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Malattie croniche e sessualità. Seconda parte (Chronic diseases and sexuality.)
Titolo Rivista:  RIVISTA DI SESSUOLOGIA CLINICA
Autori/Curatori: Leonardo Tizi, Adele Fabrizi, Chiara Simonelli
Anno di pubblicazione: 2014 Fascicolo: 2 Lingua: Italiano
Numero pagine: 30 P. 5-34 Dimensione file: 119 KB
DOI: 10.3280/RSC2014-002001
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L’obiettivo del presente studio è quello di indagare il rapporto tra malattie croniche e sessualità, nella considerazione che le malattie croniche sono spesso associate a problemi di natura sessuale, in genere sottostimati e non diagnosticati. Per individuare adeguate ed efficaci modalità di intervento da parte dei clinici sono considerati anche gli aspetti della relazione e le dinamiche di coppia. Sono state esaminate le seguenti condizioni cliniche: sclerosi multipla, malattie renali croniche, malattie polmonari croniche, malattie reumatiche e malattie cardiovascolari. Le diverse tipologie di malattie croniche pongono particolari sfide sia ai pazienti e ai loro familiari, che al personale medico. Attualmente sono a disposizione diverse strategie per migliorare la qualità di vita dei malati cronici e rendere più gestibile anche la sessualità. Dopo una riflessione sugli ostacoli al dialogo tra medico e paziente sui temi della sessualità, vengono evidenziate anche le potenzialità del personale infermieristico, che può costituire una efficace fonte di informazione, capace di coniugare aspetti fisici e psicologici.



Keywords: Sessualità, malattie croniche, disfunzioni sessuali, coppia, soddisfazione sessuale, sclerosi multipla, malattie renali croniche, malattie polmonari croniche, malattie reumatiche, malattie cardiovascolari.


  1. Kessler T.M., Fowler C.J., Panicker J.N. (2009). Sexual dysfunction in multiple sclerosis. Expert Review of Neurotherapeutics, 9(3): 341-50., DOI:10.1586/14737175.9.3.341
  2. Kloner R.A., MD, Henderson L. (2013). Sexual Function in Patients with Chronic Angina Pectoris. The American Journal of Cardiology, 111: 1671-1676.
  3. Abdel-Nasser A.M., Ali E.I. (2006). Determinants of sexual disability and dissatisfaction in female patients whit rheumatoid arthritis. Clinical Rheumatology, 25 (6): 822-830., DOI:10.1007/s10067-005-0175-0
  4. Basok E.K., Atsu N., Rifaioglu M.M., Kantarci G., Yildirim A., Tokuc R. (2008). Assessment of female sexual function and quality of life in predialysis, peritoneal dialysis, hemodialysis and renal transplant patients. International Urology
  5. and Nephrology, 41 (3): 473-481., DOI:10.1007/s11255-008-9475-z
  6. Beal-Lloyd D., Groh C.J. (2012). Dialysis and Sexuality. Nephrology Nursing
  7. Journal, 39(4): 281-3.
  8. Bronner G., Elran E., Golomb J., Korczyn A.D. (2010). Female sexuality in multiple sclerosis: the multidimensional nature of the problem and the intervention.
  9. Acta Neurologica Scandinavica, 121: 289-301., DOI:10.1111/j.1600-0404.2009.01314.x
  10. Çelik D.B., Poyraz E.C., Bingöl A., Cdiman E., Özakbac S., Kaya D. (2013). Sexual dysfunction 􀃕n multiple sclerosis: gender differences. Journal of the Neurological Sciences, 324: 17-20., DOI:10.1016/j.jns.2012.08.019
  11. Coelho-Marques F.Z., Wagner M.B., Poli de Figueiredo C.E., d’Avila D.O. (2006). Quality of life and sexuality in chronic dialysis female patients. International Journal of Impotence Research, 18: 539-43., DOI:10.1038/sj.ijir.3901470
  12. Collins E.G., Sahar Halabi S., Mathew Langston M., Schnell T., Tobin M.J., Laghi F. (2012). Sexual Dysfunction in men with COPD: impact on quality of life and survival. Lung, 190: 545-56., DOI:10.1007/s00408-012-9398-4
  13. Dalteg T., Benzein E., Fridlund B., Malm D. (2011). Cardiac disease and its consequences on the partner relationship: A systematic review. European Journal of Cardiovascular Nursing, 10: 140-149., DOI:10.1016/j.ejcnurse.2011.01.006
  14. Dasgupta R., Wiseman O.J., Kanabar G., Fowler C.J., Mikol D.D. (2004). Efficacy of sildenafil in the treatment of female sexual dysfunction due to multiple sclerosis. The Journal of Urology, 171(3): 1189-93., DOI:10.1097/01.ju
  15. 0000113145.43174.24. Demirkiran M., Sarica Y., Uguz S., Yerdelen D., Aslan K. (2006). Multiple sclerosis patients with and without sexual dysfunction: are there any differences? Multiple Sclerosis, 12 (2): 209-214.
  16. Dune T.M. (2012). Sexuality and Physical Disability: Exploring the Barriers and Solutions in Healthcare. Sexuality and Disability, 30: 247-255.
  17. Finkelstein F.O., Shirani S., Wuerth D., Finkelstein S.H. (2007). Therapy insight: sexual dysfunction in patients with chronic kidney disease. Nature Clinical Practice Nephrology, 3(4): 200-7., DOI:10.1038/ncpneph0438
  18. Fletcher S.G., Castro-Borrero W., Remington G., Treadaway K., Lemack G.E., Frohman E.M. (2009). Sexual dysfunction in patients with multiple sclerosis: a multidisciplinary approach to evaluation and management. Nature Clinical Practice Urology, 6(2): 96-107., DOI:10.1038/ncpuro1298
  19. Frikha F., Maazoun F., Salah R.B., Snoussi M., Masmoudi J., Mhiri M.N., Bahloul Z. (2011). Dysfonction sexuelle chez dix femmes mariéèe atteintes de polyarthrite rhumatoïde. Presse Médicale, 40: 521-527., DOI:10.1016/j.lpm.2011.04.015
  20. Goodell T.T. (2007). Sexuality in Chronic Lung Disease. The Nursing Clinic of North America, 42 (4): 631-8., DOI:10.1016/j.cnur.2007.08.003
  21. Guan J., Fan J.M., Zhang W.D., Luo H., Li Z., Peng G.H., Zhou L., Wang W. (2005). Sexual dysfunction in female patients with chronic renal insufficiency. Sichuan Da Xue Xue Bao Yi Xue Ban, 36 (4): 555-8., DOI:10.1016/j.cnur.2007.08.003
  22. Gumus H., Akpinar Z., Yilmaz H. (2014). Effects of Multiple Sclerosis on Female Sexuality: A Controlled Study. The Journal of Sexual Medicine, 11: 481-486., DOI:10.1111/jsm.12397
  23. Hegarty P.K., Olsburgh J. (2012). Renal Replacement and Male Sexuality. Transplantation Proceedings, 44: 1804-5., DOI:10.1016/j.transproceed.2012.05.055
  24. Hill J., Bird H., Thorpe R. (2003). Effects of rheumatoid arthritis on sexual activity and relationships. Rheumatology, 42 (2): 280-286.
  25. Hoekstra T., Jaarsma T., Sanderman R., van Veldhuisen D.J., Lesman-Leegte I. (2012). Perceived sexual difficulties and associated factors in patients with heart failure. American Heart Journal, 163 (2): 246-251., DOI:10.1016/j.ahj.2011.10.011
  26. Hoffman A.J. (2013). Enhancing Self-Efficacy for Optimized Patient Outcomes through the Theory of Symptom Self-Management. Cancer Nursing, 36 (1): E16-E26., DOI:10.1097/NCC.0b013e31824a730a
  27. Hordern A.J., Currow D.C. (2003). A patient-centred approach to sexuality in the face of life-limiting illness. The Medical Journal of Australia, 179 (6 suppl.): S8-11.
  28. Hordern A.J. (2008). Intimacy and Sexuality after Cancer. A Cristical Review if the Literature. Cancer Nursing, 31 (2): 9-17., DOI:10.1097/01.NCC.0000305695.12873.d5
  29. Ibañez M., Aguilar J.J., Maderal M.A., Prats E., Farrero E., Font A., Escarrabill J. (2001). Sexuality in chronic respiratory failure: coincidences and divergences between patient and primary caregiver. Respiratory Medicine, 95(12):, DOI:10.1053/rmed.2001.1192.JacksonG.,RosenR.C.,KlonerR.A.,KostisJ.B.(2006).TheSecondPrincetonConsensusonSexualDysfunctionandCardiacRisk:NewGuidelinesforSexualMedicine.TheJournalofSexualMedicine,3:28-36.DOI:10.1111/j.1743-6109.2005.00196.x
  30. Lal A., Bartle-Haring S. (2011). Relationship among differentiation of self, relationship satisfaction, partner support, and depression in patients with chronic lung disease and their partners. Journal of Marital and Family Therapy, 37 (2): 169-181., DOI:10.1111/j.1752-0606.2009.00167.x
  31. Levine G.N., Steinke E.E., Bakaeen F.G., Bozkurt B., Cheitlin M.D., Conti J.B., Foster E., Jaarsma T., Kloner R.A., Lange R.A., Lindau S.T., Maron B.J., Moser D.K., Ohman E.M., Seftel A.D., Stewart W.J. (2012). Sexual Activity and Cardiovascular Disease: A Scientific Statement from the American Heart Association. Circulation – Journal of the American Heart Association, 125: 1058-1072.
  32. McCabe M.P. (2004). Exacerbation of symptoms among people wit multiple sclerosis: impact on sexuality and relationships over time. Archives of Sexual Behavior, 33 (6): 593-601., DOI:10.1023/B:ASEB.0000044743.41613.fc
  33. McCabe M.P., McKern S., McDonald E., Vowels L.M. (2003). Changes over time in sexual and relationship functioning of people with multiple sclerosis. Journal of Sex and Marital Therapy, 29(4): 305-21., DOI:10.1080/00926230390195506-2372
  34. McInnes R.A. (2003). Chronic illness and sexuality. The Medical Journal of Australia, 179: 263-6.
  35. Mohammadi K., Rahnama P., Mohseni S.M., Sahraian M.A., Montazeri A. (2013). Determinants of sexual dysfunction in women with multiple sclerosis. Bio-MedCentral Neurology, 13: 83., DOI:10.1186/1471-2377-13-83
  36. Muehrer R.J. (2009). Sexuality, an important component of the quality of life of the kidney transplant recipient. Transplantation Reviews, 23: 214-23., DOI:10.1016/j.trre.2009.06.001
  37. Navaneethan S.D., Vecchio M., Johnson D.W., Saglimbene V., Graziano G., Pellegrini F., Lucisano G., Craig J.C., Ruospo M., Gentile G., Manfred V.M., Querques M., Stroumza P., Torok M., Celia E., Gelfman R., Ferrari J.N., Bednarek-Skublewska A., Dulawa J., Bonifati C., Hegbrant J., Wollheim C., Jannini E.A., Strippoli G.F.M. (2010). Prevalence and correlates of self-reported sexual dysfunction in CKD: a meta-analysis of observational studies. American Journal of Kidney Diseases, 56 (4): 670-85., DOI:10.1053/j.ajkd
  38. 2010.06.016.
  39. Newman A.M. (2007). Arthritis and Sexuality. Nursing Clinics of North America, 42: 621-630.
  40. O’Dea S.M., Shuttleworth R.P., Wedgwood N. (2012). Disability, Doctors and Sexuality: Do Health care Providers Influence the Sexual Wellbeing of People Living with a Neuromuscular Disorder? Sexuality and Disability, 30: 171-185.
  41. Özdemir C., Ery􀃕lmaz M., Yurtman F., Karaman T. (2007). Sexual functioning after renal transplantation. Transplantation Proceedings, 39: 1451-4., DOI:10.1016/j.transproceed.2006.11.02
  42. Orasanu B., Frasureb H., Wymanb A., Mahajana S.T. (2013). Sexual dysfunction in patients with multiple sclerosis. Multiple Sclerosis and Related Disorders, 2: 117-23.
  43. Panush R.S., Mihailescu G.D., Gornisiewicz M.T., Sutaria S.H., Wallace D.J. (2000). Sex and arthritis. Bulletin on the Rheumatic Diseases, 49 (7): 1-4.
  44. Rayan S., Wylie E. (2005). An exploratory survey of the practice of rheumatology nurses addressing the sexuality of patients with rheumatoid arthritis. Musculoskeletal Care, 3 (1): 44-53., DOI:10.1002/msc.25
  45. Reininghaus E., Reininghaus B., Fitz W., Hecht K., Bonelli R.M. (2012). Sexual behavior, body image, and partnership in chronic illness. A comparison of huntington’s disease and multiple sclerosis. The Journal of Nervous and Mental Disease, 200(8): 716-20.
  46. Sahay R.D., Haynes E.N., Rao M.B., Pirko I. (2012). Assessment of sexual satisfaction in relation to potential sexual problems in women with multiple sclerosis: a pilot study. Sexuality and Disability, 30 (2): 227-36.
  47. Schmidt E.Z., Hofmann P., Niederwieser G., Kapfhammer H.-P., Bonelli R.M. (2005). Sexuality in multiple sclerosis. Journal of Neural Transmission, 112: 1201-11., DOI:10.1007/s00702-005-0275-7
  48. Seawell A.H., Danoff-Burg S. (2005). Body Image and Sexuality in Women with and Without Systemic Lupus Erythematosus. Sex Roles, 53 (11/12): 865-876., DOI:10.1097/NMD.0b013e318261410f
  49. Shell J.A. (2007). Including sexuality in your nursing practice. Nursing Clinics of North America, 42 (4): 685-696., DOI:10.1016/j.cnur.2007.08.007
  50. Smith M.L., Goltz H.H., Ahn S., Dickerson J.B., Ory M.G. (2012). Correlates of chronic disease and patient-provider discussions among middle-aged and older adult males: Implications for successful aging and sexuality. The Aging Male, 15 (3): 115-123., DOI:10.3109/13685538.2011.641184
  51. Soykan A., Boztas H., Kutlay S., Ince E., Nergizoglu G., Dileköz A.Y., Berksun O. (2005). Do sexual dysfunctions get better during dialysis? Results of a sixmonth prospective follow-up study from Turkey. International Journal of Impotence Research, 17 (4): 359-63., DOI:10.1038/sj.ijir.3901324
  52. Steinke E.E. (2013). Sexuality and chronic illness. Journal of Gerontological Nursing, 39 (11): 18-27., DOI:10.3928/00989134-20130916-01
  53. Theofilou P.A. (2012). Sexual functioning in chronic kidney disease: The association with depression and anxiety. Hemodialysis International, 16: 76-81., DOI:10.1111/j.1542-4758.2011.00585.x
  54. Tristano G. (2009). The impact of rheumatic diseases on sexual function. Rheumatology International, 29: 853-860.
  55. Tunçk􀃕ran M.A., Burak Ho􀃺can M.B. (2013). Sexual Partner Satisfaction of the Patients with Chronic Renal Failure. Renal Failure, 35 (1): 101-4., DOI:10.3109/0886022X.2012.731971
  56. Turk S., Karalezli G., Tonbul H.Z., Yildiz M., Altintepe L., Yildiz A., Yeksan M. (2001). Erectile dysfunction and the effects of sildenafil treatment in patients on hemodialysis and continuous ambulatory peritoneal dialysis. Nephrol Dial Transplant, 16 (9): 1818-22.
  57. Tzortzis V., Skriapas K., Hadjigeorgiou G., Mitsogiannis I., Aggelakis K., Gravas S., Poulakis V., Melekos M.D. (2008). Sexual dysfunction in newly diagnosed multiple sclerosis women. Multiple Sclerosis, 14: 561-3., DOI:10.1177/13524585080140040901
  58. Van Lankveld W., Ruiterkamp G., Näring G., de Rooij D.J. (2004). Marital and sexual satisfaction in patients with RA and their spouses. Scandinavian Journal of Rheumatology, 33 (6): 405-408.
  59. Vitrano V., Catania V. (2009). Aspetti della sessualità nel paziente neoplastico. La Rivista Italiana di Cure Palliative, 9 (2): 33-39.
  60. Yazici R., Altintepe L., Guney I., Yeksan M., Atalay H., Turk S., Tonbul H.Z., Selkuc N.Y. (2009). Female sexual dysfunction in peritoneal dialysis and hemodialysis patients. Renal Failure, 31 (5): 360-4.
Leonardo Tizi, Adele Fabrizi, Chiara Simonelli, Malattie croniche e sessualità. Seconda parte in "RIVISTA DI SESSUOLOGIA CLINICA" 2/2014, pp. 5-34, DOI:10.3280/RSC2014-002001

     


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