Article Data

  • Views 851
  • Dowloads 148

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: dilek.cokar@istinye.edu.tr

Abstract

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.


Keywords

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


Cite and Share

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.

References

[1] Agnus Tom A, Rajkumar E, John R, Joshua George A. Determinants of quality of life in individuals with chronic low back pain: a systematic review. Health Psychology and Behavioral Medicine. 2022; 10: 124–144.

[2] Kinikli GI, Karaca NB, Sezer S, Keleşoğlu B, Kinikli G. POS1400-HPR comparison of body awareness, physical activity, Kinesiophobia, pain catastrophizing, and psychosocial status in individuals with rheumatoid arthritis and ankylosing spondylitis. Annals of the Rheumatic Diseases. 2023; 82: 1052–1053.

[3] Alamam DM, Leaver A, Alsobayel HI, Moloney N, Lin J, Mackey MG. Low back pain-related disability is associated with pain-related beliefs across divergent non-english-speaking populations: systematic review and meta-analysis. Pain Medicine. 2021; 22: 2974–2989.

[4] Katz H, Newton-John TRO, Shires A. Sexual difficulties in the population with musculoskeletal chronic pain: a systematic review. Pain Medicine. 2021; 22: 1982–1992.

[5] Holmberg ST, Vangen-Lønne V, Gulati AM, Nygaard ØP, Solberg TK, Salvesen ØO, et al. Pain during sex before and after decompressive surgery for lumbar spinal stenosis. Spine. 2021; 46: 1354–1361.

[6] Holmberg ST, Salvesen ØO, Vangen-Lønne V, Hara S, Fredheim OM, Solberg TK, et al. Pain during sex before and after surgery for lumbar disc herniation. Spine. 2020; 45: 1751–1757.

[7] Panneerselvam K, Kanna RM, Shetty AP, Rajasekaran S. Impact of acute lumbar disk herniation on sexual function in male patients. Asian Spine Journal. 2022; 16: 510–518.

[8] Bahouq H, Fadoua A, Hanan R, Ihsane H, Najia H. Profile of sexuality in Moroccan chronic low back pain patients. BMC Musculoskeletal Disorders. 2013; 14: 63.

[9] Maigne J, Chatellier G. Assessment of sexual activity in patients with back pain compared with patients with neck pain. Clinical Orthopaedics and Related Research. 2001; 385: 82–87.

[10] Flegge LG, Barr A, Craner JR. Sexual functioning among adults with chronic pain: prevalence and association with pain-related outcomes. Pain Medicine. 2023; 24: 197–206.

[11] Berg S, Fritzell P, Tropp H. Sex life and sexual function in men and women before and after total disc replacement compared with posterior lumbar fusion. The Spine Journal. 2009; 9: 987–994.

[12] Nikoobakht M, Fraidouni N, Yaghoubidoust M, Burri A, Pakpour AH. Sexual function and associated factors in Iranian patients with chronic low back pain. Spinal Cord. 2014; 52: 307–312.

[13] Sobański D, Staszkiewicz R, Gadzieliński M, Stachura MK, Czepko RA, Holiński M, et al. A study of 179 patients with degenerative stenosis of the lumbosacral spine to evaluate differences in quality of life and disability outcomes at 12 months, between conservative treatment and surgical decompression. Medical Science Monitor. 2023; 29: e940213.

[14] Manning K, Kauffman BY, Rogers AH, Garey L, Zvolensky MJ. Fatigue severity and fatigue sensitivity: relations to anxiety, depression, pain catastrophizing, and pain severity among adults with severe fatigue and chronic low back pain. Behavioral Medicine. 2022; 48: 181–189.

[15] Melloh M, Elfering A, Käser A, Salathé CR, Barz T, Aghayev E, et al. Depression impacts the course of recovery in patients with acute low-back pain. Behavioral Medicine. 2013; 39: 80–89.

[16] Kao Y, Chen J, Chen H, Liao K, Huang S. The association between depression and chronic lower back pain from disc degeneration and herniation of the lumbar spine. The International Journal of Psychiatry in Medicine. 2022; 57: 165–177.

[17] Leopoldino AAO, Diz JBM, Martins VT, Henschke N, Pereira LSM, Dias RC, et al. Prevalence of low back pain in older Brazilians: a systematic review with meta-analysis. Revista Brasileira de Reumatologia. 2016; 56: 258–269.

[18] Yueming Hu, Zechuan Yang, Yong Li, Yong Xu, Mengge Tian, Nan Jiang, et al. Prevalence and associated factors of depressive symptoms among patients with chronic low back pain: a cross-sectional study. Frontiers in Psychiatry. 2022; 12: 820782.

[19] Brown D, Schenk S, Genent D, Zernikow B, Wager J. A scoping review of chronic pain in emerging adults. PAIN Reports. 2021; 6: e920.

[20] Pinheiro MB, Ferreira ML, Refshauge K, Maher CG, Ordoñana JR, Andrade TB, et al. Symptoms of depression as a prognostic factor for low back pain: a systematic review. The Spine Journal. 2016; 16: 105–116.

[21] Kao Y, Chen J, Chen H, Liao K, Huang S. The association between depression and chronic lower back pain from disc degeneration and herniation of the lumbar spine. The International Journal of Psychiatry in Medicine. 2022; 57: 165–177.

[22] Pinto EM, Neves JR, Laranjeira M, Reis J. The importance of inflammatory biomarkers in non-specific acute and chronic low back pain: a systematic review. European Spine Journal. 2023. [Preprint]

[23] Ellul P, Boyer L, Groc L, Leboyer M, Fond G. Interleukin-1 β-targeted treatment strategies in inflammatory depression: toward personalized care. Acta Psychiatrica Scandinavica. 2016; 134: 469–484.

[24] Milenkovic VM, Stanton EH, Nothdurfter C, Rupprecht R, Wetzel CH. The role of chemokines in the pathophysiology of major depressive disorder. International Journal of Molecular Sciences. 2019; 20: 2283.

[25] Roman M, Irwin MR. Novel neuroimmunologic therapeutics in depression: a clinical perspective on what we know so far. Brain, Behavior, and Immunity. 2020; 83: 7–21.

[26] Drummond HF, Farcic TS, Carvas N, Baldan CS, Bordello Masson IF, Perez Machado AF. Correlation between chronic low back pain and female sexual function. Coluna/Columna. 2020; 19: 277–81.

[27] Bahouq H, Allali F, Rkain H, Hajjaj-Hassouni N. Discussing sexual concerns with chronic low back pain patients: barriers and patients’ expectations. Clinical Rheumatology. 2013; 32: 1487–1492.

[28] Ferrari S, Vanti C, Giagio S, Anesi M, Youssef S, Bortolami A, et al. Low back pain and sexual disability from the patient’s perspective: a qualitative study. Disability and Rehabilitation. 2022; 44: 2011–2019.


Abstracted / indexed in

Science Citation Index Expanded (SciSearch) Created as SCI in 1964, Science Citation Index Expanded now indexes over 9,200 of the world’s most impactful journals across 178 scientific disciplines. More than 53 million records and 1.18 billion cited references date back from 1900 to present.

Journal Citation Reports/Science Edition Journal Citation Reports/Science Edition aims to evaluate a journal’s value from multiple perspectives including the journal impact factor, descriptive data about a journal’s open access content as well as contributing authors, and provide readers a transparent and publisher-neutral data & statistics information about the journal.

Chemical Abstracts Service Source Index The CAS Source Index (CASSI) Search Tool is an online resource that can quickly identify or confirm journal titles and abbreviations for publications indexed by CAS since 1907, including serial and non-serial scientific and technical publications.

Index Copernicus The Index Copernicus International (ICI) Journals database’s is an international indexation database of scientific journals. It covered international scientific journals which divided into general information, contents of individual issues, detailed bibliography (references) sections for every publication, as well as full texts of publications in the form of attached files (optional). For now, there are more than 58,000 scientific journals registered at ICI.

Geneva Foundation for Medical Education and Research The Geneva Foundation for Medical Education and Research (GFMER) is a non-profit organization established in 2002 and it works in close collaboration with the World Health Organization (WHO). The overall objectives of the Foundation are to promote and develop health education and research programs.

Scopus: CiteScore 1.0 (2022) Scopus is Elsevier's abstract and citation database launched in 2004. Scopus covers nearly 36,377 titles (22,794 active titles and 13,583 Inactive titles) from approximately 11,678 publishers, of which 34,346 are peer-reviewed journals in top-level subject fields: life sciences, social sciences, physical sciences and health sciences.

Embase Embase (often styled EMBASE for Excerpta Medica dataBASE), produced by Elsevier, is a biomedical and pharmacological database of published literature designed to support information managers and pharmacovigilance in complying with the regulatory requirements of a licensed drug.

Submission Turnaround Time

Conferences

Top