Rocamora-Pérez Patricia, Poza-Rodríguez Azahara de la, Benzo-Iglesias María Jesús, Aguilar-Parra José Manuel, Trigueros-Ramos Rubén, López-Liria Remedios, Morales-Gázquez María José
Health Research Centre, Department of Nursing, Physiotherapy and Medicine, University of Almería, Almería, Spain.
Torrecárdenas University Hospital, Almería, Spain.
Brain Behav. 2025 Jul;15(7):e70655. doi: 10.1002/brb3.70655.
Sexuality is recognized as a fundamental dimension of human well-being; however, gaps remain in understanding how changes associated with aging, such as chronic pain, affect sexual desire and quality of life. This study aimed to explore the relationships among quality of life, pain, and sexual desire among people over 65 years of age.
A cross-sectional design was employed with 400 institutionalized and non-institutionalized elderly people. Participants completed the Sexual Desire Inventory, Spanish Pain Questionnaire, and WHOQOL-BREF quality of life scale. Data were analyzed using descriptive statistics, Pearson correlations, and a structural equation model.
The results revealed a model indicating significant positive correlations between sexual desire and quality of life, suggesting that higher quality of life is associated with greater sexual desire, and vice versa. Additionally, sexual desire correlated negatively with pain, suggesting that greater sexual desire is associated with lower pain levels. Negative correlations were also observed between quality of life-particularly in the physical health domain-and pain. The model fit indices were adequate: χ (1259, N = 400) = 3117.61, χ/df = 2.48, p < 0.001, Incremental Fit Index (IFI) = 0.96, Tucker Lewis Index (TLI) = 0.96, Comparative Fit Index (CFI) = 0.96, root mean square error of approximation (RMSEA) = 0.058 (90% confidence interval [CI] = 0.045-0.071), standardized root mean square residual (SRMR) = 0.045.
By exploring these variables, this study seeks to contribute to the design of more inclusive and sensitive strategies that address the comprehensive and respectful needs of the elderly, thereby improving their quality of life.
性取向被视为人类幸福的一个基本维度；然而，在理解与衰老相关的变化（如慢性疼痛）如何影响性欲和生活质量方面仍存在差距。本研究旨在探讨65岁以上人群的生活质量、疼痛和性欲之间的关系。
采用横断面设计，对400名机构养老和非机构养老的老年人进行研究。参与者完成了性欲量表、西班牙疼痛问卷和世界卫生组织生活质量简表。数据采用描述性统计、皮尔逊相关性分析和结构方程模型进行分析。
结果显示了一个模型，表明性欲与生活质量之间存在显著正相关，这表明更高的生活质量与更强的性欲相关，反之亦然。此外，性欲与疼痛呈负相关，这表明更强的性欲与更低的疼痛水平相关。在生活质量（特别是身体健康领域）和疼痛之间也观察到负相关。模型拟合指数良好：χ（1259，N = 400）= 3117.61，χ/df = 2.48，p < 0.001，增值拟合指数（IFI）= 0.96，塔克·刘易斯指数（TLI）= 0.96，比较拟合指数（CFI）= 0.96，近似误差均方根（RMSEA）= 0.058（90%置信区间[CI] = 0.045 - 0.071），标准化均方根残差（SRMR）= 0.045。
通过探索这些变量，本研究旨在为设计更具包容性和敏感性的策略做出贡献，以满足老年人全面且受尊重的需求，从而提高他们的生活质量。
