Assessing the effect of fibromyalgia on patients’sexual activity

Ryan, Sarah; Hill, Jackie; Thwaites, Cath

doi:10.7748/ns.23.2.35.s54

Cited by 9 publications

(3 citation statements)

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“…This impact of fatigue was important and easily expressed by patients in the present study. As in previous studies [ 39 – 41 ], patients of both genders felt that fatigue was a major obstacle that limited their sexual activities, thus this issue appears to not be culture-specific. However the solutions proposed may be culture-specific since several women had asked their husbands to marry again (which is a possibility in the Egyptian and Islamic culture) because of the impact of their fatigue on their sexual life, and they expressed that a second wife was the easiest solution or coping strategy for this consequence of their fatigue.…”

Section: Discussionmentioning

confidence: 58%

Fatigue in Egyptian patients with rheumatic diseases: a qualitative study

Mortada

Abdul-Sattar

Gossec

2015

Health Qual Life Outcomes

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ObjectivesFatigue is frequent in rheumatic diseases. Fatigue expression and consequences may be modified by cultural differences. Our objective was to increase the understanding of the fatigue experience and characteristics among Egyptian, Muslim patients with rheumatic diseases.MethodsProspective monocentric qualitative study based on conventional qualitative content analysis, inductive reasoning, grounded theory. Egyptian patients with rheumatoid arthritis (RA), fibromyalgia or axial spondyloarthritis (AxSpA) were asked about fatigue, its patterns, consequences and self-management.ResultsOf the 60 patients interviewed, 20 patients had each disease (RA, fibromyalgia and AxSpA); median ages ranged from 34 to 40 years. Patients were mainly male (N = 40, 66 %), had 3 to 7 years (mean) of disease duration and had moderate disease activity. Some aspects of the patients’ experience of fatigue may be specific to the Egyptian and Muslim culture such as the description of fatigue as a physical more than a mental impact of the disease, the response to the effect of fatigue on sexual function and the gender specific (women more than men) limitation of social activities due to fatigue which was more obvious in our study than other previous studies. Other aspects of patients’ experience of fatigue like overlap between the patients’ perception of fatigue and pain and coping strategies were similar to the findings in previous studies.ConclusionThis study gives insights regarding fatigue in rheumatic diseases in an Arabic and Muslim culture. Similarities and differences with previous studies were noted and should be taken into account when assessing these patients.

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Section: Discussionmentioning

confidence: 58%

Fatigue in Egyptian patients with rheumatic diseases: a qualitative study

Mortada

Abdul-Sattar

Gossec

2015

Health Qual Life Outcomes

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“…The physical symptoms of impaired function, pain, fatigue, and stiffness as well as psychological responses to chronic disease, such as depression and insecurity, can all contribute to sexual dysfunction [ 3 ]. Ryan et al have reported that pain, fatigue, and stiffness may interfere with normal sexual functions [ 19 ]. SLE has been associated with substantial medical morbidity resulting in physical and occupational disability [ 3 ].…”

Section: Discussionmentioning

confidence: 99%

Body Image Disturbances Have Impact on the Sexual Problems in Chinese Systemic Lupus Erythematosus Patients

Shen

Chen

et al. 2015

Journal of Immunology Research

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SLE might affect all aspects of life including sexual functioning; previous study found that body image disturbance (BID) was the most powerful predictors of impaired partner relationships and sexual function. The current study investigated the relationship among disease parameters, quality of life, the psychological status, BID, and sexual problems in Chinese patients with SLE. A self-report survey design was administered to 168 SLE patients and 210 healthy individuals. Our results showed that 86 (55.1%) SLE patients reported impaired relationships with a sexual partner or partners, and 100 (64.1%) patients reported impaired sexual function which were significantly higher than the control group (31.6%, 35.7%, rep.). Age, marital status, depression, and BIDQ were the most powerful predictors of impaired partner relationships, while BIDQ3 and education, disease activity, and depression were the most significant causes of impaired sexual function. The study for first time reported Chinese SLE patients had sexual problems and BID was associated with sexual problems. So, early detection and interventions might not only rehabilitate the patients and their loved ones, but also improve overall health outcomes and reduce the direct and indirect costs of their medical care.

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“…Globally, it is the leading cause of years lived with disability [YLD, ( 1 )]. Its negative impact on the quality of life is the highest of all diseases ( 2 , 3 ) and it brings severe challenges for patients ( 4 , 5 ): Patients diagnosed with chronic pain sleep worse ( 6 ), have an increased suicidal tendency ( 7 ), a deteriorated sexuality ( 8 ) and an increased probability of a comorbid depression ( 9 ), which also represents a major health problem ( 10 ). The management of chronic pain is characterized by a range of different treatments e.g., medication, exercise or cognitive behavioral therapy [CBT, ( 11 )].…”

Section: Introductionmentioning

confidence: 99%

Cognitive Change and Relaxation as Key Mechanisms of Treatment Outcome in Chronic Pain: Evidence From Routine Care

et al. 2021

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Despite effective treatment approaches within the cognitive behavioral framework general treatment effects for chronic pain are rather small to very small. Translation from efficacy trials to naturalistic settings is questionable. There is an urgent need to improve the effectiveness of well-established treatments, such as cognitive-behavior therapy (CBT) and the investigation of mechanisms of change is a promising opportunity. We performed secondary data analysis from routine data of 1,440 chronic pain patients. Patients received CBT in a multidisciplinary setting in two inpatient clinics. Effect sizes and reliable change indices were computed for pain-related disability and depression. The associations between changes in the use of different pain coping skills (cognitive restructuring, activity despite pain, relaxation techniques and mental distraction) and changes in clinical outcomes were analyzed in structural equation models. Pre–post effect sizes range from g = 0.47 (disability) to g = 0.89 (depression). Changes in the use of cognitive restructuring, relaxation and to a lesser degree mental distraction were associated with changes in disability and depression. Effects from randomized trials can be translated to naturalistic settings. The results complement experimental research on mechanisms of change in the treatment of chronic pain and indicate an important role of cognitive change and relaxation as mechanisms of change. Our findings cautiously suggest that clinicians should optimize these processes in chronic pain patients to reduce their physical and emotional disability.

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Assessing the effect of fibromyalgia on patients’sexual activity

Abstract: The symptoms associated with fibromyalgia had a negative effect on sexual enjoyment. The questionnaire appears to be useful in addressing sexuality in patients with fibromyalgia.

Cited by 9 publications

References 0 publications

Fatigue in Egyptian patients with rheumatic diseases: a qualitative study

Fatigue in Egyptian patients with rheumatic diseases: a qualitative study

Body Image Disturbances Have Impact on the Sexual Problems in Chinese Systemic Lupus Erythematosus Patients

Cognitive Change and Relaxation as Key Mechanisms of Treatment Outcome in Chronic Pain: Evidence From Routine Care

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