Academic literature on the topic 'Sexual dysfunctions, psychological – therapy'
Create a spot-on reference in APA, MLA, Chicago, Harvard, and other styles
Consult the lists of relevant articles, books, theses, conference reports, and other scholarly sources on the topic 'Sexual dysfunctions, psychological – therapy.'
Next to every source in the list of references, there is an 'Add to bibliography' button. Press on it, and we will generate automatically the bibliographic reference to the chosen work in the citation style you need: APA, MLA, Harvard, Chicago, Vancouver, etc.
You can also download the full text of the academic publication as pdf and read online its abstract whenever available in the metadata.
Journal articles on the topic "Sexual dysfunctions, psychological – therapy"
1
O'Gorman, Ethna C., Ian T. Bownes, and Wallace W. Dinsmore. "Sexual and marital dysfunction and polypartnerism in sexually transmitted diseases (STD) clinic attenders." Irish Journal of Psychological Medicine 7, no. 1 (March 1990): 32–35. http://dx.doi.org/10.1017/s0790966700016980.
Full textAbstract:
AbstractSexual dysfunctions are common in S.T.D. (Sexually Transmitted Diseases) Clinic attenders. Marital/relationship dysfunctions frequently follow specific sexual dysfunctions such as erectile, impotence and premature ejaculation. In addition concomitant marital therapy has been shown to enhance treatment for sexual dysfunction. Polypartnerism or multiple or serial sexual partners is also a common feature of S.T.D. clinic attenders. To date, no study has fully evaluated the social, psychological and medical determinants of this behaviour.The study examined the relationship between sexual dysfunction, marital difficulties and polypartnerism in 50 heterosexual STD clinic attenders. Thirty-one per cent of the sample had pathological scores on the Golombok-Rust Inventory of Sexual Satisfaction (GRISS). Forty-two per cent of the sample has pathological scores on the Golombok-Rust Inventory of Marital Satisfaction (GRIMS). There was a significant relationship between sexual dysfunction and marital dysfunction. Polypartnerism was also correlated with sexual and relationship dysfunction. It was felt that by offering treatment for specific sexual dysfunctions identified at STD clinics, marital/relationship difficulties could be averted. Subsequently polypartnerism could be reduced. By altering polypartnerism in this way, an important opportunity to influence vector spread of STD, including HIV infection is afforded.
2
Crowe, Michael. "Couple relationship problems and sexual dysfunctions: therapeutic guidelines." Advances in Psychiatric Treatment 18, no. 2 (March 2012): 154–59. http://dx.doi.org/10.1192/apt.bp.109.007443.
Full textAbstract:
SummarySex is central to most intimate relationships, and there is inevitably a two-way interaction between sex and intimacy. Sex is a physical, a psychological and an interpersonal event, and treatment of sexual problems should take account of all three aspects. Couple relationship problems that can affect sexual interaction include pervasive hostility, poor communication, lack of trust and disparate levels of sexual desire. Therapists should be able to manage therapy sessions with both partners present, without taking sides, and treating the relationship, rather than either individual, as the ‘client’. They should be able to balance the physical approach to problems with managing relationship issues and the partners' individual psychological problems. Techniques are recommended for understanding and modifying the couple relationship during therapy, as well as for dealing with specific sexual problems using a behavioural systems approach.
3
Scanavino, Marco de Tubino. "Sexual Dysfunctions of HIV-Positive Men: Associated Factors, Pathophysiology Issues, and Clinical Management." Advances in Urology 2011 (2011): 1–10. http://dx.doi.org/10.1155/2011/854792.
Full textAbstract:
Sexual dysfunctions in HIV-positive men are associated with an increase in risky sexual behavior and decreased adherence to antiretroviral drug regimens. Because of these important public health issues, we reviewed the literature on the pathophysiology, associated factors and clinical management of sexual dysfunction in HIV-positive men. The goal was to investigate the current research on these issues. Literature searches were performed in June 2011 on PubMed, Web of Science, and PsycInfo databases with the keywords “AIDS” and “sexual dysfunction” and “HIV” and “sexual dysfunction”, resulting in 54 papers. Several researchers have investigated the factors associated with sexual dysfunction in HIV-positive men. The association between sexual dysfunction and antiretroviral drugs, particularly protease inhibitors, has been reported in many studies. The lack of standardized measures in many studies and the varying study designs are the main reasons that explain the controversial results. Despite some important findings, the pathophysiology of sexual dysfunction in the HAART era still not completely understood. Clinical trials of testosterone replacement therapy have shown the treatment to be beneficial to the improvement of sexual dysfunctions related to hypogonadism. However, there are not enough psychological intervention studies to make conclusions regarding the therapeutic effects of psychotherapy.
4
Lafortune, David, Marianne Girard, Éliane Dussault, Mathieu Philibert, Martine Hébert, Marie-Aude Boislard, Mathieu Goyette, and Natacha Godbout. "Who seeks sex therapy? Sexual dysfunction prevalence and correlates, and help-seeking among clinical and community samples." PLOS ONE 18, no. 3 (March 6, 2023): e0282618. http://dx.doi.org/10.1371/journal.pone.0282618.
Full textAbstract:
Sexual dysfunctions (SD; e.g., female sexual interest/arousal disorder, erectile disorder, female orgasmic disorder, delayed ejaculation, genito-pelvic pain/penetration disorder, etc.) affect up to a third of individuals, impairing sexuality, intimate relationships, and mental health. This study aimed to compare the prevalence of SDs and their sexual, relational, and psychological correlates between a sample of adults consulting in sex therapy (n = 963) and a community-based sample (n = 1,891), as well as examine barriers to sexual health services for SD and the characteristics of individuals seeking such services. Participants completed an online survey. Analyses showed that participants in the clinical sample reported lower levels of sexual functioning and sexual satisfaction and higher levels of psychological distress than participants in the community-based sample. Moreover, higher SD rates were related to lower relational satisfaction and higher psychological distress in the community sample, and to lower sexual satisfaction in both samples. Among participants in the community sample who sought professional services for SD, 39.6% reported that they were unable to access services, and 58.7% reported at least one barrier to receiving help. This study provides important data regarding the prevalence of SD and the link between SD and psychosexual health in clinical and nonclinical samples, as well as barriers to treatment access.
5
BÖLÜKBAŞI, Sadık Ahmet. "Cinsel İşlev Bozuklukları Olan Bireylerde Cinsel Terapinin Sistematik Derlemesi." International Journal of Social Sciences 7, no. 32 (December 20, 2023): 295–314. http://dx.doi.org/10.52096/usbd.7.32.19.
Full textAbstract:
Sexual dysfunctions are included in the DSM-5 diagnostic criteria as a disorder that occurs in young adulthood after adolescence or after the start of a regular sexual life. These disorders, which may be of organic or psychological origin, are not expected to occur under the influence of another diagnosis. Sex therapy is a cognitive-behavioral-based psychotherapy method that is frequently used in clinics and hospitals today. In particular, it has an eclectic perspective rather than advancing in the light of a single theory or model. It is a treatment method that requires a holistic approach to the entire life of the individual and a broad perspective before the sexual problems experienced by the individual. The aim of this study is to examine sexual dysfunctions from the perspective of sexual therapies and to compile theoretical and quantitative studies systematically conducted in national and international literature. A systematic review method was used in this study. A literature review was conducted on the most recent studies conducted between 2011-2022. In order to compile the studies to be included in the research, Google Scholar, DergiPark, ScienceDirekt, Ulakbim, Yök Tez, PubMed and Near East Grand Library electronic databases were searched in Turkish and English. In the light of the determined criteria, a total of 6 studies were included. The results of this systematic review study suggest that sexual therapy is an effective intervention in minimizing SD and it becomes a factor that increases the functionality of the individual's sexual life. Keywords: sexuality, sexual dysfunctions, sexual therapy
6
Konovalov, Vladislav G., and Vladimir D. Mendelevich. "Sexual disorders in chronic salpingo-oophoritis as a variant of the biopsychosocial model." Gynecology 23, no. 6 (December 15, 2021): 571–77. http://dx.doi.org/10.26442/20795696.2021.6.201276.
Full textAbstract:
Background. Modern gynecology uses all the latest achievements of other medical, basic natural sciences and medical technologies. However, sexopathology in women with gynecological diseases, due to the complexity of etiopathogenesis, remains poorly understood.
Aim. Development of a diagnostic algorithm and identification of the structure of sexual disorders (SD) in chronic salpingo-oophoritis (CSO).
Materials and methods. We examined 100 gynecological patients aged 1838 (on average 27.31.2) years with a diagnosis of CSO (N70.1 according to ICD-10), 67% of whom had sexual dysfunctions. Research methods: clinical-psychopathological, psychometric, experimental-psychological, sexological, gynecological, statistical.
Results. SD which are present in 67% of women with CSO, are more often (40.3%) of a mixed nature. Neurotic disorders are represented by somatoform (F45) 29.9%; anxiety-phobic (F40) 22.4%; conversion (F44) 14.9% disorders and neurasthenia (F48.0) 7.5%.
Conclusion. The severity of the course of CSO does not always correspond to the level of manifestations of sexual dysfunction; the predominant sexual dysfunction is dyspareunia (54%). Somatogenic asthenia, which according to ICD-10 refers to mental disorders, is reduced by purely somatic (gynecological) therapy. The tactics of gynecologists to identify sexual dysfunctions in women with gynecological diseases have been determined. An in-depth analysis of SD in CSO has been carried out in two main directions (sexo gyneco) in the domain of science (logy) as a variant of the modern biopsychosocial model proposed in ICD-11.
7
ARIAN, Iurii, Dumitrita BIVOL, Daniela MACHIDON, and Ion DUMBRAVEANU. "Management of sexual and reproductive problems in breast cancer survivors." One Health & Risk Management 5, no. 2 (February 19, 2024): 4–12. http://dx.doi.org/10.38045/ohrm.2024.2.01.
Full textAbstract:
Introduction: Breast cancer is the most widespread form of cancer in women and is a threat to female sexuality, considering the breast's significance in female sexuality, sexual fulfillment, and attractiveness. Female sexual disorders, that involve issues with sexual desire, attraction, stimulation, orgasm, and genitopelvic pain, are common in midlife breast cancer survivors (BCS). Materials and methods: A systematic and structured search of the English-language literature was conducted using PubMed, SCOPUS, EMBASE, and Web of Science databases to find studies relevant to the targeted issue. After the initial search, 160 items were located. Finally, 30 articles were included in this review. Results: Patients with sexual dysfunctions may benefit from a variety of treatment approaches, such as pharmaceutical, physical, and psychological ones. Evidence shows that local strategies, such as vaginal estrogens and DHEA, vaginal moisturizers, aqueous lidocaine, vaginal dilators, intravaginal laser and radiofrequency, as well as psychotherapeutic strategies, such as cognitive behavioral therapy and couple therapy based on sexual health improve sexual function. Conclusions: Identifying and managing sexual dysfunction demands greater consciousness, interpersonal interaction, and education among community physicians and other related health practitioners. To provide appropriate care and prevent the condition from getting more severe, a systematic evaluation of sexual function in BCS patients may be helpful in early diagnosis of all instances.
8
BJ, Pereira. "Therapeutic Approach to Erectile Dysfunction - News and Future Perspectives." Open Access Journal of Urology & Nephrology 7, no. 1 (January 7, 2022): 1–8. http://dx.doi.org/10.23880/oajun-16000201.
Full textAbstract:
Erectile dysfunction is defined as the inability to get or keep an erection that is sufficient for satisfactory sexual intercourse. It is one of the most prevalent sexual dysfunctions in men, usually correlated with aging. This pathology is generally associated with repercussions in the psychological and social well-being of the patient and his relationship with his partner. This way, it is considered an important cause of a decrease in quality of life. The treatments available today, in most cases, solve the symptoms, however, none of them can reverse the physiopathological basis of erectile dysfunction. In addition to that, they can also interfere with the spontaneity of sexual intercourse, which may be an obstacle to their use. The search for new therapeutic alternatives for erectile dysfunction is in constant development. As sexuality is an important element in human life, an update on these therapeutic advances becomes pertinent, since they could eventually change the paradigm of treatment of this pathology. This work aims to produce a review of the evidence on recent therapeutic advances in erectile dysfunction, as low-intensity shockwave therapy, botulinum toxin treatment, and platelet-rich plasma therapy. This way, a wide bibliography research will be conducted, through online databases and relevant manuscripts.
9
Gazan, Marjorie. "An Evaluation of a Treatment Package Designed for Women with a History of Sexual Victimization in Childhood and Sexual Dysfunctions in Adulthood." Canadian Journal of Community Mental Health 5, no. 2 (September 1, 1986): 85–102. http://dx.doi.org/10.7870/cjcmh-1986-0018.
Full textAbstract:
This study systematically evaluated the effectiveness of a treatment package developed for women who had been sexually victimized in childhood or adolescence and who were experiencing sexual dysfunctions in adulthood that they attributed to these earlier experiences. The treatment package consisted of three components: (a) relaxation training, (b) cognitive restructuring of the women's erroneous beliefs about sexual victimization, and (c) treatment of the sexual dysfunctions. A multiple-baseline across-subjects design was utilized (Hersen & Barlow, 1976). Participants included five women and their partners who voluntarily sought therapy from the Psychological Services Centre, University of Manitoba. Repeated measures were collected at specific intervals through the treatment and at follow-up using interview data and several standardized questionnaires. The results indicated the treatment package was successful in assisting the women in the study to achieve the first two goals of therapy: (a) to modify the woman's erroneous beliefs about sexual victimization, particularly those beliefs related to psychosexual functioning, and (b) to increase the woman's sexual functioning and sexual satisfaction. The treatment package intervention had only limited success in assisting the couple to achieve sexual satisfaction. Reasons for this may relate to (a) the women's reported increased sense of self-worth and self-confidence following the cognitive restructuring, (b) subsequent demands by the women for a more egalitarian sexual relationship, and (c) the incorrect assumption that partners were prepared to assist the women in achieving overall sexual satisfaction.
10
Mirzaei, Amir, and Tayebeh Sharifi. "Comparison of the Effectiveness of Emotion-Focused Therapy and Intensive Short-Term Psychodynamic Therapy on Sexual Dysfunction and Quality of Sexual Life in Women." Applied Family Therapy Journal 5, no. 2 (2024): 171–81. http://dx.doi.org/10.61838/kman.aftj.5.2.19.
Full textAbstract:
Objective: The present study aimed to compare the effectiveness of emotion-focused therapy and short-term psychodynamic therapy on sexual dysfunction and the quality of sexual life in women attending counseling and psychotherapy centers in Isfahan. Methods: The research design was a quasi-experimental pre-test, post-test, and follow-up. The population included all women in Isfahan province suffering from sexual dysfunction in 2023. Sixty individuals were selected through purposive sampling and randomly assigned into three groups: twenty in the first experimental group, twenty in the second experimental group, and twenty in the control group. The first experimental group underwent emotion-focused psychological intervention based on the therapeutic protocol by Gilbert (2014) in fifteen 60-minute sessions, and the second experimental group received short-term psychodynamic psychological intervention based on the therapeutic protocol (Davanloo, 2013) in twelve 60-minute sessions held weekly, followed by a one-month follow-up. The control group was placed on a two-month waiting list for the most effective intervention. Data collection for analysis was conducted using the Rosen et al. (2000) Women's Sexual Dysfunction Questionnaire and the Simonds et al. (2005) Women's Sexual Life Quality Questionnaire. Data analysis was performed using mixed ANOVA with SPSS version 25. Findings: The findings indicated that both treatments were effective in reducing sexual dysfunction in women (F = 73.08, p < .001) and improving the quality of sexual life (F = 18.02, p < .001). However, there was a significant difference between the effectiveness of the two therapeutic methods in reducing sexual dysfunction and increasing the quality of sexual life in women (p < .001). Conclusion: It can be concluded that both emotion-focused and short-term psychodynamic therapies are effective in reducing sexual dysfunction and improving the quality of sexual life in women. Both treatments can be used to reduce psychological issues in women attending counseling centers.
Dissertations / Theses on the topic "Sexual dysfunctions, psychological – therapy"
1
Engman, Maria. "Partial vaginismus : definition, symptoms and treatment." Doctoral thesis, Linköping : Univ, 2007. http://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-10036.
Full text
2
Öberg, Katarina. "On conditions of Swedish women's sexual well-being : an epidemiological approach /." Uppsala : Acta Universitatis Upsaliensis : Univ.-bibl. [distributör], 2005. http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-5843.
Full text
3
Wilson, Jerika. "Who’s Coming to Sex Therapy? Exploring Black Women’s Willingness to Seek Treatment for Sexual Problems/Dysfunctions." University of Cincinnati / OhioLINK, 2016. http://rave.ohiolink.edu/etdc/view?acc_num=ucin1479816476417109.
Full text
4
Bergmark, Karin. "Sexual dysfunction and other distressful symptoms in cervical cancer survivors /." Stockholm, 2002. http://diss.kib.ki.se/2002/91-7349-132-2.
Full text
5
Morgan, Tracy. "Psychological change in group therapy experienced by women survivors of childhood sexual abuse." Thesis, National Library of Canada = Bibliothèque nationale du Canada, 1998. http://www.collectionscanada.ca/obj/s4/f2/dsk1/tape11/PQDD_0002/NQ42569.pdf.
Full text
6
Lucena, Bárbara Braga de. "(Dis)função sexual, depressão e ansiedade em pacientes ginecológicas." Universidade de São Paulo, 2013. http://www.teses.usp.br/teses/disponiveis/5/5160/tde-27092013-150435/.
Full textAbstract:
Os objetivos do presente estudo foram: (1) avaliar a função sexual feminina e a presença de depressão e ansiedade; (2) verificar a associação entre disfunção sexual feminina (DSF), depressão e ansiedade e (3) identificar as variáveis relacionadas com os domínios: desejo, excitação, orgasmo e dor durante a relação sexual Participaram do estudo 110 pacientes saudáveis (idade: 18-61, média:38,5 anos) que aguardavam consulta ambulatorial de prevenção ginecológica no Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo (HCFMUSP). A avaliação foi realizada com questionários específicos desenvolvidos para a pesquisa, juntamente com o Quociente Sexual Feminino (QS-F), Inventário Beck de Depressão (BDI-II) e Inventário Beck de Ansiedade (BAI). A análise das respostas mostrou que do total da amostra, 36 (32,7%) mulheres apresentavam inibição de desejo; 16 (14,5%), problemas de excitação; 35 (31,8%), dificuldades de orgasmo; 31 (28,2%) queixavam-se de dor durante a relação; e 39 (35,5%) atingiram pontuação inferior a 60 no QS-F, indicando DSF em geral. Depressão e ansiedade acometeram 26 (23,6%) e 37 (33,6%) pacientes, respectivamente. Os dados também revelaram uma relação significante entre DSF, depressão e ansiedade, além de identificar fatores de risco para os domínios sexuais. Diminuição do desejo sexual foi associada à depressão, ansiedade, escolaridade, incômodo com próprio o corpo, masturbação e educação sexual; problemas de excitação foram ligados à depressão, ansiedade, idade, escolaridade, incômodo com o próprio corpo, medo relacionado a sexo e educação sexual; orgasmo foi impactado por depressão, ansiedade, escolaridade, incômodo com o próprio corpo, medo relacionado a sexo, vergonha durante o ato sexual, masturbação e educação sexual; queixas de dor durante a relação sexual foram associadas à depressão, renda, escolaridade e educação sexual; por fim, fatores relevantes para a presença de DSF em geral foram depressão, ansiedade, escolaridade, incômodo com o próprio corpo, medo relacionado ao sexo, vergonha durante o ato sexual e educação sexual. Modelos de regressão foram utilizados para identificar as variáveis mais significantes para cada domínio da atividade sexaul. Com efeito, desejo sexual é inibido pela presença de depressão; o nível de excitação é negativamente impactado por depressão e pelo aumento da idade; a capacidade de atingir o orgasmo é reduzida pela baixa escolaridade, pela ansiedade e por medos relacionados ao sexo; e tanto dor durante o intercurso quanto DSF em geral estão diretamente ligadas à baixa escolaridade e à depressão. Conclui-se que inúmeras variáveis interferem na resposta sexual feminina, sendo depressão e ansiedade especialmente nocivas à função sexual. Ademais, enquanto depressão é mais prejudicial nas primeiras fases da resposta sexual (desejo e excitação), ansiedade influencia principalmente a fase de orgasmo.The present work proposes to (1) assess female sexual functioning, depression, and anxiety; (2) verify the association between female sexual dysfunction (FSD), depression, and anxiety; and (3) identify the variables associated with the sexual domains: desire, arousal, orgasm, and pain during intercourse. A group of 110 healthy women (age: 18-61, mean: 38.5 years) among those waiting for gynecological routine consultations at the Clinics Hospital of the Faculty of Medicine of the University of São Paulo (HCFMUSP) was randomly selected for this research. The patients were asked to fill questionnaires specifically developed for this work and validated instruments, such as the Female Sexual Quotient (FSQ), the Beck Depression Inventory (BDI-II), and the Beck Anxiety Inventory (BAI). The analysis of the responses show that 36 (32.7%) women present sexual desire inhibitions; 16 (14.5%) have arousal problems; 35 (31.8%) have orgasm difficulties; 31 (28.2%) report pain during intercourse; and 39 (35.5%) exhibit overall FSD. Depression and anxiety are present in 26 (23.6%) and 37 (33.6%) patients respectively. The data also reveal a significant relation between FSD, depression, and anxiety, in addition to identifying risk factors for the sexual domains. More specifically, sexual desire inhibition is associated to depression, anxiety, education level, body issues, masturbation, and sexual education; arousal is connected to depression, anxiety, age, education level, body issues, sex-related fears, and sexual education; orgasm difficulties is related to depression, anxiety, education level, body issues, sex-related fears, sex-related shame, masturbation, and sexual education; pain during intercourse is associated with depression, monetary income, education level, and sex education; and finally, the factors relevant to overall FSD are depression, anxiety, education level, body issues, sex-related fears, sex-related shame, and sexual education. Regression models were then used to identify the most significant variables for each domain, resulting in sexual desire being inhibited by the presence of depression; excitation levels being impaired by low education levels and the increase of age; ability to achieve orgasm being hindered by low education levels, anxiety, and sex-related fears; and pain during intercourse and overall FSD increasing with lower education levels and depression. In conclusion, numerous variables influence female sexual response, depression and anxiety being especially detrimental to sexual functioning. What is more, while depression is more harmful in the early stages of sexual response (desire and arousal), anxiety is the main influence on the orgasm phase
7
Singh, Rajinder J. "Mindfulness and Acceptance for Sexual Minorities Experiencing Work Stress." Bowling Green State University / OhioLINK, 2019. http://rave.ohiolink.edu/etdc/view?acc_num=bgsu1540760926791461.
Full text
8
FERRO, Josepha Karinne de Oliveira. "Função sexual e fatores associados a disfução em homens com lesão medular traumática." Universidade Federal de Pernambuco, 2016. https://repositorio.ufpe.br/handle/123456789/18393.
Full textAbstract:
Submitted by Fabio Sobreira Campos da Costa (fabio.sobreira@ufpe.br) on 2017-03-09T12:46:26Z
No. of bitstreams: 2
license_rdf: 1232 bytes, checksum: 66e71c371cc565284e70f40736c94386 (MD5)
1. DISSERTAÇÃO- JOSEPHA KARINNE DE OLIVEIRA FERRO.pdf: 4408522 bytes, checksum: 7dd07f574b076880fbd1fc80fd506744 (MD5)Made available in DSpace on 2017-03-09T12:46:26Z (GMT). No. of bitstreams: 2 license_rdf: 1232 bytes, checksum: 66e71c371cc565284e70f40736c94386 (MD5) 1. DISSERTAÇÃO- JOSEPHA KARINNE DE OLIVEIRA FERRO.pdf: 4408522 bytes, checksum: 7dd07f574b076880fbd1fc80fd506744 (MD5) Previous issue date: 2016-08-19
Item withdrawn by Fabio Sobreira Campos da Costa (fabio.sobreira@ufpe.br) on 2017-03-09T12:53:29Z Item was in collections: Dissertações de Mestrado - Fisioterapia (ID: 151) No. of bitstreams: 2 license_rdf: 1232 bytes, checksum: 66e71c371cc565284e70f40736c94386 (MD5) 1. DISSERTAÇÃO- JOSEPHA KARINNE DE OLIVEIRA FERRO.pdf: 4408522 bytes, checksum: 7dd07f574b076880fbd1fc80fd506744 (MD5)
Item reinstated by Fabio Sobreira Campos da Costa (fabio.sobreira@ufpe.br) on 2017-03-09T12:54:13Z Item was in collections: Dissertações de Mestrado - Fisioterapia (ID: 151) No. of bitstreams: 2 license_rdf: 1232 bytes, checksum: 66e71c371cc565284e70f40736c94386 (MD5) 1. DISSERTAÇÃO- JOSEPHA KARINNE DE OLIVEIRA FERRO.pdf: 4408522 bytes, checksum: 7dd07f574b076880fbd1fc80fd506744 (MD5)
CAPES
Além das perdas motoras e sensitivas, o trato urinário e a função sexual são também afetados pela lesão medular, sendo a disfunção sexual um dos problemas mais comuns nestes pacientes e sua gravidade depende no nível e da complexidade da lesão. A alteração da função sexual acontece devido às mudanças no processo neurofisiológico, mas fatores psicossociais podem estar associados à disfunção. A perda da realização sexual, quando comparada à perda de autonomia, pode parecer uma consequência minoritária da lesão medular. No entanto, a função sexual é um importante componente de saúde, com evidências de que a redução da função e satisfação sexual resultam em baixa qualidade de vida, além de um fator fundamental na motivação, bem estar e satisfação. Apesar da relevância, o desempenho sexual após lesão medular ainda é um tema pouco abordado e bastante negligenciado durante o processo de reabilitação, além de serem escassos os estudos que verificam associações mais aprofundadas sobre a função erétil e os demais componentes da função sexual, fatores explicativos e preditivos de disfunção. OBJETIVO: avaliar a função sexual de homens com lesão medular traumática e analisar a associação da disfunção com fatores fisiológicos e não fisiológicos. MATERIAIS E MÉTODOS: Estudo observacional (CCAE 41221414.5.0000.5208) realizado com 45 homens, faixa etária entre 18 a 60 anos, com lesão medular traumática e vida sexual ativa. A função sexual foi avaliada pelo Índice Internacional de Função Erétil (IIFE) e nível e grau da lesão foram determinados seguindo as diretrizes da International Standards for Neurological Examination and Functional Classification of Spinal Cord Injury. Os dados foram coletados após seis meses da lesão, em hospitais de referência. Foram aplicadas técnicas de estatística descritiva e análise bivariada e multivariada, através de regressão logística ajustada para observar a associação entre a função sexual e fatores explicativos de disfunção, com nível de significância de 0,05. RESULTADOS: Participaram do estudo 45 indivíduos com idades entre 18 e 56 anos (média 34,0; IC 31,5 – 37,1) e tempo de lesão médio de 7,5 anos (IC 5,2 – 9,9). Lesões incompletas acima do segmento medular L2 foram as mais frequentes (66,7%). Ao analisar os domínios do IIFE, não foi observada associação entre disfunção sexual e complexidade da lesão, porém, os pacientes com lesões completas foram os que apresentaram mais grave disfunção orgástica (86,7%) e de satisfação (86,7%). Ao analisar a associação entre fatores explicativos para disfunção, percebeu-se que a presença parceira fixa é um fator protetor (OR: 0,22; IC95%:0,05-0,92) para disfunção erétil. Desejo sexual tem associação com parceira fixa (OR: 0,20; IC95%:0,04-0,84), masturbação (OR: 0,16; IC95%:0,04-0,67) e relação sexual no último mês (OR: 0,13; IC95%:0,01-0,92). Ejaculação presente (OR: 0,01; IC95%:0,00-0,15) foi considerado um fator protetor para disfunção orgástica, enquanto disfunção erétil (OR: 15,7; IC95%:1,38-178,58), um fator de risco. Ereção psicogênica (OR: 0,07; IC95%:0,01-0,69), frequência mensal de relação sexual (OR: 11,3; IC95%:2,0-62,8) e disfunção orgástica (OR: 7,1; IC95%:1,1-44,8) tem associação com satisfação. CONCLUSÃO: a resposta sexual altera-se após a lesão medular, tendo a função orgástica como a mais acometida, caracterizando o domínio que apresentou maior e mais grave disfunção. Fatores como presença de parceira fixa, ejaculação e masturbação são fatores de proteção para disfunção sexual. Disfunção erétil, orgástica e relações sexuais infrequentes são preditores de disfunção.
In addition to the motor and sensory loss, urinary tract and sexual function are also affected by spinal cord injury, and sexual dysfunction one of the most common problems in these patients and its severity depends on the level and complexity of the injury. The change in sexual function occurs due to changes in neurophysiological process, but psychosocial factors may be associated with dysfunction. The loss of sexual fulfillment, compared to a loss of autonomy, it may seem a minor consequence of spinal cord injury. However, sexual function is a major health component, with evidence that the reduction of sexual function and satisfaction resulting in lower quality of life, and a key factor in motivation and satisfaction welfare. Despite the relevance, sexual performance after spinal cord injury is still somewhat topic and largely neglected during the rehabilitation process, and few studies that verify deeper associations of erectile function and other sexual function, explanatory factors and predictive dysfunction. AIMS: To evaluate the sexual function of men with spinal cord injury and to analyze the association of the disorder with physiological and non-physiological factors. MATERIALS AND METHODS: Observational study (CEAC 41221414.5.0000.5208) conducted with 45 men, aged 18 to 60 years, with spinal cord injury and active sex life. Sexual function was assessed by the International Index of Erectile Function (IIEF) and level and degree of injury were determined following the guidelines of the International Standards for Neurological and Functional Examination Classi fi cation of Spinal Cord Injury. Data were collected after six months of injury in referral hospitals. Descriptive statistical techniques were applied and bivariate and multivariate analysis using logistic regression adjusted to observe the association between sexual function and explanatory factors of dysfunction, with a 0.05 significance level. RESULTS: The study included 45 subjects aged between 18 and 56 years, mean 34.0 (CI 31.5 to 37.1) and average injury time in years 7.5 (CI 5.2 to 9.9). incomplete lesions above the spinal segment L2 were the most common (66.7%). By analyzing the domains of IIEF, there was no association between sexual dysfunction and complexity of the injury, however, patients with complete injuries were those with more severe orgasmic dysfunction (86.7%) and satisfaction (86.7%). When analyzing the association between explanatory factors for dysfunction, it was realized that a primary partner presence is a protective factor (OR: 0.22; 95% CI: .05-.92) for erectile dysfunction. sexual desire is associated with a steady partner (OR: 0.20; 95% CI: 0.04 to 0.84), masturbation (OR: 0.16; 95% CI: 0.04 to 0.67) and sexual intercourse in the last month (OR: 0.13; 95% CI: 0.01 to 0.92). This ejaculation (OR: 0.01; 95% CI: .00-.15) was considered a protective factor for orgasmic dysfunction as erectile dysfunction (OR: 15.7; 95% CI: 1.38 to 178.58), a risk factor. psychogenic erection (OR: 0.07; 95% CI: 0.01 to 0.69), monthly frequency of intercourse (OR: 11.3; 95% CI: 2.0 to 62.8) and orgasmic dysfunction (OR: 7.1; 95% CI: 1.1 to 44.8) is associated with satisfaction. CONCLUSION: the sexual response changes after spinal cord injury, and orgasmic function as the most affected, featuring the area with the highest and most severe dysfunction. Factors such as the presence of fixed partner, ejaculation and masturbation are protective factors for sexual dysfunction. erectile dysfunction, orgasmic and infrequent sex dysfunction are predictors.
9
Currin, Lisa Natalie. "A journey with an abused child : a non-directive play therapy perspective." Thesis, Nelson Mandela Metropolitan University, 2006. http://hdl.handle.net/10948/434.
Full textAbstract:
The extensive amount of research conducted in the field of family violence internationally indicates that child abuse has a detrimental effect on both the physical and emotional development of children as well as having a profound effect on an individual’s psychological development and functioning in adult life. The aim of this research study was to describe the therapeutic process that unfolded with a seven year old allegedly abused female client within the framework of non-directive play therapy. The case was further contextualised utilising Erik Erikson’s theory of psychosocial development. This study served to broaden the body of psychotherapeutic knowledge by means of meaningful qualitative enquiry. The client was referred for therapy because of severe emotional and behavioural problems following the alleged sexual abuse. The client was seen over a period of eight months and this included 11 sessions of non-directive play therapy, three parent interviews and psychometric assessments conducted by a colleague. The case study method was utilised in this study. To achieve the aim of the research, the methodology of choice was the descriptive dialogic case study. A purposive sampling technique was used in the selection of the research subject for this study. The data collection and analysis were conducted according to Yin’s (1994) analytical generalisation, which consists of two main strategies: (a) using a theoretical framework as a guide to determine what data is relevant; and (b) developing a matrix as a descriptive framework for organising and integrating the data. Furthermore, the process of data analysis was aided by the use of guidelines proposed by Irving Alexander (1988) with Axline’s non-directive play therapy and Erikson’s theory of psychosocial development as the theoretical frameworks. The findings of this study suggest that plotting the play therapy sessions according to the framework of the four stages of play therapy was a particularly useful tool to monitor Michelle’s progression through the therapeutic process. This can be seen as a valuable application of a tool which can be used within the non-directive play therapy approach. Contextualising Michelle’s development according to the stages of Erikson’s theory of psychosocial development was also found to be a valuable endeavour. According to her chronological age, Michelle should have been in the fourth stage of industry versus inferiority, but in reality Michelle was still struggling to strike a healthy balance between the terms of conflict of trust versus mistrust issues of the first stage. From a therapeutic point, this was an important exercise as it helped to inform the therapist and consequently, the therapeutic process. This research undertaking can be recognised as a positive demonstration of the value of non-directive play therapy (Virginia Axline) and Erik Erikson’s theory of psychosocial development in the therapeutic process. In addition, this study has served to facilitate a more holistic understanding of the case study approach to research. Recommendations regarding future research undertakings that utilise the case study approach and methodology have been made. Key concepts: child abuse; family violence; non-directive play therapy; Erik Erikson’s theory of psychosocial development; analytical generalisation; case study research.
10
Myler, Cory John. "Increasing psychological flexibility regarding interpersonal conflict between religious beliefs and attitudes towards sexual minorities: An Acceptance and Commitment Therapy (ACT) intervention." DigitalCommons@USU, 2013. https://digitalcommons.usu.edu/etd/1742.
Full textAbstract:
This study was designed to test the clinical effectiveness of an Acceptance and Commitment Therapy (ACT) group intervention for individuals reporting distress related to conflict between sexual and religious identity. There were 24 participants in the study, 12 of whom took part in the therapy group, 12 of whom were in a comparison group and did not participate in the intervention. Outcome measures included the Acceptance and Action Questionnaire-2 (AAQ-2), Components of Attitudes Towards Homosexuality (CAH), Outcome Questionnaire-45 (OQ-45), the World Health Organization Quality of Life Questionnaire (WHO-QOL), Dimensions of Latter-Day Saint Religiosity (DLDSR), and the Three-Factor Scale of Authoritarianism (3-FSA). Participants from both the intervention and the comparison groups completed an initial battery of these self-report measures and an additional follow-up battery, given after the intervention group had completed the six-session intervention and after a similar 6-week period had passed for the comparison group. Repeated-measure ANOVA of the collected data indicates that, relative to the comparison group, the intervention group showed statistically significant (p < .05) changes in symptom distress (partial &brkbar;Ç2 = .36), attitudes towards homosexuality (partial &brkbar;Ç2 = .461), and quality of life (partial &brkbar;Ç2 = .85). While preliminary, results of this study indicate that an ACT therapy group is an effective clinical intervention for individuals experiencing distress as a result of conflict between sexual and religious identity.
Books on the topic "Sexual dysfunctions, psychological – therapy"
1
1944-, Charlton Randolph S., and Yalom Irvin D. 1931-, eds. Treating sexual disorders. San Francisco, Calif: Jossy-Bass Publishers, 1997.
Find full text
2
1944-, Charlton Randolph S., and Yalom Irvin D. 1931-, eds. Treating sexual disorders. San Francisco: Jossy-Bass Publishers, 1997.
Find full text
3
Richard, Balon, ed. Sexual dysfunction. Basel: Karger, 2008.
Find full text
4
Levine, Stephen B. Sexual life: A clinician's guide. New York: Plenum Press, 1992.
Find full text
5
1948-, Weeks Gerald R., and Sendak Shelley K, eds. A clinician's guide to systemic sex therapy. New York, NY: Brunner-Routledge, 2009.
Find full text
6
Wincze, John P. Enhancing sexuality: A problem-solving approach to treating dysfunction : workbook. 2nd ed. Oxford: Oxford University Press, 2009.
Find full text
7
Wincze, John P. Enhancing sexuality: A problem-solving approach to treating dysfunction : therapist guide. 2nd ed. Oxford: Oxford University Press, 2009.
Find full text
8
Ventegodt, Søren. Sexology from a holistic point of view. New York: Nova Science Publishers, 2011.
Find full text
9
Ventegodt, Søren. Sexology from a holistic point of view. New York: Nova Science Publishers, 2011.
Find full text
10
psychologist, Durrant Michael, and White Cheryl, eds. Ideas for therapy with sexual abuse. Adelaide, Australia: Dulwich Centre Publications, 1992.
Find full textBook chapters on the topic "Sexual dysfunctions, psychological – therapy"
1
Spence, Susan H. "Sexual dysfunctions among special populations." In Psychosexual Therapy, 243–81. Boston, MA: Springer US, 1991. http://dx.doi.org/10.1007/978-1-4899-3005-7_8.
Full text
2
McConaghy, Nathaniel. "Treatment of Sexual Dysfunctions." In Sourcebook of Psychological Treatment Manuals for Adult Disorders, 333–73. Boston, MA: Springer US, 1996. http://dx.doi.org/10.1007/978-1-4899-1528-3_10.
Full text
3
Khoury, Brigitte, Elham Atallah, Iván Arango-de Montis, and Sharon J. Parish. "Sexual dysfunctions and sexual pain disorders." In A psychological approach to diagnosis: Using the ICD-11 as a framework., 349–66. Washington: American Psychological Association, 2024. http://dx.doi.org/10.1037/0000392-019.
Full text
4
Spence, Susan H. "The effectiveness of interventions for sexual dysfunctions." In Psychosexual Therapy, 209–42. Boston, MA: Springer US, 1991. http://dx.doi.org/10.1007/978-1-4899-3005-7_7.
Full text
5
Fisher, Mary A., and Adam R. Fisher. "Sexual Dysfunctions in Couple and Family Therapy." In Encyclopedia of Couple and Family Therapy, 2637–41. Cham: Springer International Publishing, 2019. http://dx.doi.org/10.1007/978-3-319-49425-8_455.
Full text
6
Fisher, Mary A., and Adam R. Fisher. "Sexual Dysfunctions in Couple and Family Therapy." In Encyclopedia of Couple and Family Therapy, 1–5. Cham: Springer International Publishing, 2017. http://dx.doi.org/10.1007/978-3-319-15877-8_455-1.
Full text
7
Spence, Susan H. "Sexual skill development and techniques relating to specific psychosexual dysfunctions." In Psychosexual Therapy, 165–208. Boston, MA: Springer US, 1991. http://dx.doi.org/10.1007/978-1-4899-3005-7_6.
Full text
8
Spence, Susan H. "Integrating cognitive and marital therapies into the treatment of sexual dysfunctions." In Psychosexual Therapy, 115–64. Boston, MA: Springer US, 1991. http://dx.doi.org/10.1007/978-1-4899-3005-7_5.
Full text
9
Stein, Amy. "Pelvic Floor Physical Therapy in the Treatment of Sexual Dysfunctions." In Management of Sexual Dysfunction in Men and Women, 189–95. New York, NY: Springer New York, 2016. http://dx.doi.org/10.1007/978-1-4939-3100-2_17.
Full text
10
Smith-Pickard, Paul. "The Role of Psychological Proximity and Sexual Feelings in Negotiating Relatedness in the Consulting Room." In Sexual Attraction in Therapy, 67–79. Oxford, UK: John Wiley & Sons, Ltd, 2014. http://dx.doi.org/10.1002/9781118674239.ch5.
Full textConference papers on the topic "Sexual dysfunctions, psychological – therapy"
1
Chung, Gabriel, Darah Fontes da Silva Assunção, Lohana Santana Almeida da Silva, Luiza Ramos de Freitas, Marcelle Sanjuan Ganem Prado, Matheus Kohama Kormanski, Paulo Henrique Maia de Freitas, Rônney Pinto Lopes, Rosa Maria Nascimento Marcusso, and Rubens José Gagliardi. "Prevalence of sexual dysfunction in men with ischemic stroke: a cross-sectional study." In XIV Congresso Paulista de Neurologia. Zeppelini Editorial e Comunicação, 2023. http://dx.doi.org/10.5327/1516-3180.141s1.726.
Full textAbstract:
Introduction: Stroke is the leading cause of disability worldwide. Late complications, such as sexual dysfunction, have a direct impact on psychological and emotional aspects and directly affect the quality of life of these patients. Objectives and methods: We present a cross-sectional study that aimed to determine the prevalence of sexual dysfunction in patients with ischemic stroke followed in the neurovascular outpatient clinic of a tertiary hospital in São Paulo, Brazil, using the Male Sexual Quotient (MSQ) questionnaire. The MSQ can range from 0-100 points. Higher values indicate better sexual performance/satisfaction and a score of 60 points or less was considered as having sexual dysfunction. Casuistics and results: Fifty eight questionnaires were analyzed and classified according to the MSQ score. Mean age was 60 years and median MSQ score was 64 points. Of the interviewees, 24.14% had their sexual performance classified as poor-null, 17.24% of patients had poorunfavorable sexual performance, 6.90% as unfavorable-regular; regulargood and good-great sexual performance were equally found in 25.86% of the subjects. Discussion and conclusion: In this study, almost half of post-stroke men have sexual dysfunction according to MSQ, indicating a high impact of such a condition in the quality of life of our patients due to its prevalence. Thus, the health professional dealing with post-stroke patients must be aware and prepared to help patients in coping with sexual dysfunctions.
2
Prado, Marcelle Sanjuan Ganem, Darah Fontes da Silva Assunção, Luiza Ramos de Freitas, Paulo Henrique Maia de Freitas, Lohana Santana Almeida da Silva, Tamara Melissa Zavadzki Albuquerque, Natalia Trombini Mendes, Rônney Pinto Lopes, Rosa Maria Nascimento Marcusso, and Rubens José Gagliardi. "Prevalence of sexual dysfunction in women with ischemic stroke: a cross-sectional study." In XIV Congresso Paulista de Neurologia. Zeppelini Editorial e Comunicação, 2023. http://dx.doi.org/10.5327/1516-3180.141s1.716.
Full textAbstract:
Introduction: Stroke is characterized by the acute onset of one or more neurologic deficits that persist for at least 24 hours, and is the result of a vascular disorder in a defined territory, being the leading cause of disability. Late complications, such as sexual dysfunction, have a direct impact on psychological and emotional aspects and directly affect the quality of life of these patients. Objectives and methods: Cross-sectional study that aimed to determine the prevalence of sexual dysfunction in patients with ischemic stroke followed in the neurovascular outpatient clinic of a tertiary hospital in São Paulo, Brazil, using the Female Sexual Quotient (FSQ) questionnaire. The FSQ can range from 0-100 points. Higher values indicate better sexual performance/satisfaction and a score of 60 points or less was considered as having sexual dysfunction. Casuistics and results: Sixty-five questionnaires were analyzed and classified according to the FSQ score. Mean age was 52 years and median FSQ score was 54 points. Of the interviewees, 30.7% had their sexual performance classified as poor-null, 13.85% of patients had poor-unfavorable sexual performance, 15.38% as unfavorable-regular. Regular-good and good-great sexual performance were found in 21.54% and 18.46%, respectively. Discussion: In this study, only 40% of post-stroke women have regular-good and good-great sexual performance. The impact of the stroke on the sexual life of these patients is high, because most of the interviewees had sexual dysfunction according to FSQ. Conclusion: The health professional must be aware of the non-motor sequelae caused by the stroke and be prepared to help these patients in coping with sexual dysfunctions.
3
Giron, Patricia Santolia, Cinira Assad Simão Haddad, Samantha Karlla Lopes de Almeida Rizzi, Afonso Celso Pinto Nazário, and Gil Facina. "EFFECT OF ACUPUNCTURE AND EXERCISE THERAPY IN REHABILITATION OF PHYSICAL DYSFUNCTIONS ON WOMEN BREAST CANCER SURVIVORS." In XXIV Congresso Brasileiro de Mastologia. Mastology, 2022. http://dx.doi.org/10.29289/259453942022v32s1028.
Full textAbstract:
Introduction: The treatment of breast cancer can trigger physical dysfunctions and psychological difficulties such as pain, depression, limitation of upper limb function, and shoulder range of motion (ROM) deficits. Exercise therapy is a treatment well established in the literature for these disorders and acupuncture is an alternative to it. However, most studies using acupuncture only assess pain. Objective: The aim of this study was to compare three distinct rehabilitation treatments (exercise therapy, acupuncture, and Stiper®) in women undergoing breast cancer surgery, assessing pain, depression, upper limb function, and ROM parameters. Methods: In total, 79 women with pain above 3 on the visual analog scale (VAS) and with more than 90 days of surgery were included. The research was approved by the Research Ethics Committee (CEP) of the Universidade Federal de São Paulo/Hospital São Paulo on May 13, 2016, under number 1.543.582, and registered in the Clinical Trials Registry on January 11, 2016, with number NCT02798263. They were divided into three groups that received weekly treatment for 10 weeks: group I (G1) treated with standard, predefined exercise therapy, based on stretching of the cervical muscles, shoulder girdle, and shoulder ROM exercises with a duration of 30 min; group II (G2) treated with 30 min of acupuncture using predefined points; and group III (G3) treated with the same acupuncture points as group II, however, using the Stiper ® (silicon oxide micronized quartz pellet) in place of needles. Results: In all, 67 patients completed the treatment, being 26 from G1, 23 from G2, and 18 from G3. There was a decrease in pain over time in all groups (first session compared with the fifth (p <0.001) and with the tenth (p<0.001), but not between groups. There was a statistically significant difference in depressive symptoms using the Beck questionnaire over time in the three groups (between the first and tenth sessions [p=0.001], between the first and fifth sessions [p=0.052], but not between groups). Regarding the DASH questionnaire for shoulder function, there were significant differences over time at all evaluated moments (p <0.001), but not between groups. Conclusion: The rehabilitation of physical dysfunctions in women who survived breast cancer through exercise therapy, acupuncture, and Stiper® proved to be effective, without superiority between the groups. We conclude that acupuncture showed equivalent results when compared with exercise therapy, thus being an effective approach in the rehabilitation of these women.
4
Păpăluță, Vasile. "Using Luong's attention mechanism and simple classifiers to make people overcome psychological illnesses." In 11th International Conference on “Electronics, Communications and Computing". Technical University of Moldova, 2022. http://dx.doi.org/10.52326/ic-ecco.2021/cs.06.
Full textAbstract:
Conversational AI is the set of technologies behind automated messaging and speech-enabled applications that offer human-like interactions between computers and humans. It can communicate like a human by recognizing speech and text, understanding intent, deciphering different languages, and responding in a way that mimics human conversation. The objectives of this research are to explore the applicability of conversational AI technology in creating a chatbot for assisting people struggling with psychological illnesses and mental dysfunctions. The main hypothesis is that having an NLP system containing an NLG submodule (module for generation of the Natural text) and an NLU submodule (module for recognizing the emotional state of the person using this chatbot. We use an NLU submodule because we can’t rely only on the artificially generated text as a response for a person in an awful emotional state. Even more, we can use the information from the NLU submodule for stronger strategies generation to ensure emotional support. The system represents a chatbot with two NLP modules, Natural Language Generation, being represented by a Seq2Seq Neural Network with the Loung’s attention mechanism, and a Natural Language Understanding module represented by a classical classification NLP Pipeline that classifies the text in multiple emotional state classes. To interact with the user it uses the Telegram API and is able to save the user messages and the chatbot answers into a simple SQLite Data Base. Even if this implementation wouldn’t replace the real psychologists, with accurate management and maybe with additional inputs for professionals in psychology it may become a tool for detecting people with possible psychological and mental illnesses which can become the first step in further therapy with a real psychologist.
5
Stuursma, A., M. Mourits, T. De Bock, L. Lanjouw, and D. Idema. "EPV276/#532 Surgical menopause: effect of estrogen-progesterone and testosterone replacement therapy on psychological well-being and sexual functioning: a systematic literature review." In IGCS 2021 Annual Meeting Abstracts. BMJ Publishing Group Ltd, 2021. http://dx.doi.org/10.1136/ijgc-2021-igcs.347.
Full text
6
Bansal, Nupur, Abhishek Soni, Anil Khurana, Yashpal Verma, Paramjeet Kaur, and Ashok Kumar Chauhan. "Vaginal dilator therapy to prevent stenosis from radiotherapy: A systematic review." In 16th Annual International Conference RGCON. Thieme Medical and Scientific Publishers Private Ltd., 2016. http://dx.doi.org/10.1055/s-0039-1685362.
Full textAbstract:
Background: Pelvic radiotherapy may damage the vagina and cause vaginal stenosis. Its incidence in the literature ranges from 1.2% to 88%. To prevent vaginal stenosis, routine vaginal dilation is recommended during and after pelvic radiotherapy. Materials and Methods: The objective was to examine critically the evidence behind this guideline. Searches included the Cochrane Central Register of Controlled Trials, MEDLINE, EMBASE and Google scholarly articles. All the relevant articles were included in the study. Discussion: Various studies gave recommendations on dilation during or immediately after radiotherapy. Literature does not support routine vaginal dilatation during or immediately after pelvic radiotherapy. Occasional penetration might prevent the sides of the vagina adhering to each other, and dilation might be valuable once the inflammatory and psychological scarring has settled. Two trials demonstrated that encouraging vaginal dilation increased patient compliance, but no difference was found in sexual function scores in the first trial. One retrospective study reported that dilation lowered stenosis rates, but the control group is not comparable. One study involving 89 women revealed that the median vaginal length was 6 cm, six to ten weeks after radiation therapy, but women tolerated a 9-cm dilator/measurer after 4 months of dilation experience. One trial showed no significant advantage by inserting mitomycin C. A study of five women reported that vaginal stenosis can be treated by dilation even many years after radiotherapy. Dilation during or immediately after radiotherapy can cause damage, and there is no evidence that it prevents stenosis. Dilation might stretch the vagina if commenced after the inflammatory phase. Dilation has been associated with traumatic rectovaginal fistulae and psychological consequences. Conclusion: Vaginal dilation might help treat the late effects of radiotherapy, but it must not be assumed that this applies to the acute toxicity phase. Routine dilation during treatment is not supported by good evidence. Prophylactic and therapeutic dilation therapy needs to be considered separately and research is needed to determine when dilation therapy should start on a large population.
Reports on the topic "Sexual dysfunctions, psychological – therapy"
1
Duan, Liyang, Xiaoyu Li, Haiqin Rong, Haiju Sun, Yajun Zhang, Shipeng Song, Jianqiao Fang, and Yongqiang Sun. Scalp acupuncture for Post-stroke depression: A protocol for a systematic review and meta-analysis of randomized controlled clinical trials. INPLASY - International Platform of Registered Systematic Review and Meta-analysis Protocols, April 2022. http://dx.doi.org/10.37766/inplasy2022.4.0059.
Full textAbstract:
Review question / Objective: To evaluate the efficacy and safety of scalp acupuncture for poststroke depression for the first time, and the results of this systematic review will be helpful for clinicians to use scalp acupuncture in the treatment of PSD. Condition being studied: Post-stroke depression (PSD) is one of the most common psychological sequelae of stroke, which is a state characterized by low mood and aversion to activity. It is one of the main obstacles in the process of stroke rehabilitation, which has a detrimental impact on functional recovery and quality of life and even increases mortality. Although the pathogenic factors of PSD are complex and diverse, it is now widely believed to involve complex interactions between neurobiological dysfunctions, psychosocial distress and biological factors. Despite increasing awareness and clinically based research on PSD, drugs to relieve and treat symptoms have made only limited gains. The use of antidepressants is accompanied by various unavoidable adverse effects, including headache, nausea, restlessness, and sexual dysfunction. A previous meta-analysis demonstrated that acupuncture can be safe and effective for the treatment of post-stroke depression. However, there is a lack of systematic reviews to evaluate the efficacy and safety of scalp acupuncture, which is a commonly used acupuncture modality in the treatment of PSD. Consequently, this study will assess the efficacy and safety of scalp acupuncture therapy for PSD compared to other treatments.