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Sexual self-concept, anxiety, and self-efficacy predict sexual activity in heart failure and healthy elders
Elaine E Steinke1, David W Wright, Misook L Chung
1School of Nursing, Wichita State University, Wichita, KS 67260-0041, USA.
Background:
Little is known about sexual activity in patients with heart failure (HF), and existing evidence suggests that sexual activity is adversely affected.
Objective:
This study explored the relationships and predictors between sexual activity and psychosexual, demographic variables in healthy elders and patients with HF.
Methods:
Participants were 59 healthy elders and 85 patients with HF who completed instruments on depression and anxiety, sexual self-concept, sexual activity, and demographic/clinical variables.
Results:
Those with increased sexual self-concept had 1.78 greater odds of being sexually active. The sexual self-concept subscales of sexual anxiety and sexual self-efficacy showed a statistically significant (P < .01) independent effect on sexual activity. A higher sexual self-concept from greater sexual self-efficacy and lower sexual anxiety, younger age, and being married were significant predictors of sexual activity.
Conclusion:
Sexual self-concept and the related subscales of sexual anxiety and sexual self-efficacy are important psychosexual variables for future research. Attention to patient psychosexual concerns is needed in both clinical practice and research.
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