Chavis W M, Norman G S
Department of Obstetrics and Gynecology, Hutzel Hospital/Wayne State University, Detroit, Michigan 48201.
J Natl Med Assoc. 1993 Feb;85(2):113-6.
Chronic illness can impact negatively on sexuality and sexual satisfaction. A group of 44 patients with sickle cell anemia and a control group of 42 individuals with no chronic illness completed the Derogatis Sexual Functioning Inventory (DSFI). The sickle cell anemia group also completed the Psychosocial Adjustment to Illness Scale--Self-Report (PAIS-SR). Cumulative scores on the PAIS-SR were used to divide the sickle cell anemia group into two subgroups--those who were poorly adjusted to their illness and those who were well adjusted to their illness. Analysis of the scores showed significant differences in sexual functioning and sexual satisfaction between those in the sickle cell group who were well adjusted to their illness and those who were poorly adjusted. Of note was the fact that there was no statistically significant difference between the DSFI scores in the well adjusted group and the control group. Other significant factors included the lack of accurate sexual information in the sickle cell anemia group and the importance of satisfaction with the health-care system in total adjustment to illness. In addition, results revealed that severity of illness had little impact on adjustment to illness.
慢性病会对性和性满意度产生负面影响。一组44名镰状细胞贫血患者和一组42名无慢性病的个体完成了德罗加蒂斯性功能量表（DSFI）。镰状细胞贫血组还完成了疾病心理社会适应量表——自我报告（PAIS-SR）。PAIS-SR的累积得分被用于将镰状细胞贫血组分为两个亚组——疾病适应不良者和疾病适应良好者。得分分析显示，镰状细胞组中疾病适应良好者和适应不良者在性功能和性满意度方面存在显著差异。值得注意的是，适应良好组的DSFI得分与对照组之间没有统计学上的显著差异。其他重要因素包括镰状细胞贫血组缺乏准确的性信息，以及对医疗保健系统的满意度在疾病总体适应中的重要性。此外，结果显示疾病严重程度对疾病适应的影响很小。
