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首页> 外文期刊>The journal of clinical psychiatry >Evaluation of sexual changes after stroke.
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Evaluation of sexual changes after stroke.

机译：评估中风后的性变化。

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BACKGROUND: Sexual difficulties may arise after stroke. This study was aimed at evaluating and quantifying sexual changes 1 year after stroke. METHOD: Sixty-eight stroke patients, consecutively admitted to our rehabilitation unit, were enrolled in the study. Sixty-two patients were available for response after 1 year-46 men and 16 women with a mean age of 64 years (SD = 9.2). Time interval between stroke event and admission to rehabilitation unit was 15 days. None of the patients presented with lack of comprehension. Methods of data collection at admission were clinical examination, computed tomographic scan or magnetic resonance imaging, the Cumulative Illness Rating Scale, laboratory data, and data collection on sexual life from patients and, separately, from their partners. After 1 year, they were interviewed again to assess sexual performance; the Center for Epidemiologic Studies-Depression scale, Structured Clinical Interview for DSM-IV, and Functional Independence Measure were also performed. A questionnaire designed for this study was also administered for collecting data on patients' private lives. RESULTS: Sexual decline was common in the poststroke period. Age (p =.009) and disability (p =.0059) were significant variables. There was no correlation between sexual decline and gender, nor injured hemisphere. There was also no correlation to marriage duration, education duration, or depression. Evaluation and analysis of the questionnaires revealed, however, that patients' partners played a substantial role in the decline of sexual activity. Many partners experienced fear of relapse, anguish, lack of excitation, or even horror, which withheld them from encouraging sexual activities. CONCLUSION: Data from this study demonstrated that sexual decline in the aftermath of stroke is pronounced. Patients suffer from their sexual impairment, but do not conceal that problem. Psychological, rather than medical, aspects account for discontinuity of sexual activity in stroke survivors, and proper counseling is clearly warranted.
机译：背景：中风后可能会出现性困难。这项研究旨在评估和量化卒中后1年的性变化。方法：连续入院康复科的六十八名中风患者参加了研究。 1名46岁男性和16名女性平均年龄为64岁（SD = 9.2）后有62例患者可以做出反应。中风事件与康复单元入院之间的时间间隔为15天。没有患者表现出缺乏理解力。入院时收集数据的方法包括临床检查，计算机断层扫描或磁共振成像，累积疾病评定量表，实验室数据以及从患者及其伴侣处分别收集的性生活数据。一年后，他们再次接受采访以评估其性能力;还进行了流行病学研究中心的抑郁量表，DSM-IV的结构化临床访谈和功能独立性评估。还为该研究设计了调查表，以收集有关患者私人生活的数据。结果：性中风在中风后时期很普遍。年龄（p = .009）和残疾（p = .0059）是显着变量。性衰退与性别之间没有相关性，半球也没有受伤。婚姻的持续时间，受教育的时间或抑郁也没有相关性。然而，对问卷的评估和分析表明，患者伴侣在性活动下降中起了重要作用。许多伴侣害怕复发，痛苦，缺乏兴奋甚至恐惧，这使他们无法进行性活动。结论：这项研究的数据表明，中风后的性下降明显。患者遭受性障碍的困扰，但没有掩盖这个问题。从心理方面而非医学方面考虑，卒中幸存者的性活动不连续，因此明确需要适当的咨询。

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