Sexual Function, Satisfaction, and Use of Aids for Sexual Activity in Middle-Aged Adults with Long-Term Physical Disability

Topics in Spinal Cord Injury Rehabilitation, 2015 · DOI: 10.1310/sci2103-227 · Published: July 1, 2015

Simple Explanation

This study examines sexual function, satisfaction, and the use of aids for sexual activity in middle-aged adults with long-term physical disabilities (LTPD). It looks at how disability, age, and gender influence sexual outcomes, and it identifies predictors of sexual satisfaction in men and women with LTPD. The study found that sexual function is a strong predictor of sexual satisfaction for both men and women. However, depression also significantly impacts sexual satisfaction in women. The use of aids varied by disability type and was generally associated with better function. The results suggest that clinicians should openly address challenges with sexual expression and discuss options to restore or improve function with patients and their partners. Furthermore, mental health factors, such as depression, need to be addressed to improve sexual satisfaction and overall quality of life.

Study Duration

Longitudinal survey, data from the third year

Participants

368 middle-aged adults (46-67 years old) with muscular dystrophy, spinal cord injury, or post-polio syndrome who reported being in a relationship that involved sexual activity.

Evidence Level

Cross-sectional survey

Key Findings

1
Sexual function was the strongest predictor of sexual satisfaction for both men and women with LTPD.
2
Depression was a significant predictor of sexual satisfaction for women, even when controlling for sexual dysfunction.
3
Individuals with SCI reported the lowest levels of sexual satisfaction, particularly men, despite reporting better sexual function in some areas.

Research Summary

This study investigated sexual function, satisfaction, and aid use in middle-aged adults with long-term physical disabilities. The study aimed to identify factors that contribute to sexual satisfaction in this population. The key finding was that sexual function is a strong predictor of sexual satisfaction for both men and women. However, depression also plays a significant role in women's sexual satisfaction. The study suggests that healthcare providers should address sexual health with patients with disabilities and consider the impact of mental health on sexual satisfaction, particularly for women.

Practical Implications

Clinical Practice

Clinicians should proactively address sexual health concerns with middle-aged patients who have long-term physical disabilities.

Mental Health Support

Mental health professionals should assess and treat depression in women with physical disabilities to improve their sexual satisfaction.

Assistive Technology

Encourage the use of sexual aids to improve sexual function and satisfaction, especially considering the specific needs of individuals with different disabilities.

Study Limitations

1
Cross-sectional self-report design
2
Absence of partner interview
3
Sample predominantly non-Hispanic White with high education levels, limiting generalizability

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