ABSTRACT
Introduction
The
consequences of stroke on sexual life in stroke patients in need of
specialized cognitive rehabilitation have been limited explored. A
biopsychosocial perspective in post-stroke sexuality studies is
warranted to capture the complex picture of stroke consequences and
sexual life after stroke and sexual satisfaction is an important outcome
measure when exploring such multifactorial associations.
Aim
To
explore sexual satisfaction and associated biopsychosocial factors in
stroke patients admitted to specialized cognitive rehabilitation.
Methods
A
cross-sectional study was performed including 91 consecutive stroke
patients admitted to specialized cognitive rehabilitation. Data were
collected from medical records and by face-to-face interviews using a
structured interview guide and questionnaires. Descriptive and inferential statistics were applied.
Main outcome measures
A
wide range of biopsychosocial variables including medical and
sociodemographic characteristics, social support, sexual complaints,
aspects of sexual life, psychological distress and life satisfaction
were analyzed in relation to the main outcome “Satisfaction with sexual
life.”
Results
Only
33 % were satisfied with sexual life. Prevalence of sexual complaints
was high, more frequent in women (84%) than in men (64%). Three-quarters
were less sexually active than before stroke. Multivariable analyses
showed that anxiety, sleep problems, manifested sexual complaint,
decrease in sexual activity and fear of partner rejection were
significantly associated with low odds of sexual satisfaction, while
affectionate support and partnership satisfaction were significant for
sexual satisfaction. When combined in a biopsychosocial multivariable
model only fear of partner rejection (OR 0.07; 95 % CI: 0.01–0.42) and
decrease in sexual activity (OR 0.11; 95 % CI: 0.02–0.58) showed
significant contribution to sexual satisfaction.
Conclusion
The
variety of predictors for sexual satisfaction indicates that
therapeutic actions need to be individualized and points towards a broad
assessment and interventional approach to meet the sexual
rehabilitation needs of stroke patients with cognitive impairments in need of specialized rehabilitation.
Vikan
JK, Snekkevik H, Nilsson MI, et al. Sexual Satisfaction and Associated
Biopsychosocial Factors in Stroke Patients Admitted to Specialized
Cognitive Rehabilitation. Sex Med 2021;XX:XXXXXX.
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