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Comprehensive Self-Management Reduces the Negative Impact of Irritable Bowel Syndrome Symptoms on Sexual Functioning

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Author(s)
Margaret D. EugenioSang-Eun JunKevin C. CainMonica E. JarrettMargaret M. Heitkemper
Keimyung Author(s)
Jun, Sang Eun
Department
Dept. of Nursing (간호학)
Journal Title
Digestive Diseases and Sciences
Issued Date
2012
Volume
57
Issue
6
Abstract
Background Women with irritable bowel syndrome (IBS)
report sexual dysfunction. Comprehensive self-management
(CSM) intervention has been shown to reduce gastrointestinal,
psychological, and somatic symptoms in IBS
women. Whether this intervention also reduces sexual
dysfunction is not known.
Aims We sought to compare demographic and clinical
factors in IBS women with and without sexual dysfunction
as defined by the Arizona sexual experiences scale (ASEX)
and to test the effects of CSM treatment on sexual
dysfunction scores and on the sexual relations subscale of
an IBS quality of life (IBSQOL) scale which measures the
effect of IBS on sexual QOL.
Methods IBS (Rome II) women enrolled in a randomized
clinical trial of CSM treatment were characterized as
having sexual dysfunction (N = 89) or not (N = 86) at
baseline based on ASEX criteria. Baseline characteristics
and symptoms were compared between the two groups.
Post-intervention changes were compared between the
CSM and the usual care arms of the randomized trial.
Results Women meeting ASEX criteria for sexual dysfunction
were older, had higher lifetime depression and
antidepressant use, more primary care/MD visits, fewer
mental healthcare visits, and greater sleep disturbance than
those without sexual dysfunction. No significant group
differences in gastrointestinal or somatic symptoms were
observed. Compared with usual care treatment, CSM
increased sexual QOL scores and had a weaker effect on
ASEX scores.
Conclusions Severity of IBS symptoms at baseline did
not differ between IBS women with or without sexual
dysfunction. The CSM intervention can reduce the effect of
IBS on sexual QOL.
Keimyung Author(s)(Kor)
전상은
Publisher
College of Nursing
Citation
Margaret D. Eugenio et al. (2012). Comprehensive Self-Management Reduces the Negative Impact
of Irritable Bowel Syndrome Symptoms on Sexual Functioning. Digestive Diseases and Sciences, 57(6), 1636–1646. doi: 10.1007/s10620-012-2047-1
Type
Article
ISSN
0163-2116
DOI
10.1007/s10620-012-2047-1
URI
https://kumel.medlib.dsmc.or.kr/handle/2015.oak/35598
Appears in Collections:
2. College of Nursing (간호대학) > Dept. of Nursing (간호학)
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