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O'Gorman, Ethna C., Ian T. Bownes e Wallace W. Dinsmore. "Sexual and marital dysfunction and polypartnerism in sexually transmitted diseases (STD) clinic attenders". Irish Journal of Psychological Medicine 7, n. 1 (marzo 1990): 32–35. http://dx.doi.org/10.1017/s0790966700016980.
Testo completoAbstract (sommario):
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.
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Crowe, Michael. "Couple relationship problems and sexual dysfunctions: therapeutic guidelines". Advances in Psychiatric Treatment 18, n. 2 (marzo 2012): 154–59. http://dx.doi.org/10.1192/apt.bp.109.007443.
Testo completoAbstract (sommario):
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.
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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.
Testo completoAbstract (sommario):
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.
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Lafortune, David, Marianne Girard, Éliane Dussault, Mathieu Philibert, Martine Hébert, Marie-Aude Boislard, Mathieu Goyette e Natacha Godbout. "Who seeks sex therapy? Sexual dysfunction prevalence and correlates, and help-seeking among clinical and community samples". PLOS ONE 18, n. 3 (6 marzo 2023): e0282618. http://dx.doi.org/10.1371/journal.pone.0282618.
Testo completoAbstract (sommario):
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.
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BÖLÜKBAŞI, Sadık Ahmet. "Cinsel İşlev Bozuklukları Olan Bireylerde Cinsel Terapinin Sistematik Derlemesi". International Journal of Social Sciences 7, n. 32 (20 dicembre 2023): 295–314. http://dx.doi.org/10.52096/usbd.7.32.19.
Testo completoAbstract (sommario):
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
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Konovalov, Vladislav G., e Vladimir D. Mendelevich. "Sexual disorders in chronic salpingo-oophoritis as a variant of the biopsychosocial model". Gynecology 23, n. 6 (15 dicembre 2021): 571–77. http://dx.doi.org/10.26442/20795696.2021.6.201276.
Testo completoAbstract (sommario):
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.
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ARIAN, Iurii, Dumitrita BIVOL, Daniela MACHIDON e Ion DUMBRAVEANU. "Management of sexual and reproductive problems in breast cancer survivors". One Health & Risk Management 5, n. 2 (19 febbraio 2024): 4–12. http://dx.doi.org/10.38045/ohrm.2024.2.01.
Testo completoAbstract (sommario):
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.
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BJ, Pereira. "Therapeutic Approach to Erectile Dysfunction - News and Future Perspectives". Open Access Journal of Urology & Nephrology 7, n. 1 (7 gennaio 2022): 1–8. http://dx.doi.org/10.23880/oajun-16000201.
Testo completoAbstract (sommario):
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.
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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, n. 2 (1 settembre 1986): 85–102. http://dx.doi.org/10.7870/cjcmh-1986-0018.
Testo completoAbstract (sommario):
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.
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Mirzaei, Amir, e 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, n. 2 (2024): 171–81. http://dx.doi.org/10.61838/kman.aftj.5.2.19.
Testo completoAbstract (sommario):
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.
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Fedorova, A. I. "Hypoactive sexual desire disorders in women: ways to solve the problem". Meditsinskiy sovet = Medical Council, n. 16 (6 ottobre 2022): 10–17. http://dx.doi.org/10.21518/2079-701x-2022-16-16-10-17.
Testo completoAbstract (sommario):
In recent decades, women are increasingly contact the doctors with problems of hypoactive sexual desire disorders (HSDD). Female libido is considered as one of the important indicators of quality of life, sexual health. Therapy of HSDD is difficult due to insufficient knowledge by doctors of both complex, multiple pathogenetic mechanisms of libido reduction and modern therapeutic approaches. In this article, the female sexual desire is considered from the point of view of the biopsychosocial approach, recognized as the leading one when working with sexual dysfunctions. According to biopsychosocial approach, HSDD is a consequence of combined disorders at various levels of human functioning (somatic, personal-psychological and individual-social). Modern conceptual models of sexual desire are presented, on the basis of which therapeutic approaches to HSDD are developed. The most effective from the evidence point of view directions of therapy of HSDD in women – elimination of biomedical factors that violate libido, psychotherapeutic measures (sexual awareness, cognitive behavioral therapy, sexual therapy) are discussed. Evidence-based studies confirming the high effectiveness of an integrative approach to the therapy of HSDD, combining sexual awareness, CBT, sexual therapy and pharmacotherapy, are presented. A new Russian drug – a peptide created specifically for the treatment of HSDD in women is presented. The drug has passed all stages of clinical trials and can be used both in the treatment of idiopathic HSDD and as part of combine therapy (in combination with psychotherapy and sextherapy).
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Pelletier, Guy, e Lee C. Handy. "Family Dysfunction and the Psychological Impact of Child Sexual Abuse". Canadian Journal of Psychiatry 31, n. 5 (giugno 1986): 407–12. http://dx.doi.org/10.1177/070674378603100504.
Testo completoAbstract (sommario):
This paper presents the view that family dysfunction in intra- and extra-familial child sexual abuse can be considered apart from the sexual trauma and can be seen as having important independent psychological consequenses. Family dynamics are discussed as they relate to both types of sexual abuse and as they relate to the context of disclosure of the events. A direct link is suggested between such dynamics and the psychological problems experienced by the child victims. Recommendations for research and therapy are also made.
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Brand, Alma, Wim Waterink e Jacques van Lankveld. "Sexual functioning is not, but psychological burden is predictive for seeking help in pelvic physical therapy practice: A cross-sectional study". Open Research Europe 3 (7 settembre 2023): 141. http://dx.doi.org/10.12688/openreseurope.16138.1.
Testo completoAbstract (sommario):
Background. Pelvic floor complaints are common among women and often accompanied by sexual dysfunction and psychological burden. They are also associated with pregnancy and childbirth. However, not all women with these complaints seek help in pelvic physical therapy practice. This study explored if pregnancy, parity, pelvic floor complaints, sexual functioning, and psychological burden are predictive of seeking help in pelvic physical therapy practice. Methods. In a cross-sectional exploratory design, women completed an online survey about pelvic floor complaints, sexual function, and psychological burden. Binary logistic analysis was used to analyze the predictive value of the above-mentioned factors. Results. Data from 542 participants were analyzed. Pregnancy and parity, PFC severity, psychological burden, and the interaction between pelvic floor complaints and psychological burden were significant predictors of seeking help. Against expectations, sexual functioning was not predictive of seeking help. Conclusions. Women’s psychological burden is an important factor in determining if or when women seek help in PPT practice. More research is needed to unravel the role of sexual functioning in the context of pelvic floor complaints and women’s psychological burden. More insight into this area of expertise could possibly improve and enhance pelvic health care for women with pelvic floor complaints.
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Brand, Alma, Wim Waterink e Jacques van Lankveld. "Sexual functioning is not, but psychological burden is predictive for receiving help in pelvic physical therapy practice: A cross-sectional study". Open Research Europe 3 (20 maggio 2024): 141. http://dx.doi.org/10.12688/openreseurope.16138.2.
Testo completoAbstract (sommario):
Background Pelvic floor complaints are common among women and often accompanied by sexual dysfunction and psychological burden. They are also associated with pregnancy and childbirth. However, not all women with these complaints receive help in pelvic physical therapy practice. This study explored if pregnancy, parity, pelvic floor complaints, sexual functioning, and psychological burden are predictive of receiving help in pelvic physical therapy practice. Methods In a cross-sectional exploratory design, women completed an online survey about pelvic floor complaints, sexual function, and psychological burden. Binary logistic analysis was used to analyze the predictive value of the above-mentioned factors. Results Data from 542 participants were analyzed. Pregnancy and parity, PFC severity, psychological burden, and the interaction between pelvic floor complaints and psychological burden were significant predictors of receiving help. Against expectations, sexual functioning was not predictive of receiving help. Conclusions Women’s psychological burden is an important factor in determining if or when women receive help in PPT practice. More research is needed to unravel the role of sexual functioning in the context of pelvic floor complaints and women’s psychological burden. More insight into this area of expertise could possibly improve and enhance pelvic health care for women with pelvic floor complaints.
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Starc, Andrej. "Clinical hypnosis and female sexual dysfunction". Journal of applied health sciences 5, n. 1 (15 marzo 2019): 105–11. http://dx.doi.org/10.24141/1/5/1/10.
Testo completoAbstract (sommario):
Background: Female sexual function comprises variable and multi-layered conditions that incorporate complex interactions of physiological, psychological, and interpersonal components. Despite the progress in understanding the neurobiology of sexual response, the definition of normal sexual response in women remains unresolved. Normal female sexual function differs from individual to individual and depends on the culture, ideology, beliefs, and other factors. Methods: We used a case report, the purpose of which is to justify further investigation into the effectiveness of hypnosis for the treatment of cervical pain during penetration, as well as orgasm disorder. Results: An orgasm was reached by masturbation performed on her by her partner, but without an orgasm by penile-vaginal penetration. The frequency of sexual intercourse has increased (3-4 times/week) in comparison to prior to therapy (once/ 2 months). Orgasm does not occur by self- and by partner masturbation every time, but sporadically; however, more frequently than before therapy. Success has been achieved with the orgasm by penile-vaginal penetration. Conclusions: Hypnotherapy may be a promising co-intervention or intervention per se for both physical and psychological symptoms. The results of hypnotherapy demonstrate that symptoms were significantly alleviated and, consequently, the quality of life improved. Symptoms of pain during sexual intercourse were not eliminated, but the patient had achieved significant control over those symptoms.
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Vasiliu, Octavian, Andrei G. Mangalagiu, Bogdan M. Petrescu, Cristian A. Cândea, Cristina F. Pleșa, Daniela Ungureanu, Monica Dobre, Diana G. Vasiliu, Cristian Năstase e Carmen A. Sirbu. "The Psychiatric, Psychological, and Psychotherapeutic Approach to Erectile Dysfunction – Between Good Practices and Clinical Challenges". Romanian Journal of Military Medicine 127, n. 3 (5 gennaio 2024): 173–85. http://dx.doi.org/10.55453/rjmm.2024.127.3.1.
Testo completoAbstract (sommario):
Erectile dysfunction (ED) has an intricate pathogenesis, with organic and psychosocial factors contributing to the shaping of its clinical manifestations and functional impairment. ED disrupts not only an individual’s sexual life but may also contribute to impairments of self-esteem, social functioning, quality of life, overall well-being, mood, etc. The assessment process and therapeutic interventions should be adequate to the specific profile of each patient, therefore an interdisciplinary approach is usually recommended, in order to find the vulnerability factors, recent triggers, psychiatric and organic comorbidities or causes, and elements that contribute to maintaining the sexual dysfunction, such as lifestyle factors, interpersonal conflicts, or inadequate sexual education. This narrative review explores the evidence-based approaches to structured psychiatric, psychological, and therapeutical assessment in patients with ED, and the most validated psychosocial treatments available. The results support the use of recognized diagnostic criteria within DSM-5TR and ICD-11, together with structured instruments (scales, questionnaires, and inventories), in a multidisciplinary approach. The cognitive model and cognitive-emotional model of ED support the initiation of cognitive-behavioral therapy in these patients. Other interventions, like the PLISSIT model, sexual therapy, couple therapy, and sexual-focused psychoeducation are also supported by evidence. In conclusion, ED requires a combined, psychiatric, psychologic, psychotherapeutic, and organic-oriented assessment, with the purpose of tailoring the treatment to the patient’s particularities.
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Abbaszadeh, Azam, Afsaneh Khajevand Khoshli e Javanshir Asadi. "Comparison of the effectiveness of cognitive-behavioral therapy and schema therapy on sexual dysfunction in infertile women". Applied Family Therapy Journal 3, n. 5 (2022): 447–65. http://dx.doi.org/10.61838/kman.aftj.3.5.26.
Testo completoAbstract (sommario):
Aim: The aim of this study was to compare the effectiveness of cognitive-behavioral therapy and schema therapy on sexual dysfunction in infertile women. Method: The research method was quasi-experimental with pre-test, post-test design and follow-up with experimental and control groups. The study population was all infertile women referred to infertility centers in Sari in the first 6 months of 2019. The sample consisted of 60 people who were selected by purposive sampling method and randomly assigned to three groups of cognitive-behavioral therapy (20 people), schema therapy (20 people) and control (20 people). The first experimental group received cognitive-behavioral therapy (Becky, Owen and Wright, 2019) and the second experimental group received Young Schematic Therapy (2006) in 8 sessions of 90 minutes. The research instruments were Rosen et al.'s (2000) Sexual Performance Index Questionnaire. Data were analyzed by repeated measures analysis of variance using SPSS-22 software. Results: The results showed that cognitive-behavioral therapy and schema therapy improved sexual dysfunction and subscales of sexual desire (F=12.86, P<0.001), psychological stimulation (F=22.65, P<0.001), moisture (F= 24.84, P<0.001), orgasm (F=16.14, P<0.001), satisfaction (F= 21.23, P<0.001) and sexual pain (F=78.35, P<0.001) has been infertile in women. But there was no significant difference between the effects of these two methods on sexual dysfunction in infertile women (P>0.05). Conclusion: It can be concluded that cognitive-behavioral therapy and schema therapy are effective in improving sexual dysfunction in infertile women.
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Bober, Sharon L., Christopher J. Recklitis, Alexis L. Michaud e Alexi A. Wright. "Improvement in sexual function after ovarian cancer: Sexual therapy and rehabilitation after treatment for ovarian cancer (START-OC)." Journal of Clinical Oncology 35, n. 5_suppl (10 febbraio 2017): 210. http://dx.doi.org/10.1200/jco.2017.35.5_suppl.210.
Testo completoAbstract (sommario):
210 Background: Sexual dysfunction is a distressing long-term effect after ovarian cancer (OC), affecting up to 90% of survivors for years. Despite its prevalence, treatment-related sexual dysfunction is underrecognized and undertreated for OC survivors. We developed and tested a brief, psychoeducational intervention for managing sexual dysfunction after OC. Methods: 45 OC survivors with sexual dysfunction received a single half-day group intervention that included sexual health education, relaxation and cognitive behavioral therapy (CBT) skills to address sexual symptoms and a single tailored telephone booster call 4 weeks post-group. Assessment measures were completed at 4 time points: Baseline 1, Baseline 2 (after an 8 week no-treatment run-in period), and 2 and 6 months post-intervention. The Female Sexual Function Index (FSFI) assessed sexual functioning and the Brief Symptom Inventory (BSI-18) captured psychological distress. Results: Analyses examined changes from Baseline 1 to subsequent time points. Between Baseline 1 and 2 there were no significant changes on study measures, indicating no natural improvement during the run-in period. In contrast, Total FSFI scores improved significantly from Baseline 1 to the 2 month (n = 45, p < .005) and 6 month (n = 35, p < .05) follow-ups. Effect sizes were moderately large indicating a significant improvement in women’s sexual function post- intervention (d = .5) that was sustained for at least 6-months (d = .4). BSI-18 scores were also significantly improved at the 2 -month (p < .005) and 6 month (p < .01) time-points, compared to Baseline 1. Conclusions: Improvements in overall sexual functioning and psychological distress were observed 2 months post-intervention and maintained at 6 month follow-up, suggesting preliminary efficacy of the intervention in reducing sexual dysfunction in OC survivors. Next steps include collection of additional follow-up data on participants. A randomized trial of START-OC is warranted. Clinical trial information: NCT02287519.
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Ho, Thanh Tam Thi, Minh Tam Le, Quang Vinh Truong, Vu Quoc Huy Nguyen e Ngoc Thanh Cao. "Psychological Burden in Couples with Infertility and Its Association with Sexual Dysfunction". Sexuality and Disability 38, n. 1 (14 gennaio 2020): 123–33. http://dx.doi.org/10.1007/s11195-019-09612-4.
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Bezkor, Mary F., e Angelo Canedo. "Physiological and psychological factors influencing sexual dysfunction in Multiple Sclerosis: Part 1". Sexuality and Disability 8, n. 3 (settembre 1987): 143–46. http://dx.doi.org/10.1007/bf01376984.
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Nazari, Abbas, Sara Saedi e Mansour Abdi. "Comparing the effectiveness of schema therapy and acceptance and commitment therapy on the tolerance of emotional distress, sexual dysfunction and psychological capital of patients with multiple sclerosis". Applied Family Therapy Journal 3, n. 1 (2022): 461–85. http://dx.doi.org/10.61838/kman.aftj.3.1.23.
Testo completoAbstract (sommario):
Aim: The present study was conducted with the aim of comparing the effectiveness of schema therapy and acceptance and commitment therapy on the tolerance of emotional distress, sexual dysfunction and psychological capital in patients with multiple sclerosis. Methods: The current research is a semi-experimental type with a pre-test, post-test and follow-up design with two experimental groups and one control group. The statistical population included all the patients with multiple sclerosis in Central Province in the year 2021, and according to the arrangements made with the MS Association of Arak city, their total number is 1200. In this study, statistical samples of 45 people were selected as available and then randomly assigned to 3 groups of 15 people including treatment plan groups (15 people), treatment based on acceptance and commitment (15 people) and control group ( 15 people) were randomly replaced. The research tools included the emotional distress tolerance questionnaire of Simmons and Gaher (2005), the sexual performance questionnaire of Rosen et al. (2000) and the psychological capital questionnaire of Lutans et al. (1999). Schema therapy was based on Yang et al.'s (2003) 12-session protocol, and commitment and acceptance-based therapy was based on Eifert and Forsyth's (2004) eight-session protocol. Finally, analysis of variance of repeated measures using SPSS version 22 software was used to analyze the data. Results: The results showed that there is a significant difference between the effect of schema therapy and therapy based on acceptance and commitment on the tolerance of emotional distress, sexual dysfunction and psychological capital in patients with multiple sclerosis (P=0.01). The effect was reported to be stable during follow-up. Conclusion: Therefore, it can be said that there is a significant difference between the three groups in the post-test scores after adjusting the pre-test scores, and also, the confirmation results showed that schema therapy and t acceptance and commitment therapy t on the tolerance of emotional distress , sexual performance and psychological capital skewness among patients with multiple sclerosis has been stable.
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Rieker, P. P., S. D. Edbril e M. B. Garnick. "Curative testis cancer therapy: psychosocial sequelae." Journal of Clinical Oncology 3, n. 8 (agosto 1985): 1117–26. http://dx.doi.org/10.1200/jco.1985.3.8.1117.
Testo completoAbstract (sommario):
We examined the long-term impact of advanced testis cancer and its curative therapies on emotional states and outlook on life, employment, intimate relationships, and sexual function. The sample consisted of 74 nonseminomatous and seminomatous tumor patients who had completed treatment two to ten years ago. The majority of men felt that surviving the debilitating treatment(s) was both an accomplishment and worthwhile trade-off. Neither the rate of unemployment (7%) nor divorce (10%) was remarkable. The most critical outcome was in the area of sexual functioning. One fourth to one half of the men reported some type of sexual impairment. Multiple regression results indicate that ejaculatory dysfunction, a side effect of the retroperitoneal lymph node dissection, is significantly associated with distress about both infertility and sexual impairment. Men with sexual impairment report more psychological symptoms, strained intimate relationships, and negative changes in other areas of life functioning. These data, while not definitive, suggest that there are delayed effects and that the subgroup of men, who are least likely to disclose these problems to physicians, are at greater risk for the deleterious outcomes.
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Galvao, Daniel Abido, Suzanne K. Chambers, Dennis R. Taaffe, Prue Cormie, Oliver Schumacher, Robert Alexander Gardiner, Nigel Spry et al. "Effects of supervised exercise and self-managed psychosexual therapy on sexual health in men with prostate cancer: A randomized clinical trial." JCO Global Oncology 9, Supplement_1 (agosto 2023): 71. http://dx.doi.org/10.1200/go.2023.9.supplement_1.71.
Testo completoAbstract (sommario):
71 Background: Sexual dysfunction is a common, distressing, and persistent adverse effect of prostate cancer treatment and current management strategies do not adequately address physical and psychological effects. Exercise is emerging as potential therapy in the management of sexual health. The purpose of this study was to investigate the effects of supervised, clinic-based, resistance and aerobic exercise with and without psychosexual therapy self-management on sexual health in men with prostate cancer. Methods: A 3-arm, parallel group, multi-center randomized clinical trial was undertaken between 2014 and 2018. The study was conducted at university-affiliated exercise clinics. Eligible participants were men with prostate cancer who had previously or were currently undergoing treatment and concerned about sexual dysfunction. One-hundred and twelve participants were randomized to: 1) 6 months of supervised, group-based resistance and aerobic exercise (n=39), 2) the same exercise program plus psychosexual therapy (n=36), or 3) usual care (n=37). Exercise was undertaken 3 days per week at university-affiliated exercise clinics. Psychosexual therapy consisted of a brief self-management intervention that addressed psychological and sexual wellbeing. The primary outcome was sexual health assessed with the International Index of Erectile Function. Secondary outcomes included body composition, physical function, and muscle strength. Analyses were undertaken using an intention-to-treat approach. Results: Erectile function increased by 5.1 points (exceeds MICD) with exercise and 1.0 point with usual care (P interaction=.010) while intercourse satisfaction increased by 2.2 points with exercise and 0.2 points with usual care (P interaction=.026). Self-managed psychosexual therapy did not result in additional improvements. Compared with usual care, exercise prevented an increase in fat mass (P interaction=.028) and improved physical function outcomes, as well as upper and lower body muscle strength. Conclusions: Supervised resistance and aerobic exercise improved erectile function and intercourse satisfaction in men with prostate cancer; however, self-managed psychosexual therapy resulted in no additional improvements. Men with prostate cancer concerned about sexual dysfunction should be encouraged to undertake exercise as a potential countermeasure. Clinical trial information: ACTRN12613001179729 .
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Hoyer, Jürgen, Stefan Uhmann, Jana Rambow e Frank Jacobi. "Reduction of sexual dysfunction: by-product of cognitive-behavioural therapy for psychological disorders?" Sexual and Relationship Therapy 24, n. 1 (febbraio 2009): 64–73. http://dx.doi.org/10.1080/14681990802649938.
Testo completo
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Sawitri, Brihastami, e Nalini Muhdi. "Sexuality in Women After Hysterectomy". Jurnal Psikiatri Surabaya 8, n. 2 (20 luglio 2020): 47. http://dx.doi.org/10.20473/jps.v8i2.19534.
Testo completoAbstract (sommario):
Hysterectomy is the most common major gynecological surgeries, with up to 39,4% women will experience it during her lifetime. This procedure can be stressful for women as half of them will experience mild to severe physical and psychological complications. Uterus removal is often associated with de-feminization, castration, being disabled and loss of wholeness which may alter body image and self-esteem, ultimately lead to depression. Most women are anxious on how hysterectomy affect their sexuality, but only few feel comfortable discussing this essential matter to health professionals. The evaluation and management of sexual dysfunction had been the traditional province of psychiatrist. Psychiatrists should fulfill their competencies by updating knowledge on sexuality and sexual dysfunction, improving communication skill, being comfortable with own sexuality and discussing sexuality with other. Pharmacotherapy, relaxation techniques, behavior therapy, group therapy, analytical oriented sex therapy, dual-sex therapy and other techniques or exercises are some modalities option which may help women with sexual difficulties post-hysterectomy.
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Waller, Glenn, e Rachel Smith. "Sexual Abuse and Psychological Disorders: The Role of Cognitive Processes". Behavioural and Cognitive Psychotherapy 22, n. 4 (ottobre 1994): 299–314. http://dx.doi.org/10.1017/s1352465800013187.
Testo completoAbstract (sommario):
A history of sexual abuse is reported by a large proportion of women with psychological disorders. Cognitive approaches to therapy for this group aim to change the dysfunctional cognitions that are associated with abusive experiences, but often lack a clear model of the psychological processes that might be involved. This study examines the relationship between the overt cognitive correlates of sexual abuse (self-denigratory beliefs) and the covert correlates (information-processing bias). Women with psychological disorders who reported a history of sexual abuse had greater levels of self-denigratory beliefs and of information-processing bias than women who had a history of abuse but had no psychological disorder. The difference in overt self-denigratory cognitions was partly explained by the clinical women's higher level of covert information-processing bias. The information-processing bias appears to reflect a specific schema, which involves beliefs about the individual having been “contaminated” by the abusive experience. Therapeutic implications are discussed, including targets for treatment and evaluation. Further research is needed, to allow these cognitive correlates to be understood in relation to different psychological syndromes and symptoms.
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Assad, Hadeel, Gauri Badhwar, Sameeksha Bhama, Cynthia Vakhariya e Judie R. Goodman. "Impact of breast cancer diagnosis and treatment on sexual dysfunction." Journal of Clinical Oncology 32, n. 26_suppl (10 settembre 2014): 125. http://dx.doi.org/10.1200/jco.2014.32.26_suppl.125.
Testo completoAbstract (sommario):
125 Background: Sexual dysfunction is a common and under acknowledged disorder in women with breast cancer. Sexual dysfunction in this scenario may be related to multiple factors: psychological distress due to diagnosis, physical decline due to treatment, change in hormonal milieu and/or poor body image. Methods: We assessed the changes in sexual activity after breast cancer diagnosis and treatment in 45 women using an anonymous questionnaire. Data was analyzed via descriptive statistics and paired sample t-test. Results: The age of women in our study ranged between 33-73 years with an average age of 51.6 years. Most of the subjects (89%) had completed chemotherapy and/or radiation therapy however 52% were still on hormonal treatment. Women who were more sexually active prior to breast cancer diagnosis were more likely to experience sexual dysfunction (p = 0.001). Overall, 45% of the women with breast cancer experienced a decline in their sexual health. A greater decline occurred after breast cancer treatment (chemotherapy and/or hormonal therapy) than after diagnosis (p < 0.05). Fifty percent had a decrease in libido and sexual arousal, 40.5% had difficulty in reaching sexual orgasm, and 29% had dyspareunia. Sexual difficulties were addressed by the treating oncologist in 3 out of the 45 women. Conclusions: The data reveals that sexual dysfunction is prevalent in breast cancer survivors. Its onset in concomitance with the diagnosis of breast cancer reflects the psychosocial impact of such a diagnosis. The further decline in sexual health after treatment emphasizes the important adverse effects of chemotherapy and hormone therapy in terms of vaginal dryness, dysparunia and sexual well-being. Despite its prevalence, sexual dysfunction is not commonly addressed in women with breast cancer. [Table: see text]
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Hummel, Susanna B., Jacques J. D. M. van Lankveld, Hester S. A. Oldenburg, Daniela E. E. Hahn, Jacobien M. Kieffer, Miranda A. Gerritsma, Marianne A. Kuenen et al. "Efficacy of Internet-Based Cognitive Behavioral Therapy in Improving Sexual Functioning of Breast Cancer Survivors: Results of a Randomized Controlled Trial". Journal of Clinical Oncology 35, n. 12 (20 aprile 2017): 1328–40. http://dx.doi.org/10.1200/jco.2016.69.6021.
Testo completoAbstract (sommario):
Purpose We evaluated the effect of Internet-based cognitive behavioral therapy (CBT) on sexual functioning and relationship intimacy (primary outcomes) and body image, menopausal symptoms, marital functioning, psychological distress, and health-related quality of life (secondary outcomes) in breast cancer survivors (BCSs) with a DSM-IV diagnosis of a sexual dysfunction. Patients and Methods We randomly assigned 169 BCSs to either Internet-based CBT or a waiting-list control group. The CBT consisted of weekly therapist-guided sessions, with a maximum duration of 24 weeks. Self-report questionnaires were completed by the intervention group at baseline (T0), midtherapy (T1), and post-therapy (T2) and at equivalent times by the control group. We used a mixed-effect modeling approach to compare the groups over time. Results Compared with the control group, the intervention group showed a significant improvement over time in overall sexual functioning (effect size for T2 [EST2] = .43; P = .031), which was reflected in an increase in sexual desire (EST1 = .48 and EST2 = .72; P < .001), sexual arousal (EST2 = .50; P = .008), and vaginal lubrication (EST2 = .46; P = .013). The intervention group reported more improvement over time in sexual pleasure (EST1 = .32 and EST2 = .62; P = .001), less discomfort during sex (EST1 = .49 and EST2 = .66; P = .001), and less sexual distress (EST2 = .59; P = .002) compared with the control group. The intervention group reported greater improvement in body image (EST2 = .45; P = .009) and fewer menopausal symptoms (EST1 = .39; P = .007) than the control group. No significant effects were observed for orgasmic function, sexual satisfaction, intercourse frequency, relationship intimacy, marital functioning, psychological distress, or health-related quality of life. Conclusion Internet-based CBT has salutary effects on sexual functioning, body image, and menopausal symptoms in BCSs with a sexual dysfunction.
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Yang, Qiyun, Hongcai Cai, Zi Wan, Min Chen, Bicheng Yang, Yun Xie, Yadong Zhang et al. "Impact of cognitive behavioral therapy on premature ejaculation patients: A prospective, randomized controlled trial protocol". PLOS ONE 18, n. 12 (27 dicembre 2023): e0295663. http://dx.doi.org/10.1371/journal.pone.0295663.
Testo completoAbstract (sommario):
Background Premature ejaculation (PE) is one of the most common male sexual dysfunctions, with a prevalence of about 4%-39% in the Chinese population. Studies have shown that a variety of biological factors can lead to premature ejaculation, such as central nervous system disorders, hypersensitivity of the penis head, and psychological factors. Based on clinical experience, psychological counseling and education of patients and partners should be ranked as the first priority when treating PE. Cognitive behavioral therapy (CBT) addresses emotional, behavioral, and cognitive disorders by altering beliefs and actions. It has also been demonstrated to be clinically useful in treating a number of diseases. The purpose of this trial is to evaluate the efficacy of a mobile-based CBT intervention on patients with PE compared to conventional routine treatment. Methods This study is a prospective randomized controlled trial that will be conducted from May 2023 to Dec 2024 at ten hospitals, primarily including the First Affiliated Hospital of Sun Yat-sen University with an 8-week follow-up. The clinical trial central randomization system will be used to create and implement the specific randomization method. Baseline data of both groups will be measured and collected. The premature ejaculation diagnostic tool (PEDT) and the female sexual distress scale-revised for premature ejaculation (FSDS-R-PE) will be collected on the first day, 28±2 days, and 56±2 days during the intervention period, and the intravaginal ejaculatory latency time (IELT) will be measured in both groups. The Shapiro-Wilk test will be used for normality testing. Pearson correlation analysis will be used for correlation analysis. Differences between groups will be compared using analysis of variance or exact probability calculations. Discussion This study will investigate the effect of a mobile-based CBT intervention on patients with PE. Trial registration Chinese Clinical Trial Registry (ChiCTR2300070581).
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Luca, G., S. Parrettini, A. Sansone, R. Calafiore e E. A. Jannini. "The Inferto-Sex Syndrome (ISS): sexual dysfunction in fertility care setting and assisted reproduction". Journal of Endocrinological Investigation 44, n. 10 (6 maggio 2021): 2071–102. http://dx.doi.org/10.1007/s40618-021-01581-w.
Testo completoAbstract (sommario):
Abstract Purpose Infertility represents a peculiar social burden affecting more than 15% of couples, provoking it a real threat to the general quality of life and to the sexual health. The medicalization (diagnosis, therapy and follow up) of the lack of fertility is frequently a challenge in term of personal and couple’s involvement. In particular, while the Assisted Reproductive Technology (ART) has allowed many infertile couples to achieve pregnancy, the therapeutic process faced by the couple bears a strong psychological stress that can affect the couple's quality of life, relationship and sexuality. Despite infertility affects both female and male sexual health, only recently the interest in the effects of ART on the couple's sexuality has grown, especially for women. Methods A literature research on the sexual dysfunction in fertility care and particularly in ART setting was performed. Results Literature largely found that intimacy and sexuality appear specifically impaired by intrusiveness of treatments and medical prescriptions. Moreover, there is a close relationship between emotional, psychological and sexual aspects, which can be integrated in the new concept of Inferto-Sex Syndrome (ISS) that can impair the ART treatment outcomes. Evidence demonstrates that the assessment of sexual function is necessary in couples undergoing diagnosis of infertility and ART. Conclusion A close relationship between infertility and sexuality, both in the female and male partners, was detected. ART treatments may heavily impact on the couple's psychosexual health. A couple-centred program for the integrated management of psychological and sexual dysfunction should be considered in the context of ART programs.
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Thomas, Jayakar, e Pradeepa Ramamurthy. "Psychocutaneous manifestation in psoriasis". IP Indian Journal of Clinical and Experimental Dermatology 8, n. 4 (15 novembre 2022): 234–38. http://dx.doi.org/10.18231/j.ijced.2022.047.
Testo completoAbstract (sommario):
Psoriasis is a chronic hyperproliferative condition of the epidermis which requires systemic therapy. Anxiety, depression, poor self-esteem, alcoholism, sexual dysfunction, suicidal ideation are the commonest psychological problems encountered in psoriasis. Quality of life may be severely affected by the chronic nature of the psoriasis as well as the need of life long treatment. In general, psychological factors include poor self-esteem, stigmatization, depression and anxiety which are the strong determinants which determine the disability in psoriasis more than the disease itself. This is a review article highlighting on the psychological aspects of psoriasis.
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Porter, Laura Diane, Ronit Yarden, Kim Lynn Newcomer e Negeen Fathi. "Young-onset colorectal cancer treatment side effects: Infertility, sexual dysfunction, and quality-of-life outcomes." Journal of Clinical Oncology 39, n. 15_suppl (20 maggio 2021): 3587. http://dx.doi.org/10.1200/jco.2021.39.15_suppl.3587.
Testo completoAbstract (sommario):
3587 Background: Colorectal cancer is the third-most commonly diagnosed cancer and the second-leading cause of cancer death in men and women combined in the United States. Young-onset colorectal cancer refers to individuals diagnosed under the age of 50. In recent years, the incidence has increased by 2.2% annually in individuals younger than 50 years and 1% in individuals 50-64, in contrast to a 3.3% decrease in adults 65 years and older. Young-onset (YO) CRC patients and survivors face unique clinical challenges with fertility and sexual dysfunctions, but this risk is not well quantified. There is limited data and public discussion on the long-term effects of colorectal cancer treatments on fertility and sexual dysfunction and the long-term impact on the quality of life. Methods: To explore the unique challenges and unmet needs of the young-adult patient population, a cross-sectional study was conducted. Colorectal cancer patients and survivors (N = 884) diagnosed between the ages of 20 to 50 years old (median age 42 ± 7.0) completed an online questionnaire based on established instruments EORTC-QOL-30, EORTC-CR-29, and EORTC-SHC-22. Results: Thirty-one percent of respondents stated that a medical professional spoke to them about fertility preservation at the time of diagnosis and during treatment. Only 31% were referred to a reproductive endocrinologist, even though 37% of women and 16% of men reported that treatment left them infertile or sterile. Among survey respondents, 12% of women had an egg retrieval procedure, and 36% of men had their sperm preserved prior to the start of treatment. Fifty-three percent of women reported treatment led to premature menopause. Sixty-five percent of respondents suffer from some level of sexual dysfunction due to treatment. In patients who received radiation therapy, women were 12% less likely than men to have discussed sexual side effects with the provider before treatment. Patients who have an ostomy reported more severe sexual dysfunction (17.8%). Rectal cancer patients were 2.5 times more likely than those with colon cancer to report severe dysfunction after their treatment. More than 25% of the respondents said they would have considered alternative treatment if they would have known the risks of sexual dysfunction. Conclusions: Our survey demonstrates inadequate communications between patients and providers about the irreversible fertility and sexual effects of colorectal cancer treatments. Younger patients and survivors face unique long-term challenges and require further information about fertility preservation options and emotional support regarding their sexuality post-treatment. Other studies are needed to assess the physical and psychological side effects endured by young-onset CRC patients and survivors.
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Guaraldi, Giovanni, Kety Luzi, Rita Murri, Antonio Granata, Maria De Paola, Gabriella Orlando, Nicola Squillace et al. "Sexual Dysfunction in HIV-Infected Men: Role of Antiretroviral Therapy, Hypogonadism and Lipodystrophy". Antiviral Therapy 12, n. 7 (ottobre 2007): 1059–66. http://dx.doi.org/10.1177/135965350701200713.
Testo completoAbstract (sommario):
Background Both psychological and organic factors have been recognized to be associated with sexual dysfunction in HIV-infected individuals. Methods In this cross-sectional study we evaluated the prevalence and factors associated with sexual dysfunction in a cohort of HIV-infected adult men. Evaluation tools included: the International Index of Erectile Function (erectile dysfunction [ED], desire, orgasm, intercourse satisfaction, overall satisfaction), the Assessment of Body Change and Distress (body image satisfaction), the Medical Outcomes Study HIV Health Survey (mental and physical health-related quality of life), and plasma free and total testosterone level (hypogonadism). Results Three-hundred and fifty-seven men were enrolled. Among 336 patients reporting sexual activities in the 4 weeks before, 94 (29.6%) had mild, 30 (9.4%) moderate and 34 (10.1%) severe dysfunction. The Mental Health Summary score was 2.28 units (95% confidence interval [CI] 1.51, 3.06) lower for each unit higher of body image dissatisfaction and 0.31 units (95% CI 0.27, 0.36) higher for each unit higher of the score for body change interference with habits. At regression analysis, ED was independently related to the body mass index (B=0.31, 95% CI 0.08, 0.62). Desire, orgasm and overall satisfaction domains were associated with mental health score (B=0.87, 95% CI 0.47, 1.27; B=0.75, 95% CI 0.23, 1.26; B=0.86, 95% CI 0.45, 1.28, respectively). An improved intercourse satisfaction domain was associated with a lower interference of body changes with habits and social life (B=0.39, 95% CI 0.05, 0.73). Testosterone, metabolic alterations and HAART were not associated with sexual function domains. Conclusions Body image and mental health but not HAART or hypogonadism were associated with sexual function domains.
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Menegaux, Florence, Xavier Rebillard, Sophie Bouvet, Christel Castelli e Nadine Houede. "The impact of prostate cancer diagnosis on the quality of life at 3 years: A case control study." Journal of Clinical Oncology 36, n. 6_suppl (20 febbraio 2018): 67. http://dx.doi.org/10.1200/jco.2018.36.6_suppl.67.
Testo completoAbstract (sommario):
67 Background: Prostate cancer (PCa) is the most common cancer in men. Former studies showed a time-dependent worsening of sexual or urinary long term side effects following surgery or radiotherapy that affected patients’ quality of life (QoL). These studies could not discriminate between age-related and treatment-related symptoms, as patients were their own controls. We conducted a case-control study evaluating at 3 years QoL and physical/psychological dysfunctions, whereas patients were on watchful waiting or received a treatment. Methods: We used data from the EPICAP population-based case-control carried out by INSERM and including 1700 participants. Eligible cases were men < 75 years old newly diagnosed with PCa in 2012-2014 living in the Hérault geographic area. Controls were men of the same age recruited in the general population of the same area. Participants answered a QoL questionnaire 3 years after intervention. Primary objective was to compare the impact of diagnosis or/and treatments on QoL as measured by the EORTC QLQ-C30 score. Secondary objective was to compare the impact of diagnosis or/and treatments on urinary dysfunctions (IPSS, ICS), sexual dysfunctions (IEEF-5), anxiety (HADS), and occupational integration. We also assessed these QoL parameters depending on the treatment that was received. Results: Median age was 67.9 years old in the cases and 68.4 years old in the control. At 3 years, 376 cases and 352 controls had sent back their questionnaires. Treatments were: RP (258), RT (90), focal therapy (52), hormone therapy (26) and watchful waiting (61) at the time of the study. The results show no difference between cases and controls for the global QoL score. Other parameters are being assessed and will be presented at the meeting. Conclusions: Though prostate cancer cases and population-based controls showed similar global QoL at 3 years after diagnosis, the large EPICAP study will provide a comprehensive framework to go further in the understanding of PCa sequelae and give some hints on the balance between benefit and risk of PSA testing. This study will be the first to evaluate the different types of sequelae as a function of treatments and the occupational integration for patients < 65 years old.
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Khandelwal, Mahi, e Sudha Rathore. "Effcetiveness of CBT and Sex Therapy on Marital Adjustment and Sexual Function among Patient with Premature Ejaculation". International Journal of Membrane Science and Technology 10, n. 3 (17 ottobre 2023): 2927–36. http://dx.doi.org/10.15379/ijmst.v10i3.2739.
Testo completoAbstract (sommario):
The satisfaction of a good sexual interaction between spouses is one of the most crucial elements in a happy marriage. The research’s purpose was to ascertain the effectiveness combination of CBT and sex therapy (Master & Johnson, 1970) on marital adjustment (MA) and Sexual Function (SF) among patient with Premature ejaculation (PE). good loving attitude toward each other in relationships, and decreases interpersonal discontent. In this view, Author proposed a combination therapy of sex therapy and CBT for sexual dysfunction, such as PE. The tools used were Brief Sexual Function Inventory (self devised) and Marital adjustment scale (MAS) (Locke & Wallace, 1959). Statistical tools used were Descriptive Statistics, Paired sample t test, Analysis of Variance and Post-Hoc Tukey HSD. The pre-intervention mean score of 4 groups was insignificant on MAS and SES. The results of the paired samples t-test were used to assess pre and posttest scores for all the 3 interventions groups. The post-intervention means score of all 4 groups was significantly different over MAS and SF. The post hoc analysis revealed that the mean score differences were most significant in combined therapy of ST and CBT as compared to ST and CBT individually. This paper utilizes psychological therapy and sex therapy can have larger implication on maintaining sexual intimacy among couples and in turn having a long-lasting effect on marital adjustment.
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Diaz-Mohedo, Esther, Fidel Hita-Contreras, Eduardo Castro-Martin, Andrzej Pilat, Borja Perez-Dominguez e Geraldine Valenza-Peña. "Using Myofascial Therapy to Improve Psychological Outcomes, Quality of Life, and Sexual Function in Women with Chronic Pelvic Pain—A Case Series". Healthcare 12, n. 3 (24 gennaio 2024): 304. http://dx.doi.org/10.3390/healthcare12030304.
Testo completoAbstract (sommario):
(1) Background: Chronic pelvic pain represents a prevalent condition afflicting women. Research has highlighted the presence of psychological distress and sexual dysfunction in these individuals. Regrettably, myofascial pelvic pain often goes unnoticed and untreated despite its integral role in chronic pelvic pain. (2) Methods: By employing a longitudinal case series design, we studied eighteen women afflicted with chronic pelvic pain. Over a 12-week period, these participants underwent 15 sessions of myofascial therapy. Data encompassing sociodemographic particulars, the Hospital Anxiety and Depression Scale, the Medical Outcomes Study Short Form 12 questionnaire, and the Female Sexual Function Index were collected at baseline, 12 weeks post-intervention, and again at the 24-week mark. (3) Results: After a span of 12 weeks subsequent to the intervention, the participants demonstrated noteworthy enhancements (p < 0.001) in their depression and anxiety scores, their overall Mental Component scores in the Medical Outcomes Study Short Form 12, as well as sexual function. Importantly, these gains were sustained at the 24-week juncture post-therapy. (4) Conclusions: The findings stemming from our prospective case study underscore the potential utility of myofascial therapy for women grappling with chronic pelvic pain. This form of intervention yields significant advancements in alleviating anxiety, depression, health-related quality of life, and sexual function.
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El-Jawahri, Areej, Jennifer Reese, Lara Traeger, Don Dizon, Sharon Bober, Julie Vanderklish, Richard Newcomb, Zachariah Defilipp, Yi-Bin Chen e Jennifer Temel. "Multimodal Mobile Application to Address Sexual Dysfunction in Hematopoietic Stem Cell Transplant (HCT) Survivors". Blood 142, Supplement 1 (28 novembre 2023): 5142. http://dx.doi.org/10.1182/blood-2023-185776.
Testo completoAbstract (sommario):
Background: Sexual dysfunction is the most common complication affecting HCT survivors and is associated with worse patient-reported quality of life (QOL) and psychological distress. Yet, interventions to address sexual dysfunction in HCT survivors are lacking. Methods:We conducted a pilot randomized trial of a multimodal mobile application (SHIFT) to address sexual dysfunction for patients with hematologic malignancies who were at least 3 months post autologous or allogeneic HCT and endorsed sexual dysfunction causing distress. Patients were randomly assigned to SHIFT or enhanced usual care. Intervention participants met with a trained HCT clinician for a brief clinical exam to address biological causes of sexual dysfunction and were then provided access to SHIFT for 8 weeks. SHIFT consists of five modules focused on educating and empowering patients to address their sexual health concerns and addressing the biologic, interpersonal, social, and psychological causes of sexual dysfunction. Patients assigned to enhanced usual care met with the trained HCT clinician for a brief clinical exam and they were not given access to SHIFT. The primary endpoint was feasibility, defined a priori as at least 60% of eligible patients enrolling and 60% of those enrolled completing at least 70% of the SHIFT modules. We assessed patient global satisfaction with sex, interest in sex, orgasm pleasure (PROMIS), QOL (Functional Assessment of Cancer Therapy-Bone Marrow Transplant [FACT-BMT]), and psychological distress (Hospital Anxiety and Depression-Scale [HADS]) at baseline and 8 weeks. To assess the usability of SHIFT, we used the System Usability Scale (>80 indicates excellent usability). We a priori identified a p-value <0.25 as promising for preliminary efficacy in this pilot study. Results: We enrolled 64.2% (61/95) of eligible patients (mean age = 57.2 (SD=14.2), 60% male). In the intervention group, 70.0% completed ≥ 80% of the SHIFT modules, and 66.7% completed all SHIFT modules. Patients assigned to SHIFT used the app for a mean of 155 minutes (Range: 38.1 - 394.9). At 8 weeks, patients randomized to SHIFT reported improved satisfaction with sex (14.6 vs. 12.3, P=0.076), interest in sex (6.7 vs. 5.7, P=0.040), and orgasm pleasure (9.7 vs. 8.2, P=0.106), compared to those assigned to enhanced usual care. SHIFT participants also reported better QOL (115.6 vs. 108.3, P=0.039), anxiety (4.6 vs. 6.4, P=0.043), and depression symptoms (3.6 vs. 5.4, P=0.016) compared to those assigned to enhanced usual care. The SHIFT mean usability score was 80.5 (SD=13.6). Conclusions:A multimodal mobile app to address sexual dysfunction is feasible to use for HCT survivors and has promising preliminary efficacy for improving sexual health outcomes, QOL, and psychological distress. A future multi-site trial is needed to assess the efficacy of SHIFT for improving sexual function and QOL in HCT survivors.
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Bober, Sharon L., Jaime E. Blackmon, Christopher J. Recklitis e Alexi A. Wright. "Preliminary results from the Sexual Therapy and Rehabilitation after Treatment for Ovarian Cancer (START-OC) study." Journal of Clinical Oncology 34, n. 3_suppl (20 gennaio 2016): 127. http://dx.doi.org/10.1200/jco.2016.34.3_suppl.127.
Testo completoAbstract (sommario):
127 Background: For ovarian cancer (OC) survivors, serious sexual dysfunction is one of the most distressing long-term side effects of treatment, with up to 90% survivors reporting a loss of interest in sexual activity for years after diagnosis. Despite the prevalence and magnitude of the problem, treatment-related sexual dysfunction and accompanying psychological distress are not addressed for most survivors. There is a critical need to address these problems for OC survivors. Methods: We are currently piloting a novel psychosexual intervention to help women manage sexual changes and improve sexual functioning after ovarian cancer treatment. Guided by Self-Determination Theory, this group-based intervention also aims to enhance women’s self-efficacy to address problems. Eligibility criteria include: OC diagnosis, functional ability, and sexual dysfunction. Women participate in a single half-day workshop, complete questionnaires, and engage in a booster telephone session. Detailed workshop evaluations are collected to assess women’s feedback of the group session. This study is currently enrolling. Results: To date, 369 women have been contacted, of which 45 (12.2%) have attended or are scheduled to attend a group session. Preliminary feedback data indicate high favorability of the group session; 100% of the women (N = 16) agreed or strongly agreed that the content of the group session was easy to understand and that the group session gave helpful information for addressing treatment-related sexual problems. Additionally, 100% of participants agreed that they were satisfied with the group session and enjoyed participating in it. Conclusions: Preliminary data show that women report multiple benefits from the session content and are highly satisfied with the group session. However, low response rates raise several questions with regard to timing and recruitment of a sexual health intervention after OC treatment. Next steps include quantitative analyses of changes in sexual function, sexual knowledge, and sexual self-efficacy consequent to the group intervention. Clinical trial information: NCT02287519.
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P. U, Sreeram. "Ayurvedic Management of Premature Ejaculation In Reference To Śukṟagata Vata: A Case Report". International Journal Of Ayurvedic And Herbal Medicine 12, n. 3 (1 aprile 2022): 4221–28. http://dx.doi.org/10.47191/ijahm/v12i3.01.
Testo completoAbstract (sommario):
Premature ejaculation (PE) is the most common type of ejaculatory dysfunction which is difficult to manage. The global prevalence of PE is estimated as 20 – 40 % and in India it is reported as 8.76%. The inability to control ejaculation associated with unsatisfied experience of orgasm for the couples is a major factor causing psychological distress that leads to inter-personal conflicts. However, psychological interventions provide better results in PE, a combined approach of Psycho-Pharmacological intervention offer superior efficacy. A 39-year-old male presented with inability to delay ejaculation with a duration of sexual act less than 1 minute associated with resultant significant anxiety that hampered the sexual activity and reduced the sexual desire. On further interrogation, it was revealed that he had a significant stressful event in his life due to financial loss and also had a hurried sexual act which led to rapid ejaculation. However, he had many previous good experiences in his sexual act and also was having a supportive partner. The case was diagnosed as Premature ejaculation as per DSM V Criteria and as Śukṟagata Vata in Ayurveda purview. The management was planned in OP level, as a combination of a positive psychotherapy technique called Solution Focused Brief Therapy (SFBT) and an Ayurveda formulation Staṃbhanakara yoga for 3 months. Significant improvement was noted in Sexual dysfunction assessment questionnaire (Revised Singh. G et al. 2001) and Solution Focus Inventory recorded before and after the management along with increased Intra Ejaculatory Latency Time (IELT).
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Kurban, Didem, Suleyman Eserdag, Emrah Yakut e Prabhu Chandra Mishra. "The treatment analysis of the patients suffering from vaginismus and the correlation with the psychological issues". International Journal of Reproduction, Contraception, Obstetrics and Gynecology 10, n. 4 (24 marzo 2021): 1328. http://dx.doi.org/10.18203/2320-1770.ijrcog20211107.
Testo completoAbstract (sommario):
Background: We aimed to present the demographic information, treatment protocol, and results of 482 female patients that presented to our clinic specialized in sexual dysfunction with the complaint of no or only partial sexual intercourse and were diagnosed with primary vaginismus.Methods: The female patients were asked eight questions about demographics; 13 questions about marriage; seven questions about family structure and upbringing; three questions about history of psychiatric diseases and general phobias; and 17 questions about sexual history and previous treatments. The male spouses were asked seven questions concerning age, occupation, educational level, personality, sexual experience, and sexual dysfunction.Results: The median age of the female patients was 28 and their spouses was 29. The mean duration of marriage was 18.2 months. Of the female patients, 65.4% reported that they felt they would have pain during sexual intercourse, 23.6% stated that they really had pain, 74.1% mentioned that they had heard horrifying stories about the first night of marriage in the pre-marital period. Cognitive behavioral therapy was performed alone in 85.7% of the patients, following hymenotomy in 5%, and following hymenectomy in 9.3%.Conclusions: False and exaggerated information about sexuality being embedded in the subconscious of women is very effective in the development of vaginismus. On the other hand, traditional family structure, adolescent traumas, first night stories, and superstitions about sexuality are among the important causes of vaginismus.
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Shastri, Bhavin R., e Subhashini Yaturu. "Metabolic Complications and Increased Cardiovascular Risks as a Result of Androgen Deprivation Therapy in Men with Prostate Cancer". Prostate Cancer 2011 (2011): 1–9. http://dx.doi.org/10.1155/2011/391576.
Testo completoAbstract (sommario):
Prostate cancer is one of the most common malignancies in men. Charles Huggins and Clarence V. Hodges reported the androgen dependence of prostate cancer in 1941. That led to the utilization of androgen deprivation therapy as an important therapeutic modality to treat prostate cancer. Androgen deprivation therapy has additional systemic effects that include sexual dysfunction, psychological changes and more important are the metabolic changes. Metabolic changes in particular include insulin resistance, increase fat mass and low-density lipoprotein cholesterol, and induce type 2 diabetes. In this review we will focus on the cardiovascular risk associated with androgen deprivation therapy that includes the mechanisms involved.
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Cianci, Stefano, Mattia Tarascio, Martina Arcieri, Marco La Verde, Canio Martinelli, Vito Andrea Capozzi, Vittorio Palmara et al. "Post Treatment Sexual Function and Quality of Life of Patients Affected by Cervical Cancer: A Systematic Review". Medicina 59, n. 4 (4 aprile 2023): 704. http://dx.doi.org/10.3390/medicina59040704.
Testo completoAbstract (sommario):
Introduction: The aim of this study is to analyze the available scientific evidence regarding the quality of life (QoL) and sexual function (SF) in patients affected by cervical cancer (CC) after surgical and adjuvant treatments. Materials and Methods: Preliminary research was conducted via electronic database (MEDLINE, PubMed and Cochrane Library) with the use of a combination of the following keywords: SF, QoL, and CC. The principal findings considered in the present review were the study design, the number of patients included in each study, the information about the malignancy (histology and stage of disease), the questionnaires administered, and the principal findings concerning SF and QoL. Results: All studies were published between 2003–2022. The studies selected consisted of one randomized control study, seven observational studies (three prospective series), and nine case control studies. The scores used were focused on SF, QOL, fatigue, and psychological aspects. All studies reported a decreased SF and QOL. The most developed questionnaires were the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire (EORTC QLQ-C30), the Female Sexual Function Index (FSFI), the Hospital Anxiety and Depression scale (HADS), and the Female Sexual Distress Scale (FSDS). Discussion: All studies reported a decreased SF and QOL. In addition to the perception of body image, several factors coexist in influencing the outcomes such as the physical, hormonal, psychological. Conclusions: Sexual dysfunction after CC treatment has a multifactorial aetiology which negatively affects the quality of life. For these reasons, it is important to follow and support patients with a multidisciplinary team (doctors, nurses, psychologists, dieticians) before and after therapy. This type of tailored therapeutic approach should become a standard. Women should be informed about possible vaginal changes and menopausal symptoms after surgery and on the positive effects of psychological therapy.
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Дмитриенко, G. Dmitrienko, Баисова, E. Baisova, Череващенко e Lyubov Cherevashchenko. "Acupuncture and phototherapy efficiency for correction оf erectile dysfunction in the patients with neurotic depression". Journal of New Medical Technologies. eJournal 8, n. 1 (5 novembre 2014): 0. http://dx.doi.org/10.12737/6446.
Testo completoAbstract (sommario):
Sexual dysfunction in men, limiting their reproductive capabilities, prevent the achievement of marital and sexual life as a couple, break the stability of marriage, adversely affect mental health, lead to the development of neurotic and depressive disorders, alcohol abuse and antisocial behaviour.
In recent years, interest in the problem of vasculogenic erectile dysfunction has increased worldwide. But, despite this, many researchers believe that erectile dysfunction of vascular origin ranks second in frequency after disorders due to psychogenic factors.
Therapy of sexual disorders with neurotic depression has a number of obstacles due to absence of system-structural approach to sexopathologist syndromes. It is necessary to search new possibilities of correction of sexual disorders in patients with neurotic depression.
The purpose of this study was to develop and to justify pathogenetically the method of combined use of phototherapy and acupuncture for the correction of sexual disorders to improve the effect of treatment in men with neurotic depression.
80 patients with neurotic depression and erectile dysfunction prior to the application of medical facilities and at the end of treatment were examined. The results of treatment were: restoration of sexual function, decrease or disappearance of neurasthenic complaints (irritability, fatigue, headaches, dyssomnia, psycho-emotional, vegetative-vascular disorders, and others), normalization of libido and paraclinical data (psychological testing, electrophysiological parameters).
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Gillman, Nicholas, e Michael Gillman. "Premature Ejaculation: Aetiology and Treatment Strategies". Medical Sciences 7, n. 11 (25 ottobre 2019): 102. http://dx.doi.org/10.3390/medsci7110102.
Testo completoAbstract (sommario):
Premature ejaculation (PE) is a highly prevalent male sexual dysfunction that is often neglected, presenting a currently unmet therapeutic need. The classification of PE has historically been varied and at times ambiguous, contributing to inaccurate prevalence estimates. This review uses the International Society for Sexual Medicine (ISSM) definition of PE, which includes reduced ejaculatory latency, lack of control and associated negative personal consequences. Patient assessment and management options differ depending on the classification of PE and it is the role of the clinician to appropriately classify patients and be aware of the correct management strategies. This review provides an overall background of PE in terms of classification and underlying physiology, patient assessment and management strategies along with the scientific rationale for treatment. Patients with lifelong and acquired PE are most likely to benefit from combination therapy of pharmacological treatment in the form of selective serotonin re-uptake inhibitor dapoxetine, psychosexual behavioural therapy and psychological therapy.
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Zislin, Iosif M. "How and why a patient begins to call his wife “mom”: cases of changing the terms of kinship". Neurology Bulletin LII, n. 3 (26 gennaio 2021): 88–94. http://dx.doi.org/10.17816/nb43490.
Testo completoAbstract (sommario):
This is a paper showing how and why a patient starts calling his wife mom. An example of some cases is discussed. Such speech formulas, well known in everyday life, are described in linguistics as a pragmatic shift. It was demonstrated that such a temporary transposition of the name occurs in patients suffering from depression and associated sexual dysfunction. Methods of linguistics, anthropology and psychoanalysis have been used to analyze the described clinical cases. It is suggested that such transposition reflects an unconscious taboo and a mirror inversion of the oedipal complex. The standard and permissible marital sexual behaviour become incestuous through renaming the sexual partner in the described cases. The aforementioned transposition in the focus of therapy can be considered as a special case of (psychological) speech defense, which we have designated as rhetorical illocutionary defense.
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El-Jawahri, Areej, Jennifer B. Reese, Lara Traeger, Don S. Dizon, Sharon L. Bober, Julie Vanderklish, Nora K. Horick et al. "Randomized trial of a multimodal intervention to enhance sexual function and quality of life (QOL) in hematopoietic stem cell transplant (HSCT) survivors." Journal of Clinical Oncology 42, n. 16_suppl (1 giugno 2024): 12003. http://dx.doi.org/10.1200/jco.2024.42.16_suppl.12003.
Testo completoAbstract (sommario):
12003 Background: Sexual dysfunction is the most common complication affecting HSCT survivors and is associated with worse psychological distress and patient QOL. Yet, interventions to address sexual dysfunction in HSCT survivors are lacking. Methods: We conducted a single-center randomized clinical trial of a multimodal intervention to address sexual dysfunction in autologous and allogeneic HSCT survivors who were at least 3 months post-HSCT and endorsed sexual dysfunction causing distress. Patients were randomly assigned to the intervention or usual care. Intervention participants met with a trained HSCT clinician for three monthly visits that focused on 1) assessing the causes of their sexual dysfunction; 2) educating and empowering patients to address sexual health concerns; and 3) implementing therapeutic interventions (e.g., vaginal lubrication, medications, intimacy exercises, etc.). We assessed patient global satisfaction with sex, interest in sex, orgasm pleasure, erectile function, vaginal discomfort (PROMIS), QOL (Functional Assessment of Cancer Therapy-Bone Marrow Transplant), and psychological distress (Hospital Anxiety and Depression-Scale) at baseline, 3 and 6 months after enrollment. The primary endpoint was to compare patient global satisfaction with sex at 3 months between the study groups. We used linear regression models, adjusting for baseline scores, to evaluate the intervention effects on study outcomes at 3 and 6 months. Results: We enrolled 74.0% (125/169) of eligible patients (mean age = 55.5 (SD=14.0), 67% male). Overall, 93.7% (60/64) of those randomized to the intervention attended all three intervention visits. At 3 months, patients randomized to the intervention reported improved global satisfaction with sex (B=4.7, P<0.001), interest in sex (B=1.3, P<0.001), orgasm pleasure (B=3.3, P<0.001), erectile function (B=10.9, P<0.001), vaginal discomfort (B=-9.6, P=0.008), QOL (B=12.5, P<0.001), anxiety (B=-1.7, P=0.003), and depression symptoms (B=-2.0, P<0.001) compared to those assigned to usual care. The intervention led to sustained effects at 6 months with improvement in global satisfaction with sex (B=5.2, P< 0.001), interest in sex (B=0.9, P = 0.009), orgasm pleasure (B=3.6, P<0.001), erectile function (B=12.7, P<0.001), vaginal discomfort (B=-13.5, P<0.001), as well as QOL (B=9.2, P=0.002), anxiety (B=-2.0, P=0.001), and depression symptoms (B=-1.4, P=0.006). Conclusions: A multimodal intervention delivered by trained HSCT clinicians results in sustained improvements in sexual health outcomes, QOL, and psychological distress among HSCT survivors. A future multi-site trial is needed to demonstrate the generalizability of these findings across care settings in diverse HSCT survivors. Clinical trial information: NCT03803696 .
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Bezkor, Mary F., e Angelo Canedo. "Physiological and psychological factors influencing sexual dysfunction in Multiple Sclerosis: Part II emotionality and sexuality in persons with Multiple Sclerosis". Sexuality and Disability 8, n. 3 (settembre 1987): 147–51. http://dx.doi.org/10.1007/bf01376985.
Testo completo
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Saba Jodeiri Abolghasemi, Amir PanahAli, Behzad Shalchi. "A Comparative Study of the Effectiveness of Sex Therapy Using Cognitive-Behavioral, Mindfulness-Based, and Integrative Approaches on Sexual Satisfaction and Sexual Desire in Married Women with Sexual Dissatisfaction". Tuijin Jishu/Journal of Propulsion Technology 44, n. 4 (16 ottobre 2023): 6667–83. http://dx.doi.org/10.52783/tjjpt.v44.i4.2298.
Testo completoAbstract (sommario):
The aim of this research is to compare the effectiveness of sex therapy using cognitive-behavioral, mindfulness-based, and integrative approaches on sexual satisfaction and sexual desire in married women with sexual dissatisfaction. This study is a semi-experimental research with a pre-test and post-test design, classified as applied research in terms of its purpose. Data were collected through a survey using a validated questionnaire. The research population included all married women with sexual dissatisfaction who had sought counseling and psychological services through advertisements on the Divar website and social media networks and were selected through convenient sampling. After initial interviews and entry criteria assessment, which included being married, experiencing sexual dysfunction for at least six months, and being married for at least one year, a total of 40 participants were randomly divided into four groups (cognitive-behavioral, mindfulness-based, integrative, and control groups). The research instruments included the Sexual Desire Questionnaire (Apt & Halbert, 1992) with a Cronbach's alpha coefficient of 0.82 and the Hudson Index of Sexual Satisfaction Questionnaire (ISS) (1981) with a Cronbach's alpha coefficient of 0.87. Forty-five individuals volunteered to participate in the study, of which 42 attended in-person based on the advertisements, and 40 were selected based on entry and exit criteria. They were randomly assigned to four 10-member groups (cognitive-behavioral, mindfulness-based, integrative, and control groups). Subsequently, each experimental group received six 120-minute group therapy sessions. Initially, before any intervention, individuals received necessary explanations about the research objectives, and informed consent was obtained. In the first phase, a pre-test was administered before the intervention, and then the experimental groups underwent their respective interventions, with the first group receiving eight cognitive-behavioral sessions and the second group receiving six mindfulness-based sessions. After a 30-day interval following the interventions, a post-test was administered to all groups. For hypothesis testing, analysis of variance and post hoc tests were used. The results indicate that there are significant differences (p < 0.05) in sexual satisfaction and sexual desire among married women with sexual dissatisfaction in the integrative, cognitive-behavioral, and mindfulness-based groups compared to the control group, with the integrative group showing the highest improvement. However, there is no significant difference (p > 0.05) in sexual satisfaction and sexual desire between the mindfulness-based and cognitive-behavioral groups. Therefore, sex therapy in the treatment of generalized sexual dysfunction in sexual relationships, as well as reducing sexual dissatisfaction and increasing sexual desire and intimacy, is beneficial. Based on the findings of this research, psychologists and counselors working in the field of family therapy can use practical guidelines to intervene in situations arising from sexual dissatisfaction as a supportive treatment.
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Gioia, C., G. Dolcini, M. Favretti, D. Franculli, F. Giardina, C. Iannuccelli, R. Priori, F. Conti e M. Di Franco. "POS1340 VALIDATION OF QUALISEX QUESTIONNAIRE TO EVALUATE SEXUAL DYSFUNCTION IN WOMEN AFFECTED BY FIBROMYALGIA". Annals of the Rheumatic Diseases 82, Suppl 1 (30 maggio 2023): 1021.1–1021. http://dx.doi.org/10.1136/annrheumdis-2023-eular.5444.
Testo completoAbstract (sommario):
BackgroundFibromyalgia (FM) is a common chronic widespread pain condition, also characterized by fatigue, sleep and mood disorders, with higher prevalence in women. Sexual function is an important feature in people’s well-being; its alterations include decreased sex drive, sexual satisfaction, orgasm, and arousal, as well as increased genital pain. Emerging but still too few studies observed a higher prevalence of sexual dysfunction in FM, especially related to depression.ObjectivesThe aim of this study was to evaluate sexual dysfunctions in a large cohort of FM women through Qualisex questionnaire, used in other rheumatic diseases but not yet validated for FM.MethodsWe consecutively enrolled women affected by FM (ACR 2016) referring to our out-patient clinic. Demographic and clinical examination as well as evaluation of severity of FM symptoms (R-FIQ, SSS and WPI) were assessed for each patient. Moreover, Hospital Anxiety and Depression Scale (HADS) and questionnaire for sexual dysfunction-Qualisex were anonymously administered. Qualisex questionnaire is composed by 10 questions on different items of sexual life with higher scores suggestive of greater negative impact of FM on sexual life.ResultsThe cohort was composed by 373 FM female patients, median age 49,1. Qualisex questionnaire was validated with Cronbach’s alpha test (0,878), median value 5,3. Women with lower grade of education (p=0,002), married (p<0,001) and with lower sexual feeling with partner (p<0,001) showed higher values of Qualisex. Menopause status, drug assumption and comorbidity did not influence patients’ sexual quality. High values of HADS-A and HADS-D showed a positive correlation with Qualisex Total (p<0,001 r=0,312; p<0,001 r=0,542 respectively) as well as high values of VAS pain, VAS fatigue and VAS dryness (p<0,001 r=0,438; p<0,001 r=0,375; p<0,001 r=0,70 respectively). Relationship duration also presented a positive correlation (p<0,001 r=0,202). Multivariate analysis observed a significantly influence of relationship duration, VAS pain, fatigue and dryness, HADS-A/D, R-FIQ and all specific items of Qualisex, on Qualisex Total correcting for patients’ age (p<0,001).ConclusionQualisex questionnaire represents a good test to evaluate sexual disorders in FM women. Different aspects contribute to sexual dysfunction both from a psychological (anxiety, depression, loss of self-esteem, decreased sexually attraction) and a physical (pain, fatigue etc..) point of view with an important impact of FM on sexual life and consequently a worsening of FM symptoms. Over a demotivation feeling, inability to live a “normal everyday life”, the reduced sexual function contributes to a bad quality of life. Other studies are needed to analyze which interventions, pharmacological and non (physical activity, psychotherapy), could improve the sexual aspect in the global contest of FM and to investigate this important aspect in FM male patients.References[1]Bazzichi L, Giacomelli C, Rossi A, Sernissi F, Scarpellini P, Consensi A, Bombardieri S. Fibromyalgia and sexual problems. Reumatismo. 2012 Sep 28;64(4):261-7.[2]Matarín Jiménez TM, Fernández-Sola C, Hernández-Padilla JM, Correa Casado M, Antequera Raynal LH, Granero-Molina J. Perceptions about the sexuality of women with fibromyalgia syndrome: a phenomenological study. J Adv Nurs. 2017 Jul;73(7):1646-1656.[3]Priori R, Giardina F, Gioia C, Iannuccelli C, Villa M, Gattamelata A, Conti F, Di Franco M, Curcio G. Cultural adaptation and preliminary validation of the Qualisex questionnaire for its use in patients with Sjögren’s syndrome and fibromyalgia in Italy. Clin Exp Rheumatol. 2022 Dec;40(12):2470-2471Table 1FM (n=373)Age (yrs), media ± SD49,1 ± 10,4Menopause, n (%)185 (49.6)Age menopause (yrs), media ± SD48,7 ± 7,3Replacement therapy, n (%)69 (18.3)Sexual relationship duration (yrs), media ± SD18,2 ± 11,7Qualisex TOTAL5,3 ± 2,7HADS A, media ± SD11,9 ± 4,3HADS D, media ± SD9,5 ± 4,1VAS dryness (0-10), media ± SD5,6 ± 3,4VAS pain (0-10), media ± SD6,8 ± 2,7VAS fatigue (0-10), media ± SD7,9 ± 1,9Figure 1.Acknowledgements:NIL.Disclosure of InterestsNone Declared.
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Nagrale, Diksha, Anagha Armarkar e Bhawna Ujjainkar. "Physiotherapy Rehabilitation in Patients with Breast Cancer - A Case Report". International Journal of Health Sciences and Research 12, n. 3 (5 marzo 2022): 144–48. http://dx.doi.org/10.52403/ijhsr.20220320.
Testo completoAbstract (sommario):
Breast cancer has been the most common cancer in the United Kingdom since 1997, accounting for 31% of all new cancer diagnoses in women. The rate of new diagnoses among people over 40 years old rises fast, from under 1 per 100,000 in young adults to well over 400 per 100,000 in those over 85 years old (1). Breast cancer survival rates are improving as a result of breakthroughs in diagnosis and therapy, and cancer survivorship has emerged as a major focus in the cancer care continuum. (2). Cancer rehabilitation is defined as the process of aiding a patient in attaining the best level of physical, psychological, social, sexual, vocational, recreational, and economic functioning possible within the restrictions of the disease and therapy. (2). Pain, lymphedema, secondary malignancies, and sexual dysfunction are among the possible long-term physical repercussions of cancer (2). Fear and anxiety about return of cancer, sadness, and emotions of uncertainty and loneliness are all possible psychological consequences. (2). Changes in interpersonal connections, financial and health insurance concerns and difficulty returning to work or seeking employment owing to impairment are all examples of social impacts (2). Even though recent advancements in therapy have increased survival rates, they are also associated with considerable adverse effects (3). Breast cancer survival rates have increased as a result of breakthroughs in early detection procedures, followed by more tailored and/or aggressive therapy (3). Although breast cancer patients' rehabilitation has become a priority in recent years, additional research on the most effective sorts of therapies is still needed. (3). Key words: Breast cancer, Patient care, Psychosocial issues, quality of life, rehabilitation.