Sexual counselling for individuals with cardiovascular disease and their partners: A Consensus Document from the American Heart Association and the ESC Council on Cardiovascular Nursing and Allied Professions (CCNAP)

Elaine E. Steinke, Tiny Jaarsma, Susan Ann Barnason, Molly Byrne, Sally Doherty, Cynthia M. Dougherty, Bengt Fridlund, Donald D. Kautz, Jan Mårtensson, Victoria Mosack, Debra K. Moser

Research output: Contribution to journalArticle

52 Citations (Scopus)

Abstract

After a cardiovascular event, patients and their families often copewith numerous changes in their lives, including dealing with consequences of the disease or its treatment on their daily lives and functioning. Coping poorly with both physical and psychological challenges may lead to impaired quality of life. Sexuality is one aspect of quality of life that is important for many patients and partners that may be adversely affected by a cardiac event. TheWorld Health Organization defines sexual health as '. . . a state of physical, emotional, mental and socialwell-being in relation to sexuality; it is not merely the absence of disease, dysfunction or infirmity. Sexual health requires a positive and respectful approach to sexuality and sexual relationships, as well as the possibility of having pleasurable and safe sexual experiences. 1(p4) The safety and timing of return to sexual activity after a cardiac event have been well addressed in an American Heart Association scientific statement, and decreased sexual activity among cardiac patients is frequently reported.2 Rates of erectile dysfunction (ED) among men with cardiovascular disease (CVD) are twice as high as those in the general population, with similar rates of sexual dysfunction in females with CVD.3 ED and vaginal dryness may also be presenting signs of heart disease and may appear 1-3 years before the onset of angina pectoris. Estimates reflect that only a small percentage of those with sexual dysfunction seek medical care;4 therefore, routine assessment of sexual problems and sexual counselling may be of benefit as part of effective management by physicians, nurses, and other healthcare providers.

Original languageEnglish (US)
Pages (from-to)3217-3235d
JournalEuropean Heart Journal
Volume34
Issue number41
DOIs
StatePublished - Nov 1 2013

Fingerprint

Cardiovascular Nursing
Sexuality
Counseling
Consensus
Cardiovascular Diseases
Reproductive Health
Erectile Dysfunction
Sexual Behavior
Quality of Life
Angina Pectoris
Health Personnel
Heart Diseases
Nurses
Organizations
Psychology
Physicians
Safety
Health
Population
Therapeutics

Keywords

  • AHA Scientific Statements
  • Cardiovascular disease
  • Sex
  • Sex counselling

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

Cite this

Sexual counselling for individuals with cardiovascular disease and their partners : A Consensus Document from the American Heart Association and the ESC Council on Cardiovascular Nursing and Allied Professions (CCNAP). / Steinke, Elaine E.; Jaarsma, Tiny; Barnason, Susan Ann; Byrne, Molly; Doherty, Sally; Dougherty, Cynthia M.; Fridlund, Bengt; Kautz, Donald D.; Mårtensson, Jan; Mosack, Victoria; Moser, Debra K.

In: European Heart Journal, Vol. 34, No. 41, 01.11.2013, p. 3217-3235d.

Research output: Contribution to journalArticle

Steinke, Elaine E. ; Jaarsma, Tiny ; Barnason, Susan Ann ; Byrne, Molly ; Doherty, Sally ; Dougherty, Cynthia M. ; Fridlund, Bengt ; Kautz, Donald D. ; Mårtensson, Jan ; Mosack, Victoria ; Moser, Debra K. / Sexual counselling for individuals with cardiovascular disease and their partners : A Consensus Document from the American Heart Association and the ESC Council on Cardiovascular Nursing and Allied Professions (CCNAP). In: European Heart Journal. 2013 ; Vol. 34, No. 41. pp. 3217-3235d.
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