Sexuality and intimacy.

Meston, Cindy M.; Stanton, Amelia M.

doi:10.1037/0000101-020

Cited by 1 publication

(1 citation statement)

References 71 publications

(79 reference statements)

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“…The medical/physiological demands of sexual activity and related patient safety are generally straightforward [ 158 ], but patients and their spouse often remain concerned [ 159 ]. In the general population seeking help with sexual functioning, the effectiveness of couple therapy is well supported [ 160 ], and these interventions are easily adapted for CHD couples.…”

Section: Adjustment To Acute and Chronic Disease And Related Carementioning

confidence: 99%

Intimate Relationships and Coronary Heart Disease: Implications for Risk, Prevention, and Patient Management

Smith

2022

Curr Cardiol Rep

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Purpose of Review Research and clinical services addressing psychosocial aspects of coronary heart disease (CHD) typically emphasize individuals, focusing less on the context of intimate relationships such as marriage and similar partnerships. This review describes current evidence regarding the role of intimate relationships in the development, course, and management of CHD. Recent Findings Having an intimate partner is associated with reduced risk of incident CHD and a better prognosis among patients, but strain (e.g., conflict) and disruption (i.e., separation, divorce) in these relationships are associated with increased risk and poor outcomes. These associations likely reflect mechanisms involving health behavior and the physiological effects of emotion and stress. Importantly, many other well-established psychosocial risk and protective factors (e.g., low SES, job stress, depression, and optimism) are strongly related to the quality of intimate relationships, and these associations likely contribute to the effects of those other psychosocial factors. For better or worse, intimate partners can also affect the outcome of efforts to alter health behaviors (physical activity, diet, smoking, and medication adherence) central in the prevention and management CHD. Intimate partners also influence—and are influenced by—stressful aspects of acute coronary crises and longer-term patient adjustment and management. Summary Evidence on each of these roles of intimate relationships in CHD is considerable, but direct demonstrations of the value of couple assessments and interventions are limited, although preliminary research is promising. Research needed to close this gap must also address issues of diversity, disparities, and inequity that have strong parallels in CHD and intimate relationships.

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Section: Adjustment To Acute and Chronic Disease And Related Carementioning

confidence: 99%