RESUMO
BACKGROUND: Hypoactive Sexual Desire Disorder (HSDD) is a very prevalent sexual problem, with limited options for treatment. Given that psychological factors are major contributors to the disorder, a therapy such as Cognitive-Behavioral Therapy (CBT) may be useful to treat HSDD. OBJECTIVE: To evaluate the effects of group CBT on women with HSDD. METHOD: Clinical trial randomized study with 106 women diagnosed with HSDD, who were divided as follows: Group 1 (n = 53) underwent group CBT for 8-weeks, and Group 2 (n = 53), were put on a waiting list and used as a control group. Sexual function was assessed by the Female Sexual Quotient (FSQQ) at the initial interview and after 6-months. Mann Whitney test was used for group comparison. MAIN OUTCOME MEASURES: demographics, education, sexual history, FSQQ and its domains for sexual function assessment. RESULTS: Both groups had similar characteristics regarding sexual response, self-image, and relationship with a partner at the initial interview. Women undergoing therapy showed significant improvement in sexual function when compared with the control group. The overall FSQQ result showed an average growth of 18.08 points (95% CI 12.87â23.28) for the therapy group against a decrease of 0.83 points (95% CI 3.43â1.77) for controls (p < 0.001). The five domains of the questionnaire also exhibited significant improvement in the therapy group: desire and interest (p = 0.003), foreplay (p = 0.003), excitation and tuning (p < 0.001), comfort (p < 0.001), and orgasm and satisfaction (p < 0.001). CONCLUSION: Group CBT was shown to be an effective tool for treating HSDD.
Assuntos
Terapia Cognitivo-Comportamental , Psicoterapia de Grupo , Disfunções Sexuais Psicogênicas , Cognição , Feminino , Humanos , Libido , Projetos PilotoRESUMO
Abstract Background: Hypoactive Sexual Desire Disorder (HSDD) is a very prevalent sexual problem, with limited options for treatment. Given that psychological factors are major contributors to the disorder, a therapy such as Cognitive-Behavioral Therapy (CBT) may be useful to treat HSDD. Objective: To evaluate the effects of group CBT on women with HSDD. Method: Clinical trial randomized study with 106 women diagnosed with HSDD, who were divided as follows: Group 1 (n = 53) underwent group CBT for 8-weeks, and Group 2 (n = 53), were put on a waiting list and used as a control group. Sexual function was assessed by the Female Sexual Quotient (FSQQ) at the initial interview and after 6-months. Mann Whitney test was used for group comparison. Main Outcome Measures: demographics, education, sexual history, FSQQ and its domains for sexual function assessment. Results: Both groups had similar characteristics regarding sexual response, self-image, and relationship with a partner at the initial interview. Women undergoing therapy showed significant improvement in sexual function when compared with the control group. The overall FSQQ result showed an average growth of 18.08 points (95% CI 12.87‒23.28) for the therapy group against a decrease of 0.83 points (95% CI 3.43‒1.77) for controls (p < 0.001). The five domains of the questionnaire also exhibited significant improvement in the therapy group: desire and interest (p = 0.003), foreplay (p = 0.003), excitation and tuning (p < 0.001), comfort (p < 0.001), and orgasm and satisfaction (p < 0.001). Conclusion: Group CBT was shown to be an effective tool for treating HSDD.
Assuntos
Humanos , Feminino , Padrões de Prática Médica , Disfunções Sexuais Psicogênicas/diagnóstico , Disfunções Sexuais Psicogênicas/etiologia , Disfunções Sexuais Psicogênicas/fisiopatologia , Disfunções Sexuais Psicogênicas/psicologia , Ginecologia/métodos , Educação Sexual/métodos , Estresse Psicológico , Sexualidade , Características CulturaisRESUMO
Os quatro antiinflamatórios usados reduziram a sintomatologia em 80 por cento ou mais das pacientes, sendo, portanto, considerados eficazes no tratamento da dismenorreia primária. O cetoprofeno reduziu em 50 por cento ou mais a sintomatologia em 76 por cento das pacientes, seguido pelo acido mefenamico (72 por cento), diclofenaco sodico (60 por cento) e piroxicam (60 por cento). Em 22 por cento das pacientes o exame de ultra-sonografia pélvica apresentou cistos ovarianos, e 4 por cento tiveram o Ca 125 superior a 35 U/ml
Assuntos
Humanos , Feminino , Adolescente , Adulto , Anti-Inflamatórios não Esteroides , Dismenorreia/terapia , Anti-Inflamatórios não Esteroides/uso terapêuticoRESUMO
O abuso sexual entre crianças é o mais frequente e também o mais omitido crime sexual. No presente trabalho os autores ponderam sobre a definiçäo, incidencia, diagnóstico, tratamento e a ampla gama de consequências do abuso sexual em meninas e adolescentes
Assuntos
Humanos , Masculino , Feminino , Criança , Adolescente , Abuso Sexual na Infância/diagnóstico , Ferimentos e Lesões/terapia , Abuso Sexual na Infância/legislação & jurisprudênciaRESUMO
Os autores desenvolveram inquérito epidemiologico com 205 adolescentes do Setor de Ginecologia Infanto-Puberal da Clínica Ginecológica do Hospital das Clínicas da Universidade de Säo Paulo, sendo que os sintomas pré-menstruais foram detectados em sua forma leve 26,3 por cento moderada em 22,4 por cento e acentuada em 2,9 por cento. As principais manifestaçöes encontradas nesta faixa etária foram: irritabilidade, tensäo, cefaléia, colica, fadiga, choro fácil, depressäo e mastalgia, sendo a cefaléia e a colica as principais responsaveis pela abstinência na escola e/ou trabalho
