Relationship intimacy, sexual distress, and help-seeking for sexual problems among older European couples: a hybrid dyadic approach.

Abstract:

:There is evidence that emotional intimacy can buffer the distress associated with sexual difficulties. Considering that older adults are at an increased risk of chronic illness, many of which (including their medical treatment) can impact their sexual well-being, the link between intimacy and sexual distress may be particularly relevant for older couples. To start bridging the gap in our understanding of the links between older couples' emotional intimacy, distress about sexual function, and seeking professional help for sexuality-related issues, the current study used a 4-country sample with 218 Norwegian, 207 Danish, 135 Belgian, and 117 Portuguese couples aged 60-75 years. Two hypotheses were explored with a hybrid dyadic analysis: (1) a couple's emotional intimacy is negatively related to partner's distress about sexual function, but (2) positively associated with their help-seeking for sexual health issues. Less than 10% of participants in the current study reported seeking professional help, with the majority reporting their primary care physician as the contacted person. Couples' emotional intimacy was consistently (and negatively) associated with female partners' sexual distress across countries, but was unrelated to help-seeking for sexual problems. The findings illustrate the role of shared emotional intimacy in older women's distress about sexual function, but also indicate that older couples characterized by high intimacy should not be assumed to seek professional help for sexually related issues more readily than other couples.

journal_name

Int J Impot Res

authors

Štulhofer A,Hinchliff S,Træen B

doi

10.1038/s41443-019-0214-z

subject

Has Abstract

pub_date

2020-09-01 00:00:00

pages

525-534

issue

5

eissn

0955-9930

issn

1476-5489

pii

10.1038/s41443-019-0214-z

journal_volume

32

pub_type

杂志文章
  • Central noradrenergic control of penile erection.

    abstract::Penile erection is completely dependent on commands from the central nervous system. Spinal centers controlling penile erection are located in the thoracolumbar and lumbosacral spinal cord. These centers are activated by information from the periphery and supraspinal nuclei so as to elicit penile erection in a variety...

    journal_title:International journal of impotence research

    pub_type: 杂志文章,评审

    doi:

    authors: Giuliano F,Rampin O

    更新日期:2000-03-01 00:00:00

  • Comparison of in-patient and out-patient penile prosthesis surgery.

    abstract::Between December 1996 and December 1998, 79 inflatable penile implant insertions have been performed at our institution by a single surgeon. The objective of this analysis was to compare our in-patient and out-patient experience with penile prosthesis insertion with respect to ease of performance and complication prof...

    journal_title:International journal of impotence research

    pub_type: 杂志文章

    doi:10.1038/sj.ijir.3900695

    authors: Mulhall JP,Bloom K

    更新日期:2001-10-01 00:00:00

  • Impact of the mode of delivery on female sexual function after childbirth.

    abstract::This cohort study aimed to assess the effect of the mode of delivery on female sexual function (FSF) after childbirth. Out of 256 primiparous women, 200 subjects that completed the study were divided into two groups; women that delivered vaginally and women that had elective cesarean section (CS). They were subjected ...

    journal_title:International journal of impotence research

    pub_type: 杂志文章

    doi:10.1038/ijir.2015.2

    authors: Eid MA,Sayed A,Abdel-Rehim R,Mostafa T

    更新日期:2015-05-01 00:00:00

  • Effect of life-style factors on incidence of erectile dysfunction.

    abstract::We estimated the incidence of erectile dysfunction (ED) in a population-based sample during 5-y follow-up and determined how the rate was affected by sociodemographic and life-style factors. The target population comprised all men aged 50, 60 or 70 y residing in the city of Tampere or 11 surrounding municipalities in ...

    journal_title:International journal of impotence research

    pub_type: 杂志文章

    doi:10.1038/sj.ijir.3901196

    authors: Shiri R,Koskimäki J,Hakama M,Häkkinen J,Huhtala H,Tammela TL,Auvinen A

    更新日期:2004-10-01 00:00:00

  • The relationship between penile deformity, age, psychological bother, and erectile dysfunction in a sample of men with Peyronie's Disease (PD).

    abstract::The aim of the present study was to investigate which PD specific factors (e.g., degree of penile curvature, levels of pain) cause most distress and to further explore whether there are specific subgroups of patients that report particularly high levels of psychological distress. Data were available for N = 119 men wi...

    journal_title:International journal of impotence research

    pub_type: 杂志文章

    doi:10.1038/s41443-018-0029-3

    authors: Burri A,Porst H

    更新日期:2018-08-01 00:00:00

  • Sildenafil does not improve sexual function in men without erectile dysfunction but does reduce the postorgasmic refractory time.

    abstract::Sildenafil is one of two oral drugs approved for first-line treatment of erectile dysfunction (ED). Anecdotally, some young healthy men who wish to enhance their sexual performance are requesting or abusing sildenafil. In this randomized double-blind, placebo-controlled clinical study, we investigated the effect of si...

    journal_title:International journal of impotence research

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1038/sj.ijir.3901005

    authors: Mondaini N,Ponchietti R,Muir GH,Montorsi F,Di Loro F,Lombardi G,Rizzo M

    更新日期:2003-06-01 00:00:00

  • A meta-regression analysis of treatment effect modifiers in trials with flexible-dose oral sildenafil for erectile dysfunction in broad-spectrum populations.

    abstract::Several trials and reviews provide evidence for the efficacy of phosphodiesterase-5 inhibitors in the treatment of erectile dysfunction (ED). However, little is known about the impact of treatment effect modifiers other than concomitant diseases. Our objective was to identify patient and trial characteristics as well ...

    journal_title:International journal of impotence research

    pub_type: 杂志文章,meta分析

    doi:10.1038/sj.ijir.3901479

    authors: Kriston L,Harms A,Berner MM

    更新日期:2006-11-01 00:00:00

  • Female sexual function following mid-urethral slings for the treatment of stress urinary incontinence.

    abstract::The aim of our study was to describe the impact of mid-urethral sling procedure for the treatment of stress urinary incontinence (SUI) on female sexual function. We used PubMed (updated March 2015) to conduct a literature electronic search that included peer-reviewed English language articles. We analyzed the studies ...

    journal_title:International journal of impotence research

    pub_type: 杂志文章,评审

    doi:10.1038/ijir.2016.16

    authors: Alwaal A,Tian X,Huang Y,Zhao L,Ma L,Lin G,Deng D

    更新日期:2016-07-01 00:00:00

  • JNJ-10280205 and JNJ-10287069: Novel PDE5 inhibitors as clinical candidates for erectile dysfunction.

    abstract::Phosphodiesterase 5 (PDE5) inhibitors are efficacious in treating patients with erectile dysfunction. New PDE5 inhibitors with different selectivity and pharmacokinetic profiles have been vigorously pursued. Here we report two novel, potent, and selective PDE5 inhibitors, JNJ-10280205 and JNJ-10287069, with Ki values ...

    journal_title:International journal of impotence research

    pub_type: 杂志文章

    doi:10.1038/sj.ijir.3901462

    authors: Qiu Y,Bhattacharjee S,Kraft P,Mathew John T,Haynes-Johnson D,Jiang W,Sui Z,Lundeen S

    更新日期:2006-09-01 00:00:00

  • Genetics and erectile dysfunction: leveraging early foundations for new discoveries.

    abstract::There is considerable interest in understanding the genetics of erectile dysfunction (ED). Since early twin studies that suggested a genetic component to ED, multiple candidate gene studies have identified genetic variants that may be associated with ED. Genome-wide association studies (GWAS) have overcome some of the...

    journal_title:International journal of impotence research

    pub_type: 杂志文章,评审

    doi:10.1038/s41443-020-00372-w

    authors: Patel DP,Pastuszak AW,Hotaling JM

    更新日期:2020-11-10 00:00:00

  • Hard flaccid syndrome: initial report of four cases.

    abstract::Hard flaccid (HF) is a group of symptoms that significantly affects a man's sexual and social life. As this syndrome has only been reported in several patient forums, exact prevalence of this rare condition is unknown. Currently, no scientific literature exists of the syndrome. We, hereby, aimed to present four cases ...

    journal_title:International journal of impotence research

    pub_type: 杂志文章

    doi:10.1038/s41443-019-0133-z

    authors: Gul M,Towe M,Yafi FA,Serefoglu EC

    更新日期:2020-03-01 00:00:00

  • Erectile dysfunction in patients with plaque psoriasis: the relation of depression and cardiovascular factors.

    abstract::Psoriasis is a chronic inflammatory skin disease and seems to be associated with erectile dysfunction (ED). ED is a predictor of future cardiovascular disease. It is important to identify ED early and investigate cardiovascular problems in psoriasis patients. The sample consisted of 191 psoriasis patients and 191 heal...

    journal_title:International journal of impotence research

    pub_type: 杂志文章

    doi:10.1038/ijir.2016.6

    authors: Ji S,Zang Z,Ma H,Gu M,Han Y,Wang L,Jia S,Yang B

    更新日期:2016-05-01 00:00:00

  • Emerging concepts in erectile preservation following radical prostatectomy: a guide for clinicians.

    abstract::Radical prostatectomy (RP) is a commonly performed procedure for the management of prostate cancer. While documented oncologic outcome for early stage disease is excellent, functional impairments such as incontinence and erectile dysfunction (ED) are common after the procedure. Recent evidence has implicated cavernous...

    journal_title:International journal of impotence research

    pub_type: 杂志文章,评审

    doi:10.1038/ijir.2011.26

    authors: Moskovic DJ,Miles BJ,Lipshultz LI,Khera M

    更新日期:2011-09-01 00:00:00

  • Are medical students interested in sexual health education? A nationwide survey.

    abstract::The majority of medical students and medical healthcare providers do not feel comfortable when addressing sexual problems. It was suggested that more courses in sexual health are needed at medical schools to overcome this shortcoming. To assess medical students' interest in and attitude about sexual health education a...

    journal_title:International journal of impotence research

    pub_type: 杂志文章

    doi:10.1038/ijir.2016.25

    authors: Turner D,Nieder TO,Dekker A,Martyniuk U,Herrmann L,Briken P

    更新日期:2016-09-01 00:00:00

  • Ultra-structural changes in collagen of penile tunica albuginea in aged and diabetic rats.

    abstract::Tunica albuginea (TA) of the penis, which has an important role in mechanism of erection, is composed mainly of collagen bundles. Both aging and diabetes mellitus (DM) were reported to be associated with many alterations in collagen content and architecture in several body tissues. So, the aim of this work was to eval...

    journal_title:International journal of impotence research

    pub_type: 杂志文章

    doi:10.1038/sj.ijir.3900389

    authors: Salama N,Kagawa S

    更新日期:1999-04-01 00:00:00

  • Association of lower urinary tract symptoms and erectile dysfunction: pathophysiological aspects and implications for clinical management.

    abstract::There is strong evidence from multiple epidemological studies that lower urinary tract symptoms (LUTS) and erectile dysfunction (ED) are correlated, independent of age or comorbidities as diabetes or hypertension. Although a direct causal relationship is not established yet, four pathophysiological mechanisms can expl...

    journal_title:International journal of impotence research

    pub_type: 杂志文章,评审

    doi:10.1038/ijir.2011.14

    authors: Orabi H,Albersen M,Lue TF

    更新日期:2011-05-01 00:00:00

  • Role of the soluble guanylyl cyclase alpha1-subunit in mice corpus cavernosum smooth muscle relaxation.

    abstract::Soluble guanylyl cyclase (sGC) is the major effector molecule for nitric oxide (NO) and as such an interesting therapeutic target for the treatment of erectile dysfunction. To assess the functional importance of the sGCalpha(1)beta(1) isoform in corpus cavernosum (CC) relaxation, CC from male sGCalpha(1)(-/-) and wild...

    journal_title:International journal of impotence research

    pub_type: 杂志文章

    doi:10.1038/sj.ijir.3901627

    authors: Nimmegeers S,Sips P,Buys E,Decaluwé K,Brouckaert P,Van de Voorde J

    更新日期:2008-05-01 00:00:00

  • The worldwide prevalence and epidemiology of erectile dysfunction.

    abstract::This paper: (i) describes the worldwide prevalence of erectile dysfunction (ED); (ii) presents age-specific incidence rates for ED in the US; (iii) summarizes some key epidemiologic correlates of ED in the general population; and (iv) considers the possibility that ED may be a biobehavioral marker (sentinel event) of ...

    journal_title:International journal of impotence research

    pub_type: 杂志文章,评审

    doi:10.1038/sj.ijir.3900567

    authors: McKinlay JB

    更新日期:2000-10-01 00:00:00

  • Relationship between sexual position and severity of penile fracture.

    abstract::The objective of the study was to evaluate the relationship between the sexual position and severity of penile fracture (PF). We studied 90 patients with PF. The mechanism of injury and the sexual position was assessed. We divided our sample by the etiology of the fracture in six groups: (a) masturbation or penile man...

    journal_title:International journal of impotence research

    pub_type: 杂志文章

    doi:10.1038/ijir.2017.24

    authors: Barros R,Schulze L,Ornellas AA,Koifman L,Favorito LA

    更新日期:2017-09-01 00:00:00

  • Tissue ingrowth in penile implants and its effect on repeat penile surgery.

    abstract::Penile implant malfunction is usually treated by removal of the original malfunctioning implant followed by replacement with a new device. During replacement, the original implant can be explanted without any difficulty, as it is not adherent to the surrounding tissue. Herein, we describe two cases of tissue ingrowth ...

    journal_title:International journal of impotence research

    pub_type: 杂志文章

    doi:10.1038/sj.ijir.3901217

    authors: Rajpurkar A,Shah R,Starkman J,Dhabuwala CB

    更新日期:2004-04-01 00:00:00

  • Apomorphine: an update of clinical trial results.

    abstract::Apomorphine SL (TAP Holdings, Deerfield, IL) is a centrally acting treatment for erectile dysfunction (ED) that has been undergoing phase III trials. Over 3000 men have received apomorphine SL and over 75,000 doses have been taken. In the first three phase III parallel arm cross-over double-blind studies 854 patients ...

    journal_title:International journal of impotence research

    pub_type: 杂志文章,meta分析

    doi:10.1038/sj.ijir.3900581

    authors: Heaton JP

    更新日期:2000-10-01 00:00:00

  • Review of non-surgical treatment options for Peyronie's disease.

    abstract::Non-surgical treatment of Peyronie's disease (PD) has come a long way since it was first described in 1743. A myriad of treatment options are currently available, including oral, intralesional and external energy therapies. The purpose of this article is to review the contemporary literature on non-surgical therapies ...

    journal_title:International journal of impotence research

    pub_type: 杂志文章,评审

    doi:10.1038/ijir.2011.45

    authors: Larsen SM,Levine LA

    更新日期:2012-01-01 00:00:00

  • Re-dosing of prostaglandin-E1 versus prostaglandin-E1 plus phentolamine in male erectile dysfunction: a dynamic color power Doppler study.

    abstract::During penile pharmacotesting, anxiety may overcome complete smooth muscle relaxation and lead to false positive diagnosis of organic male erectile dysfunction (ED). We tested the efficacy and safety of re-dosing of PGE1 alone versus combination of PGE, and the alpha1,2-blocker phentolamine (PHE) to improve an incompl...

    journal_title:International journal of impotence research

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1038/sj.ijir.3900477

    authors: Aversa A,Bonifacio V,Moretti C,Frajese G,Fabbri A

    更新日期:2000-02-01 00:00:00

  • Assessment of the relationship between coronary artery ectasia and erectile function score.

    abstract::The relation between coronary artery ectasia (CAE) and erectile dysfunction (ED) has not been studied so far. Hence, we decided to investigate the erectile function score in patients with CAE. We investigated the international index of erectile function (IIEF)-5 score in 34 men with CAE, 38 men with coronary artery di...

    journal_title:International journal of impotence research

    pub_type: 杂志文章

    doi:10.1038/ijir.2011.10

    authors: Akcay AB,Inci M,Bilen P,Acele A,Sen N,Yalcin F

    更新日期:2011-05-01 00:00:00

  • Efficacy of sildenafil in erectile dysfunction after radical prostatectomy.

    abstract::Radical retropubic prostatectomy (RRP) is an important cause of iatrogenic erectile dysfunction (ED). While sildenafil has been widely used since its introduction as a new treatment option for ED, its efficacy in post-RRP patients has not been extensively studied. We retrospectively compared the efficacy of sildenafil...

    journal_title:International journal of impotence research

    pub_type: 杂志文章

    doi:10.1038/sj.ijir.3900525

    authors: Blander DS,Sanchez-Ortiz RF,Wein AJ,Broderick GA

    更新日期:2000-06-01 00:00:00

  • Unresolved priapism secondary to tamsulosin.

    abstract::Tamsulosin is the most potent adrenergic alpha-1 antagonist used for the treatment of benign prostatic hyperplasia. Priapism has been reported rarely in patients taking Prazosin, Doxazosin and Terazosin. We describe an otherwise healthy man with recurrent and then persistent unresolved priapism after the use of tamsul...

    journal_title:International journal of impotence research

    pub_type: 杂志文章

    doi:10.1038/sj.ijir.3901281

    authors: Pahuja A,Bashir J,Williamson EM,Barber N

    更新日期:2005-05-01 00:00:00

  • Quality of life effects of alprostadil therapy for erectile dysfunction: results of a trial in Europe and South Africa.

    abstract:OBJECTIVES:Quality of life (QOL) data were used to evaluate the effects of self-administered intracavernosal injection of alprostadil for erectile dysfunction, when used for up to 18 months during a 13 country Phase III clinical trial. METHODS:The Duke Health Profile was used to measure patients' physical and psychoso...

    journal_title:International journal of impotence research

    pub_type: 临床试验,杂志文章

    doi:10.1038/sj.ijir.3900364

    authors: Willke RJ,Yen W,Parkerson GR Jr,Linet OI,Erder MH,Glick HA

    更新日期:1998-12-01 00:00:00

  • Characteristics and expectations of patients with erectile dysfunction: results of the SCORED study.

    abstract::In an observational study in men with erectile dysfunction (ED) consulting a general practitioner (GP) or urologist in Belgium, demographics, ED characteristics (including erection hardness score), co-morbidities and treatment expectations were evaluated using a structured questionnaire. In total, 341 GPs and 41 urolo...

    journal_title:International journal of impotence research

    pub_type: 杂志文章

    doi:10.1038/ijir.2008.7

    authors: Claes H,Opsomer RJ,Andrianne R,Vanbelle S,Albert A,Vanderdonck F

    更新日期:2008-07-01 00:00:00

  • Predictive validity of the Golombok Rust Inventory of Sexual Satisfaction (GRISS) for the presence of sexual dysfunctions within a Dutch urological population.

    abstract::The objective of this study was to investigate the predictive validity of the Dutch translation of the Golombok Rust Inventory of Sexual Satisfaction (GRISS) for the presence of clinically relevant sexual dysfunctions and patient's need of help. A total of 57 male urological outpatients (age 50.7+/-13.2 y; range 27-77...

    journal_title:International journal of impotence research

    pub_type: 杂志文章

    doi:10.1038/sj.ijir.3900966

    authors: van Lankveld JJ,van Koeveringe GA

    更新日期:2003-04-01 00:00:00

  • Nocturnal penile erections: the diagnostic value of tumescence and rigidity activity units.

    abstract::One of the most commonly used tests to distinguish psychogenic from organic erectile dysfunction (ED) is to monitor nocturnal penile tumescence using the RigiScan device and its new software called RigiScan Plus. To give a true estimate of the predictive ability of the new RigiScan software parameters, tumescence acti...

    journal_title:International journal of impotence research

    pub_type: 杂志文章

    doi:10.1038/ijir.2009.49

    authors: Elhanbly S,Elkholy A,Elbayomy Y,Elsaid M,Abdel-gaber S

    更新日期:2009-11-01 00:00:00