메뉴 건너뛰기




Volumn 6, Issue 2, 2009, Pages 96-107

Sexual dysfunction in patients with multiple sclerosis: A multidisciplinary approach to evaluation and management

Author keywords

[No Author keywords available]

Indexed keywords

AMANTADINE; AMFEBUTAMONE; AMPHETAMINE; BACLOFEN; BENZODIAZEPINE DERIVATIVE; BOTULINUM TOXIN; CARBAMAZEPINE; CLONIDINE; CORTICOSTEROID; DANTROLENE; DEXAMPHETAMINE; DONEPEZIL; DULOXETINE; ETIRACETAM; GABAPENTIN; LAMOTRIGINE; LOCAL ANESTHETIC AGENT; METHYLPHENIDATE; MODAFINIL; NARCOTIC ANALGESIC AGENT; NONSTEROID ANTIINFLAMMATORY AGENT; OXCARBAZEPINE; PHENOL; PHENYTOIN; SEROTONIN UPTAKE INHIBITOR; TIZANIDINE; TRICYCLIC ANTIDEPRESSANT AGENT; UNINDEXED DRUG; VALPROIC ACID; VENLAFAXINE;

EID: 60149091160     PISSN: 17434270     EISSN: 17434289     Source Type: Journal    
DOI: 10.1038/ncpuro1298     Document Type: Review
Times cited : (67)

References (60)
  • 1
    • 0026532880 scopus 로고
    • Revised estimate of the prevalence of multiple sclerosis in the United States
    • Anderson DW et al. (1992) Revised estimate of the prevalence of multiple sclerosis in the United States. Ann Neurol 31: 333-336
    • (1992) Ann Neurol , vol.31 , pp. 333-336
    • Anderson, D.W.1
  • 2
    • 0035875232 scopus 로고    scopus 로고
    • Sexual dysfunction in multiple sclerosis: A 2-year follow-up study
    • Zorzon M et al. (2001) Sexual dysfunction in multiple sclerosis: A 2-year follow-up study. J Neurol Sci 187: 1-5
    • (2001) J Neurol Sci , vol.187 , pp. 1-5
    • Zorzon, M.1
  • 3
    • 33645822770 scopus 로고    scopus 로고
    • Multiple sclerosis patients with and without sexual dysfunction: Are there any differences?
    • Demirkiran M et al. (2006) Multiple sclerosis patients with and without sexual dysfunction: Are there any differences? Mult Scler 12: 209-214
    • (2006) Mult Scler , vol.12 , pp. 209-214
    • Demirkiran, M.1
  • 4
    • 6044276757 scopus 로고    scopus 로고
    • Exacerbation of symptoms among people with multiple sclerosis: Impact on sexuality and relationships over time
    • McCabe MP (2004) Exacerbation of symptoms among people with multiple sclerosis: Impact on sexuality and relationships over time. Arch Sex Behav 33: 593-601
    • (2004) Arch Sex Behav , vol.33 , pp. 593-601
    • McCabe, M.P.1
  • 5
    • 0033386556 scopus 로고    scopus 로고
    • Sexual dysfunction in multiple sclerosis: A case-control study. I. Frequency and comparison of groups
    • Zorzon M et al. (1999) Sexual dysfunction in multiple sclerosis: A case-control study. I. Frequency and comparison of groups. Mult Scler 5: 418-427
    • (1999) Mult Scler , vol.5 , pp. 418-427
    • Zorzon, M.1
  • 6
    • 0034889675 scopus 로고    scopus 로고
    • Reduced quality of life among multiple sclerosis patients with sexual disturbance and bladder dysfunction
    • Nortvedt MW et al. (2001) Reduced quality of life among multiple sclerosis patients with sexual disturbance and bladder dysfunction. Mult Scler 7: 231-235
    • (2001) Mult Scler , vol.7 , pp. 231-235
    • Nortvedt, M.W.1
  • 7
    • 32544461321 scopus 로고    scopus 로고
    • Health-related quality of life in multiple sclerosis: The impact of disability, gender and employment status
    • Miller A and Dishon S (2006) Health-related quality of life in multiple sclerosis: The impact of disability, gender and employment status. Qual Life Res 15: 259-271
    • (2006) Qual Life Res , vol.15 , pp. 259-271
    • Miller, A.1    Dishon, S.2
  • 8
    • 17844382444 scopus 로고    scopus 로고
    • Communication about sexual problems in male patients with multiple sclerosis
    • Rubin R (2005) Communication about sexual problems in male patients with multiple sclerosis. Nurs Stand 19: 33-37
    • (2005) Nurs Stand , vol.19 , pp. 33-37
    • Rubin, R.1
  • 9
    • 0029093745 scopus 로고
    • Multiple sclerosis. Sexual dysfunction and its response to medications
    • Mattson D et al. (1995) Multiple sclerosis. Sexual dysfunction and its response to medications. Arch Neurol 52: 862-868
    • (1995) Arch Neurol , vol.52 , pp. 862-868
    • Mattson, D.1
  • 10
    • 0030194565 scopus 로고    scopus 로고
    • Sexual dysfunction in relapsing-remitting multiple sclerosis: Magnetic resonance imaging, clinical, and psychological correlates
    • Barak Y et al. (1996) Sexual dysfunction in relapsing-remitting multiple sclerosis: Magnetic resonance imaging, clinical, and psychological correlates. J Psychiatry Neurosci 21: 255-258
    • (1996) J Psychiatry Neurosci , vol.21 , pp. 255-258
    • Barak, Y.1
  • 11
    • 0029058990 scopus 로고
    • Sexual function in women with advanced multiple sclerosis
    • Hulter BM and Lundberg PO (1995) Sexual function in women with advanced multiple sclerosis. J Neurol Neurosurg Psychiatry 59: 83-86
    • (1995) J Neurol Neurosurg Psychiatry , vol.59 , pp. 83-86
    • Hulter, B.M.1    Lundberg, P.O.2
  • 12
    • 0038300071 scopus 로고    scopus 로고
    • Sexual dysfunction in multiple sclerosis: A MRI, neurophysiological and urodynamic study
    • Zivadinov R et al. (2003) Sexual dysfunction in multiple sclerosis: A MRI, neurophysiological and urodynamic study. J Neurol Sci 210: 73-76
    • (2003) J Neurol Sci , vol.210 , pp. 73-76
    • Zivadinov, R.1
  • 13
    • 0033780799 scopus 로고    scopus 로고
    • Quality of life and its relationship to brain lesions and atrophy on magnetic resonance images in 60 patients with multiple sclerosis
    • Janardhan V and Bakshi R (2000) Quality of life and its relationship to brain lesions and atrophy on magnetic resonance images in 60 patients with multiple sclerosis. Arch Neurol 57: 1485-1491
    • (2000) Arch Neurol , vol.57 , pp. 1485-1491
    • Janardhan, V.1    Bakshi, R.2
  • 14
    • 33846540340 scopus 로고    scopus 로고
    • Prevalence of bladder, bowel and sexual problems among multiple sclerosis patients two to five years after diagnosis
    • Nortvedt MW et al. (2007) Prevalence of bladder, bowel and sexual problems among multiple sclerosis patients two to five years after diagnosis. Mult Scler 13: 106-112
    • (2007) Mult Scler , vol.13 , pp. 106-112
    • Nortvedt, M.W.1
  • 15
    • 0033767320 scopus 로고    scopus 로고
    • Cortical evoked potentials of the dorsal nerve of the clitoris and female sexual dysfunction in multiple sclerosis
    • Yang CC et al. (2000) Cortical evoked potentials of the dorsal nerve of the clitoris and female sexual dysfunction in multiple sclerosis. J Urol 164: 2010-2013
    • (2000) J Urol , vol.164 , pp. 2010-2013
    • Yang, C.C.1
  • 16
    • 0142089809 scopus 로고    scopus 로고
    • Autonomic nervous system function in multiple sclerosis
    • McDougall AJ and McLeod JG (2003) Autonomic nervous system function in multiple sclerosis. J Neurol Sci 215: 79-85
    • (2003) J Neurol Sci , vol.215 , pp. 79-85
    • McDougall, A.J.1    McLeod, J.G.2
  • 17
    • 0028809189 scopus 로고
    • Erectile impotence in multiple sclerosis: A neurophysiological study
    • Ghezzi A et al. (1995) Erectile impotence in multiple sclerosis: A neurophysiological study. J Neurol 242: 123-126
    • (1995) J Neurol , vol.242 , pp. 123-126
    • Ghezzi, A.1
  • 18
    • 0030340983 scopus 로고    scopus 로고
    • Value of nocturnal penile tumescence and rigidity (NPTR) recording in impotent patients with multiple sclerosis
    • Staerman F et al. (1996) Value of nocturnal penile tumescence and rigidity (NPTR) recording in impotent patients with multiple sclerosis. Int J Impot Res 8: 241-245
    • (1996) Int J Impot Res , vol.8 , pp. 241-245
    • Staerman, F.1
  • 19
    • 33846502809 scopus 로고    scopus 로고
    • Sexual dysfunction in females with multiple sclerosis: Quantitative sensory testing
    • Gruenwald I et al. (2007) Sexual dysfunction in females with multiple sclerosis: Quantitative sensory testing. Mult Scler 13 95-105
    • (2007) Mult Scler , vol.13 , pp. 95-105
    • Gruenwald, I.1
  • 20
    • 34447560025 scopus 로고    scopus 로고
    • Sexual dysfunction and sympathetic skin response recorded from the genital region in women with multiple sclerosis
    • Seçil Y et al. (2007) Sexual dysfunction and sympathetic skin response recorded from the genital region in women with multiple sclerosis. Mult Scler 13: 742-748
    • (2007) Mult Scler , vol.13 , pp. 742-748
    • Seçil, Y.1
  • 21
    • 4344690801 scopus 로고    scopus 로고
    • Bladder and sexual function among women with multiple sclerosis
    • Borello-France D et al. (2004) Bladder and sexual function among women with multiple sclerosis. Mult Scler 10: 455-461
    • (2004) Mult Scler , vol.10 , pp. 455-461
    • Borello-France, D.1
  • 22
    • 0032705150 scopus 로고    scopus 로고
    • Urinary, faecal and sexual dysfunction in patients with multiple sclerosis
    • Hennessey A et al. (1999) Urinary, faecal and sexual dysfunction in patients with multiple sclerosis. J Neurol 246: 1027-1032
    • (1999) J Neurol , vol.246 , pp. 1027-1032
    • Hennessey, A.1
  • 23
    • 0032440822 scopus 로고    scopus 로고
    • Sexual dysfunction in men with multiple sclerosis - a comprehensive pilot-study into etiology
    • Lottman PE et al. (1998) Sexual dysfunction in men with multiple sclerosis - a comprehensive pilot-study into etiology. Int J Impot Res 10: 233-237
    • (1998) Int J Impot Res , vol.10 , pp. 233-237
    • Lottman, P.E.1
  • 24
    • 0025299198 scopus 로고
    • Multivariate analyses of factors associated with unemployment in people with multiple sclerosis
    • Grønning M et al. (1990) Multivariate analyses of factors associated with unemployment in people with multiple sclerosis. J Neurol Neurosurg Psychiatry 53: 388-390
    • (1990) J Neurol Neurosurg Psychiatry , vol.53 , pp. 388-390
    • Grønning, M.1
  • 25
    • 0025731153 scopus 로고    scopus 로고
    • Rao SM et al. (1991) Cognitive dysfunction in multiple sclerosis. I. Frequency, patterns, and prediction. Neurology 41: 685-691
    • Rao SM et al. (1991) Cognitive dysfunction in multiple sclerosis. I. Frequency, patterns, and prediction. Neurology 41: 685-691
  • 26
    • 33645842780 scopus 로고    scopus 로고
    • Gray and white matter brain atrophy and neuropsychological impairment in multiple sclerosis
    • Sanfilipo MP et al. (2006) Gray and white matter brain atrophy and neuropsychological impairment in multiple sclerosis. Neurology 66: 685-692
    • (2006) Neurology , vol.66 , pp. 685-692
    • Sanfilipo, M.P.1
  • 27
    • 34248575479 scopus 로고    scopus 로고
    • Brain atrophy and cognitive impairment in multiple sclerosis: A review
    • Lanz M et al. (2007) Brain atrophy and cognitive impairment in multiple sclerosis: A review. J Neurol 254 (suppl 2): II43-II48
    • (2007) J Neurol , vol.254 , Issue.SUPPL. 2
    • Lanz, M.1
  • 28
    • 8644285059 scopus 로고    scopus 로고
    • Donepezil improved memory in multiple sclerosis in a randomized clinical trial
    • Krupp LB et al. (2004) Donepezil improved memory in multiple sclerosis in a randomized clinical trial. Neurology 63: 1579-1585
    • (2004) Neurology , vol.63 , pp. 1579-1585
    • Krupp, L.B.1
  • 29
    • 12344255062 scopus 로고    scopus 로고
    • Donepezil for memory impairment in multiple sclerosis
    • Amato MP (2005) Donepezil for memory impairment in multiple sclerosis. Lancet Neurol 4: 72-73
    • (2005) Lancet Neurol , vol.4 , pp. 72-73
    • Amato, M.P.1
  • 30
    • 57649201559 scopus 로고    scopus 로고
    • Fatigue characteristics in multiple sclerosis: The North American Research Committee on Multiple Sclerosis (NARCOMS) survey
    • Hadjimichael O et al. (2008) Fatigue characteristics in multiple sclerosis: The North American Research Committee on Multiple Sclerosis (NARCOMS) survey. Health Qual Life Outcomes 6: 100
    • (2008) Health Qual Life Outcomes , vol.6 , pp. 100
    • Hadjimichael, O.1
  • 31
    • 0842305087 scopus 로고    scopus 로고
    • Comparison of the effects of acetyl-L-carnitine and amantadine for the treatment of fatigue in multiple sclerosis: Results of a pilot, randomised, double-blind, crossover trial
    • Tomassini V et al. (2004) Comparison of the effects of acetyl-L-carnitine and amantadine for the treatment of fatigue in multiple sclerosis: Results of a pilot, randomised, double-blind, crossover trial. J Neurol Sci 218: 103-108
    • (2004) J Neurol Sci , vol.218 , pp. 103-108
    • Tomassini, V.1
  • 32
    • 33744827375 scopus 로고    scopus 로고
    • Levocarnitine administration in multiple sclerosis patients with immunosuppressive therapy-induced fatigue
    • Lebrun C et al. (2006) Levocarnitine administration in multiple sclerosis patients with immunosuppressive therapy-induced fatigue. Mult Scler 12: 321-324
    • (2006) Mult Scler , vol.12 , pp. 321-324
    • Lebrun, C.1
  • 33
    • 0033038597 scopus 로고    scopus 로고
    • Sensory symptoms of multiple sclerosis: A hidden reservoir of morbidity
    • Rae-Grant AD et al. (1999) Sensory symptoms of multiple sclerosis: a hidden reservoir of morbidity. Mult Scler 5: 179-183
    • (1999) Mult Scler , vol.5 , pp. 179-183
    • Rae-Grant, A.D.1
  • 34
    • 0038094412 scopus 로고    scopus 로고
    • Higher androgens and weight gain with valproate compared with lamotrigine for epilepsy
    • Morrell MJ et al. (2003) Higher androgens and weight gain with valproate compared with lamotrigine for epilepsy. Epilepsy Res 54: 189-199
    • (2003) Epilepsy Res , vol.54 , pp. 189-199
    • Morrell, M.J.1
  • 35
    • 43449104745 scopus 로고    scopus 로고
    • Neuroendocrine hormonal conditions in epilepsy: Relationship to reproductive and sexual functions
    • Hamed SA (2008) Neuroendocrine hormonal conditions in epilepsy: relationship to reproductive and sexual functions. Neurologist 14: 157-169
    • (2008) Neurologist , vol.14 , pp. 157-169
    • Hamed, S.A.1
  • 36
    • 34250156017 scopus 로고    scopus 로고
    • The role of the antiepileptic drugs at the development of the sexual dysfunctions in male epileptic patients [Hungarian]
    • Szupera Z (2007) The role of the antiepileptic drugs at the development of the sexual dysfunctions in male epileptic patients [Hungarian]. Ideggyogy Sz 60: 4-13
    • (2007) Ideggyogy Sz , vol.60 , pp. 4-13
    • Szupera, Z.1
  • 37
    • 0023618179 scopus 로고
    • Depression in multiple sclerosis
    • Minden SL et al. (1987) Depression in multiple sclerosis. Gen Hosp Psychiatry 9: 426-434
    • (1987) Gen Hosp Psychiatry , vol.9 , pp. 426-434
    • Minden, S.L.1
  • 38
    • 9044228776 scopus 로고    scopus 로고
    • Depression and multiple sclerosis
    • Sadovnick AD et al. (1996) Depression and multiple sclerosis. Neurology 46: 628-632
    • (1996) Neurology , vol.46 , pp. 628-632
    • Sadovnick, A.D.1
  • 39
    • 0023131665 scopus 로고
    • Mood disorder and multiple sclerosis
    • Joffe RT et al. (1987) Mood disorder and multiple sclerosis. Arch Neurol 44: 376-378
    • (1987) Arch Neurol , vol.44 , pp. 376-378
    • Joffe, R.T.1
  • 40
    • 0034004978 scopus 로고    scopus 로고
    • Biopsychosocial correlates of lifetime major depression in a multiple sclerosis population
    • Patten SB et al. (2000) Biopsychosocial correlates of lifetime major depression in a multiple sclerosis population. Mult Scler 6: 115-120
    • (2000) Mult Scler , vol.6 , pp. 115-120
    • Patten, S.B.1
  • 41
    • 37349041635 scopus 로고    scopus 로고
    • Recognizing and treating common psychiatric disorders in multiple sclerosis
    • Wilken JA and Sullivan C (2007) Recognizing and treating common psychiatric disorders in multiple sclerosis. Neurologist 13: 343-354
    • (2007) Neurologist , vol.13 , pp. 343-354
    • Wilken, J.A.1    Sullivan, C.2
  • 42
    • 0035060377 scopus 로고    scopus 로고
    • Substitution of an SSRI with bupropion sustained release following SSRI-induced sexual dysfunction
    • Clayton AH et al. (2001) Substitution of an SSRI with bupropion sustained release following SSRI-induced sexual dysfunction. J Clin Psychiatry 62: 185-190
    • (2001) J Clin Psychiatry , vol.62 , pp. 185-190
    • Clayton, A.H.1
  • 43
    • 0034048563 scopus 로고    scopus 로고
    • The Multiple Sclerosis Intimacy and Sexuality Questionnaire-19 (MSISQ-19)
    • Sanders AS et al. (2000) The Multiple Sclerosis Intimacy and Sexuality Questionnaire-19 (MSISQ-19). Sex Disabil 18: 3-26
    • (2000) Sex Disabil , vol.18 , pp. 3-26
    • Sanders, A.S.1
  • 44
    • 0034083612 scopus 로고    scopus 로고
    • The Female Sexual Function Index (FSFI): A multidimensional self-report instrument for the assessment of female sexual function
    • Rosen R et al. (2000) The Female Sexual Function Index (FSFI): A multidimensional self-report instrument for the assessment of female sexual function. J Sex Marital Ther 26: 191-208
    • (2000) J Sex Marital Ther , vol.26 , pp. 191-208
    • Rosen, R.1
  • 45
    • 0035989571 scopus 로고    scopus 로고
    • The Female Sexual Distress Scale (FSDS): Initial validation of a standardized scale for assessment of sexually related personal distress in women
    • Derogatis LR et al. (2002) The Female Sexual Distress Scale (FSDS): Initial validation of a standardized scale for assessment of sexually related personal distress in women. J Sex Marital Ther 28: 317-330
    • (2002) J Sex Marital Ther , vol.28 , pp. 317-330
    • Derogatis, L.R.1
  • 46
    • 17644425986 scopus 로고    scopus 로고
    • A double blind, randomised study of sildenafil citrate for erectile dysfunction in men with multiple sclerosis
    • Fowler CJ et al. (2005) A double blind, randomised study of sildenafil citrate for erectile dysfunction in men with multiple sclerosis. J Neurol Neurosurg Psychiatry 76: 700-705
    • (2005) J Neurol Neurosurg Psychiatry , vol.76 , pp. 700-705
    • Fowler, C.J.1
  • 47
    • 0032945444 scopus 로고    scopus 로고
    • Intraurethral alprostadil for treatment of erectile dysfunction in patients with spinal cord injury
    • Bodner DR et al. (1999) Intraurethral alprostadil for treatment of erectile dysfunction in patients with spinal cord injury. Urology 53: 199-202
    • (1999) Urology , vol.53 , pp. 199-202
    • Bodner, D.R.1
  • 48
    • 0027424876 scopus 로고
    • Intracavernous papaverine for impotence in spinal cord injured patients
    • Kapoor VK et al. (1993) Intracavernous papaverine for impotence in spinal cord injured patients. Paraplegia 31: 675-677
    • (1993) Paraplegia , vol.31 , pp. 675-677
    • Kapoor, V.K.1
  • 49
    • 0029809987 scopus 로고    scopus 로고
    • Vacuum erection device in spinal cord injured men: Patient and partner satisfaction
    • Denil J et al. (1996) Vacuum erection device in spinal cord injured men: Patient and partner satisfaction. Arch Phys Med Rehabil 77: 750-753
    • (1996) Arch Phys Med Rehabil , vol.77 , pp. 750-753
    • Denil, J.1
  • 50
    • 36649010395 scopus 로고    scopus 로고
    • Effects of transanal pelvic plexus stimulation on penile erection: Clinical implications
    • Kayigil O et al. (2007) Effects of transanal pelvic plexus stimulation on penile erection: Clinical implications. Int Urol Nephrol 39: 1195-1201
    • (2007) Int Urol Nephrol , vol.39 , pp. 1195-1201
    • Kayigil, O.1
  • 51
    • 45249093400 scopus 로고    scopus 로고
    • Percutaneous perineal electrostimulation induces erection: Clinical significance in patients with spinal cord injury and erectile dysfunction
    • Shafik A et al. (2008) Percutaneous perineal electrostimulation induces erection: Clinical significance in patients with spinal cord injury and erectile dysfunction. J Spinal Cord Med 31: 40-43
    • (2008) J Spinal Cord Med , vol.31 , pp. 40-43
    • Shafik, A.1
  • 52
    • 33748951949 scopus 로고    scopus 로고
    • A randomized comparative study of the effects of oral and topical estrogen therapy on the vaginal vascularization and sexual function in hysterectomized postmenopausal women
    • Long CY et al. (2006) A randomized comparative study of the effects of oral and topical estrogen therapy on the vaginal vascularization and sexual function in hysterectomized postmenopausal women. Menopause 13: 737-743
    • (2006) Menopause , vol.13 , pp. 737-743
    • Long, C.Y.1
  • 53
    • 0034618866 scopus 로고    scopus 로고
    • Transdermal testosterone treatment in women with impaired sexual function after oophorectomy
    • Shifren JL et al. (2000) Transdermal testosterone treatment in women with impaired sexual function after oophorectomy. N Engl J Med 343: 682-688
    • (2000) N Engl J Med , vol.343 , pp. 682-688
    • Shifren, J.L.1
  • 54
    • 4344659858 scopus 로고    scopus 로고
    • The neurovascular mechanism of clitoral erection: Nitric oxide and cGMP-stimulated activation of BKCa channels
    • Gragasin FS et al. (2004) The neurovascular mechanism of clitoral erection: Nitric oxide and cGMP-stimulated activation of BKCa channels. FASEB J 18: 1382-1391
    • (2004) FASEB J , vol.18 , pp. 1382-1391
    • Gragasin, F.S.1
  • 55
    • 33646760231 scopus 로고    scopus 로고
    • Use of sildenafil for female sexual dysfunction
    • Shields KM and Hrometz SL (2006) Use of sildenafil for female sexual dysfunction. Ann Pharmacother 40: 931-934
    • (2006) Ann Pharmacother , vol.40 , pp. 931-934
    • Shields, K.M.1    Hrometz, S.L.2
  • 56
    • 1542327756 scopus 로고    scopus 로고
    • Efficacy of sildenafil in the treatment of female sexual dysfunction due to multiple sclerosis
    • Dasgupta R et al. (2004) Efficacy of sildenafil in the treatment of female sexual dysfunction due to multiple sclerosis. J Urol 171: 1189-1193
    • (2004) J Urol , vol.171 , pp. 1189-1193
    • Dasgupta, R.1
  • 57
    • 0029151823 scopus 로고
    • Physiological parameters associated with psychogenic sexual arousal in women with complete spinal cord injuries
    • Sipski ML et al. (1995) Physiological parameters associated with psychogenic sexual arousal in women with complete spinal cord injuries. Arch Phys Med Rehabil 76: 811-818
    • (1995) Arch Phys Med Rehabil , vol.76 , pp. 811-818
    • Sipski, M.L.1
  • 58
    • 0031091851 scopus 로고    scopus 로고
    • The middle-range theory of unpleasant symptoms: An update
    • Lenz ER et al. (1997) The middle-range theory of unpleasant symptoms: An update. ANS Adv Nurs Sci 19: 14-27
    • (1997) ANS Adv Nurs Sci , vol.19 , pp. 14-27
    • Lenz, E.R.1
  • 59
    • 60149103939 scopus 로고    scopus 로고
    • Foley F (online 1 January 2008) Talking with Your MS Patients about Difficult Topics: Talking about Sexual Dysfunction [http://www.nationalmssociety.org/for-professionals/ healthcare-professionals/publications/download.aspx?id=175] (accessed 18 December 2008)
    • Foley F (online 1 January 2008) Talking with Your MS Patients about Difficult Topics: Talking about Sexual Dysfunction [http://www.nationalmssociety.org/for-professionals/ healthcare-professionals/publications/download.aspx?id=175] (accessed 18 December 2008)
  • 60
    • 38549136585 scopus 로고    scopus 로고
    • The impact of neurological illness on marital relationships
    • O'Connor EJ et al. (2008) The impact of neurological illness on marital relationships. J Sex Marital Ther 34: 115-132
    • (2008) J Sex Marital Ther , vol.34 , pp. 115-132
    • O'Connor, E.J.1


* 이 정보는 Elsevier사의 SCOPUS DB에서 KISTI가 분석하여 추출한 것입니다.