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Journal of the Korean Academy of Rehabilitation Medicine 2002;26(5):519-525.
Evaluation of Sexual Function in Adults with Cerebral Palsy.
Cho, Sung Rae , Park, Eun Sook , Park, Chang Il , Kwak, Eun Hee , Kim, Mi Kyung
1Department of Rehabilitation Medicine and Research Institute of Rehabilitation Medicine, Yonsei University College of Medicine, Korea. pes1234@yumc.yonsei.ac.kr
2Department of Rehabilitation Psychology, Rehabilitation Hospital, Korea.
성인 뇌성마비의 성기능 평가
조성래, 박은숙, 박창일, 곽은희1, 김미경1
연세대학교 의과대학 재활의학교실 및 재활의학연구소, 1재활병원 재활심리실
Abstract

Objective
To investigate current status of psychosexual function in adults with cerebral palsy (CP) by Derogatis Sexual Functioning Inventory (DSFI), which is a widely used multidimensional measure of sexual functioning.


Method
Forty-two adults with CP and 150 healthy controls participated in this study. All participants were interviewed with DSFI, which consisted of 10 domains such as sexual information, experience, drive, attitude, psychological symptoms, affect, gender role, fantasy, body image and satisfaction.


Results
Adults with CP showed significantly lower scores in sexual information, experience and satisfaction, and higher scores in psychological distress symptoms and conservative attitude, compared with controls (p<0.05). Especially, unmarried men with CP had a significant sexual dysfunction in most substantive domains of DSFI (p<0.05). However, there was no statistical difference in married men, unmarried women and married women, compared with normal controls. Sexual experience, drive, body image and satisfaction were significantly distressed in non-ambulatory CP, compared with functional ambulators (p<0.05). The score of sexual satisfaction had a significant relationship with those of sexual experience, attitude, psychological symptoms and body image in adults with CP (p<0.05).


Conclusion
Adults with CP showed a distress in psychosexual functioning, especially in unmarried men and non- ambulators. Therefore, active interventions of sexual counseling and education will be helpful for enhancing their sexual function. (Korean Acad Rehab Med 2002; 26: 519-525)

Key Words: Psychosexual function, Cerebral palsy, Derogatis sexual functioning inventory (DSFI)


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