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

Vikan, Jannike K.; Snekkevik, Hildegun; Nilsson, Marie; Stanghelle, Johan Kvalvik; Geirdal, Amy Østertun; Fugl-Meyer, Kerstin

doi:10.1016/j.esxm.2021.100424

Cited by 4 publications

(3 citation statements)

References 48 publications

(94 reference statements)

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“…Preliminary psychosocial studies reported that unwillingness for sex, general attitude toward sexuality, inability to discuss sexuality, and a belief in an adverse effect of stroke were explanatory factors for decreased sexual satisfaction [ 11 , 38 ]. In a recent study, using a multivariate biopsychosocial approach, Vikan and colleagues [ 39 ] demonstrated that partner rejection and a decrease in sexual activity had a significant contribution to sexual dissatisfaction in stroke patients. In the realm of socio-demographic research, other factors should be taken into account when evaluating sexuality in stroke patients.…”

Section: A Biopsychosocial Perspective: Toward a Standardized Evaluat...mentioning

confidence: 99%

“…Social resources also affect sexuality in stroke patients. Indeed, Vikan and colleagues [ 39 ] reported that affectionate support was the only factor that contributed to sexual satisfaction, demonstrating that having someone show you love and affection is crucial for total sexual fulfillment.…”

Section: A Biopsychosocial Perspective: Toward a Standardized Evaluat...mentioning

confidence: 99%

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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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Section: A Biopsychosocial Perspective: Toward a Standardized Evaluat...mentioning

confidence: 99%

Section: A Biopsychosocial Perspective: Toward a Standardized Evaluat...mentioning

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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show abstract

“…The researchers [7] emphasize, however, that even though sexual dysfunctions among the participants could occur due to brain injury location, dysfunctions could also occur due to psychosocial aspects, such as changes in relationships related to TBI. In a recently published Norwegian study, Vikan et al [22] investigated how several biopsychosocial factors were associated with lowered satisfaction with sexual life after stroke, and reported that two thirds were unsatisfied with their sexual life and that more females than males were experiencing sexual difficulties.…”

Section: Biopsychosocial Perspectivesmentioning

confidence: 99%

Unmet Need for Sexual Rehabilitation after Acquired Brain Injury (ABI): A Cross-Sectional Study Concerning Sexual Activity, Sexual Relationships, and Sexual Rehabilitation after ABI

Holmström

Elmerstig

2023

Sex Disabil

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In relation to brain injury rehabilitation, research has stressed the importance of including sexuality issues due to increased risk for sexual dysfunctions after Acquired Brain Injury (ABI). This study aims to explore experiences after non-stroke ABI concerning individual and relational aspects of sexuality, received information about sexuality at rehabilitation, and gender differences. A postal nationwide survey was conducted in Sweden, 2018–2019. The sample included individuals who had participated in brain injury rehabilitation 2014–2016, response rate 40% (250/624). Among all participants 78% had resumed sexual activity, and there was a significant difference between males (84%, 118/140) and females (69%, 76/110, p = 0.004). Among all participants, 95% reported physical intimacy as important, 80% considered sex as important on an individual level, and 91% stated sexuality as important for the relationship (no gender differences). Significantly more females (52%) than males (22%) reported that they had tried sexual aids (p = 0.000), and more males (29%) than females (16%) reported that professionals addressed sexuality issues during brain injury rehabilitation (p = 0.024). However, only a few participants were offered specific sexual counseling during brain injury rehabilitation, such as individual counseling (3%), couples counseling (2%), and group counseling (3%). To conclude, the vast majority valued both individual and relational aspects of sex and sexuality highly, and more males than females had resumed sexual activity. Few had received information about sexuality after ABI, and even fewer females compared to males reported that the issue was raised during rehabilitation. Clinical implications are discussed in relation to sexual rehabilitation.

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Factors Related to the Quality and Stability of Partner Relationships After Stroke: A Systematic Literature Review

van den Broek,

Verrijt,

Rijnen

et al. 2024

Archives of Physical Medicine and Rehabilitation

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

Cited by 4 publications

References 48 publications

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

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

Unmet Need for Sexual Rehabilitation after Acquired Brain Injury (ABI): A Cross-Sectional Study Concerning Sexual Activity, Sexual Relationships, and Sexual Rehabilitation after ABI

Factors Related to the Quality and Stability of Partner Relationships After Stroke: A Systematic Literature Review

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