42 (2008)

    Article  Google Scholar 

  19. Kızıltepe, A., Tüfekçi, E.C., Öcal, A., Batur, O., Kızıltepe, H.F.U.: Total histerektomili kadınların benzer yaş grubundaki histerektomi olmayan kadınlarla cinsel işlevler açısından karşılaştırılması (Comparison of sexual functioning in women who have history of total hysterectomy with women of similar age without history of hysterectomy). Bakırköy Tıp Dergisi (Medical Journal of Bakırköy) 3, 23–28 (2007)

    Google Scholar 

  20. Kütmec, C.: Kadınlarda Cinsel Fonksiyon Bozukluğu ve Hemşirelik Bakımı (Sexual Dysfunction in Female And Nursing Care). Fırat Sağlık Hizmetleri Dergisi 4, 111–116 (2009)

    Google Scholar 

  21. Akkuş, Y., Kapucu S.: Multiple sclerosis and patient education. J. Hacettepe Univ. Sch. Nurs. 13, 57–63 (2006)

    Google Scholar 

  22. Bronner, G., Elran, E., Golomb, J., Korczyn, A.D.: Female sexuality in multiple sclerosis: the multidimensional nature of the problem and the intervention. Acta Neurol. Scand. 121, 289–301 (2010)

    Article  PubMed  Google Scholar 

  23. McCabe, P.M.: Relationship functioning and sexuality among people with multiple sclerosis. J. Sex. Res. 39, 302–309 (2002)

    Article  PubMed  Google Scholar 

  24. Zorzon, M., Zivadinov, R., Bragadin, M.L., Moretti, R., Bonfigli, L., Morassi, P., Iona, L.G., Cazzotto, G.: Sexual dysfunction in multiple sderosis: a case-control study. I. Frequency and comparison of groups. Mult. Scler. 5, 418–427 (1999)

    PubMed  Google Scholar 

  25. Alarcia-Alejos, R., Ara-Callizo, J.R., Martín-Martínez, J., García-Gomara, M.J.: Sexual dysfunction management in multiple sclerosis. Rev. Neurol. 15, 524–526 (2007)

    Google Scholar 

  26. Dachille, G., Ludovico, G.M., Pagliarulo, G., Vestita, G.: Sexual dysfunctions in multiple sclerosis. Minerva Urol. Nefrol. 60, 77–79 (2008)

    PubMed  Google Scholar 

  27. Schapiro, R.T.: Sexuality. In: Schapiro, R.T. (ed.) Symptom Management in Multiple Sclerosis, 3rd edn, pp. 59–65. Demos Medical Publishing Co., New York (1998)

    Google Scholar 

  28. Tepavcevic, D.K., Kostic, J., Basuroski, I.D., Stojsavljevic, N., Pekmezovic, T., Drulovic, J.: The impact of sexual dysfunction on the quality of life measured by MSQoL-54 in patients with multiple sclerosis. Mult. Scler. 14, 1131–1136 (2008)

    Article  PubMed  Google Scholar 

  29. Sezgin, S.: Multiple sklerozlu hastalarda cinselliğe dair derinlemesine duygu ve düşüncelerin incelenmesi (Deep Examination of Emotions and Feelings as to Sexuality The Patients with Multiple Sclerosis). Atatürk University Institute of Health Sciences, Doctoral Thesis Erzurum (2007)

  30. Bahar, A., Savaş, H.A., Yıldızgördü, E., Barlıoğlu, H.: Anxiety, depression and sexual life of hemodialysis patients. Anatol. J. Psychiatry 8, 287–292 (2007)

    Google Scholar 

  31. Terzi, M., Kocamanoglu, B., Güz, H., Onar, M., Sahin, R.A.: Multipl skleroz hastalarında cinsel fonksiyon bozukluğu (Sexual dysfunction in multiple sclerosis patients). J. Exp. Clin. Med. 26, 81–85 (2009)

    Article  Google Scholar 

  32. İncesu, C.: Cinsel İşlevler ve Cinsel İşlev Bozuklukları. Klinik Psikiyatri (Clinical Psychiatry) Ek 3, 3–13 (2004)

    Google Scholar 

  33. Boyacıoğlu, S.G.: Kadın Cinsel İşlev Bozuklukları (Female Sexual Dysfunction). Psikiyatri Dünyası (World of Psychiatry) 2, 54–59 (1999)

    Google Scholar 

  34. Sungur, M.Z.: Erkek Cinsel İşlev Bozuklukları. (Male Sexual Dysfunction). Psikiyatri Dünyası (World of Psychiatry) 2, 60–64 (1999)

    Google Scholar 

  35. Tihan, A.K.: Psychiatric aspects of multiple sclerosis and recent treatment approaches. Arch. Neuropsychiatry 45(Suppl 1), 37–43 (2008)

    Google Scholar 

  36. Arpacı, E., Ünal, E.H., Gülpek, D., Çe, P., Akbay, S.T., Gedizlioğlu, M., Mete, L.: Multipl Sklerosis Hastalarında Cinsel İşlev Bozukluğu (Sexual Dysfunction in Multiple Sclerosis Patients). J. Neurol. Sci. Turk. 26, 71–78 (2011)

    Google Scholar 

  37. Demirkiran, M., Sarica, Y., Uguz, S., Yerdelen, D., Aslan, K.: Multiple sclerosis patients with and without sexual dysfunction: are there any differences? Mult. Scler. 12, 209–214 (2006)

    Article  PubMed  Google Scholar 

  38. Tzortzis, V., Skriapas, K., Hadjigeorgiou, G., Mitsogiannis, I., Aggelakis, K., Gravas, S., Poulakis, V., Melekos, M.D.: Sexual dysfunction in newly diagnosed multiple sclerosis women. Mult. Scler. 14, 561–563 (2008)

    Article  PubMed  Google Scholar 

  39. Schmidt, E.Z., Hofmann, P.G., Niederwieser, H., Kapfhammer, P., Boneli, R.M.: Sexuality in multiple sclerosis. J. Neural. Transm. 112, 1201–1211 (2005)

    Article  PubMed  Google Scholar 

  40. Fletcher, S.G., Castro-Borrero, W., Remington, G., Treadaway, K., Lemack, G.E., Frohman, E.M.: Sexual dysfunction in patients with multiple sclerosis: a multidisciplinary approach to evaluation and management. Nat. Clin. Pract. Urol. 6, 96–109 (2009)

    Article  PubMed  Google Scholar 

  41. Tülek, Z.: Determination of quality of life in multipl sclerosis patients who have been followed regularly. Istanbul University Institute of Health Sciences, Department of Nursing. Doctoral Thesis Istanbul (2006)

  42. Erdem, M., Celik, C., Doruk, A., Özgen, F.: Coping strategies in adaptation to distressing situations. Anatol. J. Clin. Investig. 2, 101–105 (2008)

    Google Scholar 

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Acknowledgments

We wish to thank the patients who participated in the study and shared their experiences with us and the Neurology Department of Gulhane Military Medical Academy.

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Authors and Affiliations

  1. Department of Neurology, Gulhane Military Medical Academy, Ankara, Turkey

    Betül Kılıc & Seref Demirkaya

  2. School of Nursing, Gulhane Military Medical Academy, Ankara, Turkey

    Vesile Unver

  3. Department of Psychiatry, Gulhane Military Medical Academy, Ankara, Turkey

    Abdullah Bolu

Authors
  1. Betül Kılıc
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  2. Vesile Unver
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  3. Abdullah Bolu
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  4. Seref Demirkaya
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Correspondence to Vesile Unver.

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Kılıc, B., Unver, V., Bolu, A. et al. Sexual Dysfunction and Coping Strategies in Multiple Sclerosis Patients. Sex Disabil 30, 3–13 (2012). https://doi.org/10.1007/s11195-011-9243-3

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