A  B  C  D  E  F  G  H  I  J  K  L  M  N  O  P  Q  R  S  T  U  V  W  X  Y  Z  

  Subjects -> DISABILITY (Total: 103 journals)
The end of the list has been reached or no journals were found for your choice.
Similar Journals
Journal Cover
Sexuality and Disability
Journal Prestige (SJR): 0.477
Citation Impact (citeScore): 1
Number of Followers: 16  
 
  Hybrid Journal Hybrid journal (It can contain Open Access articles)
ISSN (Print) 1573-6717 - ISSN (Online) 0146-1044
Published by Springer-Verlag Homepage  [2469 journals]
  • Effectiveness of Sexual Counseling Using BETTER Model to Promote Sexual
           Function and Satisfaction of Married Women with Multiple Sclerosis

    • Free pre-print version: Loading...

      Abstract: Abstract Sexual dysfunction is a common concern in women with multiple sclerosis (MS). This study aims to assess the effect of counseling based on the BETTER model (Bring up, Explain, Tell resources, Time, Educate, and Record) on sexual function and satisfaction in married women with MS. This randomized clinical trial included 72 married women between the ages of 18–49 years from the MS Society of Iran. The data were collected using a socio-demographic questionnaire, Female Sexual Function Index (FSFI) and the Index of Sexual Satisfaction (ISS) at three points in time. The intervention involved the use of the BETTER model-based counseling approach with married women during four weekly sessions. The control group received routine care. The results of the analysis showed that the mean of FSFI for the women in the intervention group improved at 8 and 12 weeks after the counseling compared to the control group (p < 0.001). However, a significant difference was not observed between the mean score of ISS among the women in the intervention group compared to the control group (p = 0.06). These results suggest that intervention based on the BETTER model counseling can significantly improve the sexual function of married women with MS. However, in order to improve the sexual satisfaction of these women multidisciplinary interventions are also recommended.
      PubDate: 2022-06-10
       
  • Young People with Intellectual Disability and Their Experiences with
           Intimate Relationships: a Follow-up Analysis of Parents’ and
           Caregivers’ Perspectives

    • Free pre-print version: Loading...

      Abstract: Background Research shows that people with intellectual disability both want and benefit from relationships. Caregivers play an important role in the development and maintenance of these relationships. Barriers to relationships include lack of privacy, inadequate sex education, and lack of public transportation. Method The sample included 42 primary caregivers of young people with intellectual disability aged 14 to 25. Interviews were evaluated with the qualitative content analysis. Results Two-thirds of the caregivers reported the young people having had at least one relationship. The caregivers tended to minimize the importance of the young people’s relationships and reported, in equal measure, both positive and negative relationship skills. Caregivers described limited choice in terms of partner selection, lack of social opportunities, and low quality couple time. Parents face the detachment process with ambivalence and wish for a stable partnership for their children in the future. Discussion Young people with intellectual disability face barriers and limitations regarding intimate relationships. Some young people may keep their partnerships secret to avoid possible restrictions from their caregivers. Their time together is quantitatively high, but qualitatively poor due to a lack of transportation and inclusive services. Caregivers need to support the young people’s autonomy and take their relationships more seriously.
      PubDate: 2022-06-01
       
  • Sexuality, Education and Support for People with Intellectual
           Disabilities: A Systematic Review of the Attitudes of Support Staff and
           Relatives

    • Free pre-print version: Loading...

      Abstract: Abstract Support staff and relatives are uncertain about multiple aspects of the sexuality of people with intellectual disabilities. Given that their attitudes embody positive and negative views, they can respectively support and restrict free sexual expression among people with intellectual disabilities and their potential for (intimate) relationships. A qualitative systematic literature review was conducted on the attitudes of support staff and relatives toward the sexuality of people with intellectual disabilities. A systematic search strategy was deployed across seven databases. The identified articles were screened on predetermined inclusion and exclusion criteria, and assessed on quality, which resulted in 31 included studies. A metasynthesis of these studies resulted in two major themes emerging, namely (a) attitudes toward the sexuality of people with intellectual disabilities, and (b) attitudes toward the sex education and support. Themes represented both positive and restrictive attitudes among support staff and relatives. The findings suggest that despite a general acceptance of the sexual rights of people with intellectual disabilities, certain forms of sexuality were approached more cautiously. Moreover, the sexual needs of some subgroups of people with intellectual disabilities received scarce attention. Those support staff and relatives holding rather restrictive attitudes appear to emphasize sexual risks. Finally, support staff and relatives stressed the importance of providing sex education and support for people with intellectual disabilities, while, simultaneously, expressing insecurity over the subject. The findings can help to improve the support provided to support staff and relatives to promote sexual health among people with intellectual disabilities.
      PubDate: 2022-06-01
       
  • Sexual Assistance for People with Intellectual Disabilities: Proposal for
           a Service Delivery Model

    • Free pre-print version: Loading...

      Abstract: Abstract The figure of the sexual assistant is increasingly demanded as a right in the disabilities field. This figure requires debate, adaptation to the characteristics of countries and cultures, as well as to the characteristics of people with intellectual and developmental disabilities. This study presents the work carried out with representatives of Spanish organizations of people with intellectual disabilities to develop a proposal for the figure of support staff for sexual behavior. Together with a rights perspective, this proposal is aligned with the Supports paradigm to better meet the health and behavior needs of users. The figure is framed within the auto-erotic and therapeutic model of sexual assistance. This figure excludes characteristics of the erotic model that involves interaction or sexual exchange between the sexual assistant and the individual with a disability. Several advantages and disadvantages need to be carefully considered before implementing this support in a delivery service model. We argue that the proposed figure requires specific accreditation, training, and monitoring.
      PubDate: 2022-06-01
       
  • Attitudes Towards the Sexuality of Adults with Intellectual Disabilities:
           A Systematic Review

    • Free pre-print version: Loading...

      Abstract: Abstract Current research in attitudes towards the sexuality of adults with intellectual disabilities yields heterogeneous results. The aim of the present paper was to systematically review current qualitative and quantitative evidence of attitudes towards the sexuality of adults with intellectual disabilities. A systematic review of current literature (2000–2020) was carried out in the ERIC, PsychINFO, SCOPUS, PUBMED, and WebOfScience databases. Thirty-three articles were included for review. The present review protocol is registered in the PROSPERO database. Included studies presented attitudes towards the sexuality of adults with intellectual disabilities in samples comprised of staff, family, members of the community, and adults with intellectual disability. Community samples held more positive attitudes, followed by staff and family. Adults with intellectual disabilities reported interest in intimate relationships but perceived barriers in others’ attitudes. Factors such as familiarity, age, gender of the adult with a disability, and culture seemed to have clear relationships. Other factors such as gender or social status remain unclear. In general, attitudes were considered positive. However, a preference for low intimacy and friendship or Platonic relationships was found. Stereotypes towards intellectual disability may have a strong influence. These findings underline the need to investigate and address attitudinal changes to provide adequate support for adults with intellectual disabilities in regard to a healthy relational and sex life. Prospero registration number: CRD42021222918.
      PubDate: 2022-06-01
       
  • Interventions on Sexuality for Adolescents with Autism Spectrum Disorder:
           A Systematic Review

    • Free pre-print version: Loading...

      Abstract: Abstract Sexuality and intimate relationships are topics of interest to adolescents and young adults with Autism Spectrum Disorder (ASD). Given their relative difficulties to the social dimension, several intervention programs have been developed to meet this demand, but the complexity of the reality experienced by these young people limits the effectiveness of these intervention programs. To find the effects of different intervention programs to influence the development of sexuality and sexual health of adolescents with ASD and determine the impact of these interventions on the parents, through a systematic review. Literature review conducted on November 27, 2019 in the psycINFO, Pubmed, web of science and CINAHL databases. Intervention programs consisting solely of teaching sessions improve the knowledge of the youth. However, when they also included a direct approach or homework, behavioral effects were also observable. Parent-focused intervention programs resulted in a slight increase in parents’ comfort level and ability to interact well with their youth. Intervention programs targeting school-based workers appear to have a limited effect, having good concrete results with youth for some workers and no results for others, while intervention programs targeting health professionals have no conclusive results. The results of the literature review are not very transferable to practice because of the low level of evidence in the articles included, however, they offer an interesting starting point. Further research is needed to equip health professionals to intervene in sexuality after youth with ASD.
      PubDate: 2022-05-18
       
  • A Survey of Latin American Rehabilitation Professionals on Addressing
           Sexuality-Related Concerns After Spinal Cord Injury

    • Free pre-print version: Loading...

      Abstract: Abstract To examine rehabilitation professionals’ training and education, attitudes, beliefs or misconceptions, and assessment of issues related to sexuality in individuals with Spinal Cord Injury (SCI) and their romantic partners. 318 healthcare professionals from Latin America (LA) who worked with individuals with SCI completed an online survey. 99.0% affirmed that sexuality is an issue that should be addressed during the rehabilitation of people with SCI. 86.0% reported being asked questions about sexuality after SCI by their patients and/or their partners, but only 33.2% of the professionals affirmed that it was very likely for them to initiate a conversation about the topic. Only 35.4% reported discussing sexuality issues with patients and their partners as a regular practice; further, 61.5% of the sample reported not being prepared at a scientific, therapeutic, and/or educational level to be able to advise people with SCI in the area of sexuality. 95.9% indicated they would be interested in attending courses, seminars, or conferences tailored to the topic of sexuality after SCI. Participants agreed nearly unanimously (96.8%) that it would be easier to discuss sexuality with people with SCI and their partners if they had more training on this topic, which they believed should have been received during their undergraduate (63.5%) and advanced (34.9%) studies. Findings provide insight into the way sexuality is addressed and attended to in the field of rehabilitation in LA and inform initiatives to improve the provision of care in the realm of sexuality for individuals after SCI.
      PubDate: 2022-05-05
       
  • From the Editor of Sexuality and Disability: The New Norm is Still Being
           Defined

    • Free pre-print version: Loading...

      PubDate: 2022-05-04
       
  • The Impact of Mindfulness Therapy on Sexual Satisfaction in Couples Living
           with Neurological Disabilities: A Phenomenological Analysis of a Single
           Case

    • Free pre-print version: Loading...

      Abstract: Abstract Research regarding sexuality following neurological disabilities has focused on either men or women separately, without considering couples and how intimate relationships may be influenced. The purpose of this case study was to investigate the effects of a modified 8-week mindfulness intervention on sexual satisfaction in a couple where one partner was living with Multiple Sclerosis (MS). One couple with the female living with relapsing remitting MS and an able-bodied male participated in the study. The mindfulness intervention was administered to the couple via a booklet and the mindfulness exercises were explained verbally after the baseline interview. The booklet contained a total of eight mindfulness-based exercises for each week of the intervention. The mindfulness exercises from week one to week five were to be completed individually while Sensate Focus exercises from week six to eight were completed as a couple. The exercises were carried out by the couple at home. In addition, the intervention included a psycho-education session at week five of the intervention. Data was collected through an in-depth phenomenological interview of the couple, conducted at baseline and following the completion of the 8-week intervention. The couple reported an improvement in communication, understanding, and awareness. Sensate Focus exercises enhanced intimacy between the couple. The findings of this study show promise for mindfulness-based therapies to enhance sexual satisfaction in couples living with neurological disabilities.
      PubDate: 2022-05-03
       
  • Nurses and Midwives Role in Patient Sexual Health Assessment: A
           Cross-Sectional Study

    • Free pre-print version: Loading...

      Abstract: Abstract A cross-sectional exploratory study was conducted to assess nurses and midwives’ attitudes and beliefs towards addressing patients' sexual health. A convenient sample of 305 nurses and midwives (professionals and students) were recruited from University Hospitals in Lebanon. The Sexuality Attitude and Belief Survey (SABS) was used and data about barriers to sexual assessment, sexual education and sociodemographic characteristics were collected. The sample included nursing students, 30.1%, staff nurses, 61.2%, and midwives, 8.6%. The mean age was 26.8 years, and 83.7% were females. Only 28.4% of the total sample received sexual health education, and 12.5% reported taking patients' sexual history. The total SABS score was 48.4, which is relatively high. Most nurses and midwives (72.2%) stated that they do not spend time discussing patients' sexual concerns, viewing sexuality as 'too private an issue to discuss' (68.9%). In parallel, a minority had the belief that patients expect nurses to ask about their sexual concerns (32.7%) and felt confident in their abilities to address patients' sexual issues (30.3%). SABS score was significantly associated with the participants' gender, status, care unit, sexual health education and history taking. This study provided a preliminary appraisal of Lebanese nurses' and midwives' approaches towards patients' sexual health assessment and highlighted the obstacles that hinder appropriate sexual health practice. Based on the findings, there is a need for initiatives at the level of education and practice to develop nurses and midwives' competence and improve patient outcomes.
      PubDate: 2022-05-02
       
  • Professional Educational Opportunities

    • Free pre-print version: Loading...

      PubDate: 2022-04-29
       
  • Clinician and Patient Communication on Body Image, Sexuality, and Sexual
           Function in Gynecologic Cancer: An Integrative Review

    • Free pre-print version: Loading...

      Abstract: Abstract Body image, sexuality, and sexual function commonly affect women with gynecologic cancer. While these issues are common and cause distress, patients report little communication regarding these topics with clinicians. The purpose of this review was to present the literature surrounding these topics, describe and appraise the quality of the literature, identify significant gaps in the literature, and provide implications for practice and/or future research. A systematic search of the literature was conducted using three databases. Keywords and MESH headings were used to obtain appropriate articles. Data was evaluated using PRISMA guidelines. Nine articles were retrieved. Most (5) focused on patients’ perspectives of communication, while 3 focused on clinician perspectives. Only one included the perspectives of both. Further research is needed to better understand the issues surrounding patient-clinician communication on these topics. Clinicians need to routinely assess patients for issues related to body image and sexual health, feel comfortable discussing these topics, and be prepared to provide information or resources for patients.
      PubDate: 2022-04-28
       
  • Attitudes Toward Dating People with Disability Amongst Young People in
           Australia and Hong Kong

    • Free pre-print version: Loading...

      Abstract: Abstract This paper explores attitudes toward dating people with disability amongst young people in Australia and Hong Kong. Data relating to disability were extracted from an e-survey that investigated young people’s (n = 2208) experiences of and attitudes toward dating. Quantitative data were analysed using descriptive statistics while open ended responses were subjected to interpretive content analysis. When asked about preferred characteristics for potential dates, young people identified factors that were unlikely to be negatively influenced by disability, such as loyalty, honesty, dedication, humour, and kindness. Yet when asked whether disability would influence their dating choices, most said that it would and expressed an unwillingness to date people with disability. Young adults in Hong Kong expressed less openness to dating people with disability than those in Australia. Physical disability and mental health issues were seen as less of a barrier to dating than intellectual or developmental disability. Despite recent gains in public attitudes toward people with disability, improvements are needed in terms of young people in the general population viewing people with disability as suitable partners and thus, allowing them to enjoy equal rights to relationships and sexuality. Culture is an important determinant, indicating a potential for change.
      PubDate: 2022-04-16
      DOI: 10.1007/s11195-022-09734-2
       
  • People with Intellectual Disabilities Struggle to have a Sexual Encounter:
           A Chinese Cultural Context Investigation

    • Free pre-print version: Loading...

      Abstract: Abstract People with intellectual disabilities share the same human need for affectionate and intimate relationships as people without a disability. Limited research has investigated sexual issues and concerns among adults with intellectual disabilities, including dating, intimate relationships, and marriage. This study employed Interpretative Phenomenological Analysis to identify the understanding and needs regarding sexuality of people with intellectual disabilities. Five people with mild grade intellectual disabilities participated in face-to-face interviews in which they discussed their struggle to have romantic relationships and sexual encounters. Their “understanding” and “doing” on sex issues were identified. The lack of adequate sex education and Chinese culture potentially impact people with intellectual disabilities’ beliefs and behaviors on sexuality. Various types of intervention were discussed. Further research is necessary to understand the cultural context of the challenges and experiences regarding sexuality faced by people with intellectual disabilities and their families.
      PubDate: 2022-04-05
      DOI: 10.1007/s11195-022-09733-3
       
  • The Sexual and Emotional Life Experiences Reported by Brazilian Men with
           

    • Free pre-print version: Loading...

      Abstract: Abstract This study explored the sexual and emotional experiences of male patients with head and neck cancer. This study utilized a clinical-qualitative method. Twelve patients with head and neck cancer were recruited to participate in the research through in-depth semi-directed interviews with open-ended questions recorded. Data was collected at the radiotherapy of a Brazilian hospital. All patients demonstrated negative impacts on the dynamics of affective and sexual relationships caused by a serious disease. Data revealed that impacts mainly affect “The felt/lived body”, and “The affective-sexual body”. Requiring, then, an “Elaboration of the grief of the bodily and sexual changes”. Considering, evaluating and proposing care for a sexual and emotional aspects of patients with head and neck cancer is essential for the creation and implementation of comprehensive health measures, especially in terms of quality of life for patients.
      PubDate: 2022-03-31
      DOI: 10.1007/s11195-022-09732-4
       
  • Online Dating Experiences of LGBTQ+ Emerging Adults With Disabilities

    • Free pre-print version: Loading...

      Abstract: Abstract In 2014 approximately 14.4% of Americans ages 18 to 24 had some type of disability. Compared to their peers without disabilities, disabled emerging adults typically have more difficulty dating and finding romantic and sexual partners. One way that they may escape disability stigma and smaller dating pools is through online dating. However, little is known about their experiences seeking romantic and sexual relationships online, and even less is known about the experiences of emerging adults with disabilities who identify with sexual orientations and have gender identities that are not heterosexual or cisgender. In the present study 27 LGBTQ+ emerging adults with various disabilities, genders, and sexual orientations completed 47 item online surveys before COVID in which they described their experiences with online dating and starting and sustaining romantic relationships. Results from qualitative data analyses suggest that rather than being neutral spaces that exist separately from stigma and social prejudice, dating apps and web sites typically perpetuate normative ideas of ableism, sexuality, and gender and stimulate questions of timing of disability disclosure. Despite challenges, however, online dating also offers opportunities to interact with multiple interested daters and appears to offer LGBTQ+ emerging adults with disabilities an often beneficial though sometimes vexing venue for relationship development.
      PubDate: 2022-03-28
      DOI: 10.1007/s11195-022-09726-2
       
  • Sexual Dysfunction in Women with Neuromyelitis Optica Spectrum Disorders
           and Multiple Sclerosis

    • Free pre-print version: Loading...

      Abstract: Abstract Sexual dysfunction (SD) is a common and significant complication in neuromyelitis optica spectrum disorders (NMOSD) and multiple sclerosis (MS), though it is often neglected and undertreated. We aimed to compare female sexual dysfunction in patients with NMOSD and MS, and investigate the association between clinical characteristics and SD. In this cross-sectional study, 36 patients with NMOSD and 312 MS patients who visited the MS clinic of Kashani Hospital were recruited. Sexual dysfunction was evaluated using the Iranian version of the Female Sexual Function Index (FSFI) questionnaire. Fatigue, depression, and anxiety were also assessed by fatigue severity score (FSS), Beck depression inventory-II (BDI-II), and Hamilton anxiety rating scale (HAM-A), respectively. Sexual dysfunction was presented in 75% of NMOSD and 63.5% of MS patients (P = 0.127). The most frequent SD problem in both NMOSD and MS was dysfunctional arousal (50% vs. 48.1%, P = 0.855). The frequency and mean score of sexual pain dysfunction in NMOSD patients was higher than MS, but it did not remain significant in the adjusted model. No statistically significant differences in the frequency and mean scores of other SD subdomains were detected. In the univariate model, only fatigue was associated with the presence of SD in NMOSD. In MS patients, depression was an independent risk factor of SD in the multivariate model. Our results confirm that SD is a common problem in female NMOSD and MS patients. Further longitudinal studies are needed to evaluate sexual dysfunction and its risk factors in NMOSD. In addition, attention to the management of depression and fatigue could be positively effective on sexual dysfunction in patients with NMOSD and MS.
      PubDate: 2022-03-24
      DOI: 10.1007/s11195-022-09731-5
       
  • Sexuality After Spinal Cord Injury. Which Factors Influence Sexual
           Activity and Satisfaction'

    • Free pre-print version: Loading...

      Abstract: Abstract The impact of sexual impairment in spinal cord injured patients is complex and multifactorial. Despite its importance, the factors that determine their sexual activity and satisfaction are mostly unknown. The objectives of this study were to identify and characterize sexual activity among these patients, assess their sexual satisfaction and elucidate the factors that influence it. We designed a cross-sectional study, consisting in a telephone questionnaire, addressing some topics about sexuality and sexual satisfaction, applied to spinal cord injured individuals previously admitted to a Rehabilitation Hospital. A total of 112 individuals accepted to answer the survey. Sexual activity was reported by 49 (43.8%) and was associated with younger age, higher functional status, male gender and active employment status. Higher sexual satisfaction was significantly associated with younger age, younger age at the time of injury, active employment status and sexual counselling after lesion. No correlation was found between sexual activity or sexual satisfaction and neurologic level, AIS classification or the etiology of the lesion. We concluded that sexual performance after SCI is not exclusively determined by genital function and the degree of physical impairment. Personal and contextual factors (in particular, those which promote social participation) seems to be stronger determinants of sexual activity and sexual satisfaction than the neurologic characteristics of the lesion. This study reinforces the importance of a comprehensive rehabilitation program, including sexual counselling to SCI individuals and their partners.
      PubDate: 2022-03-08
      DOI: 10.1007/s11195-022-09730-6
       
  • Professional Educational Opportunities

    • Free pre-print version: Loading...

      PubDate: 2022-01-31
      DOI: 10.1007/s11195-022-09728-0
       
  • From the Editor of Sexuality and Disability: The Year 2022…We Start
           Again to Look for Answers to Build a Better Future

    • Free pre-print version: Loading...

      PubDate: 2022-01-27
      DOI: 10.1007/s11195-022-09727-1
       
 
JournalTOCs
School of Mathematical and Computer Sciences
Heriot-Watt University
Edinburgh, EH14 4AS, UK
Email: journaltocs@hw.ac.uk
Tel: +00 44 (0)131 4513762
 


Your IP address: 34.239.147.7
 
Home (Search)
API
About JournalTOCs
News (blog, publications)
JournalTOCs on Twitter   JournalTOCs on Facebook

JournalTOCs © 2009-