Poststroke Changes in Sexual Functions Associated with General Characteristics

뇌졸중 후 일반적 특성과 관련된 성기능의 변화

  • Yoon, Jung-Gyu (Department of Physical Therapy, Namseoul University)
  • 윤정규 (남서울대학교 물리치료학과)
  • Received : 2009.03.10
  • Accepted : 2009.05.24
  • Published : 2009.06.25

Abstract

Purpose: The physical deficits after stroke have been well documented, but there is little information on the sexual functions of stroke patients. This study examined the associations of the general characteristics with the poststroke changes in sexual functions. Methods: A survey was conducted on 200 stroke patients from November 2008 to February 2009. Among the 200 submitted questionnaires, 147 responded, and the results were analyzed by SPSS for windows version 14.0. Results: A majority of the stroke patients reported a marked decline in all the measured sexual functions, i.e., frequency of sexual intercourse, frequency of kissing and romantic touching, thinking about sex with interest or desire, ability to become sexually aroused and the overall level of sexual satisfaction. Significant differences were observed in age (p<0.01), years since diagnosis (p<0.05), and educational level (p<0.01). There were no significant gender differences (p>0.05). Conclusion: Decreased sexual function is a common problem after stroke. These finding demonstrate a need to develop sexual adaptation programs that can be effective in improving the sexual functions reported by stroke patients.

Keywords

References

  1. Forsberg-Warleby G, Moller A, Blomstrand C. Life satisfaction in spouses of patients with stroke during the first year after stroke. J Rehabil Med. 2004;36(1):4-11.
  2. Bronner G, Royter V, Korczyn AD et al. Sexual dysfunction in Parkinson's disease. J Sex Marital Ther. 2004;30(2):95-105. https://doi.org/10.1080/00926230490258893
  3. Rees PM, Fowler CJ, Maas CP. Sexual function in men and women with neurological disorders. Lancet. 2007;369(9560):512-25. https://doi.org/10.1016/S0140-6736(07)60238-4
  4. Pistoia F, Govoni S, Boselli C. Sex after stroke: a CNS only dysfunction? Pharmacol Res. 2006;54(1):11-8. https://doi.org/10.1016/j.phrs.2006.01.010
  5. Jung JH, Kam SC, Choi SM et al. Sexual dysfunction in male stroke patients: correlation between brain lesions and sexual function. Urology. 2008;71(1):99-103. https://doi.org/10.1016/j.urology.2007.08.045
  6. Robinson-Smith G, Johnston MV, Allen J. Self-care selfefficacy, quality of life, and depression after stroke. Arch Phys Med Rehabil. 2000;81(4):460-4. https://doi.org/10.1053/mr.2000.3863
  7. Korpelainen JT, Nieminen P, Myllyla VV. Sexual functioning among stroke patients and their spouses. Stroke. 1999;30(4):715-9. https://doi.org/10.1161/01.STR.30.4.715
  8. Kim JH. Relationship among sexual knowledge, frequency, satisfaction, marital intimacy and levels of depression in stroke survivors and their spouses. J Korean Acad Nurs. 2008;38(3):483-91. https://doi.org/10.4040/jkan.2008.38.3.483
  9. Giaquinto S, Buzzelli S, Di Francesco L et al. Evaluation of sexual changes after stroke. J Clin Psychiatry. 2003;64(3): 302-7. https://doi.org/10.4088/JCP.v64n0312
  10. Nosek MA, Rintala DH, Young ME et al. Sexual functioning among women with physical disabilities. Arch Phys Med Rehabil. 1996;77(2):107-15. https://doi.org/10.1016/S0003-9993(96)90154-9
  11. Mazer NA, Leiblum SR, Rosen RC. The brief index of sexual functioning for women (BISF-W): a new scoring algorithm and comparison of normative and surgically menopausal populations. Menopause. 2000;7(5):350-63. https://doi.org/10.1097/00042192-200007050-00009
  12. Jo HH, Jung IC, KIM HY et al. Evaluation of sexual function and problem in Korean women using BISF-W questionnaire. Korean J Obstet Gynecol. 2002;45(12):2158-66.
  13. Kim JH, Kim O. Influence of mastery and sexual frequency on depression in Korean men after a stroke. J Psychosom Res. 2008;65(6):565-9. https://doi.org/10.1016/j.jpsychores.2008.06.005
  14. Stone J, Townend E, Kwan J et al. Personality change after stroke: some preliminary observations. J Neurol Neurosurg Psychiatry. 2004;75(12):1708-13. https://doi.org/10.1136/jnnp.2004.037887
  15. M, Numminen H, Waltimo O et al. Depression after stroke: results of the FINNSTROKE Study. Stroke. 1998;29(2):368-72. https://doi.org/10.1161/01.STR.29.2.368
  16. Wu CL, Huang MH, Lee CL et al. Effect on spasticity after performance of dynamic-repeated-passive ankle joint motion exercise in chronic stroke patients. Kaohsiung J Med Sci. 2006;22(12):610-7. https://doi.org/10.1016/S1607-551X(09)70361-4
  17. Edwards S. Neurological physiotherapy: A problem-solving approach. 2nd ed. New York, Churchill Livingstone, 2002:90-100.
  18. Lee CR, Son GS, Lee SY et al. Effects of nerve mobilization on the spasticity of ankle plantar flexor muscles in stroke patients. J Kor Soc Phys Ther. 2007;19(1):79-90.
  19. Kwon MJ. Daily physical functioning and quality of life for stroke. J Kor Soc Phys Ther. 2007;19(5):87-96.