Woods Lorraine, Hevey David, Ryall Nicola, O'Keeffe Fiadhnait
a Department of Psychology, Aras an Phiarsaigh, Trinity College Dublin , Dublin , Ireland.
b Prosthetic, Orthotic and Limb Absence Rehabilitation Programme , National Rehabilitation Hospital , Dublin , Ireland.
Disabil Rehabil. 2018 Jul;40(14):1663-1670. doi: 10.1080/09638288.2017.1306585. Epub 2017 Mar 30.
The study examined the relationships between psychological variables and sexual functioning in persons with lower limb amputations.
Sixty-five participants (n = 49 males, n = 16 females) with lower limb amputations completed a battery of self-report questionnaires regarding their current psychological well-being and their current sexual activity. Measures included the anxiety items on the Hospital Anxiety and Depression Scale, the Beck Depression Inventory - Second Edition, Body Image Quality of Life Inventory, Body Exposure Self-Consciousness during Intimate Situations and the Golombok-Rust Inventory of Sexual Satisfaction.
Half of all participants with lower limb amputations were not currently sexually active. Approximately 60% of those who were sexually active scored within the clinical range for overall sexual dysfunction. Overall levels of sexual dysfunction were associated with significantly higher levels of anxiety (r = 0.40, p < 0.005), depression (r = 0.41, p < 0.015) and body exposure self-consciousness during sexual activities (r = 0.56, p < 0.005). Body image self-consciousness during sexual activities was the strongest predictor of sexual dysfunction.
Psychological challenges following limb loss are strongly associated with levels of sexual dysfunction. The study highlights the need for psychological and psychosexual assessment and intervention following limb loss to enhance sexual functioning and overall quality of life. Implications for Rehabilitation Only half of the participants with a lower limb amputation were sexually active. Over 60% of those who were sexually active reported clinical levels of sexual dysfunction. One third of the entire sample scored within the clinical range for depression and for anxiety. Depression, anxiety and body image issues were significantly associated with sexual dysfunction in the current sample of individuals with lower limb amputation. There is a need for psychosexual assessment following limb loss to ensure that appropriate and timely interventions are made available. Interventions that target the psychological factors related to sexual dysfunction are likely to improve overall quality of life for these individuals.
本研究探讨了下肢截肢者心理变量与性功能之间的关系。
65名下肢截肢者（n = 49名男性，n = 16名女性）完成了一系列关于其当前心理健康状况和当前性活动的自我报告问卷。测量指标包括医院焦虑抑郁量表中的焦虑项目、贝克抑郁量表第二版、身体意象生活质量量表、亲密情境下的身体暴露自我意识以及戈洛姆贝克-拉斯特性满意度量表。
所有下肢截肢参与者中有一半目前没有性活动。在有性活动的参与者中，约60%在总体性功能障碍的临床范围内得分。性功能障碍的总体水平与焦虑水平显著较高（r = 0.40，p < 0.005）、抑郁水平（r = 0.41，p < 0.015）以及性活动期间的身体暴露自我意识（r = 0.56，p < 0.005）相关。性活动期间的身体意象自我意识是性功能障碍的最强预测因素。
肢体缺失后的心理挑战与性功能障碍水平密切相关。该研究强调了肢体缺失后进行心理和性心理评估及干预的必要性，以提高性功能和整体生活质量。康复意义 只有一半的下肢截肢参与者有性活动。在有性活动的参与者中，超过60%报告有临床水平的性功能障碍。整个样本中有三分之一在抑郁和焦虑的临床范围内得分。在当前下肢截肢个体样本中，抑郁、焦虑和身体意象问题与性功能障碍显著相关。肢体缺失后需要进行性心理评估，以确保提供适当和及时的干预。针对与性功能障碍相关的心理因素的干预可能会改善这些个体的整体生活质量。
