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Journal of the Korean Academy of Rehabilitation Medicine 2000;24(3):469-476.
Evaluation of Sexual Function with Derogatis Sexual Functioning Inventory (DSFI) in Spinal Cord Injured Men.
Park, Chang Il , Shin, Ji Cheol , Kim, Deog Young , Cho, Sung Rae , Kwak, Eun Hee
1Department of Rehabilitation Medicine, Yonsei University College of Medicine.
2Research Institute of Rehabilitation Medicine, Yonsei University College of Medicine.
3Department of Rehabilitation Psychology, Rehabilitation Hospital.
남성 척수손상 장애인에서 Derogatis 성기능 검사(DSFI)를 통한 성기능 평가
박창일, 신지철, 김덕용, 조성래, 곽은희
연세대학교 의과대학 재활의학교실 및 재활의학연구소
Abstract

Objective
To investigate the current state of the psychological aspects for the sexual function in spinal cord injured (SCI) men and to provide a basis of sexual rehabilitation program.


Method
Seventy-seven spinal cord injured men and 87 healthy adults participated and completed Derogatis Sexual Functioning Inventory (DSFI). This questionnaire consisted of 10 subtests such as sexual information, experience, drive, attitude, psychological symptoms, affect, gender role, sexual fantasy, body image, and sexual satisfaction.


Results
Compared with healthy adults, SCI men had lower sexual experience, drive and satisfaction with a statistical significance (p<0.05). They also had more psychological distress symptoms, negative affect, and negative body image (p<0.05). There was no significant differences between tetraplegia and paraplegia, complete and incomplete injury, nor inpatient and outpatient. However, the SCI men with independent mobility had significantly greater sexual satisfaction, compared with the SCI men with dependent mobility (p<0.05).


Conclusion
Most SCI men had psychologic sexual dysfuctions as well as organic problems, especially among the married men with dependent mobility. We suggest that more aggressive intervention of sexual rehabilitation need to be provided for this group.

Key Words: Spinal cord injury (SCI), Derogatis Sexual Functioning Inventory (DSFI)


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