Primary sexual dysfunctions (SD) are a direct result of neurological changes that affect the sexual response. Secondary SD result from the symptoms that do not directly involve nervous pathways to the genital system, such as bladder and bowel problems, fatigue, spasticity, or muscle weakness. Tertiary SD are the result of disability-related psychosocial and cultural issues that can interfere with sexual feelings and experiences. The aim of this study was to assess the sexual satisfaction (SS) in people with multiple sclerosis (PwMS) without significant mobility impairment and to estimate the influence of SD, the score on the Kurtzke Expanded Disability Status Scale (EDSS), lowered mood, and stress coping strategies on SS. Methods. 76 PwMS with the points were enrolled in the study. The subjects completed the Montgomery-Asberg Depression Scale (MADRS), the Coping Inventory for Stressful Situations (CISS), the Multiple Sclerosis Intimacy and Sexuality Questionnaire (MSISQ-19), and the Sexual Satisfaction Questionnaire (SSQ). Results. The level of SS in PwMS was not significantly lower compared to that of the general population. It correlated with the primary, secondary, and tertiary SD and lowered mood. However, it did not correlate with disability measured by the EDSS. Conclusions. The level of SS in PwMS with the EDSS score below 5.0 points was not significantly lower. SS depended on SD, lowered mood, and stress coping style, and it was not significantly related to the level of disability in patients with the EDDS score below 5.0.

中文翻译：

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多发性硬化症患者的性满意度：残疾重要吗？

原发性性功能障碍 (SD) 是影响性反应的神经系统变化的直接结果。继发性 SD 由不直接涉及生殖系统神经通路的症状引起，例如膀胱和肠道问题、疲劳、痉挛或肌肉无力。三级 SD 是与残疾相关的社会心理和文化问题的结果，这些问题会干扰性感受和体验。本研究的目的是评估没有明显行动障碍的多发性硬化症 (PwMS) 患者的性满意度 (SS)，并估计 SD、Kurtzke 扩展残疾状态量表 (EDSS) 的得分、情绪低落、以及 SS 的压力应对策略。方法。76 PwMS 与点被登记在研究中。受试者完成了蒙哥马利-阿斯伯格抑郁量表 (MADRS)、压力情境应对量表 (CISS)、多发性硬化症亲密和性行为问卷 (MSISQ-19) 和性满意度问卷 (SSQ)。结果。与一般人群相比，PwMS 中的 SS 水平并没有显着降低。它与一级、二级和三级 SD 相关并降低情绪。然而，它与 EDSS 测量的残疾无关。结论. EDSS 评分低于 5.0 分的 PwMS 中 SS 水平没有显着降低。SS依赖于SD、情绪低落和压力应对方式，与EDDS评分低于5.0的患者的残疾程度无显着相关性。