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多发性硬化症患者及其伴侣的性康复与关系满意度

Sexual Rehabilitation and Relational Satisfaction in People with Multiple Sclerosis and their Partners.

作者信息

Tzitzika M, Daoultzis C C, Kordoutis P

机构信息

Department of Psychology, Panteion University of Social and Political Sciences, Athens, Greece.

出版信息

Sex Disabil. 2023;41(2):289-305. doi: 10.1007/s11195-023-09785-z. Epub 2023 Mar 16.

Abstract

Sexuality is an integral part of our existence. Multiple Sclerosis (MS) can complicate the lifelong course of sexual development and the ways in which one defines and expresses sexuality. Unfortunately, these issues are not adequately addressed by the health professionals involved in the rehabilitation process. Present research attempts to study the effect that can arise on the sexual and relational satisfaction of couples having a partner with MS after the implementation of a sexual rehabilitation program. 60 couples where one partner has MS and the other does not, were divided into three groups and accepted the PLISSIT (PLISSIT stands for Permission, Limited Information, Specific Suggestions, Intensive Therapy) sexual rehabilitation program as follows: Group a (n = 40, control group) completed self-referencing questionnaires at three times (initial measurement, after 10 weeks and 6 months later), group b (n = 40) did 10 weeks of sexual counselling and completed the same questionnaires at the same times and group c (n = 40) followed the PLISSIT programme and was evaluated in the same way at the same times. The implementation of PLISSIT improved Sexual Dysfunction (SD) levels, increased sexual satisfaction between partners along with general relational satisfaction. PLISSIT can be used by professionals involved in the management of the disease as a comprehensive psychosexual rehabilitation program for MS patients and their partners.

摘要

性是我们生存中不可或缺的一部分。多发性硬化症(MS)会使性发育的终生过程以及人们定义和表达性的方式变得复杂。不幸的是,参与康复过程的健康专业人员并未充分解决这些问题。目前的研究试图探讨在实施性康复计划后,对伴侣患有MS的夫妻的性满意度和关系满意度可能产生的影响。60对夫妻,其中一方患有MS而另一方没有,被分为三组,并接受如下的PLISSIT(PLISSIT代表允许、有限信息、具体建议、强化治疗)性康复计划:A组(n = 40,对照组)在三个时间点(初始测量、10周后和6个月后)完成自我参照问卷,B组(n = 40)进行10周的性咨询,并在相同时间完成相同问卷,C组(n = 40)遵循PLISSIT计划,并在相同时间以相同方式进行评估。PLISSIT的实施改善了性功能障碍(SD)水平,提高了伴侣之间的性满意度以及总体关系满意度。PLISSIT可被参与该疾病管理的专业人员用作针对MS患者及其伴侣的全面性心理康复计划。

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