Mahler Jasmin L, van Beek Judith J W, Wöllner Jens, Krebs Jörg, Pannek Jürgen
Swiss Paraplegic Research, Nottwil, Switzerland.
Faculty of Health Sciences and Medicine, University of Lucerne, Lucerne, Switzerland.
Spinal Cord. 2025 Aug 6. doi: 10.1038/s41393-025-01111-y.
Systematic review.
To create an overview of standardized assessments to evaluate sexuality after SCI/D in a systematic literature review. Furthermore, we explored the various dimensions of sexuality assessed by these tools and analyzed sex and gender differences.
In a systematic review (PROSPERO CRD42023416855), we reviewed published assessments of sexuality in individuals with SCI/D with a focus on differences between women and men. The comprehensive search was conducted in PUBMED, Medline, CINAHL and psychINFO in March 2023. The extracted publications were grouped and analyzed according to their objectives.
A total of 264 papers were included in the analysis and divided into three categories: "physiological aspects of sexuality", "psychological aspects of sexuality", and "sexual adjustment". Most assessments of sexuality after SCI/D concern physiological aspects (n = 176, 66.7%). Fewer studies focus on psychological aspects (n = 49, 18.6%), and sexual adjustment (n = 39, 14.8%) is the least investigated topic. More research has been published on men's compared to women's sexuality (n = 195, 73.9% versus n = 125, 47.3%). In men, the most frequently used standardized assessment is the International Index for Erectile Function (IIEF). In women, the equivalent to the IIEF, the Female Sexual Function Index (FSFI), is most frequently used.
Most assessments focus primarily on sexual function in men. New assessments are needed to address other aspects of sexuality as well. Furthermore, more research on female sexuality is needed. Sexual function is the most commonly investigated aspect of sexuality in individuals with spinal cord injury or disease - a systematic review.
系统评价。
通过系统文献综述，概述用于评估脊髓损伤/疾病（SCI/D）后性功能的标准化评估方法。此外，我们探讨了这些工具所评估的性功能的各个维度，并分析了性别差异。
在一项系统评价（PROSPERO CRD42023416855）中，我们回顾了已发表的关于SCI/D个体性功能评估的研究，重点关注男女之间的差异。2023年3月在PubMed、Medline、CINAHL和psychINFO进行了全面检索。根据研究目的对提取的出版物进行分组和分析。
共有264篇论文纳入分析，分为三类：“性功能的生理方面”、“性功能的心理方面”和“性适应”。大多数关于SCI/D后性功能的评估关注生理方面（n = 176，66.7%）。较少的研究关注心理方面（n = 49，18.6%），而性适应（n = 39，14.8%）是研究最少的主题。关于男性性功能的研究比女性更多（n = 195，73.9%对n = 125，47.3%）。在男性中最常用的标准化评估是国际勃起功能指数（IIEF）。在女性中，相当于IIEF的女性性功能指数（FSFI）使用最为频繁。
大多数评估主要关注男性性功能。还需要新的评估方法来解决性功能的其他方面。此外，需要更多关于女性性功能的研究。性功能是脊髓损伤或疾病个体性功能中最常被研究的方面——一项系统评价。
