Sexual Functioning and Selected Clinical and Psychosocial Factors Among Individuals with Chronic Non-specific Low Back Pain in Ibadan, Nigeria

Original Paper

Abstract

Chronic non-specific low back pain (CNLBP) has significant impact on psychosocial life, functional status, and sexual functioning. Prevalence of sexual dysfunction, and influence of selected clinical and psychosocial factors on sexual functioning were investigated in patients with CNLP in Ibadan, Nigeria. Sexual function, pain intensity, pain disability, quality of life were assessed using a modified questionnaire on sexual dysfunction in CNLBP, visual analogue scale, Oswestry low back pain disability questionnaire and quality of life questionnaires respectively. General attitude to sexuality, fear of increased pain at the low back, unwillingness to have sex, expression of sexual feelings, fear of losing the ability to perform sexual activities were assessed with the modified questionnaire. Participants (50 males; 46 females) were aged 46.7 ± 11.8 years. Orgasmic sexual dysfunction (50.0%) was the most prevalent while dysfunction with sexual satisfaction (14.6%) was the least prevalent. Participants with or without sexual dysfunction did not differ significantly in age (p = 0.07), pain duration (p = 0.64), pain disability (p = 0.76) and quality of life (p = 0.64). However, they differed significantly in pain intensity (p = 0.00). Significant associations exist between gender (p = 0.000) and sexual functioning. Participants’ sexual functioning were significantly influenced by psychosocial factors willingness to have sex (p = 0.013), expression of sexual feelings (p = 0.000). Participants’ pain intensity also significantly influenced (p = 0.00) their sexual functioning. Sexual dysfunction is prevalent among individuals with chronic non-specific low back pain and was influenced by clinical factors of pain intensity, pain disability, quality of life and psychosocial factors of general attitude towards sexuality, expression of sexual feelings, and willingness to have sex.

Keywords

Chronic non-specific low back pain Sexual dysfunction Psychosocial factors Nigeria 

Notes

Compliance with Ethical Standards

Conflict of interest

All authors declare that they have no conflict of interest.

Informed Consent

Informed consent was obtained from all individual participants in the study.

References

  1. 1.
    Akbas, N.B., Dalbayrak, S., Külcü, D.G., Yılmaz, M., Yılmaz, T., Naderi, S.: Assessment of sexual dysfunction before and after surgery for lumbar disc herniation. J. Neurosurg. Spine 13(5), 581–586 (2010)CrossRefPubMedGoogle Scholar
  2. 2.
    Aslan, E., Beji, N.K., Gungor, I., Kadioglu, A., Dikencik, B.K.: Prevalence and risk factors for low sexual function in women: a study of 1,009 women in an outpatient clinic of a university hospital in Istanbul. J. Sex. Med. 5(9), 2044–2052 (2008)CrossRefPubMedGoogle Scholar
  3. 3.
    Bahouq, H., Fadoua, A., Hanan, R., Ihsane, H., Najia, H.: Profile of sexuality in Moroccan chronic low back pain patients. BMC Musculoskelet. Disord. 14, 63 (2013)CrossRefPubMedPubMedCentralGoogle Scholar
  4. 4.
    Bahouq, H., Fadoua, A., Hanan, R., Najia, H.: Discussing sexual concerns with chronic low back pain patients: barriers and patients’ expectations. Clin. Rheumatol. 32, 1487–1492 (2013)CrossRefPubMedGoogle Scholar
  5. 5.
    Carpenter, K.M., Stoner, S.A., Mundt, J.M., Stoelb, B.: Intervention for chronic lower back pain. Clin. J. Pain 28(1), 14–22 (2012)CrossRefPubMedPubMedCentralGoogle Scholar
  6. 6.
    Castelo-Branco, C., Blumel, J., Araya, H., Requelme, R., Castro, C., Haya, J., Gramegna, G.: Prevalence of sexual dysfunctions in a cohort of middle aged women: influences of menopause and hormone replacement therapy. J. Obstetr. Gynaecol. 23(4), 426–430 (2003)CrossRefGoogle Scholar
  7. 7.
    Clayton, A., Keller, A., Mcgarvey, E.L.: Burden of phase specific sexual dysfunction with SSRIS. J. Affect. Disord. 91(1), 27–92 (2006)CrossRefPubMedGoogle Scholar
  8. 8.
    Ehrlich, G.E.: Low back pain. Bull. World Health Organ. 81, 671–676 (2003)PubMedPubMedCentralGoogle Scholar
  9. 9.
    Evicik, D., Yucel, A.: Lumbar lordosis in acute and chronic low back pain patients. Rheumatol. Int. 23(4), 163–165 (2003)CrossRefGoogle Scholar
  10. 10.
    Graziottin, A., Leiblum, S.R.: Biological and psychosocial pathophysiology of female sexual dysfunction during the menopausal transition. J. Sex. Med. 2(Suppl 3), 133–145 (2005)CrossRefPubMedGoogle Scholar
  11. 11.
    Keeley, P., Creed, F., Tomenson, B., Todd, C., Borglin, G., Dickens, C.: Psychosocial predictors of health-related quality of life and health service utilisation in people with chronic low back pain. Pain 135(1–2), 142–150 (2008)CrossRefPubMedGoogle Scholar
  12. 12.
    Kent, P.M., Keating, J.L.: The epidemiology of low back pain in primary care. Chiropr. Osteopat. 13, 13 (2005)CrossRefPubMedPubMedCentralGoogle Scholar
  13. 13.
    Khadilkar, A., Odebiyi, D.O., Brossean, L., Wells, G.A.: Transcutaneous electrical nerve stimulation (TENS) versus placebo for chronic low back pain. Cochrane Libr. (2013).  https://doi.org/10.1002/14651858.CD003008.pub3 Google Scholar
  14. 14.
    Kovacs, F.M., Abraira, V., Zamora, J., del Real, M.T.G., Llobera, J., Fernández, C.: Correlation between pain, disability, and quality of life in patients with common low back pain. Spine 29(2), 206–210 (2004)CrossRefPubMedGoogle Scholar
  15. 15.
    Kwan, K.S.H., Robert, L.J., Swalm, D.M.: Sexual dysfunction and chronic pain: the role of psychological variables and impact on quality of life. Eur. J. Pain 9(6), 643 (2005)CrossRefPubMedGoogle Scholar
  16. 16.
    Lewis, R.W., Fugl-Meyer, K.S., Bosch, R., Fugl-Meyer, A.R., Laumann, E.O., Lizza, E., Martin-Morales, A.: Epidemiology/risk factors of sexual dysfunction. J. Sex. Med. 1(1), 35–39 (2004)CrossRefPubMedGoogle Scholar
  17. 17.
    Maigne, J.-V., Chatellier, G.: Assessment of sexual activity in patients with back pain compared with patients with neck pain. Clin. Orthop. Relat. Res. 385, 82–87 (2001)CrossRefGoogle Scholar
  18. 18.
    Nikoobakht, M., Fraidouni, N., Yaghoubidoust, M., Burri, A., Pakpour, A.H.: Sexual function and associated factors in Iranian patients with chronic low back pain. Spinal Cord 52, 307–312 (2014)CrossRefPubMedGoogle Scholar
  19. 19.
    Niv, D., Kreitler, S.: Pain and quality of life. Pain Pract. 1(2), 150–161 (2001)CrossRefPubMedGoogle Scholar
  20. 20.
    Osborn, M., Smith, J.A.: The personal experience of chronic benign back pain: an interpretative phenomenological analysis. Br. J. Health. Psychol. 3(1), 65–83 (1998)CrossRefGoogle Scholar
  21. 21.
    Rosenbaum, T.Y.: Musculoskeletal pain and sexual function in women. J. Sex. Med. 7(2), 645–653 (2010)CrossRefPubMedGoogle Scholar
  22. 22.
    Tajar, A., O’Neill, T.W., Lee, D.M., O’Çonnor, D.B., Corona, G.: The effect of musculoskeletal pain on sexual function in middle-aged and elderly European men: results from the European male ageing study. J. Rheumatol. 38(2), 370–377 (2010)CrossRefPubMedGoogle Scholar
  23. 23.
    Verna, C., Pangman, R.N., Seguire, M.: Sexuality and chronicity in older adults: a social justice issue. Sex. Disabil. 18(1), 49–59 (2000)CrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature 2018

Authors and Affiliations

  1. 1.Department of Physiotherapy, College of MedicineUniversity of IbadanIbadanNigeria
  2. 2.Department of PhysiotherapyUniversity College HospitalIbadanNigeria

Personalised recommendations