PMID- 19411396 OWN - NLM STAT- MEDLINE DCOM- 20090805 LR - 20151119 IS - 0315-162X (Print) IS - 0315-162X (Linking) VI - 36 IP - 6 DP - 2009 Jun TI - Effect of musculoskeletal pain on sexuality of male adolescents and adults with juvenile idiopathic arthritis. PG - 1337-42 LID - 10.3899/jrheum.080867 [doi] AB - OBJECTIVE: To develop a questionnaire for the evaluation of sexuality of male patients with juvenile idiopathic arthritis (JIA). METHODS: A cohort of male patients with rheumatoid factor (RF)-negative polyarticular JIA according to the 2004 revised ILAR criteria and inactive disease was studied. The Health Assessment Questionnaire (HAQ) was applied to all patients. As a control group, 120 age-matched males of the same socioeconomic status were evaluated. A self-administered structured instrument, the Male Sexual Evaluation Questionnaire (MSEQ), was developed by multiprofessional experts to assess sexual life, including satisfaction, practice, and related functional aspects. RESULTS: Thirty-two male patients with RF-negative polyarticular JIA [mean age 20.8+/-3.8 yrs (range 16-26), mean disease duration 15.4+/-3.6 yrs (range 13-20)] were studied. Mean HAQ score was 1.25+/-0.67 (range 0.1-2.1). Masturbation was practiced similarly by patients and controls (87.5% vs 91%; p>0.999), although joint pain was observed in only 2 (7%) patients. Regular sexual intercourse (>or=once/week) was reported by 78% of patients and 62% of controls (p=0.86). Joint pain during intercourse was more frequent in patients (48% vs 3% in controls; p<0.001). The mean HAQ score was higher in the 12 patients with joint pain (hips=3, knees=5, and hips+knees=4) during intercourse compared to the 13 patients without joint pain (1.82+/-0.27 vs 1.43+/-0.32; p<0.05). Preserved desire and satisfaction were universal findings for all JIA patients and controls. CONCLUSION: The MSEQ was applicable to this cohort of male patients with RF-negative polyarticular JIA and showed that sexual life is preserved despite longterm disease, morbidity/functional dysfunction, and joint pain. FAU - de Avila Lima Souza, Lilian AU - de Avila Lima Souza L AD - Faculdade de Medicina, Disciplina de Reumatologia, Universidade de Sao Paulo, Av. Dr. Arnaldo 455, sala 3133, Sao Paulo, SP, Brzsil 01246-903. FAU - Gallinaro, Andrea Lopes AU - Gallinaro AL FAU - Abdo, Carmita Helena Najjar AU - Abdo CH FAU - Kowalski, Sergio Candido AU - Kowalski SC FAU - Suehiro, Ricardo Maisse AU - Suehiro RM FAU - da Silva, Clovis Artur Almeida AU - da Silva CA FAU - Goldenstein-Schainberg, Claudia AU - Goldenstein-Schainberg C LA - eng PT - Journal Article DEP - 20090501 PL - Canada TA - J Rheumatol JT - The Journal of rheumatology JID - 7501984 SB - IM MH - Activities of Daily Living MH - Adolescent MH - Adult MH - *Arthritis, Juvenile/complications/physiopathology/psychology MH - Cohort Studies MH - Health Status MH - Humans MH - Joints/*physiopathology MH - Male MH - Musculoskeletal System/*physiopathology MH - Pain/etiology/*physiopathology MH - Quality of Life MH - Severity of Illness Index MH - *Sexual Behavior/physiology/psychology MH - Surveys and Questionnaires MH - Young Adult EDAT- 2009/05/05 09:00 MHDA- 2009/08/06 09:00 CRDT- 2009/05/05 09:00 PHST- 2009/05/05 09:00 [entrez] PHST- 2009/05/05 09:00 [pubmed] PHST- 2009/08/06 09:00 [medline] AID - jrheum.080867 [pii] AID - 10.3899/jrheum.080867 [doi] PST - ppublish SO - J Rheumatol. 2009 Jun;36(6):1337-42. doi: 10.3899/jrheum.080867. Epub 2009 May 1.