Kreuter M, Sullivan M, Siösteen A
Spinal Injuries Unit, Sahlgrenska University Hospital, Gothenburg, Sweden.
Paraplegia. 1994 Nov;32(11):759-70. doi: 10.1038/sc.1994.122.
This study compared the emotional and sexual aspects of relationships before and after spinal cord injury, from the partner's point of view. In addition, the personality characteristics of the partners were investigated. Twenty-six relationships were established before the injury and 23 after. The couples in preinjury relationships had been married or cohabiting for 3.5-51 years (median 24 years), while postinjury relationships ranged from 1 to 8 years (median 2 years). There were substantial differences in age between preinjury and postinjury partners, 21-79 years (median 51 years) and 18-45 years (median 28 years), respectively. Data collection included an 80-item questionnaire, designed to determine different aspects of sexuality, a visual analogue scale Quality of Life (VAS QL) measure and an established inventory of personality characteristics, the Karolinska Scales of Personality (KSP). Eighty-eight per cent of the partners in preinjury and 86% in postinjury relationships considered their overall relationship to be satisfactory. Concerning the sexual aspects of the relationships, several differences were revealed, all favouring postinjury relationships. Some of these held true even when age was treated as a significant factor and statistically controlled. Although the frequency of sexual activity and the variety of sexual expressions used were lower in the preinjury relationships, and perceived deterioration of sex life due to the injury was higher among preinjury partners, there was no significant difference between the two groups in satisfaction with current sex life. Thus, age seems to be a more important factor for sexual adjustment after a spinal cord injury, rather than whether the relationship is established before or after injury. The partners' personality characteristics differed only slightly from those of a sex and age matched reference group and not at all between partners in pre- and postinjury relationships.
本研究从伴侣的角度比较了脊髓损伤前后关系中的情感和性方面。此外，还调查了伴侣的人格特征。损伤前建立了26段关系，损伤后建立了23段关系。损伤前关系中的夫妻结婚或同居时间为3.5至51年（中位数24年），而损伤后关系的时间为1至8年（中位数2年）。损伤前和损伤后伴侣的年龄存在显著差异，分别为21至79岁（中位数51岁）和18至45岁（中位数28岁）。数据收集包括一份80项的问卷，旨在确定性方面的不同方面、视觉模拟量表生活质量（VAS QL）测量以及既定的人格特征量表——卡罗林斯卡人格量表（KSP）。损伤前关系中的伴侣有88%，损伤后关系中的伴侣有86%认为他们的整体关系令人满意。关于关系中的性方面，发现了一些差异，所有差异都有利于损伤后关系。即使将年龄视为一个重要因素并进行统计控制，其中一些差异仍然成立。尽管损伤前关系中性活动的频率和使用的性表达方式的多样性较低，且损伤前伴侣中因损伤导致的性生活感知恶化程度较高，但两组对当前性生活的满意度没有显著差异。因此，对于脊髓损伤后的性适应来说，年龄似乎是一个比关系是在损伤前还是损伤后建立更重要的因素。伴侣的人格特征与性别和年龄匹配的参照组仅略有不同，损伤前和损伤后关系中的伴侣之间则完全没有差异。
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