Impaired Persons Research Articles

An Exploration of Locomotor Syndrome among Geriatric Population – A Narrative Review

A locomotor disability in the geriatric population is a physical condition that impairs mobility and movement in older persons. It is frequently caused by age-related causes such as degenerative diseases, osteoarthritis, or neurological abnormalities. This impairment can have a substantial influence on older people's quality of life by limiting their ability to conduct daily activities independently, such as walking, standing, or climbing stairs. Addressing locomotor impairments in older persons is critical for preserving their mobility, independence, and overall well-being, ultimately improving their quality of life as they age.A comprehensive literature search was conducted, which were sourced from PubMed, google scholar, Japanese government websites, springer link, semantic scholar generated significant studies using the keywords like locomotor disability, older population, mobility, quality of life, aging. We included articles which were published from 2005–2024.Locomotive Syndrome (LS) affects a significant portion of the elderly population, with prevalence ranging from 8.4% to 50.3%, increasing with age and higher in women. It shows the correlations with osteoporosis and sarcopenia, suggesting potential shared risk factors or pathways. By this the older people tend to have lower quality of life, particularly concerning spinal alignment and trunk deformity. Exercise interventions, including locomotive training, aerobic exercise, and muscle training, are suggested for LS prevention. Vitamin D supplementation may benefit bone health and fall prevention in older individuals.Locomotor syndrome is a substantial concern, especially in ageing populations, with considerable implications for quality of life. Its prevalence, which is frequently associated with osteoporosis and sarcopenia, highlights the necessity of preventive measures including exercise and vitamin D supplementation. Recognising the impact of LS on mobility and well-being is critical for establishing focused interventions to prevent and manage its progression, thereby improving the overall health and independence of geriatric population.

Personality Disorders in Criminal Offenders - A Systematic Literature Review.

We summarized studies investigating measures related to the Alternative Model for Personality Disorders (AMPD) of the DSM-5 and the personality model in ICD-11 in offenders in forensic-psychiatric treatment or prison to evaluate its forensic utility. The reformation of the DSM and ICD with regards to the introduction of dimensional assessments of personality disorders holds many advantages over categorical models concerning clinical utility. With regards to DSM-5 AMPD Criterion A, a limited number of studies (k = 4) report impairments in interpersonal functioning in offenders. Studies assessing Criterion B (k = 13) predominantly report higher personality impairment measures for offenders, especially for antagonism and disinhibition. Due to the heterogeneity of the selected studies, this review cannot draw conclusions with regard to the predictive value of dimensional models for offenders in forensic-psychiatric treatment or prison, but provides initial evidence for the validity and utility of DSM-5 AMPD and ICD-11 in these settings.

A deep learning approach for line-level Amharic Braille image recognition

Braille, the most popular tactile-based writing system, uses patterns of raised dots arranged in cells to inscribe characters for visually impaired persons. Amharic is Ethiopia’s official working language, spoken by more than 100 million people. To bridge the written communication gap between persons with and without eyesight, multiple Optical braille recognition systems for various language scripts have been developed utilizing both statistical and deep learning approaches. However, the need for half-character identification and character segmentation has complicated these systems, particularly in the Amharic script, where each character is represented by two braille cells. To address these challenges, this study proposed deep learning model that combines a CNN and a BiLSTM network with CTC. The model was trained with 1,800 line images with 32 × 256 and 48 × 256 dimensions, and validated with 200 line images and evaluated using Character Error Rate. The best-trained model had a CER of 7.81% on test data with a 48 × 256 image dimension. These findings demonstrate that the proposed sequence-to-sequence learning method is a viable Optical Braille Recognition (OBR) solution that does not necessitate extensive image pre and post processing. Inaddition, we have made the first Amharic braille line-image data set available for free to researchers via the link: https://github.com/Ne-UoG-git/Am-Br-line-image.github.io.

Scoping review of the ethical regulations for Alzheimer's Disease and Alzheimer's Disease Related Dementia research in Africa.

We conducted a scoping review to ascertain the landscape of ethics regulations for AD/ADRD research in Africa using Arksey and O'Malley's framework. We sourced regulations from the International Compilation of Human Research Standards. We included regulations from 14 countries published between 1997 and 2020. Provisions in the regulations applicable to research in AD/ADRD were part of broader sub-provisions for research such as with persons under legal disability. Regulations mostly required the appointment of Legally Authorised Representatives, as a major protection for persons with AD/ADRD. Provisions supporting capacity assessment and advance directives were only provided in regulations from five and two countries respectively. No regulation cited the Convention on the Rights of Persons with Disabilities as a foundational instrument for its provisions. In conclusion, regulations specifically applicable to research among AD/ADRD or other cognitively impaired persons in Africa are scarce and provisions in existing regulations mostly lack specificity for practical implementation.

Social and leisure engagement moderates the association between care partner distress and cognitive status of care recipients with dementia

ABSTRACT Objectives Despite the established impact of care recipient cognitive impairment on care partner (CP) distress, limited quantitative research has explored how social and leisure engagement may moderate this relationship, offering a potential avenue for enhancing well-being in both care partners and recipients. The current study therefore examined the between- and within-dyad associations between cognitive impairment of persons with dementia (PwD) and their family CP’s distress, and whether social and leisure activity moderated this relationship. Methods Data were utilized from dyads (PwD, n = 33, and their CPs, n = 34) engaged in the Voices in Motion project, a social-cognitive choral intervention for PwD and their family CPs. Measures indexing PwD cognitive status, CP distress, and PwD and CP social and leisure engagement were assessed using an intensive repeated-measures burst design, with multilevel models of change employed to disaggregate between- and within-person effects. Results Diminished cognitive functioning in PwD was associated with increased CP distress (p < 0.01) between-dyads; however, this relationship was not significant within-dyads. The between-dyad association was significantly moderated by the extent of social and leisure engagement of both CPs (p < .001) and PwD (p = .04). Follow-up simple slopes demonstrated that, at mean- and high-levels (+1SD) of social and leisure engagement for PwD and/or CP, increased PwD cognitive function significantly predicted lower CP distress. Conclusion The significant moderating influence of social and leisure engagement of dyads underscores the protective role of such engagement for reducing care-related distress. Activity engagement for CPs and PwD may help modulate the deleterious impact of PwD cognitive impairment and attenuate CP distress. These findings highlight the potential for dyadic interventions that promote social and leisure activities to mitigate caregiving challenges and enhance quality of life for both CPs and PwD.

Computer vision in situ

Background: This article shows a visually impaired person (VIP) trying to locate products while shopping using the commercially available computer vision device Orcam. Method: Based on ethnomethodological conversation analysis and perspectives on materiality and agency from a post-praxiological position, the study shows, through detailed analysis of transcribed video excerpts, the observable sense-making practices related to this technology. Results: The study shows the VIP and researcher-participants exploring what the device can and cannot do, and how the local body–object–environment relations need to be organized to make the device scan. The study shows the value of applying a post-praxiological approach to understanding socio-material practices. It also introduces the ‘video-based contextual inquiry’ method as a form of researcher engagement in producing the situation and the data collection. Discussion/conclusion: The article provides two novel contributions: (1) to the field of ethnomethodology and conversation analysis research, with a critical reflection on semi-experimental data collection and the role of the researcher, the materials, and the distribution of agency; and (2) to the field of impairment and disability studies, with insights on locally organized body–object–environment relations and the design of artifacts for computer vision recognition technology.

Silicon‐based Life or Carbon‐based Life? An Exploratory Study on Visual Information Source Selection of Blind or Visually Impaired Persons

ABSTRACTThe development of generative AI and Large Visual‐Language Models, has the potential to overcome the reliance of blind or visually impaired (BVI) persons on human sources for visual information. Action research and semi‐structured interviews were conducted with 19 BVI persons to explore their visual information needs and source selection. This study categorizes their needs into description, navigation, and manipulation. Accessibility, credibility, and interactivity of information sources are the primary criteria for BVI persons in information source selection. When visual task demand high accurate information, BVI persons are more likely to select human information sources due to their accessibility and credibility. When tasks are less urgent and requiring less accuracy information, the use of AI information sources increases due to the special accessibility. The purpose of the study is to understand the impact of AI on BVI persons, and provide theoretical and practical insights for the development of human‐centered AI.

Averting the gaze in Eliyahu de Vidas’ Reshit Hokhmah

This article explores the Kabbalistic framework enhancing the sanctity of guarding the eyes ( shemirat ha-eynayim ), a key theme in early modern moralistic literature, particularly in Reshit Hokhmah . De Vidas cautions against severe consequences for transgressors and the personal impairments linked to forbidden gazing, while also promoting the ideal of the prophetic holy gaze at the divine chariot and preparation for the eternal gaze at the divine objects of paradise. He integrates the quasi-scientific extramission theory of visual perception into his theurgical framework, creating a concept of mental–spiritual wasting of seed akin to actual wasting of seed. Analysing de Vidas’ treatment of gazing prohibitions, the study highlights his use of rabbinical sources and the Zohar to enhance the authority of his warnings. This integration of eye-guarding principles within a framework of fear and aspiration significantly shapes the Kabbalistic ethos of sexual sanctity and influences contemporary practices of averting one’s eyes.

Design, Development and Evaluation of Smart Lighting System for Physically Challenged Person

This study determined the effectiveness of the propose project smart home lighting system for physically disabled person. Specifically, it deals the main usage of the proposed project, its functionality, applicability, durability and safety and how this project works properly in other to help people as a new innovation. The project is tested out of 20 respondents that has knowledge regarding electricity, enough to understand the flow of the project its material used, functions, usage and how it works. The proposed project has a very good application. It helps physically disabled person to use the device even if they are alone without the help of others. Device allow users can customize lighting environment. The conclusions are drawn based on the findings of the study. Enhanced control smart lighting systems provide individuals with physical disabilities the ability to control their lights using voice commands or mobile applications. Energy efficiency often incorporate energy-saving features, such as LED bulbs and automated scheduling. Physically impaired person this device had a very important usage by providing them with convenient and accessible control over their lighting environment. Future researchers are encouraged to conduct studies similar to the present investigation in their domain school..

The incidence of visual impairment due to retinitis pigmentosa has declined in Finland over the last 40 years.

To study the changes in incidence, age at onset and severity of visual impairment (VI) due to retinitis pigmentosa (RP) in the Years 1980-2019, and the incidence and age at diagnosis of hereditary retinal dystrophy (HRD) diagnoses coded by ICD10 H35.5 in the Years 1998-2019 in Finland. A total of 1606 persons with VI due to RP registered by the Finnish Register of Visual Impairment and total of 4291 HRD diagnoses registered by the Care Register of the Finnish Institute for Health and Welfare were included. VI was classified according to the Finnish national definitions derived from the WHO definitions. The significance of the changes in incidence and age at onset were tested with statistical tests (Kruskal-Wallis, Mann-Whitney U and Cochran-Armitage). Two-tailed p-value below 0.05 was considered significant. The incidence of VI due to RP has decreased from 0.96/100 000 in the 1980s to 0.55/100 000 in the 2010s (p 0.004). The age at onset of VI has increased from 41.6 to 50.3 years. The severity of VI has not changed. The incidence of HRD diagnoses has decreased from 3.66/100 000 in the 2000s to 2.86/100 000 in the 2010s (p 0.024). The age at diagnosis has risen in male patients from 42.1 to 44.5 years (p 0.024). The VI caused by RP in Finland has decreased. It develops at an older age than in the past. We hypothesize that this trend may be attributed to informed decisions by visually impaired persons to refrain from having offspring to prevent the transmission of hereditary mutations. The severity of VI due to RP has remained relatively unchanged. The incidence of HRD diagnoses has decreased, and the diagnosis occurs at an older age among men.

Smart Shoes for the Visually Impaired: Integrating Google Assistant and Google Maps

The research paper has been written to help visually impaired persons. As it was observed that while commuting there were many barriers and obstacles which they need to bear. Individually, they face significant risks while moving from one location to another. It is really difficult for them to locate the hurdle instantly in their path, as they are unaware of the barriers in front of them. Based on the previous researches it was seen that visually impaired persons are more prone to accidents, Unintentional injury, mishaps, injuries, and crashes during their journey (Legood et al., 2002; Felson at al. 1989; Arfken et al., 1994; Ivers et al., 1998; Lord, 2006; Glynn at el., 1992; Roberts &amp; Roberts, 1995). Till now, visually impaired persons are using white cane; which help them scan for obstacles and orientation marks. The cane will also inform the passerby to go slow and take appropriate steps to help them, while they move or walk. In this paper, the authors have tried to build an electronically aided shoe for the help and provide an ease for visually impaired persons. The proposed framework for the e-shoes will identify objects or impediments up to a specific distance and deliver an audio or vibrator alarm message to the receiver. This will help blind persons to recognize objects on their path instantly through an alarm and will prevent any accidents

Clinical utility of brief screening measures during neuropsychological consultation for pediatric onset multiple sclerosis.

Pediatric-onset multiple sclerosis (POMS) accounts for approximately 2 to 5% of all individuals with MS and is associated with an increased risk for cognitive impairment. In recent years, neuropsychological screening questionnaires have been increasingly utilized for pediatric populations in multidisciplinary settings. This study examines the clinical utility of the Colorado Learning Difficulties Questionnaire (CLDQ) and Pediatric Perceived Cognitive Functioning (Peds PCF) screening measures for identifying cognitive impairment in persons with POMS during a target neuropsychological evaluation. Retrospective data was gathered from electronic medical records at a single pediatric hospital. Forty-nine participants were included (69% female; 43% Hispanic/Latinx; mean age = 16.1 years old, range = 9.9 to 20.6 years old). Correlation analyses demonstrated strong interrelatedness between caregiver ratings on screening measures and performance on traditional neuropsychological measures. Effect sizes were medium across comparisons (CLDQ: Spearman's rho = -.321 to -.563; PedsPCF: Spearman's rho = .308 to .444). Exploratory cut-points using receiver operating characteristic analysis and Youden indices are also discussed. Comparison of scores across caregiver rating questionnaires and on a targeted neuropsychological battery suggests that the screening surveys alone may not be sensitive enough to identify children with cognitive impairments, but ratings may provide qualitatively meaningful information along with neuropsychological testing. This study illustrates how pediatric neuropsychologists can leverage screening tools to focus consultative interviews and effectively triage referrals for evaluation within an academic medical setting.

A lightweight and secure authentication protocol for visually impaired and handicapped people in the telehealth system

Sensors and wearable technology are used to accumulate health-related data from the visually impaired (VI) and other special persons. This health-related data is disseminated via an open network channel, which poses numerous threats and requires rigorous attention for its protection. An appropriate security framework must be implemented on both the sender and the recipient sides to ensure the privacy and security of sensitive medical information for VI and disabled persons. The telehealth system will then benefit the VI and disabled people by improving their quality of life, telemonitoring, saving time and money, providing online support, and increasing the degree of trust and reliance on the system and the treatment of doctors. These practical benefits are not just theoretical but potentially life-changing for the VI and disabled community. Strong and flawless mutual authentication is necessary for the telehealth system to secure and preserve the privacy of VI and disabled people. Therefore, this article proposes a privacy-preserving asymmetric-based, lightweight, and robust security framework for the telehealth system operationalized for VI and disabled people. The proposed security framework alleviates all threats to sensitive information and preserves the privacy and security of the whole telehealth system. The security of the proposed framework has been verified through a well-known Real-Or-Random (RoR) model and simulated through a ProVerif software verification toolkit, while the performance analysis has been tackled by measuring computation, storage, and communication costs. The comparative analysis result revealed that the proposed framework outperforms its competitors, further reinforcing the hope about its potential impact.

Health Literacy and Health-Related Quality of Life in Older Adults with Mild Cognitive Impairment

ObjectivesHealth literacy is considered crucial in health status outcomes, but little is known about the association among cognitively impaired persons. This study investigated the association between health literacy and health-related quality of life (HRQoL) in older adults with mild cognitive impairment (MCI). We further examined whether the association between health literacy and HRQoL depends on age, sex, and educational attainment. DesignA cross-sectional study was conducted between January and December 2022. Setting and ParticipantsThe study population was 233 older adults with MCI who visited the Veterans Health Service Medical Center in Seoul, Republic of Korea. MethodsThe diagnosis of MCI was confirmed by a physician based on clinical and neuropsychological assessments. The European Health Literacy Survey Questionnaire and EuroQol Five Dimensions Questionnaire were used to measure the health literacy and HRQoL of the participants. ResultsHRQoL was significantly correlated with health literacy (R = 0.25, P ≤ .001) and its 3 subdomains (R = 0.27, P ≤ .001 for healthcare; R = 0.19, P = .004 for disease prevention; and R = 0.18, P = .005 for health promotion). After adjustment for potential covariates, older adults with higher levels of health literacy were significantly associated with better HRQoL: β = 0.02 (P = .0021) for health literacy, β = 0.07 (P = .0001) for healthcare, and β = 0.04 (P = .0443) for disease prevention. The interactions between HRQoL and health literacy with the specific variables of age, sex, and education demonstrated a statistical significance (β = 0.02 with age, β = 0.03 with sex, and β = 0.06 with education). Conclusions and ImplicationsThere was a significant association between health literacy and HRQoL among older adults with MCI. This finding suggests that improving health literacy of older adults with MCI may enhance HRQoL. An education intervention is recommended to reduce the existing health disparities due to low health literacy.

Formation of communicative competence of massage therapists with visual impairments: A research study

BackgroundCommunicative competence for massage therapists with visual impairments is an important aspect in ensuring their successful integration into the profession and society. However, visually impaired massage therapists face numerous barriers to effective communication during their education, hiring process, and professional employment. AimTo study why communicative competence is important for students with visual impairments; to research features of communication of persons with visual impairments; to identify barriers and effective strategies for formation of communicative competence in the educational process. DesignA qualitative descriptive study with focus groups and semi-structured interviews. SettingsHigher education institution in Lviv (Ukraine) offering a nursing programme for students with visual impairments. ParticipantsThree groups of respondents, namely visually impaired alumni of Lviv Medical Academy, Ukraine (n = 6), alumni's employers and co-workers (n = 4), and experts in the education of visually impaired persons (n = 11), participated in the research. MethodsTwo focus groups and in-depth semi-structured interviews were used to collect data. Interviews were transcribed verbatim and thematic coding was used to analyze transcripts. ResultsFive themes arose: significance of communication for nurse massage therapists with visual impairments; features of communication of persons with visual impairments; barriers to communication of persons with visual impairments; tools and approaches to improve communicative competence of massage therapists with visual impairments; ineffective methods in teaching communication to visually impaired students. ConclusionsCommunication barriers faced by visually impaired nursing students include isolation in specialized institutions, parental hypervigilance, and the challenge of establishing eye contact, which impedes reading nonverbal cues. To enhance communicative competence, it is essential to implement interactive teaching methods, involve students in various activities, ensure educational accessibility, and adopt an individualized and empathetic approach. Both inclusive and special education have advantages and disadvantages. It is recommended to advocate for a “reasonable accommodation” model to ensure high-quality education for visually impaired massage therapists.

Subjective Cognitive Impairment and Physical Activity: Investigating Risk Factors and Correlations among Older Adults in Spain.

Subjective cognitive impairment in older persons has a substantial influence on their quality of life and can progress to serious illnesses such as dementia. Physical activity level can help prevent cognitive decline and improve cognitive performance. The aim of this study was to investigate the association between frequency of physical activity and subjective cognitive impairment in Spanish adults aged 65 and over, and to identify different risk factors. Using data from the EHSS20 survey, the study focused on 7082 participants who provided information on cognitive impairment and physical activity. Key predictor variables included age, gender, BMI, marital status, and education level. A significant relationship was found between BMI category and gender, with 66.5% of the population being overweight or obese. Men were more likely to be overweight than women. Socio-demographic factors such as educational level, marital status, and physical activity frequency showed dependent associations with sex. Women had a higher prevalence of subjective cognitive impairment than men. A strong association was found between frequency of physical activity and subjective cognitive impairment, with inactive older people having the highest prevalence of subjective cognitive impairment. Older women who engage in little physical exercise and have less education are at risk for subjective cognitive impairment. Furthermore, for both men and women, being overweight was associated with a more reduced risk than obesity. Significant relationships were also discovered between subjective cognitive impairment, frequency of physical exercise, gender, BMI, and degree of education. In conclusion, older, sedentary women with high BMI and less education are more likely to experience subjective cognitive impairment.

Extended Kalman filter design for compass navigation tool on visual impaired person

Orang normal, robot, dan kendaraan cerdas mengandalkan kombinasi indera visual dan memori ingatan sebagai peta untuk navigasi dalam melakukan mobilitas mandiri. Berbeda dengan tunanetra yang mengandalkan kombinasi indera lain yang masih berfungsi serta tongkat standar maupun elektronik dalam melaksanakan aktifitas mobilitas mandiri. Tongkat masih memiliki kekurangan, diantaranya hanya dapat memberikan informasi isyarat sentuhan, suara, dan getar terhadap jarak objek di lingkungan sekitar. Penelitian ini mengembangkan rancangan dan implementasi produk terapan berupa kompas bicara untuk informasi navigasi tunanetra dengan isyarat suara delapan titik arah mata angin. Produk terapan dibuat mudah dipasang pada sabuk pinggang pengguna dan mudah digunakan. Sistem elektronik arah jam berupa sinyal data 360 derajat yang berasal dari sensor kompas dijadikan masukan sebagai pengganti indera visual untuk mikrokontroler unit (MCU). Sinyal data dari kompas terlebih dahulu dilakukan filter menggunakan Kalman untuk menghilangkan noise dari gangguan lingkungan dan gelombang elektromagnetik. Eksperimen dengan dua skenario berbeda menunjukan sistem dapat berfungsi sempurna dengan menjadi dukungan efektif selama mobilitas mandiri tunanetra. Selain itu, alat ini layak digunakan untuk melatih tunanetra dengan mengkombinasikan terhadap alat bantu perjalanan tongkat standar dengan akurasi lebih besar 0,95% lebih baik dengan filter.

Traumatic childhood experiences and personality functioning: effect of body connection in a cross-sectional German and Chilean sample

BackgroundTraumatic childhood experiences are a major risk factor for developing mental disorders later in life. Over the past decade, researchers have begun to investigate the role of early trauma in impairments in personality functioning following the introduction of the Alternative Model of Personality Disorders in Section III of the Diagnostic and Statistical Manual for Mental Disorders 5. Although first studies were able to empirically demonstrate a significant link between early trauma and impairments in personality functioning, only little is known about the underlying mechanisms. One possible mechanism is body connection due to its involvement in self-regulatory processes and its link to both early trauma and personality (dys)functioning.ObjectiveIn the current study, we investigated whether body connection, which encompasses the awareness, integration, and utilization of one’s own bodily signals, mediates the relationship between childhood trauma and personality functioning.Participants and settingA total of 1,313 adult participants recruited in Germany and Chile anonymously provided self-report data in an online survey.MethodsSelf-report data included the short form of the Childhood Trauma Questionnaire (CTQ-SF), the Scale of Body Connection (SBC), and the brief form of the Levels of Personality Functioning Scale (LPFS-BF 2.0) as well as demographic data (age, sex, education, clinical diagnoses).ResultsTraumatic childhood experiences explained 27.2% of the variance in impairments in personality functioning. Interestingly, 60.5% of this effect was explained by body connection, particularly body dissociation. Additional exploratory analyses revealed that body dissociation and, to a much lesser extent, body awareness, accounted for 64.41% of the variance in self functioning and 55.75% of the variance in interpersonal functioning explained by childhood trauma.ConclusionBody connection appears to be an important mediator in the association between early trauma and impaired personality functioning, underscoring the need for interventions specifically targeting the avoidance and ignorance of signals from one’s own body in individuals with traumatic childhood trauma.

Circadian rhythm dysfunction and clinical heterogeneity in pediatric ADHD: A critical need for innovation in assessment and treatment

AbstractDespite success of pharmacologic and psychosocial treatments, attention‐deficit/hyperactivity disorder (ADHD) frequently results in significant personal impairment and socioeconomic burden. A challenge for the development of effective treatments targeting functional deficits in ADHD is the substantial heterogeneity in clinical features such as comorbidity, executive dysfunction, and cognitive disengagement. In this editorial perspective, we consider circadian dysfunction as a potentially critical mechanism underlying clinical heterogeneity and discuss current barriers to identifying and treating circadian dysfunction in pediatric ADHD. Recent advances in wearable sensors may offer new opportunities to elucidate the underlying role of circadian dysfunction in ADHD heterogeneity and support the development of personalized sleep treatments with the power to improve long‐term educational, interpersonal, and occupational outcomes for children with ADHD.

Exploring the Associations of Personality and Sexual Health Using the DSM-5 Alternative Model for Personality Disorders

This study explored the relationships between sexual health indicators (i.e., sexual satisfaction, distress, and function) and the DSM-5 Alternative Model for Personality Disorders, a promising dimensional framework for assessing personality pathology. A sample of 489 participants seeking help in private practice clinics completed self-report measures of sexual satisfaction, distress, and function, as well as dyadic adjustment, psychological distress, romantic attachment, personality impairment, and pathological personality facets. Results first showed that participants reaching the cutoffs for a personality disorder had significantly higher sexual distress and lower sexual function compared to participants without a personality disorder. Second, path analyses controlling for psychological distress, dyadic adjustment, and romantic attachment revealed that, for women, the Criterion B Intimacy Avoidance facet was consistently linked with higher sexual distress and lower sexual satisfaction and function. For men, result patterns were more complex, linking Criterion B Separation Insecurity with high sexual distress, and Separation Insecurity and Intimacy Avoidance facets with low sexual function. In addition, Criterion B Irresponsibility, Rigid Perfectionism, as well as Criterion A Intimacy impairment were linked with higher sexual satisfaction. These findings improve our understanding of the links between personality and sexual health and provide support for considering personality difficulties in sexual health interventions.