Effect of musculoskeletal pain on sexuality of male adolescents and adults with juvenile idiopathic arthritis.

Autor:	de Avila Lima Souza L; Faculdade de Medicina, Disciplina de Reumatologia, Universidade de São Paulo, Av. Dr. Arnaldo 455, sala 3133, São Paulo, SP, Brzsil 01246-903., Gallinaro AL, Abdo CH, Kowalski SC, Suehiro RM, da Silva CA, Goldenstein-Schainberg C
Jazyk:	angličtina
Zdroj:	The Journal of rheumatology [J Rheumatol] 2009 Jun; Vol. 36 (6), pp. 1337-42. Date of Electronic Publication: 2009 May 01.
DOI:	10.3899/jrheum.080867
Abstrakt:	Objective: To develop a questionnaire for the evaluation of sexuality of male patients with juvenile idiopathic arthritis (JIA). Methods: A cohort of male patients with rheumatoid factor (RF)-negative polyarticular JIA according to the 2004 revised ILAR criteria and inactive disease was studied. The Health Assessment Questionnaire (HAQ) was applied to all patients. As a control group, 120 age-matched males of the same socioeconomic status were evaluated. A self-administered structured instrument, the Male Sexual Evaluation Questionnaire (MSEQ), was developed by multiprofessional experts to assess sexual life, including satisfaction, practice, and related functional aspects. Results: Thirty-two male patients with RF-negative polyarticular JIA [mean age 20.8+/-3.8 yrs (range 16-26), mean disease duration 15.4+/-3.6 yrs (range 13-20)] were studied. Mean HAQ score was 1.25+/-0.67 (range 0.1-2.1). Masturbation was practiced similarly by patients and controls (87.5% vs 91%; p>0.999), although joint pain was observed in only 2 (7%) patients. Regular sexual intercourse (>or=once/week) was reported by 78% of patients and 62% of controls (p=0.86). Joint pain during intercourse was more frequent in patients (48% vs 3% in controls; p<0.001). The mean HAQ score was higher in the 12 patients with joint pain (hips=3, knees=5, and hips+knees=4) during intercourse compared to the 13 patients without joint pain (1.82+/-0.27 vs 1.43+/-0.32; p<0.05). Preserved desire and satisfaction were universal findings for all JIA patients and controls. Conclusion: The MSEQ was applicable to this cohort of male patients with RF-negative polyarticular JIA and showed that sexual life is preserved despite longterm disease, morbidity/functional dysfunction, and joint pain.
Databáze:	MEDLINE
Externí odkaz:	Zobrazit plný text záznamu