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1.
J Sex Med ; 2020 May 10.
Artigo em Inglês | MEDLINE | ID: mdl-32402814

RESUMO

BACKGROUND: The scientific literature on sexuality among mentally ill patients clearly shows a higher prevalence of sexual disorders for many mental disorders, but little is known about sexuality in individuals suffering from ADHD. Clinicians will often assume that specific difficulties of ADHD are bound to affect sexual functioning. AIM: The aim of this study was to provide a review of the literature to gain better knowledge about sexuality in subjects with ADHD and to discuss screening and management of their potential sexual problems. METHODS: A systematic review of the literature was performed in Pubmed, PsychInfo, and Embase databases. MAIN OUTCOME MEASURES: The main outcome measures were sexual function and sexual dysfunctions. RESULTS: The studies indicated that subjects with ADHD report more sexual desire, more masturbation frequency, less sexual satisfaction, and more sexual dysfunctions than the general population. CLINICAL IMPLICATIONS: Clinicians working with subjects with ADHD should explore the quality of their sexual life. STRENGTHS & LIMITATIONS: This is the first systematic review of the sexuality of individuals with ADHD. However, the results are limited by the small number of studies, by the small sample size of many studies, and the potential for bias. CONCLUSIONS: ADHD is a mental disorder affecting sexual health. Further studies are warranted to learn more about sexuality in subjects with ADHD. Soldati L, Bianchi-Demicheli F, Schockaert P, et al. Sexual Function, Sexual Dysfunctions, and ADHD: A Systematic Literature Review. J Sex Med 2020;XX:XXX-XXX.

2.
Rev Med Suisse ; 16(686): 522-524, 2020 Mar 18.
Artigo em Francês | MEDLINE | ID: mdl-32186796

RESUMO

Sex needs recognition and synchronization. Many levels are found, from chemical cell recognition to mirror neurons which anticipate actions and emotions of a partner. Some animals recognize species, but not sex. Many more recognize sex, but not individuals. Individualized sex and/or social relations are only found in birds and mammals. Imprinting defines sex objects and goals, stereotyped or flexible, according to species. In humans, sex imprinting conditions sex orientation, practices and response to contradictory prescriptions of personal drives, social rules, fashion, medias and life history's contingencies.


Assuntos
Aves/fisiologia , Mamíferos/fisiologia , Preferência de Acasalamento Animal , Animais , Emoções , Humanos , Neurônios-Espelho/fisiologia , Caracteres Sexuais , Especificidade da Espécie
3.
Rev Med Suisse ; 16(686): 539-542, 2020 Mar 18.
Artigo em Francês | MEDLINE | ID: mdl-32186799

RESUMO

HIV affection affects sexual function, sexual health and relationships as well as mental health and quality of life. Due to the importance of sexual health for each individual and in order to ensure optimal and quality care, we have assessed the demand for sexual health and advise not only among HIV patients but also among professionals in this area and nursing staff. The results showed that sexuality was important both for patients and caregivers. Also, we did find out that carers want to create a better professional network with the aim of redirecting patients to specialists according to their specific needs. Carers have also expressed a desire to have relevant training in sexology and sexual health to achieve this.


Assuntos
Infecções por HIV/psicologia , Infecções por HIV/terapia , Comportamento Sexual/psicologia , Saúde Sexual , Sexualidade/psicologia , Cuidadores , Infecções por HIV/enfermagem , Humanos , Qualidade de Vida
4.
Rev Med Suisse ; 16(686): 548-551, 2020 Mar 18.
Artigo em Francês | MEDLINE | ID: mdl-32186801

RESUMO

Sexuality in an important aspect of human life at all ages and expressing it is an essential human need regardless of age. Society is ageing and people are living longer life. As the sexuality continues during the entire life many factors affect the sexuality in older population. The aging process and remodeling of the life style play an important role in the alteration of sexual needs and sexual behavior in advanced age. Sexuality expression is considered as a fundamental mental health need of all individuals, regardless of gender and age. The majority of healthcare professionals do not proactively discuss sexuality issues with old age patients, and this requires further attention.


Assuntos
Envelhecimento/psicologia , Disfunção Cognitiva , Geriatria , Sexualidade , Idoso , Humanos , Comportamento Sexual
5.
Rev Med Suisse ; 16(686): 519-520, 2020 Mar 18.
Artigo em Francês | MEDLINE | ID: mdl-32186795
6.
J Behav Addict ; 8(4): 804-813, 2019 Dec 01.
Artigo em Inglês | MEDLINE | ID: mdl-31663372

RESUMO

BACKGROUND AND AIMS: The use of the smartphone dating application Tinder is increasingly popular and has received much media attention. However, no empirical study to date has investigated the psychological characteristics driving its adaptive or problematic use. The aim of this study is to determine whether reliable subtypes of users can be identified via a cluster analysis approach. METHODS: A total of 1,159 Tinder users were recruited. Survey questions investigated user characteristics, including: motives for app use, sexual desire, attachment styles, impulsivity traits, self-esteem, problematic use, depressive mood, and patterns of use. RESULTS: Four reliable clusters were identified: two with low levels of problematic use ("regulated" and "regulated with low sexual desire"), one with an intermediate level of problematic use ("unregulated-avoidants"), and one with a high level of problematic use ("unregulated-highly motivated"). The clusters differed on gender, marital status, depressive mood, and use patterns. CONCLUSION: The findings provide insight into the dynamic relationships among key use-related factors and shed light on the mechanisms underlying the self-regulation difficulties that appear to characterize problematic Tinder use.

7.
J Behav Addict ; 8(3): 442-450, 2019 Sep 01.
Artigo em Inglês | MEDLINE | ID: mdl-31505968

RESUMO

BACKGROUND AND AIMS: Cybersex is increasingly associated with concerns about compulsive use. The aim of this study was to assess the roles of motives and sexual desire in the compulsive use of cybersex. METHODS: The sample consisted of 306 cybersex users (150 men and 156 women). The participants were assessed using the Compulsive Internet Use Scale (CIUS) adapted for cybersex, the Cybersex Motives Questionnaire (enhancement, coping, and social motives), and the Sexual Desire Inventory-2 (dyadic and solitary sexual desire). RESULTS: For both genders, coping motive was associated with CIUS score. For women, an additional association with social motives was found whereas an association with sexual desire was found for men. CONCLUSION: The study showed gender differences in the contributors to sex-related CIUS scores.


Assuntos
Adaptação Psicológica/fisiologia , Comportamento Compulsivo/fisiopatologia , Literatura Erótica , Internet , Motivação/fisiologia , Comportamento Sexual/fisiologia , Adolescente , Adulto , Idoso , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Adulto Jovem
8.
Rev Med Suisse ; 15(642): 571-572, 2019 Mar 13.
Artigo em Francês | MEDLINE | ID: mdl-30865388
9.
Rev Med Suisse ; 15(642): 574-578, 2019 Mar 13.
Artigo em Francês | MEDLINE | ID: mdl-30865389

RESUMO

The term « cybersex ¼ refers to the use of the Internet for sexual purposes (pornography, webcams, dating). While moderate use of cybersex could have a positive effect on sexual life, a small fraction of these cyber-users could have difficulties to control their consumption with negative consequences. This phenomenon, whose understanding of the mechanisms still raises debates, seems to be influenced by various psychological factors, including avoidant attachment (avoidance of close emotional relationship) and depressed mood. Sexual desire, different types of motivations for using cybersex, and impulsivity could contribute, to some extent, to this phenomenon. Despite of their preliminary character, current available data lead us to recommend an integrated approach of the treatment of the persons facing these difficulties.


Assuntos
Comportamento Aditivo , Comportamento Sexual , Literatura Erótica , Internet , Inquéritos e Questionários
10.
J Sex Med ; 16(2): 195-202, 2019 02.
Artigo em Inglês | MEDLINE | ID: mdl-30770068

RESUMO

INTRODUCTION: Vision of the human body has been shown to be key in eliciting sexual desire. However, whether the visual pattern characterizing sexual desire is different in women and men is still unclear. AIM: To investigate the effect of gender on visual patterns triggered by an identical set of stimuli depicting attractive heterosexual couples. METHODS: Heterosexual women and men (n = 106) were tested on a picture-viewing task associated with eye tracking. The context of sexual desire was activated by asking the participant whether they perceived such desire while looking at sensual pictures of heterosexual couples. Data were analyzed using mixed-subject design analyses of variance. MAIN OUTCOME MEASURE: Fixation durations were used to investigate visual patterns. 2 areas of interest were created to investigate visual patterns (face vs body area). RESULTS: Results showed longer fixations on body rather than face areas irrespective of participant gender. Moreover, all participants looked longer at women's than men's bodies and at the faces of the opposite sex. CLINICAL IMPLICATIONS: These findings shed light on the automatic processes underlying sexual desire, which has the potential to improve the care of patients suffering from sexual disorders by optimizing interventions. STRENGTHS & LIMITATIONS: The strengths of this study are the use of an eye-tracking paradigm, the dissociation between 2 fixation areas (ie, face and body), and the use of an identical set of stimuli allowing an accurate between-gender comparison of the visual pattern. The limitations are the small sample size, the use of healthy heterosexual individuals, and the absence of measures of sexual arousal and genital response. CONCLUSIONS: These findings confirm the association between the human body and sexual desire. They also reveal the unique attentional attractiveness of woman's bodies across genders. Bolmont M, Bianchi-Demicheli F, Boisgontier MP, et al. The Woman's Body (Not the Man's One) Is Used to Evaluate Sexual Desire: An Eye-Tracking Study of Automatic Visual Attention. J Sex Med 2019;16:195-202.

11.
Minerva Ginecol ; 71(3): 224-234, 2019 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-30727724

RESUMO

Sexual dysfunctions, particularly sexual pain, are common in adult women of all ages. In patients with endometriosis, a chronic gynecological pain condition affecting women of reproductive age, sexual pain is the third most common symptom. Multiple biological factors are involved in endometriosis-related sexual pain including tissue damage, inflammation, hormonal changes, alterations within the peripheral and central nervous system and pelvic floor muscle dysfunctions. Conceptual models of sexual pain espouse a multifactorial view, with empirical evidence suggesting the implication of psychosexual and relationship difficulties in the development and persistence of sexual pain and associated distress. We review literature on the biological, psychological, sexual and interpersonal factors associated with development and persistence of sexual pain in women with endometriosis. In addition, we discuss chronic pain conditions frequently associated with endometriosis (vulvodynia, bladder pain syndrome and inflammatory bowel syndrome) and how they are linked with sexual pain. Finally we discuss the clinical implications and provided suggestions for future research and medical care, focusing on a multidisciplinary and biopsychosocial approach.


Assuntos
Dispareunia/etiologia , Endometriose/complicações , Doenças dos Genitais Femininos/complicações , Pesquisa Biomédica/tendências , Dispareunia/psicologia , Feminino , Previsões , Humanos
12.
JMIR Ment Health ; 6(1): e9978, 2019 Jan 21.
Artigo em Inglês | MEDLINE | ID: mdl-30664470

RESUMO

BACKGROUND: An increasing number of studies are concerned with various aspects of cybersex addiction, the difficulty some persons have in limiting cybersex use despite a negative impact on everyday life. OBJECTIVE: The aim of this study was to assess potential links between the outcome variable cybersex addiction, assessed with the Compulsive Internet Use Scale (CIUS) adapted for cybersex use, and several psychological and psychopathological factors, including sexual desire, mood, attachment style, impulsivity, and self-esteem, by taking into account the age, sex, and sexual orientation of cybersex users. METHODS: A Web-based survey was conducted in which participants were assessed for sociodemographic variables and with the following instruments: CIUS adapted for cybersex use, Sexual Desire Inventory, and Short Depression-Happiness Scale. Moreover, attachment style was assessed with the Experiences in Close Relationships-Revised questionnaire (Anxiety and Avoidance subscales). Impulsivity was measured by using the Urgency, Premeditation (lack of), Perseverance (lack of), Sensation Seeking, Positive Urgency Impulsive Behavior Scale. Global self-esteem was assessed with the 1-item Self-Esteem Scale. RESULTS: A sample of 145 subjects completed the study. Addictive cybersex use was associated with higher levels of sexual desire, depressive mood, avoidant attachment style, and male gender but not with impulsivity. CONCLUSIONS: Addictive cybersex use is a function of sexual desire, depressive mood, and avoidant attachment.

13.
J Behav Addict ; 7(3): 601-609, 2018 Sep 01.
Artigo em Inglês | MEDLINE | ID: mdl-30156118

RESUMO

BACKGROUND AND AIMS: The Internet is widely used for sexual activities and pornography. Little is known, however, about why people look for meetings and sexual interactions through the Internet and about the correlates of cybersex addiction. The goal of this study was to construct a questionnaire for cybersex motives [Cybersex Motives Questionnaire (CysexMQ)] by adapting the Gambling Motives Questionnaire to cybersex use and validating its structure. METHODS: Two online samples of 191 and 204 cybersex users were collected to conduct a principal component analysis (PCA) on the first sample and a confirmatory factor analysis (CFA) on the second. Cronbach's α and composite reliability were computed to assess internal consistency. Correlations between the CysexMQ and the Sexual Desire Inventory (SDI) were also evaluated. RESULTS: Two competing models were retained from the PCA, one with two factors and the other with three factors. The CFA showed better fit for the three-factor solution. After three cross-loading items were removed, the results showed that a final 14-item three-factor solution (enhancement, coping, and social motives) was valid (adjusted goodness-of-fit index: 0.993; normed-fit index: 0.978; Tucker-Lewis index: 0.985; comparative fit index: 0.988; root mean square error of approximation: 0.076). Positive correlations were found between the different motives and the subscales of the SDI. DISCUSSION: The results suggest that the CysexMQ is adequate for the assessment of cybersex motives.


Assuntos
Internet , Motivação , Comportamento Sexual/psicologia , Inquéritos e Questionários , Adolescente , Adulto , Idoso , Comportamento Aditivo/diagnóstico , Comportamento Aditivo/psicologia , Literatura Erótica/psicologia , Análise Fatorial , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Análise de Componente Principal , Psicometria , Reprodutibilidade dos Testes , Adulto Jovem
14.
Rev Med Suisse ; 14(598): 555-556, 2018 Mar 14.
Artigo em Francês | MEDLINE | ID: mdl-29537741
15.
Rev Med Suisse ; 14(598): 578-581, 2018 Mar 14.
Artigo em Francês | MEDLINE | ID: mdl-29537746

RESUMO

Cancer affects sexual function, sexual health and relationships as well as mental health and quality of life. Due to the importance of sexual health for each individual and in order to ensure optimal and quality care, we have assessed the demand for sexual health and advise not only among cancer patients but also among professionals in this area and nursing staff. The results showed that sexuality was important both for patients and caregivers. Also we did find out that carers want to create a better professional network with the aim of redirecting patients to specialists according to their specific needs. Carers have also expressed a desire to have relevant training in sexology and sexual health to achieve this.


Assuntos
Neoplasias , Qualidade de Vida , Sexualidade , Cuidadores , Hospitais Universitários , Humanos , Neoplasias/complicações , Neoplasias/terapia , Comportamento Sexual
16.
Rev Med Suisse ; 14(598): 582-584, 2018 Mar 14.
Artigo em Francês | MEDLINE | ID: mdl-29537747

RESUMO

Cancer itself and its treatments can result in physical and/or psychological adverse events which include disorders of sexual health. Both clinicians and patients are reluctant to talk about sexual issues, body image or intimacy between partners. Barriers from the clinician's perspective include feeling inadequately trained, lack of time or privacy. On the patients' side, embarrassment or belief that their sexual health are an untreatable complication of their disease and its treatment are the main barriers. Concerned by this problematic, a multidisciplinary group was created to address the question of sexual health in cancer patients and to set up a specialized training for the clinicians, with the overall goal to integrate this field in the standard management of cancer patients.


Assuntos
Neoplasias , Comportamento Sexual , Disfunções Sexuais Fisiológicas , Imagem Corporal , Emoções , Humanos , Neoplasias/complicações , Neoplasias/terapia , Disfunções Sexuais Fisiológicas/etiologia , Parceiros Sexuais
18.
Rev Med Suisse ; 13(554): 594-596, 2017 Mar 15.
Artigo em Francês | MEDLINE | ID: mdl-28718601

RESUMO

Two situations found in everyday gynecological practice demonstrate how a trustworthy doctor-patient relationship is built. This relationship helps to uncover what is concealed behind physical symptoms, which can perturb daily life (couple, social, family life) beyond a purely medical approach. To understand what is really happening rarely leads to a rapid solution. A stable chronicity that does not involve too many treatments, including surgical ones, can already be considered a success.


Assuntos
Dispareunia/psicologia , Transtornos Psicofisiológicos/psicologia , Incontinência Urinária de Urgência/psicologia , Adulto , Feminino , Humanos , Pessoa de Meia-Idade
19.
Rev Med Suisse ; 13(554): 597-601, 2017 Mar 15.
Artigo em Francês | MEDLINE | ID: mdl-28718602

RESUMO

Evidence on sexual function of women living with female genital mutilation (FGM) and on clitoral reconstruction after FGM is limited. Such surgery is performed in case of chronic clitoral pain, clitoral dyspareunia or for female identity reasons. In this article we summarize the anatomical, psychosexual and sociocultural factors that influence sexual function of women with FGM and the available data on clitoral reconstruction. Surgical resection of the fibrous tissue around the clitoris, with eventual excision of painful post-traumatic neuromas, could improve pain and sexual function. In asymptomatic women, multidisciplinary non-surgical management could be equally or more beneficial and less risky than surgery.


Assuntos
Circuncisão Feminina/efeitos adversos , Clitóris/cirurgia , Adulto , Circuncisão Feminina/psicologia , Dispareunia/etiologia , Feminino , Humanos
20.
Rev Med Suisse ; 13(554): 607-610, 2017 Mar 15.
Artigo em Francês | MEDLINE | ID: mdl-28718604

RESUMO

Sexuality is a natural function, part of global health and has to be evaluated in every patient. When difficulties or dyfunctions happen in this domain, a specific mangement should be proposed. Sexual medicine is a « young ¼ transversal discipline developping these last years in the french-speaking area of Switzerland. We present in this article a short history of sexual medicine in Lausanne and the recent activity in the Sexual Medicine Consultation of the Maternity in the CHUV.


Assuntos
Sexologia , História do Século XX , História do Século XXI , Humanos , Sexologia/tendências , Disfunções Sexuais Fisiológicas/diagnóstico , Disfunções Sexuais Psicogênicas/diagnóstico , Sexualidade , Inquéritos e Questionários , Suíça
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