Department of Psychology, Ryerson University, Toronto, ON, Canada.
Rehabil Psychol. 2011 May;56(2):117-22. doi: 10.1037/a0023362.
Sexual dysfunction and low sexual satisfaction are common among individuals with multiple sclerosis (MS); however, little is known about factors that influence sexual satisfaction within this population. As such, the purpose of this study was to investigate the extent to which changes in negative and positive partner support predict sexual satisfaction levels over time in individuals with MS.
Eighty-one individuals with MS completed measures of sexual dysfunction, sexual satisfaction, partner social support, and depression. Data from baseline and posttreatment follow-up were obtained from a larger randomized clinical trial of telephone-administered psychotherapy for depression in a population with MS. Multiple regression analyses were conducted with change in overall sexual satisfaction from baseline to posttreatment as the outcome variable.
After controlling for age, gender, sexual dysfunction, years diagnosed with MS, and depression severity, those with increased positive partner support reported significant improvement in sexual satisfaction over time (β = .50, p < .001), as did individuals with decreased negative partner support (β = .36, p < .01).
Results provide evidence that both positive and negative partner support have a distinctive role in the outcome of sexual satisfaction for individuals with MS. Understanding the unique role of positive and negative forms of partner support on sexual satisfaction will help lead to future interventions to improve sexual satisfaction among couples.
性障碍和性满意度低在多发性硬化症（MS）患者中很常见；然而，对于影响该人群性满意度的因素知之甚少。因此，本研究的目的是调查在 MS 患者中，负面和积极的伴侣支持变化在多大程度上可以预测性满意度随时间的变化。
81 名 MS 患者完成了性功能障碍、性满意度、伴侣社会支持和抑郁的测量。来自一项更大的多发性硬化症患者电话心理治疗抑郁症随机临床试验的基线和治疗后随访的数据。采用多元回归分析，以从基线到治疗后整体性满意度的变化为因变量。
在控制年龄、性别、性功能障碍、MS 诊断年限和抑郁严重程度后，积极伴侣支持增加的患者报告性满意度随时间显著提高（β=0.50，p<.001），负面伴侣支持减少的患者也是如此（β=0.36，p<.01）。
结果表明，积极和消极的伴侣支持在 MS 患者性满意度的结果中都有独特的作用。了解积极和消极伴侣支持对性满意度的独特作用，将有助于未来开展改善伴侣性满意度的干预措施。
