Understanding Sexual Dysfunctions in Individuals with Intellectual Disabilities from A Psychological Perspective
DOI:
https://doi.org/10.6000/2292-2598.2024.12.01.3Keywords:
Intellectual disabilities, sexual dysfunctions, communication barriers, cognitive differences, sexual educationAbstract
Background: This article delves into the complex world of sexual dysfunctions in individuals with intellectual disabilities (ID), a topic that has been relatively underexplored in the realm of psychological research. Intending to shed light on the unique challenges faced by this population, the article meticulously examines the barriers to effective communication, cognitive differences, and the social dynamics that impact both the experiences and treatment outcomes for individuals with ID.
Methods: The study utilized a blend of empirical methods, including questionnaires, psychodiagnostic tests, and graphical representations of data, and was conducted among a substantial sample of 1450 individuals with ID in Kyiv, Ukraine. It offers a comprehensive overview of the sexual health landscape within this community.
Results: The research findings highlight a notable prevalence of sexual dysfunctions among the ID population, exacerbated by a lack of accessible sexual education, the prevalence of unsafe sexual practices, and a high rate of self-reported sexual abuse.
Conclusions: The article emphasizes the importance of a nuanced understanding and approach to sexual health care and education for individuals with ID. It calls for policies, practices, and further research that honor the dignity, autonomy, and sexual rights of individuals with ID, aiming to bridge the current gaps in care and understanding. By doing so, it contributes significantly to the discourse on sexual health in the ID population, offering valuable insights and directions for future work in this vital area of study.
References
Armitage L, Walter F. Differences observed in perceived sexual knowledge between people with intellectual disabilities, their parents, and professionals. Evid-Based Nurs 2024; 1: ebnurs-2023-103871. https://doi.org/10.1136/ebnurs-2023-103871 DOI: https://doi.org/10.1136/ebnurs-2023-103871
de Wit W, Roeg D, Frielink N, Embregts PJCM. Exploring sexual health in people with mild intellectual disabilities: A concept mapping study on the perspectives of relatives and support staff. J Intellect Dev Disabil 2024. https://doi.org/10.3109/13668250.2023.2301616 DOI: https://doi.org/10.3109/13668250.2023.2301616
Estruch-García V, Gil-Llario MD, Fernández-García O. Sexual experiences and knowledge of people with moderate intellectual disability. J Intellect Disabil Res 2024. https://doi.org/10.1111/jir.13125 DOI: https://doi.org/10.1111/jir.13125
Griffiths D.M, Fedoroff P, Richards D. Sexual and gender identity disorders in people with intellectual disabilities. In: Assessment and Treatment of Sexual Offenders with Intellectual Disabilities: A Handbook 2010; pp. 111-35. https://doi.org/10.1002/9780470665510.ch7 DOI: https://doi.org/10.1002/9780470665510.ch7
Smaniotto B, Mauran-Mignorat M, Guénoun T. Desires and representations of desires among persons with intellectual disability. Ann Med-Psychol 2024. https://doi.org/10.1016/j.amp.2024.01.001 DOI: https://doi.org/10.1016/j.amp.2024.01.001
Latvala A, Tideman M, Sondenaa E, Fazel S. Lichtenstein, P. Association of intellectual disability with violent and sexual crime and victimization: A population-based cohort study. Psychol Med 2023; 53(9): 3817-25. https://doi.org/10.1017/S0033291722000460 DOI: https://doi.org/10.1017/S0033291722000460
Turinina OL. Practical work on psychology. Kyiv: Interregional Academy of Personnel Management 2007.
Belding JN, Castaneda SF, Jacobson IG, Leardmann CA, Porter B, Powell TM, Kolaja CA, Seelig AD, Matsuno RK, Carey FR, Rivera AC, Trone DW, Sheppard BD, Walstrom JL, Boyko EJ, Rull RP. The Millennium cohort study: The first 20 years of research dedicated to understanding the long-term health of US service members and veterans. Ann Epidemiol 2022; 67: 61-72. https://doi.org/10.1016/j.annepidem.2021.12.002 DOI: https://doi.org/10.1016/j.annepidem.2021.12.002
Sherban TD, Korniienko IO, Voronova OY, Yamchuk T. Correlation analysis in the triger modeling process. Int J Sci Tech Res 2020; 9(1): 1737-1742.
Messina A, Fogliani AM. Valproate in conversion disorder: A case report. Case Rep Med 2010; 2010: 205702. https://doi.org/10.1155/2010/205702 DOI: https://doi.org/10.1155/2010/205702
Mimoun S, Wylie K. Female sexual dysfunctions: Definitions and classification. Maturitas 2009; 202263(2): 116-118. https://doi.org/10.1016/j.maturitas.2009.04.003 DOI: https://doi.org/10.1016/j.maturitas.2009.04.003
Boiko O. Clip thinking as a consequence of virtual communication: Pedagogical methods of neutralisation in foreign language lessons. Scientific Bulletin of Mukachevo State University. Series “Pedagogy and Psychology” 2023; 9(1): 16-22. https://doi.org/10.52534/msu-pp1.2023.16 DOI: https://doi.org/10.52534/msu-pp1.2023.16
Gil-Llario MD, Díaz-Rodríguez I, Morell-Mengual V, Gil-Juliá B, Ballester-Arnal R. Sexual health in Spanish people with intellectual disability: the impact of the lockdown due to COVID-19. Sex Res Social Policy 2022; 19(3): 1217-27. https://doi.org/10.1007/s13178-021-00621-7 DOI: https://doi.org/10.1007/s13178-021-00621-7
Lymankina A. Psychological features of women’s codependency during the midlife crisis. Scientific Bulletin of Mukachevo State University. Series “Pedagogy and Psychology” 2023; 9(1): 80-86. https://doi.org/10.52534/msu-pp1.2023.80 DOI: https://doi.org/10.52534/msu-pp1.2023.80
Koval M. Individual-psychological characteristics and the state of psychosocial adaptation of combatants with non-psychotic mental disorders who have experienced COVID-19. Bulletin of Medical and Biological Research 2023; 5(2):
-14. https://doi.org/10.61751/bmbr.2706-6290.2023.2.8 DOI: https://doi.org/10.61751/bmbr.2706-6290.2023.2.8
Sarychev LP. Methodical guidelines for independent work of students during preparation for practical classes and during classes. Poltava: Poltava V.G. Korolenko National Pedagogical University 2019.
Mashudi S, Yusuf A. Family Coping Strategies to Improve the Health of Family Members Living with Schizophrenia. J Ners 2021; 16(1): 67-73. https://doi.org/10.20473/jn.v16i1.24527 DOI: https://doi.org/10.20473/jn.v16i1.24527
Meston CM, Bradford A. Sexual dysfunctions in women. Annu Rev Clin Psychol 2007; 3: 233-256. https://doi.org/10.1146/annurev.clinpsy.3.022806.091507 DOI: https://doi.org/10.1146/annurev.clinpsy.3.022806.091507
Dotson LA, Stinson J, Christian L. People tell me I can't have sex": Women with disabilities share their personal perspectives on health care, sexuality, and reproductive rights. Women Ther 2003; 26(3/4): 195-209. https://doi.org/10.1300/J015v26n03_02 DOI: https://doi.org/10.1300/J015v26n03_02
Friedman C. Sexual health and parenting supports for people with intellectual and developmental disabilities. Sex Res Social Policy 2023; 20(1): 257-72. https://doi.org/10.1007/s13178-022-00750-7 DOI: https://doi.org/10.1007/s13178-022-00750-7
Beltran-Arreche M, Fullana Noell J, Pallisera Díaz M. Perspectives of women with intellectual disabilities regarding affective sexual relationships: A systematic literature review. Sex Res Social Policy 2024; 21(1): 263-78. https://doi.org/10.1007/s13178-023-00911-2 DOI: https://doi.org/10.1007/s13178-023-00911-2
Blikhar VS, Zharovska IM, Ortynska NV. Surrogacy in Ukraine: theoretical and applied problem: Literature review. Reprod. Endocrinol 2021; (62): 22-28. https://doi.org/10.18370/2309-4117.2021.62.22-28 DOI: https://doi.org/10.18370/2309-4117.2021.62.22-28
Messina A, McCormick LM, Paradiso S. Wernicke-korsakoff syndrome and dementia. In: Diet and nutrition in dementia and cognitive decline: Elsevier Inc. 2015; pp. 167-176. https://doi.org/10.1016/B978-0-12-407824-6.00016-1 DOI: https://doi.org/10.1016/B978-0-12-407824-6.00016-1
Vilks A, Kipāne A. Cognitive aspects of criminal justice policy. J Adv Res Law Econ 2018; 9(5): 1798-1805. https://doi.org/10.14505//jarle.v9.5(35).35 DOI: https://doi.org/10.14505//jarle.v9.5(35).35
Chrysostomou G. Mental health in smart cities: The role of technology during COVID-19 pandemic. Scientific Studios on Social and Political Psychology 2022; 49(52): 1-12. https://doi.org/10.33120/sssppj.vi49(52).259 DOI: https://doi.org/10.33120/sssppj.vi49(52).259
Goli S, Rahimi F, Goli M. Experiences of teachers, educators, and school counselors about the sexual and reproductive health of educable intellectually disabled adolescent girls: a qualitative study. Reprod Health 2022; 19(1): 96. https://doi.org/10.1186/s12978-022-01397-8 DOI: https://doi.org/10.1186/s12978-022-01397-8
Kotsur NI, Tovkun LP. Competent approach of a teacher to psychosomatic ills and their prevention in the context of modern challenges and threats. Scientia et Societus 2023; 1(3): 143-153. https://doi.org/10.31470/2786-6327/2023/3/143-153 DOI: https://doi.org/10.31470/2786-6327/2023/3/143-153
Santinele Martino A, Moumos E, Uliki N, Robbins M. “She couldn't say the word penis”: Experiences of 2SLGBTQ+ people with developmental and intellectual disabilities with sex education in Alberta, Canada. Arch Sex Behav 2024. https://doi.org/10.1007/s10508-023-02755-8 DOI: https://doi.org/10.1007/s10508-023-02755-8
Walsh A. IMPROVE and CARE: Responding to inappropriate masturbation in people with severe intellectual disabilities. Sex Disabil 2000; 18(1): 27-39. https://doi.org/10.1023/A:1005473611224 DOI: https://doi.org/10.1023/A:1005473611224
Roels R, Goethals K, Jeandarme I. Pharmacotherapy in sexual behavior disorders and intellectual disability. Tijdschr Psychiatr 2024; 66(1): 30-5.
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