Sexual self-concept, anxiety, and self-efficacy predict sexual activity in heart failure and healthy elders

Elaine E. Steinke, David W. Wright, Misook L. Chung, Debra K. Moser

Research output: Contribution to journalArticlepeer-review

53 Scopus citations

Abstract

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.

Original languageEnglish
Pages (from-to)323-333
Number of pages11
JournalHeart and Lung: Journal of Acute and Critical Care
Volume37
Issue number5
DOIs
StatePublished - 2008

Bibliographical note

Funding Information:
Funding for this study was received from the American Association of Critical Care Nurses-Phillips Medical Research Award (D. Moser) and the University of Kentucky General Clinical Research Center (MO1RR02602).

ASJC Scopus subject areas

  • Pulmonary and Respiratory Medicine
  • Critical Care and Intensive Care Medicine
  • Cardiology and Cardiovascular Medicine

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