The impact of multiple sclerosis on sexuality and relationships

Abstract

We were concerned with an evaluation of the impact of multiple sclerosis (MS) on sexual functioning, social and family relationships, and general well‐being. MS is a progressive neurological disease. The development of the illness is unpredictable, and the level of disability from the disorder is variable. Although the person with MS frequently looks healthy, impairment may occur in the sensory, cognitive, and motor domains. Women are more likely to contract MS, with two thirds of people with MS being female. MS places substantial demands on relationships and also influences the sexual functioning and general quality of life of both people with MS and their partners. Although researchers have explored the impact of MS on health‐related variables, few researchers have assessed the effect of MS on sexuality and interpersonal relationships. The Relationship Questionnaire was developed and used to determine the influence of the level of disability and time since the onset of the illness on sexual functioning, social and family relationships, and quality of life. Males (n = 37) and females (n = 74) with MS who were registered with the MS Society completed the Relationship Questionnaire. Results indicated that MS was most likely to have a negative impact on sexual functioning (decreased sexual activity and increased sexual dysfunction). Although people with MS expressed strong negative emotions in relation to their illness, the relationships of people with MS were a strong source of support for them. The results are discussed in terms of the impact of MS on sexuality and relationships. Suggestions are made for future research.