[Therapeutic aspects in coronary cardiac patients who suffer from sexual dysfunction in a cardiac rehabilitation program].
Sexual dysfunction is one of the severe consequences of acute coronary events. Rehabilitation programs should address this aspect of functioning that has important implications for the patient's quality of life. In order to improve patients' sexual functioning and improve their quality of life we developed a comprehensive model of sexual therapy designed specifically for cardiac patients undergoing rehabilitation program. This model integrates educational, supportive and cognitive-behavioral therapy with appropriate medication (such as viagra). The model is implemented in co-therapy by two sexologists, a social worker and a physician. An empirical study has shown the positive outcomes of this model. This article describes the model and reports case vignettes that exemplify its effects on cardiac patients in rehabilitation and their spouses.
Klein
Rivka
R
Hebrew University, Tandu Institute. rklein@netvision.net.il
Bar-On
Elcahnan
E
Klein
Jacob
J
Benbenishty
Rami
R
D001521:Behavior Therapy; D003071:Cognition; D003327:Coronary Disease / Q000523:psychology* / Q000534:rehabilitation*; D005260:Female; D006801:Humans; D008297:Male; D008960:Models, Psychological; D010353:Patient Education as Topic; D012735:Sexual Dysfunction, Physiological / Q000209:etiology / Q000534:rehabilitation*; D020018:Sexual Dysfunctions, Psychological / Q000209:etiology / Q000534:rehabilitation*; D016896:Treatment Outcome