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Original Research

Open Access

Assessment of sexual dysfunction, the quality of life and difficulties in broaching sexual issues in patients with chronic low back pain by using cluster analysis

  • Dilek Cokar1,*,
  • Yusuf Celik2
  • Ozge Ozdemir Ayla3
  • Gulis Kavadar4
  • Sadiye Murat5
  • Levent Ozgonenel6

1Physical Therapy and Rehabilitation, Faculty of Health Sciences, Istinye University, 34010 Istanbul, Turkey

2Department of Biostatistics and Medical Informatics, Faculty of Medicine, Biruni University, 34010 Istanbul, Turkey

3Physical Therapy and Rehabilitation, Faculty of Health Sciences, Demiroglu Science University, 34394 Istanbul, Turkey

4Department of Physical Medicine and Rehabilitation, Faculty of Medicine, Istanbul Atlas University, 34408 Istanbul, Turkey

5Department of Physical Medicine and Rehabilitation, Faculty of Medicine, Istanbul Medeniyet University, 34720 Istanbul, Turkey

6Department of Physical Medicine and Rehabilitation, Faculty of Medicine, Demiroglu Science University, 34394 Istanbul, Turkey

DOI: 10.22514/sv.2024.008 Vol.20,Issue 1,January 2024 pp.127-132

Submitted: 05 April 2023 Accepted: 06 July 2023

Published: 08 January 2024

*Corresponding Author(s): Dilek Cokar E-mail:


The aim of this study is to investigate the physical and psychosocial problems and the clinical and sociodemographic factors affecting sexual life in patients with nonspecific chronic low back pain (CLBP), thus drawing attention to sexual disability and patients’ concerns in the conservative management of the disease. A total of 140 patients were included in the study. The assessment of disease characteristics, information about sexual life and related factors were evaluated by a self-constructed questionnaire. The Oswestry Disability Index (ODI), Pain Catastrophizing Scale (PCS), International Physical Activity Questionnaire (IPAQ), Tampa Scale of Kinesiophobia (TSK) and Beck Depression Inventory (BDI) were used to assess functional disability, pain-related anxiety, physical activity level, fear of movement and depression severity, respectively. Hierarchical cluster analysis was used to discover relationships among variables. Based on the dendrogram, the intensity of CLBP, the impact of CLBP on sexual life, decrease in libido, sexual satisfaction, frequency of intercourse, painful sexual behavior and questionnaire results (BDI, TSK, ODI, PCS) were in the same cluster. Consistent with this, positive correlations were found between BDI and PCS (p < 0.001, r = 0.481), BDI and TSK (p < 0.001, r = 0.319), and BDI and ODI (p < 0.001, r = 0.408). The other main clusters included demographic and clinical characteristics, ODI and IPAQ scores. The sexual lives of patients with CLBP are affected physically and psychosocially. In clinical practice, it is important to counsel sexual disability patients because of their concerns and hesitations.


Chronic low back pain; Sexual activities; Kinesiophobia; Pain catastrophizing; Intercourse position

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Dilek Cokar,Yusuf Celik,Ozge Ozdemir Ayla,Gulis Kavadar,Sadiye Murat,Levent Ozgonenel. Assessment of sexual dysfunction, the quality of life and difficulties in broaching sexual issues in patients with chronic low back pain by using cluster analysis. Signa Vitae. 2024. 20(1);127-132.


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