Department of Rehabilitation Medicine and Physiotherapy, Erasmus MC, University Medical Center, Rotterdam, The Netherlands.
Arch Phys Med Rehabil. 2010 Sep;91(9):1423-8. doi: 10.1016/j.apmr.2010.06.011.
To describe the development of romantic relationships and sexual activity of young adults with cerebral palsy (CP), to investigate whether this development is associated with demographic and physical characteristics, and to compare the sexual activity of this group with an age-appropriate Dutch reference population.
Prospective longitudinal study with 3 biannual assessments.
Eight rehabilitation centers and departments in the southwestern regions of The Netherlands.
Young adults (N=103; 61 men, 42 women) with CP without cognitive disabilities (age range at first assessment, 16-20 y; 82% Gross Motor Function Classification System level I or II).
Not applicable.
Sexual interest, romantic relationships, and sexual activity.
We observed a significant increase in dating in young adults with CP during the 4-year period; however, the experience in romantic relationships did not increase largely during this period. Young adults with a lower education level began dating later than those with higher levels. Significantly more women were in current romantic relationships than men. During the 4 years, participants' sexual experience increased significantly for all sexual milestones evaluated. Level of gross motor function was associated significantly with intercourse experience. Compared with an age-appropriate Dutch reference population, young adults with CP participated at a lower level in romantic relationships and sexual activities, but had equal sexual interest at the final assessment.
Young ambulatory adults with CP had similar sexual interests and had increasing experiences with romantic relationships and sexual activities during the transition from late adolescence to young adulthood. However, the percentage of young adults with CP in current romantic relationships was low, especially for men.
描述患有脑瘫（CP）的年轻人浪漫关系和性活动的发展，探讨这种发展是否与人口统计学和身体特征有关，并将该群体的性活动与年龄匹配的荷兰参考人群进行比较。
前瞻性纵向研究，共进行 3 次半年评估。
荷兰西南部的 8 个康复中心和部门。
无认知障碍的年轻成年人（CP）（首次评估时的年龄范围为 16-20 岁；82%的粗大运动功能分级系统为 I 级或 II 级）。
不适用。
性兴趣、浪漫关系和性活动。
我们观察到 CP 年轻人在 4 年内约会次数显著增加；然而，在此期间，他们的浪漫关系经历并没有大幅增加。受教育程度较低的年轻人比受教育程度较高的年轻人约会时间晚。目前处于浪漫关系中的女性明显多于男性。在 4 年期间，所有评估的性里程碑中，参与者的性经验都显著增加。总体运动功能水平与性交经验显著相关。与年龄匹配的荷兰参考人群相比，CP 年轻人在浪漫关系和性活动中参与度较低，但在最后评估时性兴趣相当。
年轻的可移动 CP 成年人具有相似的性兴趣，并且在从青春期后期到成年早期的过渡期间，他们在浪漫关系和性活动方面的经验不断增加。然而，处于当前浪漫关系中的 CP 年轻人的比例较低，尤其是男性。
