title: Predictors of changes in sentimental and sexual life after traumatic spinal cord injury.
abstract: OBJECTIVE
  To investigate changes and identify predictors in interpersonal functioning and sexual life after traumatic spinal cord injury (SCI).
  
  
  METHODS
  Prospective, multicenter, follow-up observational study.
  
  
  METHODS
  Subjects at home, interviewed by phone during a 6-month period, 3.8 mean years after discharge from 24 centers participating in a previous epidemiologic prospective survey.
  
  
  METHODS
  Subjects (N=403) with traumatic SCI.
  
  
  METHODS
  Not applicable.
  
  
  METHODS
  
  
  
  METHODS
  satisfaction with sentimental life and satisfaction with sexual life compared with before the injury.
  
  
  METHODS
  demographic (age, sex, marital status, vocational status), SCI related (severity, level, bowel/bladder continence), car-driving ability, perceived quality of life (QoL), and impact of sentimental life, social integration, and vocational status on QoL.
  
  
  RESULTS
  Satisfaction with sentimental life was reportedly increased or the same as before SCI in 69% of the sample, but satisfaction with sexual life in only 31%. Lesser satisfaction with sexual life was reported by men than women (P=.002) and by married people than singles (P<.001). Significant predictors of sentimental life were perceived QoL and preserved driving ability (R(2)=.195). Bladder continence was positively associated with a better satisfaction with sexual life (R(2)=.368). Bowel continence did not remain a significant predictor of satisfaction with sexual life in multivariate analysis.
  
  
  CONCLUSIONS
  The challenge of a comprehensive rehabilitation of SCI, addressing the recovery of well-being including a satisfying sentimental and sexual life, requires identifying new issues that should be considered in up-to-date rehabilitation programs. The results indicate associations between driving ability and a better satisfaction with sentimental life. Further investigations are needed to explore whether the relationship is causative.
authors.affiliation: Department of Neurorehabilitation, IRCCS San Raffaele Pisana, Rome, Italy. patrizio.sale@gmail.com
authors.forename: Patrizio
authors.initials: P
authors.lastname: Sale
authors.forename: Federica
authors.initials: F
authors.lastname: Mazzarella
authors.forename: Maria Cristina
authors.initials: MC
authors.lastname: Pagliacci
authors.forename: Maurizio
authors.initials: M
authors.lastname: Agosti
authors.forename: Giorgio
authors.initials: G
authors.lastname: Felzani
authors.forename: Marco
authors.initials: M
authors.lastname: Franceschini
mesh_terms: D000328:Adult; D000367:Age Factors; D001334:Automobile Driving; D005260:Female; D006801:Humans; D007398:Interpersonal Relations; D008297:Male; D008875:Middle Aged; D015337:Multicenter Studies as Topic; D010549:Personal Satisfaction; D011446:Prospective Studies; D011788:Quality of Life; D012737:Sex Factors; D012725:Sexual Behavior / Q000523:psychology*; D012959:Socioeconomic Factors; D013119:Spinal Cord Injuries / Q000453:epidemiology / Q000523:psychology* / Q000534:rehabilitation*