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Sex after amputation: the relationships between sexual functioning, body image, mood and anxiety in persons with a lower limb amputation.

Authors
  • Woods, Lorraine1
  • Hevey, David1
  • Ryall, Nicola2
  • O'Keeffe, Fiadhnait2
  • 1 a Department of Psychology, Aras an Phiarsaigh, Trinity College Dublin , Dublin , Ireland. , (Ireland)
  • 2 b Prosthetic, Orthotic and Limb Absence Rehabilitation Programme , National Rehabilitation Hospital , Dublin , Ireland. , (Ireland)
Type
Published Article
Journal
Disability and rehabilitation
Publication Date
Jul 01, 2018
Volume
40
Issue
14
Pages
1663–1670
Identifiers
DOI: 10.1080/09638288.2017.1306585
PMID: 28359182
Source
Medline
Keywords
License
Unknown

Abstract

Psychological challenges following limb loss are strongly associated with levels of sexual dysfunction. The study highlights the need for psychological and psychosexual assessment and intervention following limb loss to enhance sexual functioning and overall quality of life. Implications for Rehabilitation Only half of the participants with a lower limb amputation were sexually active. Over 60% of those who were sexually active reported clinical levels of sexual dysfunction. One third of the entire sample scored within the clinical range for depression and for anxiety. Depression, anxiety and body image issues were significantly associated with sexual dysfunction in the current sample of individuals with lower limb amputation. There is a need for psychosexual assessment following limb loss to ensure that appropriate and timely interventions are made available. Interventions that target the psychological factors related to sexual dysfunction are likely to improve overall quality of life for these individuals.

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