“You feel a bit unsexy sometimes”: The psychosocial impact of a spinal cord injury on sexual function and sexual satisfaction

Spinal Cord, 2023 · DOI: https://doi.org/10.1038/s41393-022-00858-y · Published: October 13, 2022

Spinal Cord Injury Urology Mental Health

Simple Explanation

This study explores the experiences of people with spinal cord injuries (SCI) regarding their sexual function and satisfaction. It identifies psychosocial factors, such as societal views, self-confidence, communication, relationship dynamics, and support services, that affect their sexual lives post-injury. The research highlights the need for better education, communication strategies, and tailored interventions to improve sexual well-being for individuals living with SCI.

Study Duration

Not specified

Participants

20 people with SCI (15 males; 5 females)

Evidence Level

Qualitative, semi-structured interview design

Key Findings

1
Participants face barriers due to societal stereotypes and stigmatization, impacting their sexual confidence and self-esteem.
2
Effective communication with partners and healthcare professionals is crucial for addressing sexual function and satisfaction post-injury.
3
A lack of adequate sexual support services and education during both inpatient and outpatient rehabilitation phases negatively affects sexual preparedness.

Research Summary

This study aimed to identify the psychosocial barriers and facilitators impacting sexual function and satisfaction post-SCI from the perspective of people living with the injury. Six themes emerged: Internalizing societal views and stigmatization, diminished sexual confidence, navigating communication, managing relationship dynamics, lack of sexual support provision, and intervention development recommendations. The findings underscore the need for increased education, improved communication strategies, and tailored interventions to enhance sexual well-being for individuals with SCI.

Practical Implications

Counter Stigmatization

Educate society to overcome negative stereotypes and promote acceptance of sex despite disability.

Enhance Communication

Develop techniques to improve interpersonal sexual communication and involve partners in regaining mutual sexual satisfaction.

Improve Support Services

Implement outpatient-based interventions targeting key areas for future SCI-focused sexual therapeutic work.

Study Limitations

1
Gender imbalance in the study sample (more males than females).
2
Participants completed SCI inpatient rehabilitation in spinal units across England, limiting generalizability.
3
The study did not include a broad range of sexual preferences (e.g., members of the LGBTQ+ population).

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