Your browser doesn't support javascript.
Mostrar: 20 | 50 | 100
Resultados 1 - 20 de 18.549
Filtrar
1.
Actas dermo-sifiliogr. (Ed. impr.) ; 110(10): 794-799, dic. 2019. ilus
Artigo em Espanhol | IBECS | ID: ibc-185600

RESUMO

La Dermatología Estética se ocupa de la belleza y apariencia de la piel, una parte importantísima de la imagen corporal. Los tratamientos utilizados en Dermatología Estética (higiene, hidratación, protección, reparación) buscan potenciar las características propias de la piel, en su anatomía, función y vitalidad, y esto se traduce en mejoras del aspecto estético. La comunicación con el paciente es fundamental en la consulta médica y entendemos que la Dermatología Estética tiene connotaciones especiales que deben considerarse. En este artículo se presenta un modelo propio de tres pilares en la comunicación con el paciente estético y se exponen tres habilidades humanas como dichos pilares: asertividad, empatía y juicio crítico


Cosmetic dermatology deals with the beauty and appearance of the skin – a most important element of body image. Treatments used in cosmetic dermatology (hygiene, hydration, protection, repair) aim to enhance the characteristics of the skin, its anatomy, its function, and its vitality, to produce aesthetic improvements. Communication with the patient is essential in medical consultations and we believe that it has special connotations in cosmetic dermatology that must be taken into account. In this article, we present a 3-pillar model for communication with cosmetic dermatology patients that rests on 3 skills: assertiveness, empathy, and critical judgement


Assuntos
Humanos , Estética , Dermatologia/instrumentação , Dermatologia/tendências , Comunicação , Imagem Corporal , Guias como Assunto , Aptidão , Assertividade , Empatia , Motivação
3.
Medicine (Baltimore) ; 98(39): e17287, 2019 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-31574848

RESUMO

Evidence suggests that mental health is associated with multiple factors such as physical activity, sedentary behavior, and physical function in older adults. The present study used latent profile analysis to identify classes of older adults based on their health profile among a representative sample of Korean older adults with hypertension. Differences in mental health between these classes were also examined.Seven hundred and sixty seven participants (mean age = 70.23, SD = 6.08; men 45.6%) were included in the analysis.There were 3 latent classes (class 1: a physically inactive lifestyle with low physical function and body perception; class 2: a physically moderate lifestyle with moderate physical function and low body perception; class 3: a physically active lifestyle with high physical function and body perception). According to class comparisons, older adults in class 3 had significantly lower anxiety/depression levels than classes 1 and 2. Older adults in class 3 had significantly lower stress levels than class 1.It is possible that among older adults, having a positive attitude of one's body shape may also be important for improving anxiety/depression along with having a physically active lifestyle and maintaining physical function.


Assuntos
Imagem Corporal/psicologia , Força da Mão , Hipertensão/psicologia , Postura Sentada , Caminhada , Idoso , Idoso de 80 Anos ou mais , Ansiedade/psicologia , Estudos Transversais , Depressão/psicologia , Exercício/psicologia , Feminino , Humanos , Hipertensão/fisiopatologia , Análise de Classes Latentes , Estilo de Vida , Masculino , Pessoa de Meia-Idade , Inquéritos Nutricionais , Percepção , República da Coreia , Estresse Psicológico/psicologia
4.
Rev Med Suisse ; 15(665): 1770-1774, 2019 Oct 02.
Artigo em Francês | MEDLINE | ID: mdl-31580022

RESUMO

Nowadays, new psychotropic treatments might result on rapid onset of weight gain also related to other factors such as individual vulnerability, poor diet and lack of exercise. Many studies have reported that weight gain is only the premise of a series of metabolic disturbances and cardiovascular complications. In this context, we have established since June 2017 in an ambulatory centre in Geneva, a 4F program (Fit, Fun, Feel and Food), to optimize the measures and strategies needed to prevent and reduce weight gain in these patients. This transversal program is naturalistically and systematically centered on physical activity, healthy diet and improved body perception. We will show some preliminary results of 4F program.


Assuntos
Antipsicóticos/efeitos adversos , Terapia por Exercício , Transtornos Mentais/complicações , Transtornos Mentais/terapia , Serviços Preventivos de Saúde , Ganho de Peso , Assistência Ambulatorial , Imagem Corporal , Humanos , Transtornos Mentais/psicologia , Suíça , Ganho de Peso/efeitos dos fármacos
5.
Hu Li Za Zhi ; 66(5): 4-5, 2019 Oct.
Artigo em Chinês | MEDLINE | ID: mdl-31549374

RESUMO

The concept of body image has been applied in various disciplines, including neurology, clinical psychology, psychopathology, behavioral science, and nursing (Cash, 2004; Rhoten, 2017). Meleau-Ponty (1962) identified the body as the subject of perception and considered the body not as an object but as an embodied subject that lives in the world. "Body image" refers to an individual's body, which generates a sensory message through contact with the environment during internal physiological operations and establishes a preliminary mental understanding of the body (Schilder, 1970). Body image is also affected by the external environment. As Plato remarked, "We are bound to our bodies like an oyster is to its shell." Indeed, our life experiences are integrally influenced by the body we happen to live in (Cash, 2004). Because body image is formed primarily by individuals interacting with others, Schilder (1970) called body image a social entity. People desire to keep their body image intact and unaffected by changes, damage, or losses in terms of function or body parts. Any change is perceived as a threat and thus induces anxiety and fear (Rochlin, 1973). In caring for a patient facing body-image changes, a nurse may help the patient using her in-depth knowledge of the potential impacts of this change on the body, mind, social relationships, bodily functions, self-concept, and self-esteem (Roberts, 1978). Under what circumstances do individuals experience body image change? The most common clinical conditions of body image change are: perceiving sensational change (physical discomfort/signs and symptoms), receiving medical treatments/procedures (receiving blood transfusions, injections, punctures), receiving nursing interventions/ procedures (enema, urethral catheterization) pain, taking medications (moon face), experiencing amputation/dysfunction or alteration/disfigurement, becoming pregnant or undergoing labor, acquiring physical diseases or injuries (cancer, HIV/AIDS, skin diseases, burns), and experiencing role failure (Cash, 2004; Rhoten, 2017; Roberts, 1978). Therefore, when a patient complains to a nurse about physical discomforts, it is necessary to understand that the patient is experiencing body image change and will benefit from timely and effective assistance to overcome and accept this change. Body image change is an important issue that should continue to be better understood and addressed in the field of nursing. This article provides a rich account of body image discourse that may be used as a reference in clinical nursing care, education, and research.


Assuntos
Imagem Corporal , Cuidados de Enfermagem , Humanos
6.
Hu Li Za Zhi ; 66(5): 7-13, 2019 Oct.
Artigo em Chinês | MEDLINE | ID: mdl-31549375

RESUMO

Although the concept of body image was first introduced to Taiwan nursing in 1975, its application in the context of clinical nursing with regard to promoting humanistic patient-centered care has yet to be examined. This paper adopts a field-study approach to reinterpret the concept of body image with deeper and broader strength using patient vignettes, nursing case studies, and the findings of prior nursing research. The four main issues covered in this paper are: 1. The body image concept, 2. Building body schema and a postural model based on body experiences, 3. The characteristics of body image, and 4. The extended meaning of body image, including self-concept and the role function of relationship. This paper is expected to help nurses better understand the concept of body image and further apply this concept in clinical practice in order to improve the provision of humanistic patient-centered care.


Assuntos
Imagem Corporal , Cuidados de Enfermagem , Humanismo , Humanos , Assistência Centrada no Paciente
7.
Hu Li Za Zhi ; 66(5): 14-19, 2019 Oct.
Artigo em Chinês | MEDLINE | ID: mdl-31549376

RESUMO

This paper proposed the concepts of "body me" and "I body". Furthermore, the images of colostomy and fistula are used as examples to show that the body image of chronic illness has both temporal and situational meanings and shares a reciprocal relationship with self-identity (i.e., idem identity and ipse identity). Rather than providing an organic explanation, body image is an interactive relationship among time, situation, body, self, and others, which are all important aspects necessary to understand the individual and the world in which she/he lives. Finally, reflecting on humanistic clinical psychology, the ethical relationship practice of "we-ness" is proposed to shed illustrative light on the body image of chronic illness patients from a new perspective.


Assuntos
Imagem Corporal , Doença Crônica/enfermagem , Humanos
8.
Hu Li Za Zhi ; 66(5): 20-25, 2019 Oct.
Artigo em Chinês | MEDLINE | ID: mdl-31549377

RESUMO

Schizophrenia is a basic self-disturbance that in its early stages causes the sufferer discomfort toward feelings of self. Therefore, fragility or abnormality with regard to sense of self was a core observation of early schizophrenia theory. Rather than body-image-related depression or anorexia, disturbed body experience is the main factor affecting body image in patients with schizophrenia. This is a concept that has been discussed in the literature in recent years. This article will introduce the body self model, discuss the schizophrenic symptoms that influence experienced body disturbances and reduce body self-functions, and explore the relationship between body identity and body image. In order to improve the body image of patients with schizophrenia, it is necessary to conduct assessments and interventions that enhance the sense of body identity.


Assuntos
Imagem Corporal/psicologia , Esquizofrenia/enfermagem , Psicologia do Esquizofrênico , Humanos
9.
Hu Li Za Zhi ; 66(5): 26-31, 2019 Oct.
Artigo em Chinês | MEDLINE | ID: mdl-31549378

RESUMO

Although it is the lived body that performs caring actions, we regularly neglect the subjectivity of our bodies. The aim of this paper was to explore the relation between the lived body and the world, emotions as a mediator between body and mind, and the embodiment of group dialogue. 'Embodiment of group' includes listening to the inner voice, listening from the context, and using the mind as a mirror in order to promote self-directed learning. Achieving understanding the subjectivity of the body may significantly improve the quality of nursing care and clinical teaching.


Assuntos
Imagem Corporal , Cuidados de Enfermagem , Emoções , Empatia , Humanos , Aprendizagem
10.
Psychiatr Danub ; 31(Suppl 3): 406-410, 2019 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-31488761

RESUMO

BACKGROUND: Bariatric surgery or reconstructive body contouring surgery performed after weight loss, has the potential to have a major impact one's body image, health-related quality of life (HRQOL) and mental wellbeing. Many researches show interest in measuring this impact using generic instruments that unfortunately are not specifically oriented toward bariatric or surgery patients. The BODY-Q is a new patient-reported outcome (PRO) instrument designed to measure patient perceptions of weight loss and/or body contouring. In this article, we describe the methods used to translate and culturally adapt the French version of the BODY-Q. MATERIAL AND METHOD: We followed the recommendation for translation process established by the International Society for Pharmacoeconomics and Outcome Research (ISPOR) and the World Health Organisation (WHO). This process included two forward translations, one backward translation, a review by a panel of expert and cognitive debriefing interviews with patient. Our aim was to ensure a conceptual and culturally valid translation. RESULTS: This translation process led to a conceptually and culturally equivalent French version of the Body-Q. Backward translation comparison to the English original version led to the identification of 16 differences necessitating re-translation. The expert panel offered support to identify inadequate expressions and proposed changes to the translations. The cognitive debriefing interviews with 15 patients contributed to minor changes in the translation. CONCLUSIONS: This thorough method of translation and cultural adaptation allowed us to develop a conceptually and culturally valid French translation of the BODY-Q.


Assuntos
Contorno Corporal/psicologia , Linguística , Medidas de Resultados Relatados pelo Paciente , Traduções , Imagem Corporal/psicologia , Competência Cultural , França , Humanos , Qualidade de Vida , Reprodutibilidade dos Testes , Perda de Peso
11.
Rev. bras. cir. plást ; 34(3): 344-348, jul.-sep. 2019. ilus, tab
Artigo em Inglês, Português | LILACS | ID: biblio-1047150

RESUMO

Introdução: A maior exposição nas mídias sociais gerou uma maior autoavaliação e a consequente busca pela aparência ideal. Dessa forma, a motivação de utilizar métodos cirúrgicos para melhora da aparência física cresce exponencialmente. Métodos: Foram distribuídos 3 questionários para 64 alunos: "Body Shape Questionnaire" (BSQ), "Escala de Investimento Corporal" (EIC) e "Questionário de interesse em cirurgias plásticas futuras" (QICPF). A partir da tabulação dos dados, foi realizada a análise estatística quantitativa por meio do teste qui-quadrado e risco relativo, para estudo objetivo e cruzado dos questionários. Resultados: O BSQ médio foi de 98,04, a relação de maior pontuação nesse questionário com QIRCP apresentou Risco Relativo (RR=2,41 e p=0,002). A média do EIC foi de 91 e, quando relacionado com QIRCP, não se apresentou estatisticamente relevante (RR=0,94 e p=0,83). Quanto à pergunta objetiva de satisfação corporal e o QIRCP, nota-se que a maior insatisfação corporal é fator de risco para querer realizar mais cirurgias plásticas (RR=1,94 e p=0,003) e as mulheres apresentam-se como o gênero de maior interesse (RR=3,01 e p=0,01). Conclusões: A análise estatística para a população estudada sugere que BSQ elevado, insatisfação corporal e mulheres apresentam maior interesse em realizar cirurgia plástica.


Introduction: Social media has generated an increase in selfevaluation and the search for the ideal appearance. Thus, the motivation to use surgical methods to improve physical appearance has grown exponentially. Methods: The Body Shape Questionnaire (BSQ), Body Investment Scale (BIS), and Questionnaire of Interest in Future Plastic Surgeries (QIFPS) were administered to 64 students. Once the data were collected, a quantitative statistical analysis using the chi-square test and relative risk (RR) was conducted. Results: The BSQ mean was 98.04, the relation of greater punctuation in this questionnaire with QIFPS presented an RR of 2.41; (p = 0.002). The mean BIS score was 91; compared to the QIFPS, it was not statistically relevant (RR = 0.94; p = 0.83). Regarding the objective question of body satisfaction and QIFPS, highest body dissatisfaction was a risk factor for desiring more plastic surgeries (RR = 1.94; p = 0.003), as was female sex (RR = 3.01; p = 0.01). Conclusions: Our findings suggest that a high BSQ score, high body dissatisfaction, and female sex are risk factors for a desire to undergo plastic surgery.


Assuntos
Humanos , História do Século XXI , Satisfação Pessoal , Cirurgia Plástica , Imagem Corporal , Análise Estatística , Inquéritos e Questionários , Estética , Aparência Física , Cirurgia Plástica/psicologia , Cirurgia Plástica/estatística & dados numéricos , Cirurgia Plástica/ética , Imagem Corporal/psicologia , Estética/psicologia
12.
Artigo em Inglês | MEDLINE | ID: mdl-31398792

RESUMO

The main research objective of this study was seeking the predictive role of general self-esteem and the body image in social competences among women and their biological daughters. As it stands, there is a lack of research showing the mothers and their adult daughters at the same time in the context of measuring the same psychological variables, i.e., general self-esteem, self-assessment of the body and specific social competences in the scope of behaviour in intimate situations, situations requiring social exposure and assertiveness. The study group comprised 102 individuals; 51 pairs of mothers (40-64 years old, M = 51.33) and their biological daughters (19-25 years old, M = 22.49). The following instruments were used: The Rosenberg Self-esteem Scale, the Contour Drawing Rating Scale, the Body Esteem Scale, the Social Competence Scale, categorized interview (to measure BMI and collect data describing the criteria for selection to the research group). The significance of the differences and the stepwise regression analysis were performed. The results of the study demonstrated the following to be significant predictors of social competences in subjects: General self-esteem B = 0.615, discrepancy real-obligatory body image B = 0.275 among daughters, and physical condition B = 0.362 in mothers. The general self-esteem of daughters positively influences all verified types of their social competences (competences in intimate situations, in case of social exposure and ability to be assertive). However, it is the significant predictor only for mothers' competences in dealing with situations of social exposure. Discrepancy real-obligatory body image: Seems to be the predictor of daughters' social competences conditioning effectiveness in situations requiring assertiveness. The physical condition among mothers seems to be especially important for their assertiveness and effectiveness in intimate situations. The conflict between the real and the ideal body image is also an important aspect in predicting the assertiveness in the group of mothers. The study results can prove to be helpful in creating preventive and educational programs focused on self-esteem and social competencies in women, including the context of the relation between mothers and their daughters.


Assuntos
Crianças Adultas/psicologia , Imagem Corporal , Mães/psicologia , Núcleo Familiar/psicologia , Autoimagem , Habilidades Sociais , Adulto , Idoso , Feminino , Humanos , Pessoa de Meia-Idade , Polônia , Autoavaliação , Adulto Jovem
13.
Rev Esp Salud Publica ; 932019 Aug 14.
Artigo em Espanhol | MEDLINE | ID: mdl-31409763

RESUMO

OBJECTIVE: Over the past decade, overweight and childhood obesity has increased markedly, and children are therefore dissatisfied with their body image due to the beauty canons established in today's society. The purpose of this paper was to examine the level of obesity and body satisfaction based on sociodemographic and contextual variables of the educational center as well as the relationship they have with the physical self-concept on a sample of primary school and compulsory secondary school students city of Badajoz. METHODS: The instruments used in the study were the questionnaire of Physical Self-concept (CAF) and questionnaire of Bodily Silhouettes. RESULTS: The study involved 1,093 schoolchildren aged between 11 and 14 years old (M = 11.6) from 19 educational centers. CONCLUSIONS: There is a high percentage of overweight students (20%) and a high percentage of satisfied students with their body image (79%). Regarding the relationship between the level of obesity and body satisfaction with sociodemographic and contextual variables we can see how obesity presents significant differences depending on the nature of the center and the educational offer. On the other hand, the correlation analyzes carried out reveal significant differences between the level of obesity and body dissatisfaction with some scales of physical self-concept. You can also observe significant differences between the level of obesity of the school with body dissatisfaction (more cases than expected of students satisfied with their body image with normal weight and fewer cases than expected of students satisfied with their body image with overweight and obesity).


Assuntos
Imagem Corporal/psicologia , Peso Corporal , Sobrepeso/psicologia , Satisfação Pessoal , Autoimagem , Adolescente , Índice de Massa Corporal , Criança , Feminino , Humanos , Masculino , Obesidade , Instituições Acadêmicas , Espanha , Estudantes , Inquéritos e Questionários
14.
Body Image ; 30: 170-211, 2019 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-31394462

RESUMO

This systematic review synthesizes and critically appraises measurement properties of influential body image measures. Eight measures that met the definition of an assessment of body image (i.e., an individual's cognitive or affective evaluation of their body or appearance with a positive or negative valence), and scored high on systematic expert priority ranking, were included. These measures were: the Body Appreciation Scale (original BAS and BAS-2), the Body Esteem Scale for Adolescents and Adults, the Body Shape Questionnaire, the Centre for Appearance Research Valence Scale, the Drive for Muscularity Scale, two subscales of the Eating Disorders Examination Questionnaire, one subscale of the Eating Disorder Inventory 3, and two subscales of the Multidimensional Body Relations Questionnaire. Articles assessing these scales' psychometric properties (N = 136) were evaluated for their methodological quality using the Consensus-based Standards for the selection of health Measurement Instruments (COSMIN) checklist, and a best evidence synthesis was performed. The results supported the majority of measures in terms of reliability and validity; however, suitability varied across populations, and some measurement properties were insufficiently evaluated. The measures are discussed in detail, including recommendations for their future use in research and clinical practice.


Assuntos
Imagem Corporal/psicologia , Inquéritos e Questionários , Humanos , Psicometria , Reprodutibilidade dos Testes , Autorrelato
15.
Artigo em Inglês | MEDLINE | ID: mdl-31394769

RESUMO

The aim of this paper is to examine cross-cultural differences in body stigmatization between the individualistic Christian culture of guilt (Poland) and the collectivistic Buddhist/Confucian culture of honor and shame (Vietnam). The study included 1290 university students from Poland (n = 586) and Vietnam (n = 704). Subjects filled in the body esteem scale and the perceived stigmatization questionnaire, and body measurements were collected to calculate anthropometric indices. Participants from Vietnam were less satisfied with their appearance than their Polish peers. Men in both countries assessed themselves more favorably. No anthropometric index predicted body esteem in Vietnamese women, while only indices related to fat levels were predictors in Polish women. Men with a V-shaped body assessed themselves as stronger and as having a better physical condition. A possible explanation of the observed cross-cultural differences is that interdependent self-construal makes young adults in collectivistic societies more susceptible to criticism, and the Confucian values of modesty and shame lead to them not perceiving their bodies as sexual objects. The Christian sense of guilt does not influence the perception of sexuality. Absence of friendly behavior mediated the relation between anthropometric indices and body esteem in both cultures.


Assuntos
Imagem Corporal/psicologia , Culpa , Estereotipagem , Feminino , Humanos , Masculino , Polônia , Vergonha , Vietnã , Adulto Jovem
16.
Artigo em Inglês | MEDLINE | ID: mdl-31370175

RESUMO

The aim of this study was to analyse body image concerns and symptoms of eating disorders in elite Icelandic athletes according to their sex, and sport practiced. The participants were 755 athletes (24.8 ± 3.5 years in age) who compete at the highest possible level in Iceland. Representing 20 different sports, they were divided into five sports groups. Three questionnaires were used: the Body Shape Questionnaire to assess body image concerns; the Bulimia Test-Revised to assess the main symptoms of bulimia; and the Eating Disorder Examination Questionnaire to identify disordered eating attitudes and behaviours. A chi-squared test was used to analyse differences in prevalence of body image concern and eating disorders, a t-test for the differences between men and women, and a one-way ANOVA to compare the different sports. The main findings were that 17.9% of the athletes presented severe or moderate body image dissatisfaction, and 18.2% (25.3% of the women) were above the clinical cutoff for body image concern. Women's scores were higher than men's (whole sample and ball games) in all variables except restraint. These results seem to point to the existence of a real problem that athlete, coaches, doctors, and institutions need to take into account.


Assuntos
Atletas/psicologia , Imagem Corporal/psicologia , Transtornos da Alimentação e da Ingestão de Alimentos/psicologia , Adolescente , Adulto , Estudos Transversais , Transtornos da Alimentação e da Ingestão de Alimentos/diagnóstico , Transtornos da Alimentação e da Ingestão de Alimentos/epidemiologia , Transtornos da Alimentação e da Ingestão de Alimentos/etiologia , Feminino , Humanos , Islândia , Masculino , Prevalência , Escalas de Graduação Psiquiátrica , Fatores de Risco , Fatores Sexuais , Inquéritos e Questionários , Adulto Jovem
17.
Einstein (Sao Paulo) ; 17(4): eAO4642, 2019 Aug 19.
Artigo em Inglês, Português | MEDLINE | ID: mdl-31433008

RESUMO

OBJECTIVE: To verify the prevalence of dissatisfaction with body image and its association with socio-demographic, economic, and anthropometric variables, as well as levels of physical activity among undergraduate students. METHODS: A cross-sectional study was conducted with 348 undergraduate students at the dining hall of a public Brazilian university located in the state of Mato Grosso do Sul. Body image perception was evaluated using the Silhouette Matching Task. The other variables assessed were sex, age, marital status, housing conditions, socioeconomic class, weight, height, waist circumference and physical activity levels. Multinomial logistic regression was performed to verify the association between the dependent and independent variables. RESULTS: Of the interviewees, 55.7% were men. The prevalence of dissatisfaction with body image was 59.8% among men and 55.2% among women. Dissatisfaction for being overweight, between men and women, was higher in overweight individuals when compared to normal weight individuals, according to the body mass index, and also higher in those at risk for cardiovascular disease when compared to those who were not at risk. The dissatisfaction for being thin was higher among women with low weight when compared to normal weight women, according to body mass index. There was no association between dissatisfaction for being thin and the variables analyzed among men. CONCLUSION: The prevalence of dissatisfaction with body image was observed in more than half of the individuals evaluated and is associated with nutritional status. Knowing the consequences of dissatisfaction with body image helps highlight the need for intervention strategies to avoid the practice of unhealthy behaviors.


Assuntos
Imagem Corporal , Satisfação Pessoal , Estudantes/psicologia , Adolescente , Adulto , Brasil/epidemiologia , Estudos Transversais , Feminino , Humanos , Masculino , Prevalência , Fatores Socioeconômicos , Estudantes/estatística & dados numéricos , Universidades , Adulto Jovem
18.
Artigo em Inglês | MEDLINE | ID: mdl-31450673

RESUMO

Chronic kidney disease (CKD) has considerable effects on the quality of life of patients, impairing everyday activities and leading to lifestyle changes, as well as affecting body image and intimate relationships. Our aim was to describe the experience of female patients with CKD at an ambulatory dialysis unit regarding body changes and sexuality. A qualitative phenomenological study exploring how 18 female patients, treated at the dialysis unit of a Spanish hospital, perceived their sexuality and intimate relationships. Data were collected using in-depth interviews, researcher field notes, and patients' personal letters. A thematic analysis was performed. Four main themes arose from the data describing the experience of how CKD impacts body changes and sexuality: (a) Accepting body changes, (b) The catheter, the fistula, and body image, (c) Experiencing a different sexuality, and (d) The catheter, the fistula, and sexuality. Patients experienced changes in their body, perceiving it as being bloated or deformed, together with overall decline. The catheter and/or the fistula triggered changes in the way the women dress in an attempt to hide port sites. Women experience sexuality changes, affecting sexual desire and satisfaction. The presence of catheters was found to be the most cumbersome during sexual acts.


Assuntos
Imagem Corporal , Libido , Diálise Renal , Adulto , Idoso , Instituições de Assistência Ambulatorial , Feminino , Humanos , Pessoa de Meia-Idade , Pesquisa Qualitativa , Qualidade de Vida , Insuficiência Renal Crônica/terapia , Espanha
19.
Health Qual Life Outcomes ; 17(1): 143, 2019 Aug 17.
Artigo em Inglês | MEDLINE | ID: mdl-31420041

RESUMO

PURPOSE: Because the currently available questionnaires to evaluate sexual changes on breast cancer women only address the sexual sphere with a few questions our purpose was to develop a questionnaire that assesses changes in sexual dysfunction and satisfaction in women treated for breast cancer. METHODS: A sample was selected of women aged between 18 and 65 who had had surgery for breast cancer, completed neoadjuvant/adjuvant chemotherapy treatment and could be receiving adjuvant hormonal treatment, with an active sex life at least 3 months before starting treatment. Metastatic disease was excluded. A questionnaire structured in 4 dimensions was developed. The MOS SF-12 and QLQ-BR23 questionnaires were also provided. The following metric properties were evaluated: item analysis; internal consistency; temporal stability; construct validity; concurrent, convergent and divergent validity; and feasibility. RESULTS: Three samples were recruited: a pilot sample of 20; a reduction sample of 152; and a validation sample of 148. The presence of 6 dimensions was confirmed: 1) Loss of sex drive; 2) worsening of body image; 3) psychological coping; 4) discomfort during intercourse; 5) satisfaction with sexual relations; and 6) satisfaction with breast reconstruction. Good goodness-of-fit statistics were obtained (χ2/df = 1.5, GFI = 0.9, AGFI = 0.84, CFI = 0.959, RMSEA = 0.062). Reliability was good (α = 0.855), as was test-retest stability (r = 0.838). The correlation with the convergent questionnaires proved to be higher than that obtained with generic measurements. CONCLUSIONS: We were able to develop a short questionnaire (17 items) capable of measuring sexual satisfaction in women with breast cancer with good metric properties.


Assuntos
Neoplasias da Mama/psicologia , Orgasmo , Qualidade de Vida , Inquéritos e Questionários/normas , Adaptação Psicológica , Adulto , Idoso , Imagem Corporal/psicologia , Estudos Transversais , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Reprodutibilidade dos Testes
20.
Lupus ; 28(9): 1148-1153, 2019 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-31369342

RESUMO

OBJECTIVE: Systemic lupus erythematosus (SLE) is a multisystem autoimmune disease with treatment manifestations that can cause changes in appearance, including skin rashes, alopecia, vitiligo, and scars. SLE has been shown to adversely impact body image outcomes, and previous research has identified that greater disease activity is associated with worse body image outcomes which, in turn, are associated with greater depressive symptoms. For patients with SLE who also experience significant pain, poor body image outcomes may further compromise wellbeing and lead to greater depressive symptoms. The role of pain in body image has not been explored in SLE. Thus, the present study examined whether body image (specifically, body image-related quality of life) serves as a mediator of the relationship between pain and depressive symptoms among patients with SLE. METHODS: Multiple mediation analysis was used to examine the hypothesis that body image-related quality of life mediates the relationship between pain and depressive symptoms in a sample of patients with SLE (N = 135) from an urban region in Los Angeles, California. RESULTS: The sample was predominately female (92.6%) with a mean disease duration of approximately 17 years. Approximately one-quarter of the sample had elevated depressive symptoms. Body image-related quality of life was a significant mediator in the relationship between pain and depressive symptoms. The model accounted for 51% of the total variance in depressive symptoms (R2 = 0.51). CONCLUSION: This cross-sectional study suggested that body image-related quality of life may mediate the effects of pain on depressive symptoms among patients with SLE.


Assuntos
Imagem Corporal/psicologia , Depressão/epidemiologia , Lúpus Eritematoso Sistêmico/psicologia , Dor/epidemiologia , Adolescente , Adulto , Idoso , Idoso de 80 Anos ou mais , Estudos Transversais , Depressão/etiologia , Feminino , Humanos , Los Angeles , Lúpus Eritematoso Sistêmico/fisiopatologia , Masculino , Pessoa de Meia-Idade , Dor/etiologia , Qualidade de Vida , Adulto Jovem
SELEÇÃO DE REFERÊNCIAS
DETALHE DA PESQUISA