Personal and environmental factors contributing to participation in romantic relationships and sexual activity of young adults with cerebral palsy

Diana Wiegerink, Henk Stam, M Ketelaar, PT Cohen-Kettenis, Marij Roebroeck

Research output: Contribution to journalArticleAcademicpeer-review

18 Citations (Scopus)


Purpose: To study determinants of romantic relationships and sexual activity of young adults with cerebral palsy (CP), focusing on personal and environmental factors. Method: A cohort study was performed with 74 young adults (46 men; 28 women) aged 20-25 years (SD 1.4) with CP (49% unilateral CP, 76% GMFCS level I, 85% MACS level I). All participants were of normal intelligence. Romantic relationships, sexual activity (outcome measures), personal and environmental factors (associated factors) were assessed. Associations were analyzed using logistic regression analyses. Results: More females than males with CP were in a current romantic relationship. Self-esteem, sexual esteem and feelings of competence regarding self-efficacy contributed positively to having current romantic relationships. A negative parenting style contributed negatively. Age and gross motor functioning explained 20% of the variance in experience with intercourse. In addition, sexual esteem and taking initiative contributed significantly to intercourse experience. Conclusions: For young adults with CP personal factors (20-35% explained variances) seem to contribute more than environmental factors (9-12% explained variances) to current romantic relationships and sexual experiences. We advice parents and professionals to focus on self-efficacy, self-esteem and sexual self-esteem in development of young adults with CP.
Original languageUndefined/Unknown
Pages (from-to)1481-1487
Number of pages7
JournalDisability and Rehabilitation
Issue number17
Publication statusPublished - 2012

Research programs

  • EMC MUSC-01-46-01

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