{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,28]],"date-time":"2026-08-28T16:18:52Z","timestamp":1787933932172,"version":"build-2784847793"},"reference-count":30,"publisher":"SAGE Publications","issue":"2","license":[{"start":{"date-parts":[[2026,7,24]],"date-time":"2026-07-24T00:00:00Z","timestamp":1784851200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,7,24]],"date-time":"2026-07-24T00:00:00Z","timestamp":1784851200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["NeuroRehabilitation"],"published-print":{"date-parts":[[2026,9]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Despite its impact, sexual health remains a neglected component of rehabilitation for younger stroke patients.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>To evaluate sexual dysfunction prevelance in stroke patients and examine its association with health-related quality of life and psychological distress.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This case-control study included 30 stroke patients and 30 matched controls. Data were collected using the Arizona Sexual Experience Scale (ASEX), Stroke-Specific Quality of Life Scale (SSQOL), and Hospital Anxiety and Depression Scale (HADS).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Patients had significantly higher total ASEX scores (19.3\u2009\u00b1\u20096.6 vs. 13.0\u2009\u00b1\u20093.1,\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009&lt;\u20090.001), and a higher prevalence of dysfunction than controls (\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009=\u20090.004), reporting a significant decline in sexual satisfaction (7.5 to 4.1,\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009&lt;\u20090.001). Sexual function was significantly associated with the SSQOL Energy, Thinking, and Language domains (\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009&lt;\u20090.05), and HADS-Depression (\n                      <jats:italic toggle=\"yes\">r<\/jats:italic>\n                      \u2009=\u20090.450,\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009=\u20090.013), but not with functional state.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Strengths and Limitations<\/jats:title>\n                    <jats:p>Strengths include a matched control group. Limitations include a small sample and cross-sectional design, potential selection bias from a high refusal rate, and restricted psychological variance due to clinical exclusions.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Sexual dysfunction represents a multifaceted challenge for young-to-middle-aged stroke patients, appearing more closely linked to perceived quality of life domains (cognitive, energy, emotional well-being) than to motor deficits. Sexual health may be affected even in patients with low physical disability.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Clinical Implications<\/jats:title>\n                    <jats:p>Rehabilitation should address holistic needs. Healthcare professionals could benefit from incorporating sexual health screenings into routine care, considering the management of fatigue and depressive symptoms to support long-term well-being.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/10538135261468010","type":"journal-article","created":{"date-parts":[[2026,7,24]],"date-time":"2026-07-24T13:45:15Z","timestamp":1784900715000},"page":"321-330","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["The Association of Depression, Anxiety, and Quality of Life with Sexual Function in Young-to-Middle-Aged Stroke Patients: A Case-Control Study"],"prefix":"10.1177","volume":"59","author":[{"given":"A","family":"Ozakgul","sequence":"first","affiliation":[{"name":"Department of Fundamentals of Nursing, Florence Nightingale Faculty of Nursing, Istanbul University-Cerrahpasa, \u0130stanbul \u00dcniversitesi-Cerrahpa\u015fa Florence Nightingale Hem\u015firelik Fak\u00fcltesi Avcilar Yerle\u015fkesi, \u00dcniversite Mahallesi, \u00dcniversite Caddesi, Avcilar, \u0130stanbul, T\u00fcrkiye"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8186-6698","authenticated-orcid":false,"given":"Z","family":"Tulek","sequence":"additional","affiliation":[{"name":"Department of Medical Nursing, Florence Nightingale Faculty of Nursing, Istanbul University-Cerrahpasa, Istanbul, T\u00fcrkiye"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3641-8666","authenticated-orcid":false,"given":"K","family":"K\u0131l\u0131\u00e7aslan","sequence":"additional","affiliation":[{"name":"Department of Medical Nursing, Florence Nightingale Faculty of Nursing, Istanbul University-Cerrahpasa, Istanbul, T\u00fcrkiye"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4931-3599","authenticated-orcid":false,"given":"S","family":"Erden Meliko\u011flu","sequence":"additional","affiliation":[{"name":"Department of Fundamentals of Nursing, Florence Nightingale Faculty of Nursing, Istanbul University-Cerrahpasa, \u0130stanbul \u00dcniversitesi-Cerrahpa\u015fa Florence Nightingale Hem\u015firelik Fak\u00fcltesi Avcilar Yerle\u015fkesi, \u00dcniversite Mahallesi, \u00dcniversite Caddesi, Avcilar, \u0130stanbul, T\u00fcrkiye"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"H","family":"Kaya","sequence":"additional","affiliation":[{"name":"Department of Fundamentals of Nursing, Florence Nightingale Faculty of Nursing, Istanbul University-Cerrahpasa, \u0130stanbul \u00dcniversitesi-Cerrahpa\u015fa Florence Nightingale Hem\u015firelik Fak\u00fcltesi Avcilar Yerle\u015fkesi, \u00dcniversite Mahallesi, \u00dcniversite Caddesi, Avcilar, \u0130stanbul, T\u00fcrkiye"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,7,24]]},"reference":[{"issue":"2","key":"e_1_3_2_2_1","first-page":"2","article-title":"The impact of stroke on sexual functioning of post stroke patients","volume":"46","author":"Abu Aman N. A.","year":"2019","unstructured":"Abu Aman N. A., Wai Hlaing S.U., Tan J. T. H. M., Palma Dela Cruz V., Vasquez Chua N., Ronquillo E. (2019). The impact of stroke on sexual functioning of post stroke patients. Singapore Nursing Journal, 46(2), 2\u20137. https:\/\/research.ebsco.com\/plink\/d19372cc-1393-35d7-aae3-d944319b5171","journal-title":"Singapore Nursing Journal"},{"key":"e_1_3_2_3_1","volume-title":"Beyin Damar Hastaliklari ve Demans. Ulusal Hasta Y\u00fck\u00fc \u00c7ali\u015fmasi Sonu\u00e7lari ve \u00c7\u00f6z\u00fcm \u00d6nerileri Programi. [Cerebrovascular Diseases and Dementia. National Patient Burden Study Results and Solution Proposals Program] 18 Nisan 2017","author":"Arsava M.","year":"2017","unstructured":"Arsava M. (2017). Beyin Damar Hastaliklari ve Demans. Ulusal Hasta Y\u00fck\u00fc \u00c7ali\u015fmasi Sonu\u00e7lari ve \u00c7\u00f6z\u00fcm \u00d6nerileri Programi. [Cerebrovascular Diseases and Dementia. National Patient Burden Study Results and Solution Proposals Program] 18 Nisan 2017. Hacettepe \u00dcniversitesi K\u00fclt\u00fcr Merkezi M Salonu. http:\/\/www.tip.hacettepe.edu.tr\/ekler\/pdf\/ulusal_program.pdf"},{"issue":"4","key":"e_1_3_2_4_1","first-page":"280","article-title":"Validity and reliability of turkish version of hospital anxiety and depression scale [hastane anksiyete ve depresyon \u00d6l\u00e7e\u011fi t\u00fcrk\u00e7e formunun ge\u00e7erlilik ve g\u00fcvenilirlik \u00c7ali\u015fmasi]","volume":"8","author":"Aydemir \u00d6","year":"1997","unstructured":"Aydemir \u00d6, G\u00fcvenir T., K\u00fcey L., K\u00fclt\u00fcr \u015e (1997). Validity and reliability of turkish version of hospital anxiety and depression scale [hastane anksiyete ve depresyon \u00d6l\u00e7e\u011fi t\u00fcrk\u00e7e formunun ge\u00e7erlilik ve g\u00fcvenilirlik \u00c7ali\u015fmasi]. T\u00fcrk Psikiyatri Dergisi, 8(4), 280\u2013287.","journal-title":"T\u00fcrk Psikiyatri Dergisi"},{"key":"e_1_3_2_5_1","first-page":"289","volume-title":"Handbook of clinical neurology, vol. 130 (3rd series)","author":"Boller F.","year":"2015","unstructured":"Boller F., Agrawal K., Romano A. (2015). Sexual function after strokes. In Vodusek David B., Boller Francois (Eds.), Handbook of clinical neurology, vol. 130 (3rd series). Neurology of Sexual and Bladder Disorders(pp. 289\u2013295). 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