[Experience of disease, relationship and sexuality in patients with COPD].

Borgmann, Michèle; Linnemann, Thomas; Schönhofer, Bernd; Ott, Sebastian Robert; Bernardy, Kathrin; Stammberger, Uz; Vedder, Verena; Bals, Robert; Köllner, Volker; Hamacher, Jürg (2019). [Experience of disease, relationship and sexuality in patients with COPD]. Zeitschrift für psychosomatische Medizin und Psychotherapie, 65(3), pp. 257-271. Vandenhoeck & Ruprecht 10.13109/zptm.2019.65.3.257

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Experience of disease, relationship and sexuality in patients with COPDObjectives: We aimed to determine the impacts of chronic obstructive pulmonary disease (COPD) on the patient's relationship and sexuality. Methods: In a multicentric study 105, 52 of them female, non-selected COPD patients who were married or in a partnership were interviewed about their partnership and sexuality. Results: Average age was 64.1 ± 9.2 years. Patients with a more severe COPD had a lower Self-Illness-Separation (SIS), i. e. they reveal significantly higher burden of suffering. Life satisfaction and satisfaction with partnership, sexuality and sexual intercourse has decreased significantly since the diagnosis (p < 0.05). Desire and frequency to be sexually active have also decreased (p < 0.001). 61 % of the respondents felt increasingly dependent from their partner. Conclusion: The results underline that patients have a stage-dependent emotional distance to their illness, the partnership develops in direction of dependency, and sexuality deteriorates with increasing severity of the COPD. The PRISM test proved to be a great way to illustrate this development and to start a conversation with the patients about it. COPD patients and their partners should be referred to the potential impact of the disease on their partnership and sexuality and should be supported in their potential solutions considering gender-specific aspects.

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