Impact of Spine Surgery on Psychosexual Functioning, Marital Satisfaction, and Quality of Life: A Cross-sectional Study
Introduction: A sedentary lifestyle among young and middle-aged individuals contributes to spinal pathologies, significantly affecting quality of life (QOL). Sexuality is a key determinant of well-being, and spinal conditions—characterized by motor and sensory deficits, pain, stress, and anxiety—can...
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| Format: | Article |
| Language: | English |
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SAGE Publishing
2025-04-01
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| Series: | Journal of Psychosexual Health |
| Online Access: | https://doi.org/10.1177/26318318251336664 |
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| author | Mohammad Jasim Hussain Purushotham Sastri Raj Kiran Donthu Shivananda Manohar J TSS Rao |
| author_facet | Mohammad Jasim Hussain Purushotham Sastri Raj Kiran Donthu Shivananda Manohar J TSS Rao |
| author_sort | Mohammad Jasim Hussain |
| collection | DOAJ |
| description | Introduction: A sedentary lifestyle among young and middle-aged individuals contributes to spinal pathologies, significantly affecting quality of life (QOL). Sexuality is a key determinant of well-being, and spinal conditions—characterized by motor and sensory deficits, pain, stress, and anxiety—can impair sexual function. However, studies using validated scales to assess sexual functioning in these patients are scarce. Aim: Evaluate sexual functioning, marital satisfaction, and QOL in patients undergoing spine surgery. Materials and Methods: This prospective, questionnaire-based study was conducted from December 2022 to June 2023. Fifty-three sexually active patients (aged 20–50 years) undergoing elective spine surgery were included. Validated scales such as the ENRICH Marital Satisfaction Score (MSS) for marital well-being, the changes in sexual functioning questionnaire for males (CSFQ-M) and females (CSFQ-F) for sexual dysfunction, the Oswestry Disability Index (ODI) for disability assessment, and the WHO-QOL BREF for overall QOL were used. Assessments were done preoperatively and at one, three, and six months postoperatively. Statistical analysis was performed using SPF version 25, with a significance level of P < .005. Results: Preoperatively, all quality-of-life domains were affected, especially the psychological domain. The ODI showed that 94% of patients were crippled before surgery, but by six months, all had minimal disability. All participants had sexual dysfunction and marital distress preoperatively; most regained normal sexual function by three months and marital satisfaction by six months. Conclusion: Spinal pathologies significantly impact psychosexual functioning, marital satisfaction, and QOL. This study highlights the importance of a holistic approach to postoperative recovery. |
| format | Article |
| id | doaj-art-bcca149643a040fd909b2a207d012f61 |
| institution | OA Journals |
| issn | 2631-8318 2631-8326 |
| language | English |
| publishDate | 2025-04-01 |
| publisher | SAGE Publishing |
| record_format | Article |
| series | Journal of Psychosexual Health |
| spelling | doaj-art-bcca149643a040fd909b2a207d012f612025-08-20T02:35:01ZengSAGE PublishingJournal of Psychosexual Health2631-83182631-83262025-04-01710.1177/26318318251336664Impact of Spine Surgery on Psychosexual Functioning, Marital Satisfaction, and Quality of Life: A Cross-sectional StudyMohammad Jasim Hussain0Purushotham Sastri1Raj Kiran Donthu2 Shivananda Manohar J3TSS Rao4 Department of Orthopaedics, JSS Medical College, JSSHER, Mysuru, Karnataka, India Department of Orthopaedics, JSS Medical College, JSSHER, Mysuru, Karnataka, India Department of Psychiatry, NRI Academy of Sciences, Guntur, Andhra Pradesh, India Department of Psychiatry, JSS Medical College, JSSHER, Mysuru, Karnataka, India Department of Psychiatry, JSS Medical College, JSSHER, Mysuru, Karnataka, IndiaIntroduction: A sedentary lifestyle among young and middle-aged individuals contributes to spinal pathologies, significantly affecting quality of life (QOL). Sexuality is a key determinant of well-being, and spinal conditions—characterized by motor and sensory deficits, pain, stress, and anxiety—can impair sexual function. However, studies using validated scales to assess sexual functioning in these patients are scarce. Aim: Evaluate sexual functioning, marital satisfaction, and QOL in patients undergoing spine surgery. Materials and Methods: This prospective, questionnaire-based study was conducted from December 2022 to June 2023. Fifty-three sexually active patients (aged 20–50 years) undergoing elective spine surgery were included. Validated scales such as the ENRICH Marital Satisfaction Score (MSS) for marital well-being, the changes in sexual functioning questionnaire for males (CSFQ-M) and females (CSFQ-F) for sexual dysfunction, the Oswestry Disability Index (ODI) for disability assessment, and the WHO-QOL BREF for overall QOL were used. Assessments were done preoperatively and at one, three, and six months postoperatively. Statistical analysis was performed using SPF version 25, with a significance level of P < .005. Results: Preoperatively, all quality-of-life domains were affected, especially the psychological domain. The ODI showed that 94% of patients were crippled before surgery, but by six months, all had minimal disability. All participants had sexual dysfunction and marital distress preoperatively; most regained normal sexual function by three months and marital satisfaction by six months. Conclusion: Spinal pathologies significantly impact psychosexual functioning, marital satisfaction, and QOL. This study highlights the importance of a holistic approach to postoperative recovery.https://doi.org/10.1177/26318318251336664 |
| spellingShingle | Mohammad Jasim Hussain Purushotham Sastri Raj Kiran Donthu Shivananda Manohar J TSS Rao Impact of Spine Surgery on Psychosexual Functioning, Marital Satisfaction, and Quality of Life: A Cross-sectional Study Journal of Psychosexual Health |
| title | Impact of Spine Surgery on Psychosexual Functioning, Marital Satisfaction, and Quality of Life: A Cross-sectional Study |
| title_full | Impact of Spine Surgery on Psychosexual Functioning, Marital Satisfaction, and Quality of Life: A Cross-sectional Study |
| title_fullStr | Impact of Spine Surgery on Psychosexual Functioning, Marital Satisfaction, and Quality of Life: A Cross-sectional Study |
| title_full_unstemmed | Impact of Spine Surgery on Psychosexual Functioning, Marital Satisfaction, and Quality of Life: A Cross-sectional Study |
| title_short | Impact of Spine Surgery on Psychosexual Functioning, Marital Satisfaction, and Quality of Life: A Cross-sectional Study |
| title_sort | impact of spine surgery on psychosexual functioning marital satisfaction and quality of life a cross sectional study |
| url | https://doi.org/10.1177/26318318251336664 |
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