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1.
Curr Urol Rep ; 22(4): 19, 2021 Feb 08.
Artigo em Inglês | MEDLINE | ID: mdl-33554283

RESUMO

PURPOSE OF THE REVIEW: The goal of this paper was to evaluate the impact on erectile and ejaculatory function after anterior and posterior urethroplasty. RECENT FINDINGS: With a rise in the use of urethroplasty, its impact on sexual function has come into question. For anterior urethroplasties, some degree of erectile dysfunction is common, but this tends to be transient, with most patients having a resolution of any de novo dysfunction by 12 months. Patients with posterior urethral strictures have a very high rate of erectile dysfunction prior to surgery and may show improvement after urethroplasty. Ejaculatory function tends to improve in patients due to alleviation of obstruction while some patients notice degradation in force of ejaculation. While urethroplasty has a minimal permanent effect on sexual function for most patients, there are some patients who notice improvement and others worsening. Patients should be counseled on these risks prior to urethroplasty.


Assuntos
Disfunções Sexuais Fisiológicas/etiologia , Disfunções Sexuais Psicogênicas/etiologia , Uretra/cirurgia , Estreitamento Uretral/cirurgia , Procedimentos Cirúrgicos Urológicos Masculinos/efeitos adversos , Ejaculação/fisiologia , Disfunção Erétil/etiologia , Disfunção Erétil/fisiopatologia , Disfunção Erétil/psicologia , Humanos , Masculino , Pênis/irrigação sanguínea , Pênis/inervação , Pênis/cirurgia , Procedimentos Cirúrgicos Reconstrutivos/efeitos adversos , Procedimentos Cirúrgicos Reconstrutivos/métodos , Risco , Disfunções Sexuais Fisiológicas/fisiopatologia , Disfunções Sexuais Fisiológicas/psicologia , Disfunções Sexuais Psicogênicas/fisiopatologia , Disfunções Sexuais Psicogênicas/psicologia , Uretra/inervação , Procedimentos Cirúrgicos Urológicos Masculinos/métodos
2.
Curr Urol Rep ; 22(2): 9, 2021 Jan 09.
Artigo em Inglês | MEDLINE | ID: mdl-33420894

RESUMO

PURPOSE OF REVIEW: The goal of this review article is to evaluate sexual dysfunction among men who have sex with men (MSM). RECENT FINDINGS: Men who have sex with men are commonly affected by sexual dysfunction. Often sexual dysfunction in MSM will significantly impact their psychological well-being perhaps even more than their heterosexual counterparts. Despite the frequency and high impact of sexual dysfunction in MSM, access to appropriate care may be limited. It is important for urologists, especially sexual medicine clinicians, to be aware of and comfortable with differences in sexual practices of MSM. Penile pathology in this patient population will negatively affect their quality of life and well-being. Therefore, it is important to properly assess and treat these patients.


Assuntos
Comportamento Sexual , Disfunções Sexuais Fisiológicas , Disfunções Sexuais Psicogênicas , Minorias Sexuais e de Gênero , Humanos , Masculino , Doenças do Pênis/diagnóstico , Doenças do Pênis/etiologia , Doenças do Pênis/psicologia , Doenças do Pênis/terapia , Pênis/anatomia & histologia , Pênis/lesões , Qualidade de Vida , Ruptura , Comportamento Sexual/psicologia , Disfunções Sexuais Fisiológicas/diagnóstico , Disfunções Sexuais Fisiológicas/etiologia , Disfunções Sexuais Fisiológicas/psicologia , Disfunções Sexuais Fisiológicas/terapia , Disfunções Sexuais Psicogênicas/etiologia , Disfunções Sexuais Psicogênicas/psicologia , Disfunções Sexuais Psicogênicas/terapia , Minorias Sexuais e de Gênero/psicologia
3.
BMC Pregnancy Childbirth ; 21(1): 87, 2021 Jan 26.
Artigo em Inglês | MEDLINE | ID: mdl-33499805

RESUMO

BACKGROUND: Pregnancy is a unique period with the increased likelihood of psychological changes and emotional disturbances such as depression, anxiety, and stress. In this study, we investigated the factors influencing depression, anxiety, and stress in pregnancy and identify their associations with Sexual Distress (SD) and Genital Self-Image (GSI). METHODS: This was a descriptive, correlational, cross-sectional study performed using the two-stage cluster sampling method between September 2019 and January 2020. Overall, 295 pregnant women completed a demographics and obstetric information checklist, Depression Anxiety and Stress Scale-21 (DASS-21), Female Genital Self-Image Scale (FGSI), and Female Sexual Distress Scale-Revised (FSDS-R). RESULTS: Analysis of Variance (ANOVA) showed significant differences in the mean scores of SD between the groups with varying degrees of depression, anxiety, and stress (P <  0.001) and in the mean score of GSI between the groups with varying degrees of depression (P = 0.01) and anxiety (P <  0.001). In multivariate linear regression analysis, higher (worse) depression, anxiety, and stress scores were found in women with more advanced age and higher SD scores; however, these scores were lower (better) in those with increased gestational age. Lower depression and anxiety scores were associated with moderate satisfaction with income, moderate satisfaction with BI in pregnancy, and lower stress and depression scores were linked to planned pregnancy. Higher (better) GSI score was a predictor of lower depression score, complication in a previous pregnancy was a predictor of higher stress score, and finally, fear of fetal abortion and being a housewife were predictors of a higher anxiety score. CONCLUSION: Various factors contribute to the development of antenatal depression, anxiety, and stress. A positive correlation was found between SD and the severity of depression, anxiety, and stress, while a negative correlation was noted between GSI and the severity of depression and anxiety. Therefore, raising awareness regarding SD and GSI through screening and counseling sessions can have beneficial effects for mothers and their fetuses.


Assuntos
Transtornos de Ansiedade/psicologia , Imagem Corporal/psicologia , Depressão/psicologia , Complicações na Gravidez/psicologia , Disfunções Sexuais Psicogênicas/psicologia , Estresse Psicológico/psicologia , Adolescente , Adulto , Estudos Transversais , Feminino , Genitália Feminina , Idade Gestacional , Humanos , Irã (Geográfico) , Gravidez , Escalas de Graduação Psiquiátrica , Disfunções Sexuais Fisiológicas/psicologia , Fatores Socioeconômicos , Adulto Jovem
4.
Support Care Cancer ; 29(1): 369-375, 2021 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-32367228

RESUMO

OBJECTIVE: To compare sexual function and quality of life (QoL) in breast cancer survivors with and without a history of bilateral salpingo-oophorectomy (BSO). METHODS: A cross-sectional study of breast cancer survivors treated at a tertiary referral hospital in Western Australia. The Female Sexual Function Index was used to determine rates of female sexual dysfunction (FSD) and hypoactive sexual desire disorder (HSDD). Participants also completed the Relationship Assessment Scale, Menopause-specific quality of life questionnaire and Short Form Health Survey-36. RESULTS: A total of 427 women were invited to participate: 119 had undergone BSO and 308 were controls with at least one ovary remaining. A total of 172 women participated (overall response rate 40.3%), consisting of 76 women in the BSO group (response rate 63.9%) and 96 women with at least one ovary remaining (response rate 31.2%). There was no difference in FSD between the two groups: 63/76 (82.9%) women who had undergone BSO had FSD compared to 75/96 (78.1%) controls (p = 0.458). No difference in HSDD was observed (p = 0.084) between the BSO group 70/76 (96.0%) and the controls 96/96 (100%). Women who had undergone BSO had lower general health scores compared to the control group (p = 0.034). Both groups had similar energy levels, emotional well-being, pain scores, physical functioning levels and social functioning levels. CONCLUSIONS: In this study, women with prior treatment for breast cancer had high levels of FSD and HSDD, irrespective of whether they had undergone BSO. Both groups reported similar sexual function scores and QoL.


Assuntos
Neoplasias da Mama/cirurgia , Qualidade de Vida/psicologia , Salpingo-Ooforectomia/psicologia , Disfunções Sexuais Psicogênicas/psicologia , Adulto , Idoso , Sobreviventes de Câncer/psicologia , Estudos Transversais , Feminino , Humanos , Menopausa , Pessoa de Meia-Idade , Comportamento Sexual/psicologia , Sexualidade/psicologia , Inquéritos e Questionários , Austrália Ocidental
5.
Tech Vasc Interv Radiol ; 23(3): 100693, 2020 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-33308525

RESUMO

Many interventions to treat men with benign prostatic hyperplasia (BPH) associated lower urinary tract symptoms (LUTS) are associated with sexual side effects or complications, such as hematospermia, erectile dysfunction, or ejaculatory dysfunction. As loss of sexual function can significantly impact quality of life, an optimal treatment for BPH associated LUTS would be one without any sexual dysfunction side effects. Prostatic artery embolization is a minimally invasive treatment for men with BPH associated LUTS. The aim of this paper is to review the effects of prostatic artery embolization on sexual function and compare the sexual side effect profile to the other available BPH procedures.


Assuntos
Embolização Terapêutica/efeitos adversos , Sintomas do Trato Urinário Inferior/terapia , Próstata/irrigação sanguínea , Hiperplasia Prostática/terapia , Radiografia Intervencionista/efeitos adversos , Disfunções Sexuais Fisiológicas/etiologia , Disfunções Sexuais Psicogênicas/etiologia , Procedimentos Cirúrgicos Urológicos Masculinos/efeitos adversos , Humanos , Sintomas do Trato Urinário Inferior/diagnóstico por imagem , Sintomas do Trato Urinário Inferior/fisiopatologia , Masculino , Hiperplasia Prostática/diagnóstico por imagem , Hiperplasia Prostática/fisiopatologia , Medição de Risco , Fatores de Risco , Disfunções Sexuais Fisiológicas/diagnóstico , Disfunções Sexuais Fisiológicas/fisiopatologia , Disfunções Sexuais Psicogênicas/diagnóstico , Disfunções Sexuais Psicogênicas/psicologia , Resultado do Tratamento
6.
Rev. int. androl. (Internet) ; 18(4): 129-136, oct.-dic. 2020. tab, graf
Artigo em Espanhol | IBECS | ID: ibc-200825

RESUMO

INTRODUCCIÓN: Los trastornos de la personalidad y la respuesta sexual son dos aspectos íntimamente relacionados, y el conocimiento de la relación entre ambas variables servirá para proporcionar una atención de calidad a los pacientes. MÉTODO: El objetivo del presente estudio fue realizar una revisión sistemática sobre la relación entre trastornos de la personalidad y disfunciones sexuales. RESULTADOS: Catorce artículos científicos publicados entre 2006 y 2016 cumplieron los criterios de inclusión para formar parte de esta revisión. Este trabajo ha permitido organizar la escasa información proveniente de trabajos científicos referida a las relaciones existentes entre trastornos de la personalidad y disfunciones sexuales. CONCLUSIÓN: Se concluye con la necesidad de realizar más investigación en esta área


BACKGROUND: Personality disorders and sexual response are two closely related aspects, and knowledge of the relationship between both variables will serve to provide quality care to patients. METHODS: The aim of the present study was to conduct a systematic review on the relationship between personality disorders and sexual dysfunctions. RESULTS: Fourteen scientific articles published between 2006 and 2016 met the inclusion criteria to be part of this review. This work has allowed organizing the scarce information coming from scientific works referred to the existing relations between personality disorders and sexual dysfunctions. CONCLUSION: It concludes with the need to carry out more research in this area


Assuntos
Humanos , Disfunções Sexuais Fisiológicas/psicologia , Disfunções Sexuais Psicogênicas/psicologia , Transtornos da Personalidade/epidemiologia , Qualidade da Assistência à Saúde/tendências , Disfunções Sexuais Fisiológicas/complicações , Disfunções Sexuais Psicogênicas/complicações , Determinação da Personalidade/estatística & dados numéricos , Melhoria de Qualidade/tendências
7.
Med. paliat ; 27(2): 88-97, abr.-jun. 2020. tab
Artigo em Espanhol | IBECS | ID: ibc-194832

RESUMO

INTRODUCCIÓN: La expresión de la sexualidad es un factor importante de la calidad de vida de los pacientes en situación de enfermedad avanzada y final de vida. Sin embargo, sus necesidades en relación con la sexualidad son frecuentemente desconocidas y no cubiertas por la falta de consideración, confianza y habilidades por parte de los profesionales de la salud. Este estudio exploratorio analiza la percepción de los profesionales de cuidados paliativos de cómo se hace y cómo se debería abordar la atención a la sexualidad en la práctica asistencial. MÉTODOS: Estudio cualitativo fenomenológico conducido desde un paradigma naturalista. Se realizan entrevistas semiestructuradas a 6 profesionales sanitarios en julio de 2019, atendiendo a los siguientes criterios: perfil profesional, años de experiencia, edad y género. La información se categoriza y analiza siguiendo un marco de codificación elaborado a partir de las variables identificadas previamente en la literatura y las emergentes que surgen de la lectura de las transcripciones y notas de campo. RESULTADOS: Aunque se reconoce la responsabilidad de atender la esfera de la sexualidad desde los cuidados paliativos, su abordaje queda relegado en general a un segundo plano. Cuando se hace, la atención se centra mayormente en explorar la dimensión afectiva y relacional. Entre los motivos para la falta de atención a la sexualidad se reportan la percepción de una escasa formación, la no consideración de la sexualidad en protocolos de actuación, y las limitaciones de tiempo para entablar vínculos de relación con los pacientes. Las experiencias personales y pudores impactan sobre el nivel de atención, y las normas sociales que dificultan su expresión. DISCUSIÓN: El estudio demuestra un déficit en la atención para atender todas las necesidades y esferas de la sexualidad de los pacientes. Los resultados añaden robustez a lo previamente publicado, aportando posibles estrategias para el abordaje


BACKGROUND: The expression of sexuality is an important factor in the quality of life of patients with advanced disease or at the end of life. However, necessities in the area of sexuality are scarcely covered due to lack of consideration, capabilities, and trust of healthcare professionals. This exploratory study analyzes the perception of palliative care professionals on how sexuality is addressed, and how this should be handled in palliative care. MATERIALS AND METHODS: A phenomenological qualitative study has been carried out from a naturalistic paradigm. Semi-structured interviews were conducted with six healthcare professionals with different professional profiles, backgrounds, ages and genders in July 2019. The information has been categorized following a codification frame prepared on the basis of the previously identified variables in the literature, as well as of emergent variables arising from the transcriptions and field notes. RESULTS: Sexuality is recognized as an essential aspect of all human beings, and the responsibility to address needs in this area from a palliative care standpoint is assumed. However, its care is generally relegated to the sidelines. When addressed, it focuses largely on the affective and relational dimensions of people. Perceived lack of training on the matter, absence of specific guidelines in care plans, and time limits to building trust relations with patients are reported as reasons for the scarce attention sexuality draws in healthcare. Personal experiences and shame affect the level of care provided in relation to sexuality, as do social norms and taboos that hinder the expression of issues related with sexuality in healthcare. DISCUSSION: This study reveals failure to satisfy patient needs in this regard from a comprehensive perspective. Our results add robustness to the existing literature in this knowledge area, and allow to continue developing strategies for adding value to palliative care in addressing situations and needs relevant to patients


Assuntos
Humanos , Masculino , Feminino , Adulto Jovem , Adulto , Pessoa de Meia-Idade , Sexualidade , Cuidados Paliativos na Terminalidade da Vida , Pessoal de Saúde/psicologia , Qualidade de Vida/psicologia , Pessoal de Saúde/estatística & dados numéricos , 25783 , Necessidades e Demandas de Serviços de Saúde , Unidades de Terapia Intensiva , Entrevistas como Assunto/estatística & dados numéricos , Barreiras de Comunicação , Disfunções Sexuais Psicogênicas/epidemiologia , Disfunções Sexuais Psicogênicas/psicologia
8.
Rev. int. androl. (Internet) ; 18(2): 79-83, abr.-jun. 2020. graf
Artigo em Inglês | IBECS | ID: ibc-193764

RESUMO

Situational anejaculation means that a man can ejaculate in some situations but not in others. Intercourse type of anejaculation means existence of ejaculation by masturbation, but not during sexual intercourse. In some cases, men may be able to ejaculate and attain orgasm with one partner but not with another. Performance anxiety, hostility toward the partner, dysfunctional psychosexual development, and unconscious desire to avoid pregnancy are the possible underlying conditions. We herein reported a case of wife-specific intercourse anejaculation succesfully treated with sexual therapy. According to our best knowledge, this is an important case study in literature about intercourse type of situational anejaculation specific to the patient's wife that was treated with psychosexual counseling. The authors conclude that this clinical course of situational intercourse anejaculation suggests a psychological problem in these patients and sexual therapy is effective


La aneyaculación situacional significa que un varón puede eyacular en algunas situaciones, pero en otras no. El tipo de aneyaculación sexual implica la existencia de eyaculación mediante la masturbación, pero no durante las relaciones sexuales. En algunos casos, los varones pueden ser capaces de eyacular y alcanzar el orgasmo con un compañero, pero no con otro. La ansiedad subyacente, la hostilidad hacia la pareja, el desarrollo psicosexual disfuncional y el deseo inconsciente de evitar el embarazo son las posibles situaciones de fondo. En este documento, informamos de un caso de aneyaculación sexual específica de la esposa tratada con éxito con terapia sexual. Según nuestro mejor conocimiento, este es el primer estudio de caso en la bibliografía sobre el tipo de relación sexual de la aneyaculación situacional específica de la esposa del paciente que fue tratado con asesoramiento psicosexual. Los autores concluyen que este curso clínico de aneyaculación del coito situacional sugiere un problema psicológico en estos pacientes y la terapia sexual es efectiva


Assuntos
Humanos , Masculino , Feminino , Adulto , Disfunções Sexuais Psicogênicas/psicologia , Ejaculação/fisiologia , Disfunções Sexuais Psicogênicas/fisiopatologia , Coito/psicologia , Disfunções Sexuais Psicogênicas/etiologia
9.
Psicosom. psiquiatr ; (13): 33-40, abr.-jun. 2020. tab
Artigo em Inglês | IBECS | ID: ibc-198563

RESUMO

Sexual interest and arousal disorder (SIAD) is the most common female sexual dysfunction. This mental disorder has a strong negative impact in the women's well-being, relationships and quality of life. A comprehensive approach to the multiple psychological factors that contribute to its appearance and maintenance is needed, in order to optimize the different therapeutic options. In this study, a sample of 10 women with SIAD was compared to a control group of women without a sexual dysfunction. For that purpose, participants were asked to complete standardized questionnaires. Results showed significant differences in psychopathological symptoms, personality dimensions and copying strategies between both groups. This study provides greater empirical understanding of the linkages between SIAD and personality traits, psychopathological symptoms, and stress coping strategies. Further research needs to be conducted to examine the effectiveness of interventions and improve current clinical treatments


El trastorno del interés/excitación sexual (TIES) es la disfunción sexual femenina más frecuente. Ocurre en mujeres de todas las edades y tiene un fuerte impacto negativo en su bienestar, relaciones y calidad de vida. Dado que presenta una elevada resistencia al tratamiento, es preciso revisar las distintas opciones terapéuticas y ello requiere profundizar en la comprensión de algunos de los múltiples factores psicológicos que contribuyen a su aparición y mantenimiento.En este estudio descriptivo comparativo, una muestra de 10 mujeres con TIE se comparó con un grupo control de mujeres sanas mediante entrevistas semiestructuradas y cuestionarios estandarizados. Los datos fueron analizados mediante el programa estadístico SPSS 17.0 Los resultados del estudio indican diferencias significativas en sintomatología psicopatológica, dimensiones de personalidad y uso de estrategias de afrontamiento de estrés


Assuntos
Humanos , Feminino , Adolescente , Adulto Jovem , Adulto , Projetos Piloto , Personalidade , Psicopatologia/métodos , Adaptação Psicológica , Assexualidade , Disfunções Sexuais Psicogênicas/psicologia , Qualidade de Vida/psicologia , Inquéritos e Questionários , Transtornos Somatoformes/psicologia
10.
Health Psychol ; 39(8): 700-710, 2020 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-32212769

RESUMO

OBJECTIVE: The postpartum period is a vulnerable time for sexual health, yet the relationship between biopsychosocial factors and sexual function over time remains unclear. Our aim was to identify trajectories of postpartum sexual function in first-time mothers (N = 646) and examine associations with biopsychosocial factors. METHODS: Biopsychosocial factors were assessed at delivery and 3 months postpartum. Sexual function was assessed during pregnancy, 3, 6, and 12 months postpartum using the Female Sexual Function Index. Latent class growth analysis was conducted to identify distinct sexual function trajectories. Multinomial logistic regressions examined associations between biopsychosocial factors and membership in the trajectories. RESULTS: Three trajectories were identified: 52% of women reported minimal sexual function problems at 3 months postpartum and improved the least over time, 35% of women reported moderate sexual function problems at 3 months and improved the most over time, and 13% of women reported marked sexual function problems at 3 months and improved somewhat over time. Biomedical factors were not significantly related to trajectory membership. Higher sexual distress at 3 months postpartum was associated with increased odds of being in the moderate and marked sexual function problems subgroups, whereas higher sexual function in pregnancy was associated with decreased odds of being in these subgroups. Lower depressive symptoms and higher relationship satisfaction was associated with reduced odds of being in the marked problems subgroup. CONCLUSIONS: Improvement in sexual function postpartum is heterogeneous. Psychosocial, but not biomedical factors were significantly associated with the trajectories. This information may be integrated into psychoeducation, and for informing earlier assessment and intervention practices. (PsycInfo Database Record (c) 2020 APA, all rights reserved).


Assuntos
Mães/psicologia , Período Pós-Parto/psicologia , Disfunções Sexuais Psicogênicas/psicologia , Adolescente , Adulto , Feminino , Humanos , Gravidez , Fatores de Risco , Adulto Jovem
11.
Int J Clin Pract ; 74(7): e13496, 2020 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-32100415

RESUMO

OBJECTIVES: Poststroke sexual dysfunction (PSSD) is widespread and underrecognised, affecting over half of stroke patients with significant effects on a patients' quality of life. We reviewed the postulated factors contributing to PSSD and explore the underrecognition by presenting a questionnaire study as well as examining existing literature. METHODS: A literature search between January 1980 and December 2019 in electronic databases such as EMBASE, MEDLINE and PubMed was conducted. The questionnaire study involved all adult stroke patients attending the outpatient clinic over a 6-month period, containing multiple choice and open questions relating to prevalence, impact and provision provided for patients with PSSD. FINDINGS: Poststroke sexual dysfunction is unlikely attributed solely to the physical effects of stroke. We present a biopsychosocial model summarising the wide range of factors which can contribute to PSSD. Less than 10% of patients receive any advice despite 90% of patients hoping for advice relating to sexual dysfunction in stroke. INTERPRETATION AND IMPLICATIONS: A multidisciplinary, proactive involvement in screening and managing PSSD is required to successfully manage a commonly forgotten complication of stroke. As part of the wider theme of managing lifestyle factors poststroke (eg, smoking, driving advice, dietary advice, alcohol), the 'sexual function aspect' of patients' lives must not be ignored.


Assuntos
Qualidade de Vida/psicologia , Disfunções Sexuais Fisiológicas/etiologia , Disfunções Sexuais Psicogênicas/etiologia , Acidente Vascular Cerebral/complicações , Sobreviventes/psicologia , Adulto , Cuidadores/psicologia , Feminino , Humanos , Estilo de Vida , Masculino , Disfunções Sexuais Fisiológicas/psicologia , Disfunções Sexuais Psicogênicas/psicologia , Acidente Vascular Cerebral/psicologia , Reabilitação do Acidente Vascular Cerebral/psicologia , Inquéritos e Questionários
12.
J Abnorm Psychol ; 129(3): 266-278, 2020 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-32027146

RESUMO

Despite controversies about the diagnosis, the World Health Organization recently elected to include compulsive sexual behavior disorder in the 11th edition of the International Classification of Diseases. Both recent and remote works have suggested that various cultural factors such as personal religiousness and morality can influence both the experience and expression of compulsive sexual behaviors. Because prior works have indicated that pornography use is likely to be the most common expression of compulsive sexual behavior, the present work sought to examine whether moral incongruence about pornography use may account for a substantive part of self-reports of compulsive sexual behavior. In 2 studies involving 4 samples, the present work tested the hypothesis that moral incongruence would positively predict self-reported compulsivity in pornography use. In Study 1, across 3 samples (Sample 1, N = 467; Sample 2, N = 739; Sample 3, N = 1,461), including 2 matched to U.S. nationally representative norms (Samples 2 and 3), results indicated that moral incongruence was a substantive and robust predictor of self-reported compulsivity. In Study 2 (baseline N = 850), parallel process latent growth curve analyses over the course of 1 year revealed that the trajectories of pornography use, self-reported compulsivity, and moral disapproval of such use covaried together over time. Collectively, these results underscore the contention that personal morality may influence individuals' self-perceptions of their sexual behaviors, which, in turn, may complicate efforts to accurately diagnose compulsive sexual behavior disorder. (PsycInfo Database Record (c) 2020 APA, all rights reserved).


Assuntos
Comportamento Compulsivo/diagnóstico , Princípios Morais , Comportamento Sexual/psicologia , Disfunções Sexuais Psicogênicas/diagnóstico , Adolescente , Adulto , Comportamento Compulsivo/psicologia , Estudos Transversais , Autoavaliação Diagnóstica , Literatura Erótica , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Disfunções Sexuais Psicogênicas/psicologia , Normas Sociais , Adulto Jovem
13.
Fertil Steril ; 113(2): 426-434, 2020 02.
Artigo em Inglês | MEDLINE | ID: mdl-32106994

RESUMO

OBJECTIVE: To document the prevalence of female sexual dysfunctions (FSDs) and factors associated with FSDs and sexually related personal distress in premenopausal women. DESIGN: Community-based cross-sectional study. SETTING: Eastern states of Australia. PARTICIPANTS: Women aged 18-39 years. INTERVENTIONS(S): Not applicable. MAIN OUTCOME MEASURE(S): Women were classified as having sexually related personal distress if they had a Female Sexual Distress Scale-Revised score of ≥11, and as having an FSD if they had a low Profile of Female Sexual Function desire, arousal, orgasmic function, responsiveness, or sexual self-image domain score plus sexually related personal distress. Sociodemographic factors associated with an FSD were examined by means of multivariable logistic regression. RESULT(S): The prevalence of sexually related personal distress was 50.2%. Sexually related personal distress without dysfunction affected 29.6%, and 20.6% had at least one FSD. The proportions of women with self-image, arousal, desire, orgasm, and responsiveness dysfunction were 11.1%, 9%, 8%, 7.9%, and 3.4% respectively. Sexual self-image dysfunction was associated with being overweight, obese, living together, not married, married, breastfeeding, and taking a psychotropic medication. Psychotropic medication was significantly associated with all FSDs. Independent risk factors for nonspecific sexually related personal distress included psychotropic medication., sexual inactivity, and infertility treatment. CONCLUSION(S): That one-half of young Australian women have sexually related personal distress and one in five women have at least an FSD, with sexual self-image predominating, is concerning. The high prevalence of distress signals the importance of health professionals being adequately prepared to discuss sexual health concerns.


Assuntos
Comportamento Sexual , Disfunções Sexuais Fisiológicas/epidemiologia , Disfunções Sexuais Psicogênicas/epidemiologia , Estresse Psicológico/epidemiologia , Adolescente , Adulto , Fatores Etários , Austrália/epidemiologia , Estudos Transversais , Feminino , Inquéritos Epidemiológicos , Humanos , Prevalência , Medição de Risco , Fatores de Risco , Fatores Sexuais , Disfunções Sexuais Fisiológicas/diagnóstico , Disfunções Sexuais Fisiológicas/fisiopatologia , Disfunções Sexuais Fisiológicas/psicologia , Disfunções Sexuais Psicogênicas/diagnóstico , Disfunções Sexuais Psicogênicas/fisiopatologia , Disfunções Sexuais Psicogênicas/psicologia , Estresse Psicológico/diagnóstico , Estresse Psicológico/fisiopatologia , Estresse Psicológico/psicologia , Adulto Jovem
14.
Arch Womens Ment Health ; 23(4): 527-534, 2020 08.
Artigo em Inglês | MEDLINE | ID: mdl-31897606

RESUMO

The high prevalence of sexual dysfunction and the importance of sexual health issues in general stress the need for a physician to integrate sexual health issues in patient management. In this study, we evaluate the frequency of psychiatrists addressing sexual health issues as well as their attitude towards sexual health. Plus, we want to evaluate the multi-professional network for patient treatment that is needed by physicians for collaboration with other medical specialists and health care professionals. At total 100 psychiatrists (age range 30-60 years), participating at the annual meeting of the Austrian Society of Psychiatry, Psychotherapy, and Psychosomatics, were invited to self-assess their caring for patients' sexual health issues and answer a self-report questionnaire. The return rate was 74%. A third of the participating psychiatrists and psychotherapists stated to address sexual health in patients in daily routine. Twenty-five percent of the physicians suspected sexual health problems in 60-100% of their patients but did not ask the patients about this topic. Mentioned reasons why patients would not actively address sexual problems were rated by the survey participants "a different problem was more important", "lack of time", and "embarrassment". Only few of the participating psychiatrists stated to offer a consultation in sexual health to the patients, none to offer sexual therapy. A mentioned reason was "lack of competence regarding sexual health". Twelve percent referred the patients with sexual issues to a physician with another medical specialization, especially to experts in gynaecology and obstetrics, to experts in urology, or to andrologists. However, a need for a network in the field of sexual medicine was stated and an unawareness of a sexual health care network: where to refer the patients in need. Our data showed an increased need in the routine treatment and management of sexual health care in psychiatrists and psychotherapists. Plus, the data stresses the need for professional sexual medicine qualification and for extended cooperation between different medical fields and health care professionals in order to integrate sexual health topics professionally in daily routine.


Assuntos
Relações Médico-Paciente , Psiquiatria , Disfunções Sexuais Fisiológicas/psicologia , Disfunções Sexuais Psicogênicas/psicologia , Saúde Sexual , Adulto , Atitude do Pessoal de Saúde , Áustria , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Inquéritos e Questionários
15.
PLoS One ; 15(1): e0227874, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-31995606

RESUMO

Medication adherence is a key health outcome that reflects the health and general well-being of patients with hypertension. Challenges with adherence are common and associated with clinical, behavioural and psychosocial factors. This study sought to provide data on the extent of medication adherence among male patients with hypertension and their biopsychosocial predictors. Patient and clinical characteristics, psychological distress, insomnia and sexual dysfunction were hypothesized to predict outcomes of medication adherence. Utilizing quantitative data from a hospital-based cross-sectional study from 358 male out-patients with hypertension attending a tertiary hospital in Ghana, medication adherence was associated with age, marital status, educational level, income, duration of diagnosis, number of medications taken and sexual dysfunction. These findings support the need for biopsychosocial interventions aiming at promoting adherence while taking these factors into consideration for the benefit of improving the health and general well-being of male patients with hypertension.


Assuntos
Hipertensão/epidemiologia , Adesão à Medicação , Disfunções Sexuais Psicogênicas/epidemiologia , Estresse Psicológico/epidemiologia , Adulto , Fatores Etários , Anti-Hipertensivos/efeitos adversos , Anti-Hipertensivos/uso terapêutico , Gana/epidemiologia , Humanos , Hipertensão/complicações , Hipertensão/psicologia , Masculino , Pessoa de Meia-Idade , Pacientes Ambulatoriais , Disfunções Sexuais Psicogênicas/etiologia , Disfunções Sexuais Psicogênicas/psicologia , Distúrbios do Início e da Manutenção do Sono/epidemiologia , Distúrbios do Início e da Manutenção do Sono/etiologia , Distúrbios do Início e da Manutenção do Sono/psicologia , Estresse Psicológico/etiologia , Estresse Psicológico/psicologia , Centros de Atenção Terciária
16.
J Sex Med ; 17(1): 69-82, 2020 01.
Artigo em Inglês | MEDLINE | ID: mdl-31680008

RESUMO

BACKGROUND: Persistent genital arousal disorder (PGAD) is characterized by symptoms of distressing physiological sexual arousal (Persistent genital arousal [PGA] symptoms such as genital vasocongestion, sensitivity, or both) that occur in the absence of sexual desire. There continues to be a lack of systematic research on this condition. Little is known about the common medical comorbidities and psychological, sexual, or relationship well-being of individuals who experience PGA symptoms. AIMS: To compare these biopsychosocial factors in an age-matched sample of women with and without symptoms of PGA. A secondary aim was to examine what symptom factors (associated distress, symptom severity) and cognitive factors (eg, catastrophizing of vulvar sensations) were associated with psychosocial outcomes in women with symptoms of PGA. METHODS: Age-matched samples of women with (n = 72) and without (n = 72) symptoms of PGA completed a comprehensive online survey. MAIN OUTCOME MEASURES: Participants self-reported their medical histories and completed validated measures of psychosocial functioning (depressive and anxiety symptoms, catastrophizing of vulvar sensations, sexual functioning and distress, and relationship functioning). RESULTS: Women with symptoms of PGAD reported significantly greater depressive and anxiety symptoms, sexual distress, and suicidal ideation, as well as significantly poorer relationship functioning than women without PGA symptoms. Catastrophizing of vulvar sensations was related to PGA symptom ratings (greater severity, distress) and psychosocial outcomes (greater depression, anxiety, and sexual distress). CLINICAL IMPLICATIONS: The results of this study highlight medical and psychosocial difficulties associated with PGA symptoms, which should be assessed and addressed as essential components of treatment. STRENGTHS & LIMITATIONS: This study seeks to address the paucity of research on the well-being of women with PGA symptoms by undertaking a comparison of age-matched samples using validated questionnaires. This study is limited by its self-report, cross-sectional design. CONCLUSION: PGA symptoms are associated with significant health and psychological difficulties. These results highlight the need for continued research in this area to improve identification and treatment for this population. Jackowich RA, Poirier É, Pukall CF. A Comparison of Medical Comorbidities, Psychosocial, and Sexual Well-being in an Online Cross-Sectional Sample of Women Experiencing Persistent Genital Arousal Symptoms and a Control Group. J Sex Med 2020;17:69-82.


Assuntos
Comportamento Sexual/psicologia , Disfunções Sexuais Fisiológicas/psicologia , Disfunções Sexuais Psicogênicas/psicologia , Ansiedade/psicologia , Estudos de Casos e Controles , Comorbidade , Estudos Transversais , Depressão/epidemiologia , Feminino , Humanos , Libido , Inquéritos e Questionários
17.
J Cancer Surviv ; 14(1): 26-30, 2020 02.
Artigo em Inglês | MEDLINE | ID: mdl-31482477

RESUMO

PURPOSE: Each year, thousands of young breast cancer (BC) patients confront the difficult decision to medically suppress ovarian function and undergo abrupt, premature menopause to reduce risk of cancer recurrence. Unlike natural menopause, young women undergoing ovarian suppression (OS) face severe and disruptive side effects. Profound sexual dysfunction is one of the most prevalent, distressing side effects of OS treatment. Unmanaged sexual dysfunction is also a primary predictor of non-adherence to this potentially life-saving treatment. We developed and tested a brief, psychosexual intervention targeted to manage sexual dysfunction and psychological distress after OS in young BC survivors. METHODS: Twenty young BC survivors with sexual dysfunction received a single 4-h group intervention that included sexual health rehabilitation, body awareness exercises, and mindfulness-based cognitive therapy (MBCT) skills followed by a single tailored booster telephone call 1-month later. Assessment of female sexual function and psychological distress was completed at baseline and 2 months post-intervention. RESULTS: Analyses examined changes pre- to post-intervention. Female sexual health improved significantly from baseline to follow-up (n = 19, p < 0.02). Anxiety was also significantly improved at the 2-month (p < 0.000) timepoint, compared with baseline 1. Moderate-to-large effect sizes were observed regarding changes in sexual function and psychological distress. CONCLUSIONS: Significant improvements in sexual functioning and psychological distress were observed 2 months post-intervention. IMPLICATIONS FOR CANCER SURVIVORS: These results demonstrate that delivery of a targeted intervention in brief, low-intensity group setting is a promising model for reducing distressing sexual dysfunction in young BC survivors on OS treatment.


Assuntos
Neoplasias da Mama/psicologia , Sobreviventes de Câncer/psicologia , Ovário/efeitos dos fármacos , Saúde Sexual/normas , Adulto , Neoplasias da Mama/terapia , Feminino , Humanos , Disfunções Sexuais Psicogênicas/psicologia
18.
Psychol Trauma ; 12(3): 291-299, 2020 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-31414868

RESUMO

OBJECTIVE: Women with histories of childhood sexual abuse (CSA) are at a higher risk for sexual dysfunction, and show a differential response to sex therapy, than women without abuse histories. The factors underlying those differences have yet to be clearly articulated by the literature. This study examined potential mechanisms of action to account for the relationship between CSA and sexual function. METHOD: Participants were 120 adult women recruited from the local community. Women completed a single laboratory session in which they viewed a short erotic film and completed a battery of questionnaires on sexual health. Data were analyzed with structural equation modeling mediation, an approach that enables comparison between groups of women. RESULTS: Sexual shame completely mediated the relationship between history of CSA and sexual function, and explained this relationship better than any of the other candidate mechanisms. CONCLUSIONS: Several differences have been noted between the sexual function of women with and without histories of CSA. Results suggest that differences in sexual shame may contribute to differences in sexual function between these groups. For women with CSA histories treatments that aim to reduce sexual shame may improve sexual function. (PsycINFO Database Record (c) 2020 APA, all rights reserved).


Assuntos
Sobreviventes Adultos de Maus-Tratos Infantis/psicologia , Comportamento Sexual/psicologia , Disfunções Sexuais Psicogênicas/psicologia , Vergonha , Adulto , Feminino , Humanos , Adulto Jovem
19.
J Sex Marital Ther ; 46(1): 43-56, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-31250709

RESUMO

Mindful attention and awareness may promote sexual satisfaction. However, experiencing cumulative childhood interpersonal trauma (CCT; sexual abuse, neglect, etc.) is associated with distress, which might interfere with dispositional mindfulness and lead to lower sexual satisfaction. Although the concept of mindfulness emerged as an interesting variable to understand sexual difficulties, little empirical data are available on this topic. This study tested an integrative mediation model of the relation between CCT, psychological distress, dispositional mindfulness, and sexual satisfaction within a clinical sample of 410 adult patients consulting in sex therapy. Patients completed questionnaires assessing CCT, psychological distress, dispositional mindfulness, and sexual satisfaction. Results showed that the majority of patients reported experiences of childhood interpersonal trauma. Path analyses highlighted three distinct significant paths from CCT to sexual satisfaction. First, dispositional mindfulness mediated the relationship between CCT and sexual satisfaction. Second, psychological distress also mediated the relationship between CCT and sexual satisfaction. Third, the effect of CCT on sexual satisfaction was sequentially mediated through greater levels of psychological distress and lower levels of dispositional mindfulness. The model explained 19% of the variance in sexual satisfaction. Findings suggest that dispositional mindfulness and psychological distress are key processes explaining sexual satisfaction in CCT survivors.


Assuntos
Sobreviventes Adultos de Maus-Tratos Infantis/psicologia , Atenção Plena/métodos , Personalidade , Educação Sexual/métodos , Disfunções Sexuais Psicogênicas/psicologia , Adaptação Psicológica , Adulto , Feminino , Humanos , Controle Interno-Externo , Masculino , Pessoa de Meia-Idade , Disfunções Sexuais Psicogênicas/etiologia
20.
J Trauma Dissociation ; 21(1): 73-86, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-31610751

RESUMO

Rape survivors engage in more risky sexual behavior and report more sexual dissatisfaction and dysfunction than those without a rape history. However, little research has examined possible mechanisms to explain the relation between rape and sexual health outcomes. Therefore, the current study examined sexual motives as one mechanism to explain why survivors engage in more risk behavior and report lower sexual satisfaction. We hypothesized that rape survivors would be more likely to report engaging in sex for a variety of potentially maladaptive motives, including to reduce their negative affect, improve their self-esteem, and obtain approval or avoid censure from their peers and sexual partners. Engaging in sex for these reasons was then hypothesized to mediate the relation between rape history and sexual risk behavior as well as sexual satisfaction. These hypotheses were tested among 1,534 sexually active college women. Results supported that all four sexual motives mediated the relation between rape history and risky sexual behavior and sexual satisfaction. In both cases, the size of the standardized indirect effect was larger for the models including the two affect regulation motives as mediators, as compared to the models including peer and partner approval motives as mediators. Thus, survivors who endorse affect regulation motives for sex are more likely to engage in risky sexual behavior and more likely to report feeling dissatisfied with their sex lives. This suggests that sexual motives may be an important area to target for future sexual health research and intervention programs targeting survivors.


Assuntos
Estupro/psicologia , Disfunções Sexuais Psicogênicas/psicologia , Sobreviventes/psicologia , Sexo sem Proteção/psicologia , Adolescente , Feminino , Humanos , Satisfação Pessoal , Universidades , Adulto Jovem
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