Rehabilitation of intimacy and sexual dysfunction in couples with multiple sclerosis.
Sexual dysfunction is a highly prevalent symptom of multiple sclerosis (MS), with little published research on effective treatments. This pilot study tested the efficacy of a counseling intervention in nine couples utilizing a quasi-experimental research design. The intervention consisted of 12 counseling sessions, communication with the MS medical treatment team, education, and tailoring symptomatic treatments so they interfere less with sexual function. Repeated measures analysis of variance indicated significant improvements in affective and problem-solving communication, marital satisfaction, and sexual satisfaction during the treatment vs. the waiting list phase of the study (F=1.7, P<.001). MS patients and their spouses reported similar levels of improvement.
Foley
F W
FW
Ferkauf Graduate School of Psychology and Albert Einstein College of Medicine, Yeshiva University, Bronx, New York 10461, USA.
LaRocca
N G
NG
Sanders
A S
AS
Zemon
V
V
D000328:Adult; D015928:Cognitive Behavioral Therapy; D004185:Disability Evaluation; D005260:Female; D006801:Humans; D008297:Male; D008393:Marriage; D008875:Middle Aged; D009103:Multiple Sclerosis / Q000150:complications* / Q000503:physiopathology / Q000523:psychology*; D010353:Patient Education as Topic; D010549:Personal Satisfaction; D010865:Pilot Projects; D012731:Sex Counseling; D012735:Sexual Dysfunction, Physiological / Q000209:etiology* / Q000534:rehabilitation* / Q000628:therapy; D016896:Treatment Outcome