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J Homosex ; 68(7): 1169-1195, 2021 Jun 07.
Artigo em Inglês | MEDLINE | ID: mdl-33646070


The current exploratory study utilized a mixed-methods design to study 18 lesbian Muslims' mental health in relation to familial and online social support (M Age = 24, Sd = 9). Due to the threat of familial rejection, the majority of participants (n = 11) selectively disclosed their sexual identity and four participants publicly disclosed. Half of participants scored as mildly to severely depressed on the Beck Depression Inventory (M = 15, Sd = 9). Participants reporting changes in their familial relationships due to their sexual orientation scored as the most highly depressed, F (2, 15) = 4.75, p = .025. Participants' depression scores varied significantly between those that belonged to online support groups addressing religion and sexuality (n = 8, M = 8.712, SD = 6.183) and those that did not (n = 10, M = 20.250, SD = 7.772), t(16) = 3.416, p = .004. Future research would benefit from exploring how therapeutic alliances and family of choice networks can help buffer lesbian Muslims' experiences of familial rejection.

Homossexualidade Feminina/psicologia , Islamismo/psicologia , Saúde Mental , Minorias Sexuais e de Gênero/psicologia , Adulto , Depressão/etiologia , Emoções , Relações Familiares , Feminino , Humanos , Sexualidade/psicologia , Apoio Social , Adulto Jovem
Int. j. med. surg. sci. (Print) ; 8(1): 1-10, mar. 2021. tab
Artigo em Espanhol | LILACS | ID: biblio-1151569


La sexualidad es un aspecto importante en la calidad de vida de la mujer, sin embargo, los estudios sobre sexualidad dedicados a las mujeres de 60 años y más son escasos. El objetivo de este estudio fue determinar la prevalencia de la disfunción sexual femenina y sus dominios en mujeres de 60 años y más, e identificar la asociación entre enfermedades asociadas y consumo de medicamentos con la disfunción sexual. Se realizó un estudio descriptivo y transversal, en mujeres de 60 años y más, de La Habana, Cuba. Participaron 112 mujeres a las cuales se les aplicaron dos encuestas: el Índice de Función Sexual Femenino (IFSF) y otra que recogía antecedentes médicos y sociales. El 66,1% de las mujeres presentó algún grado de disfunción sexual, la prevalencia aumentaba con la edad. Los dominios más afectados fueron el deseo, la excitación y la lubricación. Se identificó una fuerte asociación entre la enfermedad de Parkinson, la depresión y la artrosis con la aparición de disfunción sexual en la población estudiada, así como el uso de antidepresivos, hipoglicemiantes orales y diuréticos. La disfunción sexual estuvo presente en el 100% de las mujeres octogenarias. Todas las mujeres con enfermedad de Parkinson presentaron disfunción sexual.

Sexuality is an important aspect in women's quality of life, however, sexuality studies dedicated to women age 60 and older are scarce. The objective of this study was to determine the prevalence of female sexual dysfunction and its domains in women age 60 and older, and to identify the association between diseases and drug use with sexual dysfunction. A descriptive and cross-cutting study was conducted, in women 60 years and older, in Havana, Cuba. Two surveys participated in 112 women: The Female Sexual Function Index (IFSF) and another who collected a medical and social history. 66.1% of women had some degree of sexual dysfunction, the prevalence increased with age. The domains most affected were desire, excitement, and lubrication. A strong association between Parkinson's disease, depression and osteoarthritis was identified with the onset of sexual dysfunction in the studied population, as well as the use of antidepressants, oral hypoglycemics and diuretics. Sexual dysfunction was present in 100% of octogenary women. All women with Parkinson's disease had sexual dysfunction.

Humanos , Feminino , Pessoa de Meia-Idade , Idoso , Idoso de 80 Anos ou mais , Disfunções Sexuais Fisiológicas , Disfunções Sexuais Fisiológicas/epidemiologia , Sexualidade/psicologia , Disfunções Sexuais Psicogênicas , Doença de Parkinson/complicações , Qualidade de Vida , Prevalência , Inquéritos e Questionários , Distribuição por Idade , Cuba/epidemiologia , Depressão/complicações
Medicine (Baltimore) ; 100(1): e24168, 2021 Jan 08.
Artigo em Inglês | MEDLINE | ID: mdl-33429800


ABSTRACT: Psoriasis (Pso) and psoriatic arthritis (PsA) frequently have a negative impact on patients' sexual health. We have developed a specific questionnaire assessing the impact of Pso and PsA on patient perception of sexuality: the QualipsoSex Questionnaire (QSQ). The aim of the present study was to further validate this questionnaire by checking its psychometric properties including validity, reliability, and responsiveness.A cross sectional observational study with a longitudinal component for responsiveness and test-retest reliability was performed in 12 centers in France including 7 dermatologists and 5 rheumatologists. Psychometric properties were examined according to the COnsensus-based Standards for the selection of health Measurement INstruments (COSMIN) check-list.At baseline, 114 patients had Pso and 35 patients had PsA including 17 peripheral arthritis, 4 axial disease, 13 patients with both axial disease and peripheral arthritis and one patient with an undifferentiated phenotype. The mean Pso Area and Severity Index score was 12.5. Genital organs were involved in 44.7% of Pso cases. Internal consistency, construct validity, and reliability were good with Cronbach's α coefficient, measure of sampling adequacy and intraclass correlation coefficient respectively at 0.87, 0.84, and 0.93. The QSQ also demonstrated acceptable sensitivity to change.The QSQ has demonstrated good psychometric properties fulfilling the validation process relative to the recommendations of the COSMIN check list. The QSQ is simple to score and may hopefully be valuable in clinical practice and in clinical trials.

Medidas de Resultados Relatados pelo Paciente , Percepção , Psicometria/normas , Sexualidade/psicologia , Adulto , Artrite Psoriásica/complicações , Artrite Psoriásica/psicologia , Estudos Transversais , Feminino , França , Humanos , Masculino , Pessoa de Meia-Idade , Psoríase/complicações , Psoríase/psicologia , Psicometria/instrumentação , Psicometria/métodos , Reprodutibilidade dos Testes , Inquéritos e Questionários
Int J Impot Res ; 33(1): 131-136, 2021 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-33402720


In March 2020, the Italian Government introduced measures to reduce the spread of COVID-19 infection. Between 8th April and 2nd May 2020 we investigated levels and correlates of sexual activity and depression during COVID-19 lockdown in a sample of hospital workers and their acquaintances by an online survey on SurveyMonkey. Socio-demographic data, International Index of Erectile Function, Female Sexual Function Index, and Beck Depression Inventory were recorded. Multivariable logistic regression analysis (MLRA) was used to test predictors of depressive symptoms and low sexual desire and satisfaction. A statistically significant difference in age, change in working habit, sexual satisfaction, sexual desire, and depressive symptoms was found between males and females. A statistically significant higher proportion of health care workers had low sexual desire (65.3% vs 56.8%, p = 0.042). At MLRA, age, being female, being a health care worker, having children at home, living with the partner, and having low sexual satisfaction were predictors of low level of sexual desire. To our knowledge, this is one of the few studies using validated questionnaires for both males and females to assess sexual well-being and psychometric alterations during COVID quarantine.

/psicologia , Depressão/etiologia , Recursos Humanos em Hospital/psicologia , Quarentena/psicologia , Parceiros Sexuais/psicologia , Sexualidade/fisiologia , Sexualidade/psicologia , Adulto , Estudos Transversais , Depressão/diagnóstico , Feminino , Humanos , Itália , Masculino , Saúde Mental , Pessoa de Meia-Idade , Pandemias , Comportamento Sexual
Support Care Cancer ; 29(1): 369-375, 2021 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-32367228


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.

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
Psicooncología (Pozuelo de Alarcón) ; 17(2): 293-309, jul.-dic. 2020. tab, graf
Artigo em Espanhol | IBECS | ID: ibc-199117


OBJETIVO: explorar qué tratamientos psicológicos pueden ayudar a las mujeres supervivientes de cáncer ginecológico a mejorar su vida sexual y relaciones íntimas. MÉTODO: se buscó en bases de datos PubMed, Scopus, PsycInfo y MedLine, investigaciones entre los años 2005 a 2020, enfocados en mujeres supervivientes de cáncer ginecológico e intervenciones dirigidas por un profesional de salud mental sobre la mejoría de la sexualidad y relaciones íntimas de dicha población. RESULTADOS: se obtuvieron 10 artículos (diseño mixto, ensayos controlados aleatorios y estudio de caso) que aplican intervención psicológica enfocada en la mejoría de la sexualidad y relaciones íntimas a mujeres supervivientes de cáncer ginecológico. CONCLUSIONES: La intervención psicoeducativa demostró ser la intervención más utilizada para la mejoría de función sexual y disminución de preocupaciones y malestar sexual en mujeres supervivientes de cáncer ginecológico

OBJECTIVE: explore what psychological treatments can help gynecological cancer survivors to improve their sexual lives and intimate relationhips. METHOD: I searched the databases PubMed, Scopus, PsycInfo and MedLine, research between 2005 and 2020, focused on women survivors of gynecological cancer and treatments led by a mental health professional on the improvement of sexuality and intimate relationships in this population. RESULTS: 10 articles were obtained (mixed design, randomized controlled trials and case studie) that involved psychological interventions focused on the improvement of sexuality and intimate relationships with women survivors of gynecological cancer. CONCLUSIONS: the psychoeducational intervention proved to be the most controlled intervention for the improvement of sexual function and reduction of sexual distress in women survivors of gynecological cancer

Humanos , Feminino , Neoplasias dos Genitais Femininos/psicologia , Intervalo Livre de Doença , Saúde Sexual , Sexualidade/psicologia , Psicoterapia
Gac. sanit. (Barc., Ed. impr.) ; 34(5): 524-527, sept.-oct. 2020. tab
Artigo em Espanhol | IBECS | ID: ibc-198878


Las sexualidades son un aspecto central de la vida de las personas jóvenes. Es una labor de la salud pública entender cómo se construyen -con toda su diversidad- para dar respuestas satisfactorias en el ámbito de la salud sexual. Las características propias de la investigación cualitativa (flexible, abierta y reflexiva) brindan la oportunidad de diseñar estudios aceptados y adaptados a las realidades juveniles, especialmente en un campo sensible. Esta nota tiene como objetivo aportar claves para la captación de jóvenes. En nuestro caso, resultó imprescindible el conocimiento de informantes clave respecto a la población de estudio y el contexto de la investigación, tanto para elegir una estrategia de acercamiento y captación como para adecuar las técnicas de recogida de datos. Finalmente, se emplearon entrevistas individuales y grupos triangulares oportunísticamente en salas de espera de servicios de atención a la salud sexual especializados en jóvenes, donde ya había una predisposición a hablar de sexualidad

Sexuality is a central aspect of young's lives. It is a task of public health to understand how they are constructed with all their diversity, and to give satisfactory answers in the field of sexual health. The characteristics of qualitative research (flexible, open and reflective) provide the opportunity to design studies that are accepted and adapted to the realities of young people, especially in a sensitive field. The aim of this note is to provide clues for the recruitment of young people. In our case, the knowledge of key informants regarding the study population and the research context was essential, both to choose an approach and recruitment strategy and to adapt the data collection techniques. Finally, we used individual interviews and triangular groups opportunistically in waiting rooms of sexual health care services specialized in young people, where there was already a predisposition to talk about sexuality

Humanos , Masculino , Feminino , Adolescente , Adulto Jovem , Sexualidade/psicologia , Comportamento Sexual/psicologia , Saúde Sexual/classificação , Seleção de Pacientes , Sujeitos da Pesquisa/psicologia , Desenvolvimento Psicossexual/classificação , Grupos Focais/métodos , Tamanho da Amostra , 25783 , Serviços de Saúde Reprodutiva/estatística & dados numéricos
PLoS One ; 15(9): e0238501, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32915838


Digital technologies are increasingly intertwined into people's sexual lives, with growing scholarly interest in the intersection of sex and technology (sex-tech). However, much of the literature is limited by its over emphasis on negative outcomes and the predominance of work by and about North Americans, creating the impression that sex-tech is largely a Western phenomenon. Based on responses from 130,885 women in 191 countries, we assessed how women around the world interact with mobile technology for sex-related purposes, and whether in areas of greater gender inequality, technological accessibility may be empowering women with knowledge about sexuality. We investigated women's use of technology to find sexual partners, learn about sex and improve their sexual relationships, and track their own sexual health. About one-fifth reported using mobile apps to find sexual partners. This use varied by region: about one-third in Oceania, one-fourth in Europe and the Americas, and one-fifth in Asia and Africa. Staying connected when apart was the most commonly selected reason for app use with a sexual partner. About one-third had used an app to track their own sexual activity. Very few reported that the app they used to improve their sexual relationships was detrimental (0.2%) or not useful (0.6%). Women in countries with greater gender inequality were less likely to have used mobile apps to find a sexual partner, but nearly four times more likely to have engaged in sending and receiving sexts. To our knowledge, this study provides the most comprehensive global data on sex-tech use thus far, demonstrates significant regional variations in sex-tech use, and is the first to examine women's engagement in sex-related mobile technology in locations with greater gender disparities. These findings may inform large-scale targeted studies, interventions, and sex education to improve the lives of women around the world.

Direitos Humanos/tendências , Aplicativos Móveis/tendências , Comportamento Sexual/psicologia , Adulto , África , América , Ásia , Atitude , Europa (Continente) , Feminino , Humanos , Pessoa de Meia-Idade , Educação Sexual/tendências , Parceiros Sexuais/psicologia , Sexualidade/psicologia , Tecnologia/tendências
Rev. psicol. clín. niños adolesc ; 7(3): 19-26, sept. 2020. tab
Artigo em Espanhol | IBECS | ID: ibc-195035


La situación de confinamiento debido a la COVID-19 ha supuesto un gran cambio en los estilos de vida de los jóvenes. Sin embargo, poco se conoce del impacto que el aislamiento ha tenido en la sexualidad de los adolescentes. Por ello, el objetivo de este trabajo es conocer la frecuencia sexual de los adolescentes durante el confinamiento y sus posibles consecuencias, todo ello con una perspectiva de género. 134 adolescentes españoles, entre 16-20 años, respondieron a una encuesta on-line ad hoc sobre sexualidad, siendo el 59.7% chicas. Un 67.2% de los participantes se consideraba heterosexual, un 91.2% estaba confinado/a con sus padres, un 59.7% estaba soltero/a y un 40.3% tenía pareja estable. Durante el confinamiento, se ha observado un incremento de la frecuencia de masturbación y de las actividades sexuales online, pero estos cambios solo han resultado estadísticamente significativos en los chicos. Entre las causas de este incremento, encontramos razones como "por aburrimiento", "para relajarme", o "debido a un aumento de apetito sexual", siendo los chicos los que más lo justificaban con razones emocionales. Esta mayor frecuencia sexual les generaba mejor estado de ánimo y estar más relajados, aunque gran parte de los chicos refirieron que las actividades sexuales les resultaban menos satisfactorias. Cabría seguir estudiando las posibles consecuencias negativas que pueden surgir de estos cambios en la frecuencia sexual, y analizar el papel que podrían estar jugando las emociones. Todo ello con la intención de diseñar campañas de promoción de la salud sexual en tiempos de confinamiento

The confinement situation due to COVID-19 has brought a great change in the lifestyles of young people. However, little is known about the impact that isolation has had on adolescent sexuality. The objective of this work is to know the sexual frequency of adolescents during confinement and its possible consequences, including gender perspective. 134 Spanish adolescents, between 16-20 years old, responded to an ad hoc online survey on sexuality, being 59.7% girls. 67.2% of the participants considered themselves heterosexual, 91.2% were confined to their parents, 59.7% were single and 40.3% had a stable partner. During confinement, an increase in the frequency of masturbation and online sexual activities has been observed, but these changes have only been statistically significant in boys. Among the causes of this increase, we find reasons such as "due to boredom", "to relax", or "due to an increase in sexual appetite", with boys justifying it the most with emotional reasons. This higher sexual frequency generated a better mood and more relaxation, although many boys reported that sexual activities were less satisfactory. It would be necessary to continue studying the possible negative consequences that can arise from these changes in sexual frequency, and to analyze the role that emotions could be playing. All this to design campaigns to promote sexual health in times of confinement

Humanos , Masculino , Feminino , Adolescente , Adulto Jovem , Comportamento Sexual/psicologia , Comportamento do Adolescente/psicologia , Sexualidade/psicologia , Quarentena/psicologia , Infecções por Coronavirus/psicologia , Masturbação/psicologia , Distância Social , Pandemias/estatística & dados numéricos , Distribuição por Sexo , Avaliação do Impacto na Saúde/estatística & dados numéricos
Int. j. clin. health psychol. (Internet) ; 20(2): 140-150, mayo-ago. 2020. tab, graf
Artigo em Inglês | IBECS | ID: ibc-199094


BACKGROUND/OBJECTIVE: The Interpersonal Exchange Model of Sexual Satisfaction Questionnaire (IEMSSQ) is one of the few instruments that has been developed from a theoretical model and assess sexual satisfaction. In addition, it has been successfully validated in Spanish heterosexual population. The objective of this study is to adapt and examine its psychometric properties (reliability, evidence of validity, and measurement invariance across sexual orientation and sex) in gay people in a relationship. METHOD: A sample of 1,820 adults, of whom 50% are gay people and 55% men, answered the Spanish version of the IEMSSQ. In addition, subjects with gay orientation answered the Massachusetts General Hospital-Sexual Functioning Questionnaire and the Dyadic Adjustment Scale. RESULTS: When comparing by sex and sexual orientation, the IEMSSQ has a strict invariant structure. Its reliability is good, and the evidence of construct and concurrent validity is adequate. However, the components of equality are moderate. CONCLUSIONS: The IEMSSQ makes it possible to compare the sexual satisfaction between gay/heterosexual men and women, presenting good psychometric properties in gay people, constituting an useful instrument in the clinical and research field

ANTECEDENTES/OBJETIVO: El Interpersonal Exchange Model of Sexual Satisfaction Questionnaire (IEMSSQ) es uno de los escasos instrumentos que evalúan la satisfacción sexual desde un modelo teórico y ha sido validado con éxito en población española heterosexual. El objetivo de este estudio es adaptar y examinar sus propiedades psicométricas (fiabilidad, evidencias de validez e invarianza según orientación sexual y sexo) en adultos gais con una relación de pareja. MÉTODO: Una muestra de 1.820 adultos, de los cuales el 50% son gais/lesbianas y el 55% hombres, contestó a la versión española del IEMSSQ. Además, los sujetos con orientación gay contestaron el Massachusetts General Hospital-Sexual Functioning Questionnaire y la Escala de Ajuste Diádico. RESULTADOS: El IEMSSQ posee una estructura invariante estricta, por sexo y orientación sexual. Su fiabilidad es buena, y las evidencias de validez de constructo y concurrente adecuadas, aunque moderadas en los componentes de igualdad. CONCLUSIONES: El IEMSSQ permite comparar la satisfacción sexual entre hombres gais y mujeres lesbianas y heterosexuales, presentando buenas propiedades psicométricas en adultos gais, constituyendo un instrumento útil en el ámbito clínico y en el de la investigación

Humanos , Masculino , Feminino , Adolescente , Adulto Jovem , Adulto , Satisfação Pessoal , Parceiros Sexuais/psicologia , Sexualidade/psicologia , Homossexualidade/psicologia , Inquéritos e Questionários , Fatores Socioeconômicos , Psicometria
Psicothema (Oviedo) ; 32(3): 429-436, ago. 2020. tab, graf
Artigo em Inglês | IBECS | ID: ibc-199784


BACKGROUND: Sexual fantasies are described as thoughts or mental images with sexual content. The Hurlbert Index of Sexual Fantasy (HISF) evaluates the positive attitude towards sexual fantasies. The objective of this study was to provide validity evidence of the Spanish version of the HISF and to present its standard scores. METHOD: The sample was composed of 3,458 adults from the general Spanish population (1,641 men; 1,817 women), distributed across age groups (18-34, 35-49, and over 50 years old). RESULTS: The unifactorial structure of the Spanish version of the HISF showed strict measurement invariance across sex, age range, and education level. Positive attitudes towards sexual fantasies significantly correlated with erotophilia, sexual assertiveness, sexual desire, and sexual functioning. Also, the scale was useful for differentiating between individuals with sexual functioning difficulties and individuals with no difficulties. Finally, the standard scores were obtained based on sex and age range. CONCLUSIONS: The Spanish version of the HISF is a reliable, valid, and invariant scale for assessing a positive attitude towards sexual fantasies in people with different sociodemographic characteristics

ANTECEDENTES: las fantasías sexuales constituyen pensamientos o imágenes mentales con contenido sexual. El Hurlbert Index of Sexual Fantasy (HISF) evalúa la actitud positiva hacia las fantasías sexuales. El objetivo de este estudio fue aportar evidencias de validez a la versión española del HISF y presentar sus baremos. MÉTODO: la muestra estuvo compuesta por 3.458 adultos de la población española general (1.641 hombres, 1.817 mujeres), distribuidos en tres grupos de edad (18-34, 35-49 y 50 años o mayores). RESULTADOS: la estructura unifactorial mostró nivel de invarianza estricta por sexo, rango de edad y nivel educativo. La actitud positiva hacia las fantasías sexuales correlacionó significativamente con erotofilia, asertividad sexual, deseo sexual y funcionamiento sexual. Además, la escala mostró capacidad para diferenciar entre individuos con y sin dificultades en el funcionamiento sexual. Finalmente, se presentan las puntuaciones baremadas por sexo y rango de edad. CONCLUSIONES: la versión española del HISF es una escala fiable, válida e invariante para evaluar la actitud positiva hacia las fantasías sexuales en personas con diferentes características sociodemográficas

Humanos , Masculino , Feminino , Adolescente , Adulto Jovem , Adulto , Pessoa de Meia-Idade , Inquéritos e Questionários , Sexualidade/psicologia , Características Culturais , Traduções , Espanha
Z Psychosom Med Psychother ; 66(2): 193-207, 2020 Jun.
Artigo em Alemão | MEDLINE | ID: mdl-32552592


Is sexual activity during adolescence good for future romantic relationships? Objectives: The study examines the effects of different forms of sexual activity at the age of 16 on sexuality and the quality of romantic relationships at the age of 23. Methods: In a multimodal longitudinal study (diaries, questionnaires), 144 16-year-old adolescents (59.7 % female) reported on their sexual activities and their relationship status. At the age of 23, they reported on their romantic and sexual experiences in the past two years and the quality of their current romantic relationship. Regressions analyzed the predictive power of adolescent predictors for future sexuality and relationship quality. Results: For men and women, frequent non-committed sexual activities at the age of 16 consistently predicted a higher probability of participating in different patterns of non-committed sexual encounters and short relationship duration at the age of 23 years. Adolescents who were more satisfied in their romantic relationships had more stable, longer-lasting partner relationships at young adulthood. Discussion: The special role that non-committed sexual activities compared to sexual activities within a romantic relationship play in future sexual and romantic activities became clear. Parental influences were negligible.

Comportamento do Adolescente , Características da Família , Comportamento Sexual/psicologia , Parceiros Sexuais/psicologia , Adolescente , Feminino , Humanos , Estudos Longitudinais , Masculino , Poder Familiar , Pais/psicologia , Sexualidade/psicologia , Adulto Jovem
J Clin Nurs ; 29(17-18): 3136-3153, 2020 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-32531872


AIMS AND OBJECTIVES: To conduct a systematic review and meta-synthesis of findings from qualitative research about sexuality and intimate relationship among patients with dermatological diseases. BACKGROUND: Over the last few decades, there has been an increase in clinical research investigating aspects related to sex and sexuality in patients living with dermatological diseases. In fact, studies recognise a negative impact on various aspects of intimacy, such as sexual function, self-esteem and romantic relationships. The body of qualitative literature about sexuality in the context of dermatological diseases is emerging but consists mainly of small studies that would benefit from aggregation, synthesis and interpretation to highlight and summarise the overarching dimensions to this clinical issue. DESIGN: A systematic review and meta-synthesis of qualitative studies. METHODS: BioMed Central, Cochrane Library, MEDLINE, CINAHL, PsycINFO, PsycARTICLES, ERIC, Scopus, and Web of Science were searched between June-November 2017 with no publication date limits. Screening and selection of studies was performed according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines (PRISMA). After retrieval, the qualitative data were subject to meta-synthesis to identify overarching themes. RESULTS: Ten qualitative studies were found. We identified four themes: (a) Embarrassment and shame; (b) Impaired sense of attractiveness and sexual avoidance; (c) Relationship issues; and (d) Lack of professional support. The patients in these studies adopted negative coping styles, such as avoidance and hiding their bodies. CONCLUSION: When assessing and evaluating patient care in dermatology, it is important that sexuality and the impact the disease could have on relationships is included. RELEVANCE TO CLINICAL PRACTICE: An important part of nursing care is ensuring that patients are helped to develop positive coping strategies rather than negative ones. Patients with dermatological conditions also need advice and treatment to address any physically related sexual problems. Nurses need to be the initiators of these sensitive conversations to put patients at ease and work together to implement positive measures to reduce the sexuality-related issues patients face.

Parceiros Sexuais/psicologia , Sexualidade/psicologia , Dermatopatias/psicologia , Adaptação Psicológica , Feminino , Humanos , Relações Interpessoais , Masculino , Pesquisa Qualitativa , Autoimagem , Comportamento Sexual/psicologia , Dermatopatias/enfermagem
Clín. investig. ginecol. obstet. (Ed. impr.) ; 47(2): 40-50, abr.-jun. 2020. graf, tab
Artigo em Espanhol | IBECS | ID: ibc-193717


OBJETIVO: El posible impacto de la histerectomía sobre la función sexual genera ansiedad a las mujeres. Los estudios han mostrado controversia. Dada la frecuencia de esta intervención, nuestro objetivo es saber si la función sexual cambia tras la misma. MATERIAL Y MÉTODOS: Comparamos la función sexual antes de la histerectomía, a los 3 meses tras la misma y a los 9 meses, de las 299 mujeres a las que se les programa dicha intervención entre el 1 de noviembre de 2012 y el 31 de noviembre de 2014 en el Complejo Hospitalario Universitario de Albacete. Finalmente forman parte de nuestro estudio 166 mujeres. Se estudia la función sexual con el Cuestionario de Función Sexual de la Mujer (FSM ®). RESULTADOS: Encontramos que, tras la histerectomía, la función sexual de la mujer mejora en algunos aspectos y no cambia en otros. Las menores de 55 años presentan mejoría en el Deseo, en la Excitación y en la Frecuencia de la actividad sexual, y disminución de Problemas con la penetración vaginal; todo esto es ya manifiesto a los 3 meses de la intervención, sin cambios posteriores. La Ansiedad anticipatoria también mejora entre el tercer y noveno mes. Observamos tendencia a la mejoría en el dominio de Capacidad para disfrutar de su vida sexual en general. En mayores de 55 años solo encontramos aumento en la Frecuencia de actividad sexual a los 9 meses de la cirugía. CONCLUSIONES: Tras la histerectomía, la función sexual de la mujer mejora o no cambia. La mejoría se encuentra principalmente en menores de 55 años

OBJECTIVE: Women may experience anxiety because of the possible effects of hysterectomy on sexual function, but studies have shown conflicting results on this topic. Given the frequency of this procedure, the aim of this study is to determine whether sexual function changes after hysterectomy. MATERIAL AND METHODS: A comparison was made of sexual function before hysterectomy to sexual function at 3 and 9 months after the procedure in 299 women who underwent hysterectomy between 1 November 2012 and 30 November 2014, at the Hospital and University Complex of Albacete, Spain. A total of 166 women were finally included in the study. Sexual function was studied using the Women's Sexual Function Questionnaire (Cuestionario de Función Sexual de la Mujer, FSM ®). RESULTS: It was found that some aspects of female sexual function improved after hysterectomy, whereas others did not change. Those younger than 55 years old experience improvements in sexual desire, excitement, and frequency of sexual activity, and had a decrease in problems with vaginal penetration. These changes were all evident 3 months post-intervention, and no changes occurred thereafter. Anticipatory anxiety also improved between the third and ninth month. An upward trend was observed in the general enjoyment of sex life. In those older than 55 years, an increase was only found in the frequency of sexual activity at 9 months post-operation. CONCLUSIONS: After hysterectomy, female sexual function either improves or remains unchanged. Improvement is primarily found in women younger than 55 years old

Humanos , Feminino , Adulto , Pessoa de Meia-Idade , Idoso , Histerectomia/métodos , Histerectomia/psicologia , Sexualidade/psicologia , Comportamento Sexual/psicologia , Comportamento Sexual/fisiologia , Inquéritos e Questionários , Estudos Prospectivos , Estudos Longitudinais
Index enferm ; 29(1/2): 18-22, ene.-jun. 2020. ilus, tab
Artigo em Espanhol | IBECS | ID: ibc-197420


OBJETIVO PRINCIPAL: describir las experiencias de la sexualidad en adultos con diagnóstico de leucemia sometidos a quimioterapia. METODOLOGÍA: estudio exploratorio cualitativo de tendencia fenomenológica, ocho participantes y dos entrevistas a profundidad por cada uno. El análisis hizo un acopio de toda la información y un rastreo de temas, se intentó captar la esencia, emergieron temas y se profundizó en el significado de la experiencia. Fue aprobado por el Comité de Ética. RESULTADOS PRINCIPALES: se develaron tres temas analíticos: (1) las relaciones se fortalecen, (2) con la enfermedad, el deseo sexual está inhibido y (3) hay necesidades de información sobre sexualidad. CONCLUSIÓN PRINCIPAL: la sexualidad se expresa en las relaciones interpersonales y la interacción con la familia. El deseo sexual está inhibido porque hay otras prioridades. Es necesario informar sobre la sexualidad por parte del personal de salud

MAIN OBJECTIVE: To describe sexuality experiences, in adults diagnosed with leukemia, undergoing chemotherapy. METHODOLOGY: Qualitative, exploratory study of phenomenological trend. A total of eight participants. Two in-depth interviews were conducted for each one. The analysis was collected of all information and tracked topics. The essence was captured and some sub-topics were established. The meaning of the experience of sexuality was deepened. It was approved by the Ethics Committee. MAIN RESULTS: Three analytical topics were unveiled: (1) Relations are strengthened, (2) With the disease sexual desire is inhibited and (3) Information needs about sexuality. MAIN CONCLUSION: Sexuality is expressed in relationships and interaction with family. Sexual desire is inhibited because sex is outside its priorities. It is necessary complete and clear information about sexuality by the health personnel

Humanos , Masculino , Feminino , Adulto Jovem , Adulto , Pessoa de Meia-Idade , Idoso , Leucemia/tratamento farmacológico , Sexualidade/psicologia , Adaptação Psicológica , Recursos Humanos de Enfermagem/psicologia , Leucemia/psicologia , Comportamento Sexual/psicologia , Relações Interpessoais , Fadiga/induzido quimicamente , Apoio Social
Artigo em Inglês | MEDLINE | ID: mdl-32384717


Suicide-related behavior (SRB) is a mental health disparity experienced by the alternative sexuality community. We assessed mental health, relationship orientation, marginalized identities (i.e., sexual orientation minority, gender minority, racial minority, ethnic minority, and lower education), and preferences in information processing (PIP) as factors differentiating lifetime SRB groups. An online cross-sectional survey study was conducted in 2018. Members of the National Coalition for Sexual Freedom (NCSF; n = 334) took part. Bivariate analyses identified the following SRB risk factors: female and transgender/gender non-binary identity, sexual orientation minority identity, lower education, suicide attempt/death exposure, Need for Affect (NFA) Avoidance, depression, and anxiety. Monogamous relationship orientation was a protective factor. Multi-nomial regression revealed the following: (1) monogamous relationship orientation was a protective factor for suicidal ideation and attempt; (2) lower education was a risk factor for suicide attempt; (3) anxiety was a risk factor for suicide attempt; and (4) depression was a risk factor for suicidal ideation. A two-way interaction showed that elevated NFA Approach buffered the negative impacts of depression. Relationship orientation, several marginalized identities (i.e., based on gender, sexual orientation, and educational level), and PIP all contributed uniquely to SRB. Further study is necessary to understand the role of relationship orientation with suicide. Health education and suicide prevention efforts with NCSF should be tailored to account for marginalized identity, mental health, and NFA factors.

Grupos Étnicos/psicologia , Identidade de Gênero , Comportamento Sexual , Minorias Sexuais e de Gênero/psicologia , Sexualidade , Ideação Suicida , Cognição , Estudos Transversais , Feminino , Humanos , Masculino , Grupos Minoritários , Fatores de Risco , Comportamento Sexual/etnologia , Comportamento Sexual/psicologia , Sexualidade/etnologia , Sexualidade/psicologia , Sexualidade/estatística & dados numéricos , Tentativa de Suicídio/psicologia
Int J Equity Health ; 19(1): 46, 2020 04 01.
Artigo em Inglês | MEDLINE | ID: mdl-32238161


BACKGROUND: Lesbian, gay and bisexual (LGB) people often face individual- and system-level barriers in health care. However, LGB people's experiences of health care in non-European and non-American settings have been scarcely studied. In China, while it has been estimated that there are at least 70 million gender and sexual minorities, there has been no larger-scale study on LGB people's experiences of health care beyond a focus on gay men and HIV. This study is the first larger-scale quantitative study to investigate LGB people's experiences of health care in China, where non-heterosexuality is officially silenced and the needs of non-heterosexual people are largely ignored by service providers. METHODS: An online survey was designed in joint partnership by academic, community groups and the United Nations Development Programme. Targeted and snowball sampling was adopted for participant recruitment. Such unique cross-sectoral partnership made this research possible in the authoritarian state of China where data collection on LGB people is extremely rare. For the analysis in this paper, a sample of 15,611 Chinese LGB people were included. Frequency and descriptive statistics were conducted to describe the LGB respondents' demographic characteristics and their experiences in health care settings. Chi-square tests were conducted to test how experiences vary across LGB people with different demographic characteristics. RESULTS: More than three quarters of the respondents said they would be willing to disclose to their medical care providers their sexual orientation if asked. However, only 5.7% of the respondents said that medical care providers ever asked them about their sexual orientation. About 8.0% of the LGB people surveyed reported having experienced negative treatment in medical care settings. Six percent (5.7%) of the Chinese LGB people said in accessing mental health care services, they were recommended, coaxed into, or provided conversion therapy for sexual orientation, gender identity or gender expression. CONCLUSIONS: There is a strong need to enhance LGB cultural competence among health care providers. Policymakers in China should also formulate laws, policies, regulations, clearly articulated codes of conduct, and transparent procedures and practices to ensure non-discrimination of LGB people in the health care system, with a particular focus on banning conversion therapy.

Assistência à Saúde/estatística & dados numéricos , Revelação , Satisfação do Paciente/estatística & dados numéricos , Sexualidade/psicologia , Adolescente , Adulto , Bissexualidade , China , Estudos Transversais , Feminino , Identidade de Gênero , Humanos , Masculino , Serviços de Saúde Mental/estatística & dados numéricos , Minorias Sexuais e de Gênero , Fatores Socioeconômicos , Inquéritos e Questionários , Adulto Jovem
Arq. bras. psicol. (Rio J. 2003) ; 72(1): 105-124, jan.-abr. 2020.
Artigo em Português | LILACS, Index Psicologia - Periódicos técnico-científicos | ID: biblio-1114675


Este artigo tem como objetivo problematizar as práticas da Psicologia no campo do Processo Transexualizador, buscando entender como esses saberes vão emergindo e produzindo formas de existência e práticas sobre a população que está dentro desse dispositivo. A Psicologia é uma das responsáveis por criar esses saberes, que subjetivam essa população e apontam como ela deve ser governada. Nessas trilhas, podemos pensar como a Psicologia já ocupou o lugar que patologiza e reforçava o entendimento de anormalidade, evidenciando uma população que deve ser governada. Contudo, é também por encontrar outros saberes e até mesmo entrar em contato com os movimentos sociais que a Psicologia encontra outros caminhos para despatologizar e produzir práticas que entendam as diferentes formas de existência e as possibilidades do corpo trans.

This paper aims to problematize the practices of Psychology in the field of the Transsexualization Process, in an attempt to understand how those knowledges have emerged and produced ways of existence and practices related to the population within this device. Psychology is one of the areas that have created those knowledges, which both subjectify this population and point out the way it must be ruled. In this path, we could think about how Psychology has occupied the place that pathologizes and reinforces the understanding of abnormality, thus evidencing a population that should be ruled. However, it is also because Psychology has found other knowledges and has even been in contact with other social movements that it has found other paths to de-pathologize and produce practices by understanding different ways of existence and the possibilities of a trans body. paper aims to problematize the practices of Psychology in the field of the Transexualizing Process, in an attempt to understand how those knowledges have emerged and produced ways of existence and practices related to the population within this device. Psychology is one of the areas that have created those knowledges, which both subjectify this population and point out the way it must be ruled. In this path, we could think about how Psychology has occupied the place that pathologizes and reinforces the understanding of abnormality, thus evidencing a population that should be ruled. However, it is also because Psychology has found other knowledges and has even been in contact with other social movements that it has found other paths to de-pathologize and produce practices by understanding different ways of existence and the possibilities of a trans body.

Este artículo tiene como objetivo problematizar las prácticas de la Psicología en el campo del Proceso de Transexualización, buscando comprender cómo está surgiendo este conocimiento y produciendo formas de existencia y prácticas sobre la población que se encuentra dentro de este dispositivo. La Psicología es una de las responsables por crear este conocimiento, que subjetiva a esta población y señala cómo debe ser gobernada. Por este camino, podemos pensar en cómo la Psicología ya ha ocupado el lugar que torna patológica, y refuerza la comprensión de la anormalidad, destacando una población que debe ser gobernada. Sin embargo, es también para encontrar otro conocimiento e incluso contactar movimientos sociales que la Psicología encuentra otras formas de despatologizar y producir prácticas que entiendan las diferentes formas de existencia y las posibilidades del cuerpo trans.

Psicologia/tendências , Transexualidade , Sistema Único de Saúde , Sexualidade/psicologia
Invest Educ Enferm ; 38(1)2020 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-32124571


OBJECTIVES: To know the social representations of female sex workers about their sexuality. METHODS: Qualitative study based on the Theory of Social Representations. Thirty-nine women from a health region of Alto Sertão Produtivo Baiano - Brazil agreed to participate. For the production of empirical data, the techniques of Free Word Association and in-depth interviews were used. The answers were analyzed based on Constellation Target Content Analysis and Semantic Content Analysis. RESULTS: Two thematic categories emerged: "negative representation of sexuality"; "my pleasure is the money". Therefore, the theme sexuality and meanings derived from the social representations elaborated by the sex workers about sexuality, based on their experiences and daily life, showed that the work involved a negative representation of sexuality when associated with sexual satisfaction with the client, in addition to the allusion to sex as a source of income. CONCLUSIONS: The social representations about sexuality constructed by sex workers are linked to the feeling of denial of pleasure and obtaining money for subsistence. Reflecting on sexuality points out ways to rethink the care to be provided for a stigmatized and vulnerable group.

Renda , Trabalho Sexual/psicologia , Profissionais do Sexo/psicologia , Sexualidade/psicologia , Percepção Social , Adulto , Feminino , Humanos , Orgasmo , Prazer , Pesquisa Qualitativa , Comportamento Sexual/psicologia , Populações Vulneráveis/psicologia , Testes de Associação de Palavras , Adulto Jovem