Dyadic adjustment, quality of life, sexual beliefs and sexual functioning in diabetic patients and partners
DOI:
https://doi.org/10.57167/Rev-SBPH.15.394Keywords:
Diabetes, Marital adjustment, Quality of life, Beliefs, SexualityAbstract
The present study focuses on the evaluation of marital adjustment, quality of life, sexual beliefs and sexual functioning in diabetic patients and their partners. The sample is composed by 116 diabetic patients and 90 partners. The instruments used were: Revised Dyadic Adjustment Scale (R-DAS) (Spanier, 1976); Feminine Sexual Functioning Index (FSFI) (Rosen et al., 2000); International Index of Erectile Functioning (IIEF) (Rosen et al., 1997); Sexual Beliefs and Information Questionnaire (SBIQ) (Adams et al., 1996) and the Diabetes Quality of Life (DQOL) (Jacobson, 1994). The results showed differences on quality of life (higher on type 2) and female sexual functioning (higher on type 1). A positive relationship between dyadic adjustment, sexual beliefs and sexual functioning in patients and partners was also found. In diabetic women, a relationship between sexual functioning and marital adjustment and between the later and quality of life was found as well as between sexual functioning and sexual beliefs. In diabetic males, only a significant relationship between sexual functioning and marital adjustment was found. Differences on quality of life in terms of age and on marital adjustment regarding terms of gender were found. Finally, implications regarding intervention are addressed.
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Adams, S.G., Dubbert, P.M., Chupurdia, K.M., Jones, A., Lofland, K., & Leermakers, E. (1996). Assessment of Sexual Beliefs and Information in Aging Couples with Sexual Dysfunction. Archives of Sexual Behavior, 25(3), 249-260. DOI: https://doi.org/10.1007/BF02438164
Andrade, I.M. (1996). Labirintos da Sexualidade. Porto: Porto Editora.APDP, Associação Protectora dos Diabéticos de Portugal. (2004). Viver com a Diabetes. Lisboa: Climepsi Editores.
Basson, R., Berman,J., Burnett, A., Derogatis,L.,Ferguson,D.,Fourcroy, J.,Goldstein, I., Graziottin, A.,Heiman, J.,Laan, E.,Leiblum, S.,Padmanathan,
H.,Rosen, R.,Segraves, K.,Segraves, R.T.,Ridwan Shabsigh, R.,Sipski, M.,Wagner, G. & Whipple, B.(2000). Report of the International Consensus Development Conference on Female Sexual Dysfunction: Definitions and Classifications. The Journal of Urology, 163, 888–893. DOI: https://doi.org/10.1016/S0022-5347(05)67828-7
Bradley C., Todd C., Gorton T., Symonds E., Martin A., & Plowright R. The development of an individualized questionnaire measure of perceived impact of diabetes on quality of life: the ADDQOL. Quality of Life Research, 8,79–91 . DOI: https://doi.org/10.1023/A:1026485130100
Boavida, J.M., Almeida, J.P., Cardoso, S., Duarte, R., Ferreira, Guerra, F. et al., (2011). Relatório Anual do Observatório Nacional de Diabetes. Sociedade Portuguesa de diabetologia. Diabetes: Factos e Números, 2011. Lisboa.
Busby, D.M., Christenson, C. J, Crane, D.R. & Larson, J.H. (1995). A revision of the dyadic adjustment scale for use with distressed and nondistressed couples: construct hierarchy and multidimensional scales. Journal of Marital and family Therapy, 21(3), 289-308. DOI: https://doi.org/10.1111/j.1752-0606.1995.tb00163.x
Caldeira, J., Parreira, J., Sagreira, L., André, O., Duarte, R. & Lisboa, P. (1997). Diabetologia Clínica. Lisboa: Lidel, edições técnicas.
Camacho, F., Anderson, R.T., Bell, R.A., Goff, D.C., Duren-Winfield, V., Doss, D.D., & Balkrishnan, R. (2002). Investigating correlates of health related quality of life in a low-income sample of patients with diabetes. Quality of Life Research, 11, 783-796. DOI: https://doi.org/10.1023/A:1020858102483
Cox, D.J., Gonder-Frederick, L. & Saunders, J.T. (1991). Diabetes: Clinical Issues Management. In Jenny J. Sweet, Ronald H. Rozensky & Steven M. DOI: https://doi.org/10.1007/978-1-4615-3792-2_26
Tavian (Eds.), Handbook of Clinical Psychology in medical settings, 473-496. New York: Pennum Press
Enzlin, P., Mathieu, C., & Demyttenaere, K. (2003). Diabetes and Female Sexual Functioning: A state of the Art. Diabtes Spectrum, 16 ( 4),256-259. DOI: https://doi.org/10.2337/diaspect.16.4.256
Enzlin, P., Mathieu, C., Bruel, A.V., Vanderschueren, D. & Demyttenaere, K. (2003). Prevalence and Predictors of Sexual Dysfunction in Patients with Type 1 Diabetes. Diabetes Care, 26 (2), 409-414. DOI: https://doi.org/10.2337/diacare.26.2.409
Gross, J. & Silveiro, S. (2002). Diabetes Melito: Diagnóstico, Classificação e Avaliação do Controle Glicêmico. Arq Bras Endocrinol Metab, 46 (1),16-26. DOI: https://doi.org/10.1590/S0004-27302002000100004
Heiman, J.& Lo Piccolo, J. (1988). Becoming Orgasmic: A Sexual and Personal Growth Program for Women; New York: Prentice-Hall.
Jacobson AM and the DCCT Research Group. (1994a). The Diabetes Quality of Life Measure. In: Bradley CS, ed. Handbook of Psychology and Diabetes. London: Harwood Academic Publishers.
Jacobson, M.J., de Groot, M., & Samson, J.A. (1994b). The evaluation of two measures of quality of life in patients with type 1 and type 2 diabetes. Diabetic Care, 17(4), 267-274. DOI: https://doi.org/10.2337/diacare.17.4.267
Jesen, S. B. (1985). Sexual relationship in couples with a diabetic partner. Journal of Sex & Marital Therapy, 11(4), 259-270. DOI: https://doi.org/10.1080/00926238508405452
Kukulo K., Gürsoy E., & Sözer G. A. (2009). Turkish University students’ beliefs in Sexual Myths. Sexuality and Disability. 27, 49-59. DOI: https://doi.org/10.1007/s11195-009-9108-1
Morran, M.P., Omenn, G.S. & Pietropaolo, M. (2008). Immunology and genetics of type 1 diabetes. The Mount Sinai Journal of Medicine. 75 (4):314-27. DOI: https://doi.org/10.1002/msj.20052
Nicolosi, A., Glasser, D., Brock, G., Laumann, E., & Gingell, C. (2002). Diabetes and sexual function in older adults: Results of an international survey. The British Journal of Diabetes and Vascular Disease, 2(4), 336-339. DOI: https://doi.org/10.1177/14746514020020042301
Nobre, P. (2003). Disfunções sexuais: Contributos para a construção de um modelo compreensivo baseado na teoria cognitiva. Coimbra: Faculdade de Psicologia e Ciências da Educação da Universidade de Coimbra.
Nunnally, J. C. (1978). Psychometric theory (second edition). New York: McGraw Hill.
Pereira, M.G. (2000). Versão Portuguesa do Revised adjustment Scale. Universidade do Minho. Escola de Psicologia.
Pereira, M.G & Afonso, F. (2004). Versão Portuguesa do Diabetes Quality of Life. Universidade do Minho. Escola de Psicologia.
Peyrot, M., McMurry, J. F. & Hedges, R. (1988). Marital Adjustment to Adult Diabetes: Interpersonal Congruence and Spouse Satisfaction. Journal of Marriage and the Family, 50 (2),363 -376. DOI: https://doi.org/10.2307/352003
Pickup, J.C & Crook, M. A. (1998). Is Type II diabetes mellitus a disease of the innate immune system? Diabetologia, 41, 1241-1248 DOI: https://doi.org/10.1007/s001250051058
Piening, S. P. (2002). Patients and partners coping with diabetes: Toward a dyadic perspective. Dissertation Abstracts International Section A: Humanities and Social Sciences, 62(9-A), 3189
Redekop, W., Koopmanschap, M., Stolk, R., Rutten, G., Wolffenbuttel, B. & Niessen, L. (2002). Health-Related Quality of Life and Treatment Satisfaction in Dutch Patients with Type 2 Diabetes. Diabetes Care, 25, 458-463. DOI: https://doi.org/10.2337/diacare.25.3.458
Risen, C.B. (2003). Listening to Sexual Stories. In Stephen B. Levine, Candace B. Risen and Stanley E. Althof (Eds.). Handbook of clinical sexuality for mental health professionals. (pp.16). Routledge.
Rosen, R., Brown, C. & Heiman, J. (2000).The Female Sexual Function Index (FSFI): A Multidimensional Self-Report Instrumentfor the Assessment of Female Sexual Function. Journal of Sex & Marital Therapy, 26, 191–208. DOI: https://doi.org/10.1080/009262300278597
Rosen, R.C., Riley, A., Wagner, G., Osterloh, I.H., Kirkpatrick, J. & Mishra, A. (1997). The international index of erectile function (IIEF): a multidimensional scale for assessment of erectile dysfunction. Urology, 49(6), 822-30. DOI: https://doi.org/10.1016/S0090-4295(97)00238-0
Rubin, R. & Peyrot, M. (1999). Quality of Life and Diabetes. Diabetes Metabolism Research and Reviews, 15, 205-218. DOI: https://doi.org/10.1002/(SICI)1520-7560(199905/06)15:3<205::AID-DMRR29>3.0.CO;2-O
Rutherford, D. & Collier, A. (2005). Sexual Dysfunction in Women with Diabetes Mellitus. Gynecological Endocrinology, 21, 189-192. DOI: https://doi.org/10.1080/09513590400021110
Schreiner-Engel, P, (1983). Diabetes mellitus and female sexuality. Sexual Disability, 6, 83–92. DOI: https://doi.org/10.1007/BF01101555
Schreiner-Engel, P., Schiavi, R.C., Vietorisz, D., & Smith, H. (1987). The differential impact of diabetes type on female sexuality. Journal of Psychosomatic Research, 31(1), 23-33. DOI: https://doi.org/10.1016/0022-3999(87)90094-8
Silva, I., Pais-Ribeiro, J., Cardoso, H., Ramos, H. (2003). Qualidade de vida e complicações crónicas da diabetes. Análise Psicológica, 2 (XXI): 185-194. DOI: https://doi.org/10.14417/ap.108
Spanier, G. B. (1976). Measuring dyadic adjustment: New scales for assessing the quality of marriage and similar dyads. Journal of Marriage and the Family, 38, 15-28. DOI: https://doi.org/10.2307/350547
Srinivasan, B. T., Jarvis, J., Khunti, K. & Davies, M.J. (2008). Recent advances in the management of type 2 diabetes mellitus: a review. Postgrad. British Medical Journal, 84(996), 524-531. DOI: https://doi.org/10.1136/pgmj.2008.067918
Stamogiannou, I., Grunfeld, E.A., Denison, K. & Muir, G. (2005). Beliefs about illness and quality of life among men with erectile dysfunction. International Journal Impotence Research, 17(2), 142-7. DOI: https://doi.org/10.1038/sj.ijir.3901220
Stewart, A.L., Hays, R.D., Wells, K.B., Rogers, W.H., Spritzer, K.L., & Greenfield, S. (1994).Long-term functioning and well-being outcomes associated with physical activity and exercise in patients with chronic conditions in the medical Outcomes Study. Journal of Clinical Epidemiology, 47, 719-730. DOI: https://doi.org/10.1016/0895-4356(94)90169-4
Thomas, A. & LoPiccolo, J. (1994). Sexual functioning in persons with diabetes: Issues in research, treatment, and education. Clinical Psychology Review, 14, 61-86. DOI: https://doi.org/10.1016/0272-7358(94)90048-5
Trief, P. M., Himes, C.L., Orendorff, R. & Weinstock, R. S. (2001). The Marital Relationship and Psychosocial Adaptation and Glycemic Control of Individuals with Diabetes. Diabetes Care, 24, 1384-1389. DOI: https://doi.org/10.2337/diacare.24.8.1384
Trief, P.M., Wade, M.J., Britton, K.D. & Weinstock, R.S. (2002). Prospective Analysis of Marital Relationship Factors and Quality of Life in Diabetes. Diabetes Care, 25 (7), 1154-1158. DOI: https://doi.org/10.2337/diacare.25.7.1154
Windman, S. & Ladner, E. (2002). Diabetes. Sao Paulo: Editora Senac.
Wikblad, K., Leksell, J., & Wibell, L. (1996). Health-related quality of life in relation to metabolic control and late complications in patients with insulin dependent diabetes mellitus. Quality of Life Research, 5, 123-130. DOI: https://doi.org/10.1007/BF00435977
Zilbergeld, B. (1992). Male-sexuality. New York: Bantam.
Zilbergeld, B. (1999). The new male sexuality. (rev.ed). New York: Batam Books.
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