Sexual Satisfaction in Fully Ambulatory People with Multiple Sclerosis: Does Disability Matter?

Primary sexual dysfunctions (SD) are a direct result of neurological changes that affect the sexual response. Secondary SD result from the symptoms that do not directly involve nervous pathways to the genital system, such as bladder and bowel problems, fatigue, spasticity, or muscle weakness. Tertia...

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Main Authors: Pawel Dobrakowski, Agnieszka Machowska-Majchrzak, Beata Labuz-Roszak, Ewa Niewiadomska, Krystyna Pierzchala
Format: Article
Language:English
Published: Wiley 2020-01-01
Series:Behavioural Neurology
Online Access:http://dx.doi.org/10.1155/2020/8857516
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author Pawel Dobrakowski
Agnieszka Machowska-Majchrzak
Beata Labuz-Roszak
Ewa Niewiadomska
Krystyna Pierzchala
author_facet Pawel Dobrakowski
Agnieszka Machowska-Majchrzak
Beata Labuz-Roszak
Ewa Niewiadomska
Krystyna Pierzchala
author_sort Pawel Dobrakowski
collection DOAJ
description Primary sexual dysfunctions (SD) are a direct result of neurological changes that affect the sexual response. Secondary SD result from the symptoms that do not directly involve nervous pathways to the genital system, such as bladder and bowel problems, fatigue, spasticity, or muscle weakness. Tertiary SD are the result of disability-related psychosocial and cultural issues that can interfere with sexual feelings and experiences. The aim of this study was to assess the sexual satisfaction (SS) in people with multiple sclerosis (PwMS) without significant mobility impairment and to estimate the influence of SD, the score on the Kurtzke Expanded Disability Status Scale (EDSS), lowered mood, and stress coping strategies on SS. Methods. 76 PwMS with the EDSS score<5.0 points were enrolled in the study. The subjects completed the Montgomery-Asberg Depression Scale (MADRS), the Coping Inventory for Stressful Situations (CISS), the Multiple Sclerosis Intimacy and Sexuality Questionnaire (MSISQ-19), and the Sexual Satisfaction Questionnaire (SSQ). Results. The level of SS in PwMS was not significantly lower compared to that of the general population. It correlated with the primary, secondary, and tertiary SD and lowered mood. However, it did not correlate with disability measured by the EDSS. Conclusions. The level of SS in PwMS with the EDSS score below 5.0 points was not significantly lower. SS depended on SD, lowered mood, and stress coping style, and it was not significantly related to the level of disability in patients with the EDDS score below 5.0.
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spelling doaj-art-f8b6a3cd7bac4820a0eccd2d7212db572025-02-03T06:43:35ZengWileyBehavioural Neurology0953-41801875-85842020-01-01202010.1155/2020/88575168857516Sexual Satisfaction in Fully Ambulatory People with Multiple Sclerosis: Does Disability Matter?Pawel Dobrakowski0Agnieszka Machowska-Majchrzak1Beata Labuz-Roszak2Ewa Niewiadomska3Krystyna Pierzchala4Faculty of Medical Sciences in Zabrze, Department of Neurology, Medical University of Silesia in Katowice, PolandFaculty of Medical Sciences in Zabrze, Department of Neurology, Medical University of Silesia in Katowice, PolandFaculty of Health Sciences in Bytom, Department of Basic Medical Sciences, Medical University of Silesia in Katowice, PolandFaculty of Health Sciences in Bytom, Department of Epidemiology and Biostatistics, Medical University of Silesia in Katowice, PolandFaculty of Medical Sciences in Zabrze, Department of Neurology, Medical University of Silesia in Katowice, PolandPrimary sexual dysfunctions (SD) are a direct result of neurological changes that affect the sexual response. Secondary SD result from the symptoms that do not directly involve nervous pathways to the genital system, such as bladder and bowel problems, fatigue, spasticity, or muscle weakness. Tertiary SD are the result of disability-related psychosocial and cultural issues that can interfere with sexual feelings and experiences. The aim of this study was to assess the sexual satisfaction (SS) in people with multiple sclerosis (PwMS) without significant mobility impairment and to estimate the influence of SD, the score on the Kurtzke Expanded Disability Status Scale (EDSS), lowered mood, and stress coping strategies on SS. Methods. 76 PwMS with the EDSS score<5.0 points were enrolled in the study. The subjects completed the Montgomery-Asberg Depression Scale (MADRS), the Coping Inventory for Stressful Situations (CISS), the Multiple Sclerosis Intimacy and Sexuality Questionnaire (MSISQ-19), and the Sexual Satisfaction Questionnaire (SSQ). Results. The level of SS in PwMS was not significantly lower compared to that of the general population. It correlated with the primary, secondary, and tertiary SD and lowered mood. However, it did not correlate with disability measured by the EDSS. Conclusions. The level of SS in PwMS with the EDSS score below 5.0 points was not significantly lower. SS depended on SD, lowered mood, and stress coping style, and it was not significantly related to the level of disability in patients with the EDDS score below 5.0.http://dx.doi.org/10.1155/2020/8857516
spellingShingle Pawel Dobrakowski
Agnieszka Machowska-Majchrzak
Beata Labuz-Roszak
Ewa Niewiadomska
Krystyna Pierzchala
Sexual Satisfaction in Fully Ambulatory People with Multiple Sclerosis: Does Disability Matter?
Behavioural Neurology
title Sexual Satisfaction in Fully Ambulatory People with Multiple Sclerosis: Does Disability Matter?
title_full Sexual Satisfaction in Fully Ambulatory People with Multiple Sclerosis: Does Disability Matter?
title_fullStr Sexual Satisfaction in Fully Ambulatory People with Multiple Sclerosis: Does Disability Matter?
title_full_unstemmed Sexual Satisfaction in Fully Ambulatory People with Multiple Sclerosis: Does Disability Matter?
title_short Sexual Satisfaction in Fully Ambulatory People with Multiple Sclerosis: Does Disability Matter?
title_sort sexual satisfaction in fully ambulatory people with multiple sclerosis does disability matter
url http://dx.doi.org/10.1155/2020/8857516
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