Mc. Rosal et al., SEXUAL FUNCTIONING POSTMYOCARDIAL INFARCTION - EFFECTS OF BETA-BLOCKERS, PSYCHOLOGICAL STATUS AND SAFETY INFORMATION, Journal of psychosomatic research, 38(7), 1994, pp. 655-667
Impaired sexual functioning limits the quality of life of 34-75% of po
st-myocardial infarction (MI) patients. This study examined the effect
s of three factors: (a) beta-blocker intake, (b) psychological distres
s, and (c) information about safety of sexual activity, on post-MI dec
reased sexual functioning. Sixty-three male post-MI, post-cardiac reha
bilitation patients and their spouses participated in the study. Analy
ses of partial variance were conducted to test for the effect of each
factor on sexual functioning. Controlling for age, results revealed th
at patients' psychological distress explained uniquely 24% of the vari
ance on decreased post-MI sexual activity (p<0.002). Beta-blocker inta
ke and message received with regard to sexual activity safety were not
significant predictors of observed changes. Interdisciplinary assessm
ents and interventions are recommended.