Assessment methods in sexual rehabilitation after stroke: a scoping review for rehabilitation professionals

Auger, Louis-Pierre; Aubertin, Mélanie; Grondin, Myrian; Auger, Claudine; Filiatrault, Johanne; Rochette, Annie

doi:10.1080/09638288.2021.1889047

Cited by 6 publications

(4 citation statements)

References 161 publications

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“…The need to feel desirable, attractive, and pretty was an urge shared by post-stroke women. These needs were influenced by self-perception and judgments of self [ 49 , 50 , 51 ]. In a survey, some women reported that the sexual response and sexual desire, arousal, and orgasm remained unchanged following stroke.…”

Section: Resultsmentioning

confidence: 99%

Sexual Functioning and Sexual Health in Female Patients following Stroke: A Scoping Review with Implications for Rehabilitation

Latella,

Grimaldi,

Calabrò

2024

JPM

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The impact of stroke on the sexual functioning of female survivors can arise from direct neurological effects or be triggered indirectly through various psychophysiological processes. Although an increasing number of publications exist, the topic of sexuality remains seldom discussed in the stroke literature, even though patients have expressed a need for sexual rehabilitation services. A literature review on sexual functioning in post-stroke females examining existing rehabilitation programs addressing patients’ sexuality and exploring the perspectives of nurses and caregivers on sexual issues constitutes a novel approach. Therefore, we conducted a scoping review to better investigate this hot topic. Studies were identified by searching Scopus, PubMed, Web of Science, Cochrane Library, PsychINFO, and Embase databases. Current data indicates substantial connections between stroke and female sexual dysfunction (SD), including factors like desire/libido, sexual satisfaction, and sexual intercourse. Some intervention programs have been created to provide specific guidance to healthcare professionals in addressing patients’ requirements for sexual recovery, although their adequacy remains uncertain. However, to date, there are neither specific rehabilitation programs for post-stroke female SD nor healthcare personnel trained to deal with post-stroke sexual issues adequately and efficiently. The incorporation of sexual rehabilitation into the overall rehabilitation process for stroke patients is crucial, ideally within an interdisciplinary framework. Despite being a fundamental aspect of post-stroke women’s lives, sexuality remains taboo.

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Section: Resultsmentioning

confidence: 99%

Sexual Functioning and Sexual Health in Female Patients following Stroke: A Scoping Review with Implications for Rehabilitation

Latella,

Grimaldi,

Calabrò

2024

JPM

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“…Indeed, their systematic review showed that only multidisciplinary and structured interventions, including sexual counselling and pelvic-floor-muscle training, may be supported to improve sexual function in the rehabilitation setting [ 56 ]. Moreover, in a recent extensive review, the same authors aimed at identifying the assessment methods used by rehabilitation professionals to investigate sexuality in post-stroke patients [ 57 ], before any rehabilitative approach is applied. They found that SD were predominantly assessed using standardized tools (62/110 papers), while relationships and partners’ perspectives were investigated using original questionnaires as well as qualitative methods, including semistructured interviews (16 papers).…”

Section: Discussion and Future Perspectivesmentioning

confidence: 99%

Talking about Sexuality in Stroke Individuals: The New Era of Sexual Rehabilitation

Contrada

Cerasa

Pucci

et al. 2023

JCM

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One of the largest causes of mortality and disability worldwide is stroke. In the last twenty years significant objectives have been achieved in the early and chronic treatment of motor and cognitive dysfunctions, increasing the quality of life in patients and their caregivers. However, there is an unresolved clinical issue that remains: sexual dysfunctions. Multiple etiologies, including organic (such as lesion localization, premorbid medical problems, and drugs) and psychosocial (such as fear of recurrences, loss of self-esteem, role shifts, anxiety, and depression), are associated with sexual deficits. In this perspective review, we reported the last piece of evidence about this crucial topic which drastically affects the quality of life of these patients. Indeed, although patients may often not disclose their sexual concerns, literature demonstrates that they seek help concerning this issue. On the other side, clinicians working in the rehabilitation field are not always comfortable or prepared to deal with sexuality and sexual function in neurological patients. A new phase of the training course should be launched including different physicians, nurses, rehabilitation specialists, and social workers, to learn how to deal with topics related to sexuality. As a result, professional sexual counselors should now become a structured part of stroke settings and rehabilitation with new effective tools (i.e., PLISSIT model; TDF program) for improving quality of life.

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“…The high prevalence of female sexual complaints confirm the need to highlight female sexuality after stroke, inadequately addressed in clinical practice and research. 12 , 16 , 23 Women with sexual complaints were more satisfied with sexual life than men with sexual complaints, and men more often tended to experience sexual complaints as distressing. The results may indicate that these women, but not men, have found ways to cope with their sexual complaints.…”

Section: Discussionmentioning

confidence: 99%

“…Research on poststroke sexuality have predominantly investigated different aspects of sexual function as main outcome and some focused on sexual activity, 16 and a majority investigated male sexual dysfunction and patients aged over sixty. 12 , 14 Sexual dysfunctions and sexual inactivity are found to be associated with medications prescribed after stroke, coexisting medical conditions, depression and anxiety, 10 , 12 , 14 , 17 as well as physical impairment and level of independence in activities of daily living.…”

Section: Introductionmentioning

confidence: 99%

Sexual Satisfaction and Associated Biopsychosocial Factors in Stroke Patients Admitted to Specialized Cognitive Rehabilitation

et al. 2021

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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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Assessment methods in sexual rehabilitation after stroke: a scoping review for rehabilitation professionals

Cited by 6 publications

References 161 publications

Sexual Functioning and Sexual Health in Female Patients following Stroke: A Scoping Review with Implications for Rehabilitation

Sexual Functioning and Sexual Health in Female Patients following Stroke: A Scoping Review with Implications for Rehabilitation

Talking about Sexuality in Stroke Individuals: The New Era of Sexual Rehabilitation

Sexual Satisfaction and Associated Biopsychosocial Factors in Stroke Patients Admitted to Specialized Cognitive Rehabilitation

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