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The perception of sexuality in older adults and its relationship with cognitive functioning.
Hartmans, Carien; Comijs, Hannie; Jonker, Cees.
Affiliation
  • Hartmans C; GGZ Altrecht, Institute for Clinical and Outpatient Mental Health Care, Den Dolder, The Netherlands. Electronic address: c.hartmans@altrecht.nl.
  • Comijs H; GGZ InGEEST, Department of Psychiatry, VU University Medical Center, Amsterdam, The Netherlands.
  • Jonker C; EMGO Institute for Health and Care Research, VU University Medical Center, Amsterdam, The Netherlands.
Am J Geriatr Psychiatry ; 23(3): 243-52, 2015 Mar.
Article in En | MEDLINE | ID: mdl-23891364
OBJECTIVES: Investigating whether cognitive functioning is associated with the perception of one's sexuality in old age. DESIGN: Cross-sectional analysis, using observation cycle 2005/2006 of the population-based prospective cohort of the Longitudinal Aging Study Amsterdam. SETTING: Municipal registries in three Dutch regions. PARTICIPANTS: 1,908 older adults (mean [standard deviation] age: 71 [8.87] years; 54% women). MEASUREMENTS: Sexuality and intimacy were assessed using four questions. Four cognitive domains were assessed: general cognitive functioning (Mini-Mental State Examination), memory performance (Auditory Verbal Learning Test), processing speed (Coding Task), and fluid intelligence (Raven's Coloured Progressive Matrices). Multinomial regression analysis was used, with sexuality as outcome. The interaction effect between gender and sexuality was also tested. RESULTS: Lower fluid intelligence was associated with perceiving sexuality as unimportant; lower general cognitive functioning was associated with perceiving sexuality as unimportant; and lower immediate memory recall was associated with evaluating sexual life as unpleasant. Associations were also found between lower fluid intelligence, processing speed, and general cognitive functioning, and agreeing with sexuality no longer being important. Lower processing speed, general cognitive functioning, and delayed memory recall were associated with disagreeing with a remaining need for intimacy when getting older. Finally, the association between fluid intelligence and perceiving sexuality as important, and the association between immediate memory recall score and evaluating sexual life as pleasant, was only significant in women. The association between lower general cognitive functioning and perceiving sexuality as unimportant seemed stronger in women compared with men. CONCLUSIONS: Higher cognitive functioning was associated with the way in which older people perceive their current sexuality.
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Full text: 1 Collection: 01-internacional Database: MEDLINE Main subject: Aging / Health Knowledge, Attitudes, Practice / Cognition / Sexuality Type of study: Observational_studies / Prevalence_studies / Risk_factors_studies Limits: Aged / Aged80 / Female / Humans / Male / Middle aged Country/Region as subject: Europa Language: En Journal: Am J Geriatr Psychiatry Journal subject: GERIATRIA / PSIQUIATRIA Year: 2015 Document type: Article Country of publication: United kingdom

Full text: 1 Collection: 01-internacional Database: MEDLINE Main subject: Aging / Health Knowledge, Attitudes, Practice / Cognition / Sexuality Type of study: Observational_studies / Prevalence_studies / Risk_factors_studies Limits: Aged / Aged80 / Female / Humans / Male / Middle aged Country/Region as subject: Europa Language: En Journal: Am J Geriatr Psychiatry Journal subject: GERIATRIA / PSIQUIATRIA Year: 2015 Document type: Article Country of publication: United kingdom