Female Gender and Surgery Impair Relationships, Body Image, and Sexuality in Inflammatory Bowel Disease: Patient Perceptions

被引:160
作者
Muller, Kate R. [1 ]
Prosser, Ruth [1 ]
Bampton, Peter [1 ,2 ]
Mountifield, Reme [1 ,2 ]
Andrews, Jane M. [2 ,3 ,4 ]
机构
[1] Flinders Med Ctr, So Adelaide IBD Serv, Bedford Pk, SA 5042, Australia
[2] Flinders Univ S Australia, Fac Med, Adelaide, SA, Australia
[3] Royal Adelaide Hosp, Dept Gastroenterol & Hepatol, Adelaide, SA 5000, Australia
[4] Univ Adelaide, Sch Med, Adelaide, SA 5005, Australia
关键词
inflammatory bowel disease; quality of life; sexuality; body image; HEALTH-RELATED QUALITY; OF-LIFE; DYSFUNCTION; WOMEN; PREGNANCY; METAANALYSIS; MULTICENTER; FERTILITY; WORRIES; IBD;
D O I
10.1002/ibd.21090
中图分类号
R57 [消化系及腹部疾病];
学科分类号
100201 [内科学];
摘要
Background: There is a paucity of literature on the impact of inflammatory bowel disease (IBD) on relationships, body image, and sexual function from a patient perspective. This study sought to describe patients' perceptions of these issues. Methods: In all, 347 patients, age 18-50 years, from a hospital-based IBD database were surveyed by post. Quantitative and qualitative data were obtained on demographics, relationships. quality of life (QoL). body image, and sexual function. Comparisons were made by diagnosis, gender, and operative status. Univariate and multivariable analyses and logistic regressions were performed; P < 0.05 was regarded as significant. Results: The response rate was 62.5%. Overall, 88.5% reported impaired QoL; 50.2% a negative effect on relationship status; and 66.8% impaired body image (females 74.8% versus males 51.4%, P = 0.0007; operated 81.4% versus nonoperated 51.3%, P = 0.0003). A greater proportion of women reported decreased frequency of sexual activity, as did operated subjects (female 66.3% versus male 40.5%, P < 0.0001; operated 68.5% versus nonoperated 50.4%, P = 0.0113). Women and operated subjects also more often reported decreased libido (female 67.1% versus male 41.9% P = 0.0005; operated 67.4% versus nonoperated 52.6%, P = 0.035). 9.7% omitted medication because of perceived negative effect(s) on sexual (unction. Logistic regression revealed that female gender negatively affected body image, libido, and sexual activity, while limited resection surgery negatively affected body image (all P < 0.005). Conclusions: A large proportion of patients perceive IBD to negatively affect many aspects of sexuality. Females and operated subjects more frequently perceived these negative effects. These findings are important in overall clinical care of patients with IBD and should be addressed.
引用
收藏
页码:657 / 663
页数:7
相关论文
共 29 条
[1]
Determinants of sexual disability and dissatisfaction in female patients with rheumatoid arthritis [J].
Abdel-Nasser, Ahmed M. ;
Ali, Essam I. .
CLINICAL RHEUMATOLOGY, 2006, 25 (06) :822-830
[2]
Australian Bureau of Statistics, 2006, 2006 CENS
[3]
What concerns subjects with inflammatory bowel disease and an ileostomy? [J].
Carlsson, E ;
Bosaeus, I ;
Nordgren, S .
SCANDINAVIAN JOURNAL OF GASTROENTEROLOGY, 2003, 38 (09) :978-984
[4]
A meta-analysis on the influence of inflammatory bowel disease on pregnancy [J].
Cornish, J. ;
Tan, E. ;
Teare, J. ;
Teoh, T. G. ;
Rai, R. ;
Clark, S. K. ;
Tekkis, P. P. .
GUT, 2007, 56 (06) :830-837
[5]
The effect of colorectal surgery in female sexual function, body image, self-esteem and general health: A prospective study [J].
da Silva, Giovanna M. ;
Hull, Tracy ;
Roberts, Patricia L. ;
Ruiz, Dan E. ;
Wexner, Steven D. ;
Weiss, Eric G. ;
Nogueras, Juan J. ;
Daniel, Norma ;
Bast, Jane ;
Hammel, Jeff ;
Sands, Dana .
ANNALS OF SURGERY, 2008, 248 (02) :266-272
[6]
HEALTH-RELATED QUALITY OF LIFE IN INFLAMMATORY BOWEL-DISEASE - FUNCTIONAL STATUS AND PATIENT WORRIES AND CONCERNS [J].
DROSSMAN, DA ;
PATRICK, DL ;
MITCHELL, CM ;
ZAGAMI, EA ;
APPELBAUM, MI .
DIGESTIVE DISEASES AND SCIENCES, 1989, 34 (09) :1379-1386
[7]
Gender differences in body image are increasing [J].
Feingold, A ;
Mazzella, R .
PSYCHOLOGICAL SCIENCE, 1998, 9 (03) :190-195
[8]
GENDER DIFFERENCES IN PERSONALITY - A METAANALYSIS [J].
FEINGOLD, A .
PSYCHOLOGICAL BULLETIN, 1994, 116 (03) :429-456
[9]
Current concepts and controversies in surgery for IBD [J].
Larson, DW ;
Pemberton, JH .
GASTROENTEROLOGY, 2004, 126 (06) :1611-1619
[10]
The Sexuality and Quality of Life of Hemodialyzed Patients-ASED Multicenter Study [J].
Lew-Starowicz, Michal ;
Gellert, Ryszard .
JOURNAL OF SEXUAL MEDICINE, 2009, 6 (04) :1062-1071