Zamani Maryam, Tavoli Azadeh, Yazd Khasti Behjat, Sedighimornani Neda, Zafar Masood
Counseling Center, Tehran University, Tehran, Iran.
Department of Psychology, Faculty of Educational Sciences and Psychology, Alzahra University, Tehran, Iran.
Iran J Psychiatry. 2017 Jan;12(1):58-65.
Multiple Sclerosis (MS) is a disease with a detrimental effect on functional status. The present study investigated the effect of a sexual therapy program on the quality of life (QOL) of women with multiple sclerosis. Women with multiple sclerosis and sexual dysfunction (n = 30) were selected, and were randomly assigned into the treatment (n = 15), or the control groups (n = 15). Participants of the treatment group (n = 15) received 12 weekly sessions of sexual therapy. Participants in both groups completed the Female Sexual Function Inventory (FSFI) and the MS Quality of Life- 54 (MSQOL-54) in the onset of the program and at the end of the program. ANCOVA(s) using pre-test scores as covariate(s) revealed that in comparison to the control condition, MS patients within the treatment group showed a significant improvement in their sexual desire (0.0001), arousal (0.022), lubrication (0.001), orgasm (0.001), satisfaction (0.0001), overall quality of life (0.001), energy (0.023), cognitive function (0.005), and social function (0.001) at the end of the program. In addition, they were less limited in their roles due to the emotional and health problems. The present study revealed that addressing sexual dysfunction in MS patients could improve their quality of life. In the future, this research can extend its results, and apply the same method to men with MS to find whether sexual therapy enhances their quality of life.
多发性硬化症（MS）是一种对功能状态有不利影响的疾病。本研究调查了性治疗方案对患有多发性硬化症女性的生活质量（QOL）的影响。选取了患有多发性硬化症和性功能障碍的女性（n = 30），并将她们随机分为治疗组（n = 15）或对照组（n = 15）。治疗组的参与者（n = 15）接受了为期12周的性治疗课程。两组参与者在方案开始时和结束时都完成了女性性功能指数（FSFI）和多发性硬化症生活质量-54量表（MSQOL-54）。使用预测试分数作为协变量的协方差分析表明，与对照条件相比，治疗组中的多发性硬化症患者在方案结束时在性欲（0.0001）、性唤起（0.022）、润滑（0.001）、性高潮（0.001）、满意度（0.0001）、总体生活质量（0.001）、精力（0.023）、认知功能（0.005）和社会功能（0.001）方面有显著改善。此外，由于情感和健康问题，她们在角色方面的限制也更少。本研究表明，解决多发性硬化症患者的性功能障碍可以改善他们的生活质量。未来，这项研究可以扩展其结果，并将相同的方法应用于患有多发性硬化症的男性，以确定性治疗是否能提高他们的生活质量。
