P328. Understanding sexual activity and satisfaction in inflammatory bowel disease. Development and validation of a short self-administered assessment tool
E. McDermott1, D. Keegan1, K. Byrne1, G. Cullen1, G. Doherty1, K. Malone2, H. Mulcahy1, 1St Vincent's University Hospital, Centre for Colorectal Disease, Dublin, Ireland, 2St Vincent's University Hospital, Department of Psychiatry, Dublin, Ireland
Previous studies on sexual function in IBD patients have predominantly concentrated on surgical effects, especially in female populations. In contrast, there has been no attempt to determine the impact of diverse psychosocial factors on sexual activity and satisfaction in a broad IBD population.
Aim: To assess sexual activity and satisfaction and identify important related variables in ambulatory IBD patients.
We studied 247 patients (mean age 37 years; 133 male) attending an IBD clinic who completed a comprehensive study questionnaire prior to clinical assessment. We used previously validated instruments to assess sexual satisfaction and other psychosocial variables including depression, anxiety, quality of life, self-esteem and body image.
178 patients (72%) were sexually active. Binary logistic regression analysis identified older age (p = 0.001), short disease duration (p = 0.02) and Crohn's disease (p = 0.04) as being independently associated with sexual inactivity. Median sexual satisfaction score among the 178 sexually active patients was 8 (low score (minimum 4) indicates high satisfaction with high score (maximum 16) indicating low satisfaction) Subsequent linear regression demonstrated low sexual satisfaction to be independently associated with negative body image as assessed by the Hopwood body image scale (p = 0.02), low mood as assessed by the beck depression inventory (p = 0.01) and the presence of a stoma (p = 0.005). In contrast there was no association with either disease specific or generic quality of life.
Most IBD patients are sexually active and the majority report being satisfied with their sexual activity. Low sexual satisfaction is associated with other well defined aspects of psychosocial morbidity but does not appear to influence quality of life.