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AB0620 Sexual Functioning and Quality of Life among Married Women with Systemic Sclerosis
  1. F. Frikha,
  2. J. Masmoudi,
  3. Z. Bahloul
  1. Internal Medicine, CHU hédi Chaker, Sfax, Tunisia

Abstract

Background Sexuality is an often neglected area in patients with rheumatic disease.

Objectives The aim of this study is to assess sexual functioning and quality of life in a group of married women with Systemic Sclerosis (SSc).

Methods This is a horizontal study for descriptive and analytical purposes. Married women with SSc were interviewed about their sexual functioning and their quality of life.

Results A total of ten patients who met the criteria have accepted to participate to the study. Their mean age was 52, 4±8,2 years. Eight women thought that the disease had affected their sexual activity. All patients reported a decrease in the frequency of intercourse since the onset of their disease. Eight of the sample reported a diminished desire for a sexual relationship. The reasons were fatigue, altered body image and pain. The assessment of sexual functioning using the Female sexual function index (FSFI) showed a mean FSFI score at 14,2±7,8 with nine women scoring in the range associated with sexual dysfunction (SD) (<26). All the subscales were affected. Our patients reported a mean total score on WHOQOL-brief (World Health Quality of Life-Brief Version) of 60 out of 120 indicating a moderate altered quality of life. Depression has been identified as determinants of impaired sexual function.

Conclusions The prevalence of SD in women with SSc is high when a specific questionnaire is used to assess it. These results indicate that in daily practice, inquiring about sexuality and screening for depressive symptoms is indicated for every patient with SSc.

References

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  3. Knafo R, Haythornthwaite JA, Heinberg L, Wigley FM, Thombs BD. The association of body image dissatisfaction and pain with reduced sexual function in women with systemic sclerosis. Rheumatology (Oxford). 2011; 50 (6):1125-30.

  4. Levis B, Hudson M, Knafo R, et al. Canadian Scleroderma Research Group (CSRG). Rates and correlates of sexual activity and impairment among women with systemic sclerosis. Arthritis Care Res (Hoboken). 2012;64(3):340-50.

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Acknowledgements We would like to thank all the participants.

Disclosure of Interest None declared

DOI 10.1136/annrheumdis-2014-eular.2985

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