Flegge Lindsay G, Barr Aex, Craner Julia R
Pain Rehabilitation Program, Mary Free Bed Rehabilitation Hospital, Grand Rapids, Michigan, USA.
Pain Rehabilitation Program,Michigan State University College of Human Medicine, Grand Rapids, Michigan, USA.
Pain Med. 2023 Feb 1;24(2):197-206. doi: 10.1093/pm/pnac117.
Prior research indicates that sexual functioning and chronic pain commonly coexist and impact each other; however, there are limitations in current research as to the prevalence and severity of sexual dysfunction in patients with chronic pain.
This study used detailed measures across multiple domains of sexual functioning to describe the prevalence and correlates of self-reported sexual functioning among individuals with chronic pain presenting for treatment at a multidisciplinary pain management center (N = 247). Domains included sexual interest, satisfaction with sexual functioning, vaginal lubrication, vaginal discomfort, and erectile function. Individuals with and without sexual dysfunction were compared on pain-related outcome variables.
Results from this study showed a high prevalence of sexual dysfunction in populations with chronic pain and a positive association between sexual problems and pain severity and psychological concerns. Sex differences were noted, with female participants exhibiting significantly lower sexual satisfaction associated with higher levels of pain, pain-related life interference, depression, and anxiety, whereas these relationships were not significant for male participants.
Findings demonstrated that patients with chronic pain experience significant sexual dysfunction, including lack of interest in sexual activity and low satisfaction with their sex lives. Compared with patients without sexual dysfunction, patients with sexual dysfunction reported higher average pain levels and higher depressive symptoms, along with greater anxiety in patients with at least one area of sexual dysfunction. Adding to these findings are the pain-relevant correlates of sexual functioning domains and sex differences in these relationships, with women experiencing additional pain-related problems. Limitations and future research directions are discussed.
先前的研究表明，性功能障碍与慢性疼痛通常并存且相互影响；然而，目前关于慢性疼痛患者性功能障碍的患病率和严重程度的研究存在局限性。
本研究采用了跨性功能多个领域的详细测量方法，以描述在多学科疼痛管理中心接受治疗的慢性疼痛患者（N = 247）自我报告的性功能的患病率及其相关因素。这些领域包括性兴趣、对性功能的满意度、阴道润滑、阴道不适和勃起功能。对有无性功能障碍的个体在疼痛相关结局变量上进行比较。
本研究结果显示，慢性疼痛人群中性功能障碍的患病率很高，性问题与疼痛严重程度和心理问题之间存在正相关。注意到了性别差异，女性参与者表现出明显较低的性满意度，这与较高水平的疼痛、疼痛相关的生活干扰、抑郁和焦虑有关，而这些关系在男性参与者中并不显著。
研究结果表明，慢性疼痛患者存在明显的性功能障碍，包括对性活动缺乏兴趣和对性生活满意度低。与无性功能障碍的患者相比，性功能障碍患者报告的平均疼痛水平更高、抑郁症状更严重，并且在至少有一个性功能障碍领域的患者中焦虑程度更高。这些研究结果还包括性功能领域与疼痛相关的关联以及这些关系中的性别差异，女性还存在与疼痛相关的其他问题。讨论了研究的局限性和未来的研究方向。
