View Item 

Show simple item record

Intercourse Avoidance among Women with Coronary Artery Disease
dc.contributor.authorAssari, Shervinen_US
dc.date.accessioned2014-08-06T16:50:08Z
dc.date.availableWITHHELD_12_MONTHSen_US
dc.date.available2014-08-06T16:50:08Z
dc.date.issued2014-07en_US
dc.identifier.citationAssari, Shervin (2014). "Intercourse Avoidance among Women with Coronary Artery Disease." The Journal of Sexual Medicine (7): 1709-1716.en_US
dc.identifier.issn1743-6095en_US
dc.identifier.issn1743-6109en_US
dc.identifier.urihttps://hdl.handle.net/2027.42/108106
dc.description.abstractIntroduction Avoidance of sexual intercourse has not been frequently studied among patients with chronic medical conditions and patients with coronary artery disease ( CAD ) are not exception. Aim We aimed to (i) compare intercourse avoidance during the past 2 weeks among women with CAD and healthy controls; and (ii) to determine factors associated with intercourse avoidance during the past 2 weeks among women with CAD . Methods This study was conducted in an outpatient cardiology clinic in T ehran, I ran. The study included 152 married women with CAD and 50 controls. Socio‐demographic and clinical data including the severity of angina ( WHO R ose Q uestionnaire), risk factors (cigarette smoking, hyperlipidemia, diabetes, and obesity), fatigue, physical function (visual analogue scale [ VAS ]) and somatic comorbidities [ I fudu index], symptoms of anxiety and depression ( H ospital A nxiety and D epression S cale [ HADS ]), and dyadic adjustment ( R evised‐ D yadic A djustment S cale [ R ‐ DAS ]) were considered as independent variables. Logistic regression was used to determine predictors of sexual avoidance during the past 2 weeks. Main Outcome Measures The main outcome was intercourse avoidance over a 2‐week period, measured by the R elation and S exuality S cale ( RSS ). Result Avoidance of intercourse during the past 2 weeks was higher among women with CAD than controls (73.0% vs. 56%, P  = 0.024). According to the logistic regression, intercourse avoidance was positively associated with age (Odds ratio [ OR ] = 1.127, 95% confidence interval [ CI ] = 1.073, 1.185), somatic comorbidities ( OR  = 1.137, 95% CI  = 1.061, 1.218) and depressive symptoms ( OR  = 1.150, 95% CI  = 1.022, 1.293). Conclusion Our study suggests that among women with CAD , age, depressive symptoms and somatic comorbidities are associated with avoidance of intercourse. As having intercourse is safe among patients with stable CAD , all health professionals should discuss sexual behaviors with their female CAD patients, especially those that are older, with higher depressive symptoms or multiple comorbidities so as to allay fears about sexual functioning. Assari S . Intercourse avoidance among women with coronary artery disease. J Sex Med 2014;11:1709–1716.en_US
dc.publisherWiley Periodicals, Inc.en_US
dc.subject.otherSexual Intercourseen_US
dc.subject.otherCoronary Artery Diseaseen_US
dc.subject.otherHeart Diseaseen_US
dc.subject.otherSexual Functionen_US
dc.subject.otherAvoidance of Sexual Intercourseen_US
dc.subject.otherDyadic Adjustmenten_US
dc.subject.otherPsychological Statusen_US
dc.subject.otherSomatic Comorbiditiesen_US
dc.titleIntercourse Avoidance among Women with Coronary Artery Diseaseen_US
dc.typeArticleen_US
dc.rights.robotsIndexNoFollowen_US
dc.subject.hlbsecondlevelUrologyen_US
dc.subject.hlbtoplevelHealth Sciencesen_US
dc.description.peerreviewedPeer Revieweden_US
dc.description.bitstreamurlhttp://deepblue.lib.umich.edu/bitstream/2027.42/108106/1/jsm12459.pdf
dc.identifier.doi10.1111/jsm.12459en_US
dc.identifier.sourceThe Journal of Sexual Medicineen_US
dc.identifier.citedreferenceOrji EO, Ogunlola IO, Fasubaa OB. Sexuality among pregnant women in South West Nigeria. J Obstet Gynaecol 2002; 22: 166 – 168.en_US
dc.identifier.citedreferenceCheung RT. Sexual functioning in Chinese stroke patients with mild or no disability. Cerebrovasc Dis 2002; 14: 122 – 128.en_US
dc.identifier.citedreferenceChoi‐Kwon S, Kim JS. Post stroke emotional incontinence and decreased sexual activity. Cerebrovasc Dis 2002; 13: 31 – 37.en_US
dc.identifier.citedreferenceKorpelainen JT, Nieminen P, Myllylä VV. Sexual functioning among stroke patients and their spouses. Stroke 1999; 30: 715 – 719.en_US
dc.identifier.citedreferenceKazemi‐Saleh D, Pishgou B, Assari S, Tavallaii SA. Fear of sexual intercourse in patients with coronary artery disease: A pilot study of associated morbidity. J Sex Med 2007; 4: 1619 – 1625.en_US
dc.identifier.citedreferenceBrody S, Preut R. Vaginal intercourse frequency and heart rate variability. J Sex Marital Ther 2003; 29: 371 – 380.en_US
dc.identifier.citedreferenceBrody S. Blood pressure reactivity to stress is better for people who recently had penile‐vaginal intercourse than for people who had other or no sexual activity. Biol Psychol 2006; 71: 214 – 222.en_US
dc.identifier.citedreferenceBrody S, Veit R, Rau H. A preliminary report relating frequency of vaginal intercourse to heart rate variability, Valsalva ratio, blood pressure, and cohabitation status. Biol Psychol 2000; 52: 251 – 257.en_US
dc.identifier.citedreferenceLam D, Donaldson C, Brown Y, Malliaris Y. Burden and marital and sexual satisfaction in the partners of bipolar patients. Bipolar Disord 2005; 7: 431 – 440.en_US
dc.identifier.citedreferenceCurry SL, Levine SB, Jones PK, Kurit DM. Medical and psychosocial predictors of sexual outcome among women with systemic lupus erythematosus. Arthritis Care Res 1993; 6: 23 – 30.en_US
dc.identifier.citedreferenceEryilmaz G, Ege E, Zincir H. Factors affecting sexual life during pregnancy in eastern Turkey. Gynecol Obstet Invest 2004; 57: 103 – 108.en_US
dc.identifier.citedreferenceMorse WI. Inhibited sexual desire and sexual avoidance. Can Fam Physician 1985; 31: 781 – 786.en_US
dc.identifier.citedreferenceKaya C, Yilmaz G, Nurkalem Z, Ilktac A, Karaman MI. Sexual function in women with coronary artery disease: A preliminary study. Int J Impot Res 2007; 19: 326 – 329. [Epub 2006 Dec 14].en_US
dc.identifier.citedreferenceMiner M, Esposito K, Guay A, Montorsi P, Goldstein I. Cardiometabolic risk and female sexual health: The Princeton III summary. J Sex Med 2012; 9: 641 – 651, quiz 652.en_US
dc.identifier.citedreferenceOei HH, Vliegenthart R, Deckers JW, Hofman A, Oudkerk M, Witteman JC. The association of Rose questionnaire angina pectoris and coronary calcification in a general population: The Rotterdam Coronary Calcification Study. Ann Epidemiol 2004; 14: 431 – 436.en_US
dc.identifier.citedreferenceCarter FA, Carter JD, Luty SE, Jordan J, McIntosh VV, Bartram AF, Mulder RT, McKenzie JM, Bulik CM. What is worse for your sex life: Starving, being depressed, or a newbaby? Int J Eat Disord 2007; 40: 664 – 667.en_US
dc.identifier.citedreferenceBoesen HC, Rørbye C, Nørgaard M, Nilas L. Sexual behavior during the first eight weeks after legal termination of pregnancy. Acta Obstet Gynecol Scand 2004; 83: 1189 – 1192.en_US
dc.identifier.citedreferenceHall MF. Family planning in Santiago, Chile: The male viewpoint. Stud Fam Plann 1971; 2: 143 – 147.en_US
dc.identifier.citedreferenceRiley A, Beardsworth A, Kontodimas S, Suarez D, Torres JV, Haro JM. Sexual intercourse frequency in men presenting for treatment of erectile dysfunction: Results from the pan‐European erectile dysfunction observational study. J Sex Marital Ther 2007; 33: 3 – 18.en_US
dc.identifier.citedreferenceChen KK, Chiang HS, Jiann BP, Lin JS, Liu WJ, Wu CJ, Hsieh JT, Wang CJ, Hwang TI, Lee SS. Prevalence of erectile dysfunction and impacts on sexual activity and self‐reported intercourse satisfaction in men older than 40 years in Taiwan. Int J Impot Res 2004; 16: 249 – 255.en_US
dc.identifier.citedreferenceBrody S, Costa RM. Satisfaction (sexual, life, relationship, and mental health) is associated directly with penile‐vaginal intercourse, but inversely with other sexual behavior frequencies. J Sex Med 2009; 6: 1947 – 1954.en_US
dc.identifier.citedreferenceDuffy LM. Sexual behavior and marital intimacy in Alzheimer's couples: A family theory perspective. Sex Disabil 1995; 13: 239 – 254.en_US
dc.identifier.citedreferenceHatzimouratidis K, Hatzichristou D. Sexual dysfunctions: Classifications and definitions. J Sex Med 2007; 4: 241 – 250.en_US
dc.identifier.citedreferenceMiner M. Sexual activity after myocardial infarction: When to resume the use of erectogenic drugs. Curr Sex Health Rep 2006; 1: 265 – 269.en_US
dc.identifier.citedreferenceKoskimaki J, Hakama M, Huhtala H, Tammela TL. Effect of erectile dysfunction on frequency of intercourse: A population based prevalence study in Finland. J Urol 2000; 164: 367 – 370.en_US
dc.identifier.citedreferenceMickley H, Agner E, Saunamaki K, Botker HE. Sexual activity in ischemic heart disease. Risk and therapeutic possibilities. Ugeskr Laeger 2001; 163: 603 – 607.en_US
dc.identifier.citedreferenceLa Rocque CL, Cioe J. An evaluation of the relationship between body image and sexual avoidance. J Sex Res 2011; 48: 397 – 408.en_US
dc.identifier.citedreferenceThomtén J, Linton SJ. A psychological view of sexual pain among women: Applying the fear‐avoidance model. Womens Health (Lond Engl) 2013; 9: 251 – 263.en_US
dc.identifier.citedreferenceSteinke EE, Jaarsma T, Barnason SA, Byrne M, Doherty S, Dougherty CM, Fridlund B, Kautz DD, Mårtensson J, Mosack V, Moser DK, on behalf of the Council on Cardiovascular and Stroke Nursing of the American Heart Association and the ESC Council on Cardiovascular Nursing and Allied Professions (CCNAP). Sexual counselling for individuals with cardiovascular disease and their partners: A consensus document from the American Heart Association and the ESC Council on Cardiovascular Nursing and Allied Professions (CCNAP). Eur Heart J 2013; 34: 3217 – 3365.en_US
dc.identifier.citedreferenceDanesh E; The efficacy of Islamic counseling on improving marital adjustment levels of incompatible couples. 2007. Available at: http://www.iranpa.org/pdf/054.pdf (accessed January 20, 2008).en_US
dc.identifier.citedreferenceLevine GN, Steinke EE, Bakaeen FG, Bozkurt B, Cheitlin MD, Conti JB, Foster E, Jaarsma T, Kloner RA, Lange RA, Lindau ST, Maron BJ, Moser DK, Ohman EM, Seftel AD, Stewart WJ, on behalf of the American Heart Association Council on Clinical Cardiology, Council on Cardiovascular Nursing, Council on Cardiovascular Surgery and Anesthesia, and Council on Quality of Care and Outcomes Research. Sexual activity and cardiovascular disease: A scientific statement from the American Heart Association. Circulation 2012; 125: 1058 – 1072.en_US
dc.identifier.citedreferenceYildiz H, Pinar R. Sexual dysfunction in patients with myocardial infarction. Anadolu Kardiyol Derg 2004; 4: 309 – 317.en_US
dc.identifier.citedreferencePapadopoulos C, Beaumont C, Shelley SI, Larrimore P. Myocardial infarction and sexual activity of the female patient. Arch Intern Med 1983; 143: 1528 – 1530.en_US
dc.identifier.citedreferenceWalbroehl GS. Sexual activity and the postcoronary patient. Am Fam Physician 1984; 29: 175 – 177.en_US
dc.identifier.citedreferenceBernardo A. Sexuality in patients with coronary disease and heart failure. Herz 2001; 26: 353 – 359.en_US
dc.identifier.citedreferenceRoose SP, Seidman SN. Sexual activity and cardiac risk: Is depression a contributing factor? Am J Cardiol 2000; 86: 38F – 40F.en_US
dc.identifier.citedreferenceConsedine NS, Magai C, Chin S. Hostility and anxiety differentially predict cardiovascular disease in men and women. Sex Roles 2004; 50: 63 – 75.en_US
dc.identifier.citedreferenceHarter M, Woll S, Reuter K, Wunsch A, Bengel J. Recognition of psychiatric disorders in musculoskeletal and cardiovascular rehabilitation patients. Arch Phys Med Rehabil 2004; 85: 1192 – 1197.en_US
dc.identifier.citedreferenceChen J, Radford MJ, Wang Y, Krumholz HM. Care and outcomes of elderly patients with acute myocardial infarction by physician specialty: The effects of comorbidity and functional limitations. Am J Med 2000; 108: 460 – 469.en_US
dc.identifier.citedreferenceJackson G, Rosen RC, Kloner RA, Kostis JB. The second Princeton consensus on sexual dysfunction and cardiac risk: New guidelines for sexual medicine. J Sex Med 2006; 3: 28 – 36.en_US
dc.identifier.citedreferencePfister O. Cardiovascular disease and sexuality. Ther Umsch 2010; 67: 139 – 143.en_US
dc.identifier.citedreferenceSteinke EE. Sexual dysfunction in women with cardiovascular disease: What do we know? J Cardiovasc Nurs 2010; 25: 151 – 158.en_US
dc.identifier.citedreferenceMegiddo E, Justo D, Arbel Y, Oren A, Heruti R, Banai S. Sexual dysfunction and coronary artery disease in adult women. Harefuah 2009; 148: 611 – 614, 657.en_US
dc.identifier.citedreferenceJackson G, Montorsi P, Adams MA, Anis T, El‐Sakka A, Miner M, Vlachopoulos C, Kim E. Cardiovascular aspects of sexual medicine. J Sex Med 2010; 7: 1608 – 1626.en_US
dc.identifier.citedreferenceBaldwin JD, Baldwin JI. Gender differences in sexual interest. Arch Sex Behav 1997; 26: 181 – 210.en_US
dc.identifier.citedreferenceRose G. The diagnosis of ischaemic heart pain and intermittent claudication in field surveys. Bull World Health Organ 1962; 27: 645 – 658.en_US
dc.identifier.citedreferenceZigmond AS, Snaith RP. The hospital anxiety and depression scale. Acta Psychiatr Scand 1983; 67: 361 – 370.en_US
dc.identifier.citedreferenceMontazeri A, Vahdaninia M, Ebrahimi M, Jarvandi S. The Hospital Anxiety and Depression Scale (HADS): Translation and validation study of the Iranian version. Health Qual Life Outcomes 2003; 1: 14.en_US
dc.identifier.citedreferenceKaraminia R, Tavallaii SA, Lorgard‐Dezfuli‐Nejad M, Moghani Lankarani M, Hadavand Mirzaie H, Einollahi B, Firoozan A. Anxiety and depression: A comparison between renal transplant recipients and hemodialysis patients. Transplant Proc 2007; 39: 1082 – 1084.en_US
dc.identifier.citedreferenceNoohi S, Khaghani‐Zadeh M, Javadipour M, Assari S, Najafi M, Ebrahiminia M, Pourfarziani V. Anxiety and depression are correlated with higher morbidity after kidney transplantation. Transplant Proc 2007; 39: 1074 – 1078.en_US
dc.identifier.citedreferenceIfudu O, Paul HR, Homel P, Friedman EA. Predictive value of functional status for mortality in patients on maintenance hemodialysis. Am J Nephrol 1998; 18: 109 – 116.en_US
dc.identifier.citedreferenceAslani J, Nouhi S, Azizabadi‐Farahani M, Moghani Lankarani M, Saadat SH, Ghanei M. The socioeconomic status and quality of life in patients with chronic obstructive pulmonary disease. Tanaffos 2007; 6: 38 – 45.en_US
dc.identifier.citedreferenceMoghani Lankarani M, Tavallaii SA. Anxiety mediates the impact of somatic comorbidities on quality of life. Dev World Epidemiol 2010; 1: 31 – 36.en_US
dc.identifier.citedreferenceAzarKeyvan A, HajiBeigi B, Moghani Lankarani M, Namdari M, Assari S. Associates of poor physical and mental health‐related quality of life in beta thalassemia‐major/intermedia. J Res Med Sci 2008; 14: 349 – 355.en_US
dc.identifier.citedreferenceAssari S, Soroush MR, Khoddami Vishteh HR, Mousavi B, Ghanei M, Karbalaeiesmaeili S. Marital relationship and its associated factors in veterans exposed to high dose chemical warfare agents. J Fam Reprod Health 2008; 2: 69 – 74.en_US
dc.identifier.citedreferenceAlishiri GH, Bayat N, Fathi Ashtiani A, Tavallaii SA, Assari S, Moharamzad Y. Logistic regression models for predicting physical and mental health‐related quality of life in rheumatoid arthritis patients. Mod Rheumatol 2008; 18: 601 – 608.en_US
dc.identifier.citedreferenceGhanei M, Aslani J, AzizAbadi‐Farahani M, Assari S, Saadat AR. Logistic regression model to predict chronic obstructive pulmonary disease exacerbation. Arch Med Sci 2007; 3: 360 – 366.en_US
dc.identifier.citedreferenceBusby DM, Christensen C, Crane RD, Larson JH. A revision of the Dyadic Adjustment Scale for use with distressed and non‐distressed couples: Construct hierarchy and multidimensional scales. J Marital Fam Ther 1995; 21: 289 – 298.en_US
dc.identifier.citedreferenceBennett AN, Crossley KM, Brukner PD, Hinman RS. Predictors of symptomatic response to glucosamine in knee osteoarthritis: An exploratory study. Br J Sports Med 2007; 41: 415 – 419.en_US
dc.identifier.citedreferenceBerglund G, Nystedt M, Bolund C, Sjoden PO, Rutquist LE. Effect of endocrine treatment on sexuality in premenopausal breast cancer patients: A prospective randomized study. J Clin Oncol 2001; 19: 2788 – 2796.en_US
dc.identifier.citedreferenceTavallaii SA, Fathi‐Ashtiani A, Nasiri M, Assari S, Maleki P, Einollahi B. Correlation between sexual function and postrenal transplant quality of life: Does gender matter? J Sex Med 2007; 4: 1610 – 1618.en_US
dc.identifier.citedreferenceAssari S. Morbidity measurement in multimorbidity. Dev World Epidemiol 2014; doi: 10.14360/dwe.e0039.en_US
dc.identifier.citedreferenceTavallaii SA, Mirzamani M, Heshmatzade Behzadi A, Assari S, Khoddami Vishteh HR, Hajarizadeh B, Einollahi B. Sexual function: A comparison between male renal transplant recipients and hemodialysis patients. J Sex Med 2009; 6: 142 – 148.en_US
dc.identifier.citedreferenceKazemi‐Saleh D, Pishgoo B, Farrokhi F, Fotros A, Assari S. Sexual function and psychological status among males and females with ischemic heart disease. J Sex Med 2008; 5: 2330 – 2337.en_US
dc.identifier.citedreferenceKazemi‐Saleh D, Pishgou B, Farrokhi F, Assari S, Fotros A, Naseri H. Gender impact on the correlation between sexuality and marital relation quality in patients with coronary artery disease. J Sex Med 2008; 5: 2100 – 2106.en_US
dc.identifier.citedreferenceNoori R, Rafiey H, Solaimani‐nia L, Narenjiha H, Assari S, Moghani Lankarani M. Impact of spouse's opiate dependence on the partner's sexual function. J Fam Reprod Health 2008; 2: 185 – 189.en_US
dc.identifier.citedreferenceCarmack Taylor CL, Basen‐Engquist K, Shinn EH. Predictors of sexual functioning in ovarian cancer patients. J Clin Oncol 2004; 22: 881 – 889.en_US
dc.identifier.citedreferenceOkabe K, Mishima N. Frequency of marital intercourse among patients with psychiatric and psychosomatic disorders in Japan. J Sex Marital Ther 2004; 30: 3 – 11.en_US
dc.identifier.citedreferenceBrody S. The relative health benefits of different sexual activities. J Sex Med 2010; 7: 1336 – 1361.en_US
dc.identifier.citedreferenceKreuter M, Dahllöf AG, Gudjonsson G, Sullivan M, Siösteen A. Sexual adjustment and its predictors after traumatic brain injury. Brain Inj 1998; 12: 349 – 368.en_US
dc.identifier.citedreferenceHill J, Bird H, Thorpe R. Effects of rheumatoid arthritis on sexual activity and relationships. Rheumatology (Oxford) 2003; 42: 280 – 286.en_US
dc.identifier.citedreferenceKnodel J, Chayovan N. Sexual activity among older Thais: The influence of age, gender and health. J Cross Cult Gerontol 2001; 16: 173 – 200.en_US
dc.identifier.citedreferenceHawton K, Gath D, Day A. Sexual function in a community sample of middle‐aged women with partners: Effects of age, marital, socioeconomic, psychiatric, gynecological, and menopausal factors. Arch Sex Behav 1994; 23: 375 – 394.en_US
dc.owningcollnameInterdisciplinary and Peer-Reviewed


Files in this item

Name:
jsm12459.pdf
Size:
96.48KB
Format:
PDF
View/Open

Show simple item record

Remediation of Harmful Language

The University of Michigan Library aims to describe library materials in a way that respects the people and communities who create, use, and are represented in our collections. Report harmful or offensive language in catalog records, finding aids, or elsewhere in our collections anonymously through our metadata feedback form. More information at Remediation of Harmful Language.

Accessibility

If you are unable to use this file in its current format, please select the Contact Us link and we can modify it to make it more accessible to you.