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Keywords = low sexual satisfaction

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21 pages, 383 KiB  
Article
Mapping the Unmet Informational Needs of Young Portuguese Female Cancer Survivors: Psychometric Validation of a Multidimensional Scale
by Luana Almeida, Ana Bártolo, Sara Monteiro, Isabel S. Silva, Ana Conde, Alexandra M. Araújo, Luiz Lourenço and Isabel M. Santos
Healthcare 2025, 13(14), 1757; https://doi.org/10.3390/healthcare13141757 - 20 Jul 2025
Viewed by 366
Abstract
Background/Objectives: Young female cancer survivors often face specific informational needs related to the physical and emotional effects of cancer and its impact on life plans, particularly fertility and parenthood. However, few tools are tailored to assess these needs during this critical life stage. [...] Read more.
Background/Objectives: Young female cancer survivors often face specific informational needs related to the physical and emotional effects of cancer and its impact on life plans, particularly fertility and parenthood. However, few tools are tailored to assess these needs during this critical life stage. This study aimed to (i) validate a multidimensional measure—the Satisfaction with Information Provided to Young Oncology Patients Scale (SIPYF-CPS)—to assess the specific informational needs of young adult female cancer survivors; and (ii) explore preferences regarding the provision of information and counseling. Methods: A total of 124 women (M[age] = 38.18; SD = 5.49; range 21–45), 76.6% diagnosed with breast cancer, participated in the study. Psychometric analyses included exploratory factor analysis and correlation coefficients to assess reliability and construct validity. Convergent validity was evaluated through standardized measures of anxiety, reproductive concerns, and quality of life. Results: A final 22-item measure demonstrated strong reliability and validity, capturing four factors: (i) Disease-Related Information, (ii) Symptoms and Functional Limitations, (iii) Implications for Fertility and Parenthood, and (iv) Support Services. Participants expressed low satisfaction with information on fertility preservation, sexual health, and support services. Lower satisfaction was moderately associated with higher anxiety and depression while positively related to quality of life. Most participants preferred phased, face-to-face communication throughout the illness trajectory. Conclusions: The SIPYF-CPS is a valid, multidimensional tool that captures the complex and evolving informational needs of young female cancer survivors. Its clinical use may promote earlier, personalized, and emotionally responsive communication—supporting psychological well-being, informed decision-making, and long-term survivorship care. Full article
(This article belongs to the Special Issue Multidisciplinary Approaches in Cancer Healthcare)
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14 pages, 1359 KiB  
Article
Delving into the Perception, Use, and Context of Duloxetine in Clinical Practice: An Analysis Based on the Experience of Healthcare Professionals
by Oscar Fraile-Martinez, Cielo Garcia-Montero, Miguel Angel Alvarez-Mon, Miguel A. Ortega, Melchor Alvarez-Mon and Javier Quintero
Brain Sci. 2025, 15(7), 757; https://doi.org/10.3390/brainsci15070757 - 17 Jul 2025
Viewed by 369
Abstract
Background and objectives: Duloxetine is widely used for the treatment of major depressive disorder (MDD), generalized anxiety disorder (GAD), and various types of neuropathic pain. While its efficacy is well documented in clinical trials, less is known about how it is perceived and [...] Read more.
Background and objectives: Duloxetine is widely used for the treatment of major depressive disorder (MDD), generalized anxiety disorder (GAD), and various types of neuropathic pain. While its efficacy is well documented in clinical trials, less is known about how it is perceived and utilized in routine psychiatric practice. To address this knowledge gap, we conducted a cross-sectional observational study involving 80 psychiatrists from Spain to assess real-world clinical attitudes toward duloxetine. Methods: Participants completed a 20-item multiple-choice questionnaire that examined familiarity, perceived efficacy in multiple conditions (MDD, GAD, neuropathic pain, somatization, and quality of life), and perspectives on tolerability, safety, adherence, and overall satisfaction. Results: Survey results indicated that a large majority of psychiatrists frequently prescribe duloxetine, particularly for patients with MDD and comorbid chronic pain. Notably, 94% rated it as either “more effective” or “much more effective” for diabetic peripheral neuropathic pain. Psychiatrists reported a high perceived efficacy of duloxetine: 94% rated it as “more effective” or “much more effective” for diabetic peripheral neuropathy, and 93% gave similarly positive ratings for general neuropathic pain. For somatization, 70% found it “effective” or “very effective”, and 83% observed improvements in quality of life for many of their patients. Psychiatrists generally reported favorable perceptions of duloxetine’s tolerability profile: 97.5% rated it as the antidepressant associated with the least weight gain, and 82.5% perceived fewer sexual side effects compared to other options. Sedation and gastrointestinal side effects were generally considered mild or less severe. In terms of treatment adherence, 69% rated it as “better” or “much better” than other antidepressants, and 80% found its combination with other antidepressants to be “favorable” or “very favorable”. Overall satisfaction was high, with 99% of psychiatrists reporting being either “satisfied” or “very satisfied” with its use. The side effect profile was generally viewed as manageable, with low perceived rates of weight gain, sedation, and sexual dysfunction. Furthermore, 96% of respondents expressed a willingness to recommend duloxetine to their colleagues. Conclusions: Psychiatrists reported highly favorable attitudes toward duloxetine, viewing it as a flexible treatment option in routine care. However, these findings reflect clinicians’ subjective perceptions rather than objective clinical outcomes and should be interpreted accordingly. Full article
(This article belongs to the Special Issue Anxiety, Depression and Stress)
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24 pages, 657 KiB  
Article
Sexual Functioning and Depressive Symptoms in Levothyroxine-Treated Women with Postpartum Thyroiditis and Different Vitamin D Status
by Karolina Kowalcze, Joanna Kula-Gradzik, Anna Błaszczyk and Robert Krysiak
Nutrients 2025, 17(13), 2091; https://doi.org/10.3390/nu17132091 - 24 Jun 2025
Viewed by 480
Abstract
Background/Objectives: Hypothyroidism and thyroid autoimmunity have a negative effect on women’s sexual health, which is only partially reversed by thyroid hormone substitution. Sexual functioning in thyroid disorders after delivery has been poorly researched. The aim of our study was to compare the [...] Read more.
Background/Objectives: Hypothyroidism and thyroid autoimmunity have a negative effect on women’s sexual health, which is only partially reversed by thyroid hormone substitution. Sexual functioning in thyroid disorders after delivery has been poorly researched. The aim of our study was to compare the effect of levothyroxine on sexual response and depressive symptoms in women with postpartum thyroiditis (PPT) and different vitamin D status. Methods: The study population consisted of three matched groups of women with the hypothyroid phase of PPT: two groups with subclinical and one with overt thyroid hypofunction. Each group included similar numbers of women with normal and low vitamin D status. For the following six months, one group of women with subclinical hypothyroidism and all women with overt thyroid hypofunction received levothyroxine. At the beginning and at the end of the study, all participants completed questionnaires evaluating female sexual function (FSFI) and depressive symptoms (BMI-II). The remaining outcomes of interest included thyroid antibody titers, and the serum levels of 25-hydroxyvitamin D, TSH, free thyroid hormones, sex hormones, and prolactin. Results: Before levothyroxine substitution, women with overt and subclinical disease differed in the total FSFI score, all domain scores, and the overall BDI-II score. Within each study group, domain scores for desire were greater in women with vitamin D sufficiency than in those with vitamin D deficiency/insufficiency. Testosterone and estradiol levels were lower in women with overt than in women with subclinical hypothyroidism, while the opposite relationship was found for prolactin. Levothyroxine treatment improved all domains of female sexual function and reduced the total BDI-II score in both patients with overt and subclinical hypothyroidism and normal vitamin D status. In women with vitamin D deficiency/insufficiency, the impact of this agent was limited to arousal, lubrication, and sexual satisfaction. Levothyroxine replacement reduced thyroid antibody titers only in women with normal vitamin D status. The impact on testosterone was limited to women with normal vitamin D status, and was more pronounced in women with overt than subclinical disease. The effect on estradiol and prolactin, observed only in overt disease, was unrelated to vitamin D status. The increase in sexual functioning correlated with the following: 25-hydroxyvitamin D levels (in vitamin D-deficient/insufficient women); the impact on thyroid peroxidase antibodies, free triiodothyronine and testosterone (for desire and arousal); and the changes in the overall BDI-II score. Five years later, the quality of life was better in vitamin D-sufficient women receiving levothyroxine in the postpartum period. Conclusions: Low vitamin D status attenuates the impact of levothyroxine on female sexual function and depressive symptoms in women with the hypothyroid phase of PPT. Full article
(This article belongs to the Special Issue Vitamins and Human Health: 3rd Edition)
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13 pages, 259 KiB  
Article
Psychometric Properties of the SEQ-W Scale: An Instrument for the Estimation of Sexual Harassment in the Workplace
by M. Isabel Soler-Sánchez, José Antonio López-Pina and Mariano Meseguer-de Pedro
Eur. J. Investig. Health Psychol. Educ. 2025, 15(6), 101; https://doi.org/10.3390/ejihpe15060101 - 5 Jun 2025
Viewed by 461
Abstract
(1) Background: Sexual harassment in the workplace is a problem that particularly affects women and is not an exception in the world of work. Factors such as power asymmetry, the predominantly masculinized culture in many organizations, and the potential impunity of perpetrators increase [...] Read more.
(1) Background: Sexual harassment in the workplace is a problem that particularly affects women and is not an exception in the world of work. Factors such as power asymmetry, the predominantly masculinized culture in many organizations, and the potential impunity of perpetrators increase the associated risks. This study aims to analyze the psychometric properties of the Sexual Experiences Questionnaire-Workplace (SEQ-W) to measure sexual harassment at work and assess its validity in Spanish. (2) Methods: A total of 120 active female workers (67.5% European and 32.5% South American) participated, completing validated instruments to measure sexual harassment, workplace bullying, self-perceived health, and job satisfaction. The questionnaires were administered online, ensuring anonymity and explaining the study’s objectives. (3) Results: An exploratory factor analysis revealed a bifactorial structure with the dimensions “Sexual Harassment by Coercion” and “Harassment by Unwanted Sexual Attention.” Both dimensions demonstrated adequate internal consistency, concurrent validity with workplace bullying and well-being scales, and discriminant validity with job satisfaction. Additionally, a pronounced floor effect was observed, indicating a low prevalence of sexual harassment in the sample. (4) Conclusions: the SEQ-W scale is a useful tool for assessing sexual harassment among active Spanish-speaking female workers, considering its validated bidimensional structure in Spanish. Full article
21 pages, 266 KiB  
Article
Feasibility and Acceptability of Using an Evidence-Based Tai Chi Intervention for Managing the Fatigue–Sleep Disturbance–Depression Symptom Cluster in Breast Cancer Patients
by Li-Qun Yao, Tao Wang, Xian-Liang Liu and Jing-Yu (Benjamin) Tan
Nurs. Rep. 2025, 15(5), 167; https://doi.org/10.3390/nursrep15050167 - 12 May 2025
Viewed by 618
Abstract
Objective: To explore the feasibility and acceptability of using an evidence-based Tai Chi intervention to manage the fatigue–sleep disturbance–depression symptom cluster (FSDSC) in female breast cancer patients. Methods: This study reported the feasibility outcomes of a pilot randomized controlled trial (RCT), along with [...] Read more.
Objective: To explore the feasibility and acceptability of using an evidence-based Tai Chi intervention to manage the fatigue–sleep disturbance–depression symptom cluster (FSDSC) in female breast cancer patients. Methods: This study reported the feasibility outcomes of a pilot randomized controlled trial (RCT), along with a nested qualitative process evaluation. Seventy-two female breast cancer patients experiencing the FSDSC were randomized into either a Tai Chi group or a control group. The Tai Chi group received an eight-week Tai Chi intervention consisting of two one-hour sessions per week, along with routine care, while the control group received routine care only. The feasibility and acceptability of the study procedure and Tai Chi intervention protocol were assessed by measuring recruitment, referral, retention and drop-out rates, questionnaire completion rates (including the Brief Fatigue Inventory [BFI], Pittsburgh Sleep Quality Index [PSQI], Hospital Anxiety and Depression Scale-Depression [HADS-D], and Functional Assessment of Cancer Therapy-Breast [FACT-B]), intervention adherence, and safety outcomes. The nested qualitative process evaluation consisted of semi-structured interviews conducted among 22 participants to further explore their experiences of participating in this study and practicing Tai Chi. Descriptive data analysis was employed to present the feasibility and acceptability outcomes. Content analysis was employed to analyze the data from the qualitative process evaluation. Results: A total of 72 breast cancer patients were successfully recruited over six months, with a recruitment rate of 79.1%, retention rate of 95.8%, and dropout rate of 4.2%. No missing data was found in the BFI, PSQI, or HADS-D. However, a notable number of missing values were found in the FACT-B, particularly for items related to sexual satisfaction. The Tai Chi intervention demonstrated a high level of feasibility, with an average adherence rate of 86.8%. Only eight participants reported minor discomforts, such as minor musculoskeletal discomfort and dizziness, but they were transient and manageable after stopping Tai Chi practice. Semi-structured interviews with 22 participants highlighted that Tai Chi was experienced to be generally convenient, energy-saving, and low intensity for FSDSC management. Participants also felt that the study questionnaires were comprehensible and straightforward. Many interviewees from the Tai Chi group reported perceiving favorable effects on FSDSC management, as well as overall functional health and well-being. Conclusions: The evidence-based Tai Chi intervention proved feasible, safe, and convenient as a non-pharmacological intervention for managing FSDSC in breast cancer patients. Future large-scale studies are needed to evaluate Tai Chi’s definite effects on improving FSDSC among breast cancer patients. Full article
18 pages, 2536 KiB  
Article
A Nationwide Survey to Investigate Burnout and Quality of Life Among Thoracic Surgery Residents in Italy
by Giovanni Mattioni, Federico Raveglia, Andrea Onofri, Andrea Anastasi, Graziana Carleo, Diletta Mongiello, Doroty Sampietro, Cinzia Scala, Luigi Paladini, Giuseppe Cardillo, Franca Melfi, Mohsen Ibrahim, Carmelina Cristina Zirafa, Riccardo Orlandi and on behalf of the SIET Residents’ Committee Collaborative Group
Healthcare 2025, 13(9), 962; https://doi.org/10.3390/healthcare13090962 - 22 Apr 2025
Viewed by 719
Abstract
Background: Surgical residents are a high-risk population for burnout, yet no studies have assessed its prevalence among thoracic surgery residents in Europe or Italy. Methods: A nationwide cross-sectional survey was conducted among Italian thoracic surgery residents to assess burnout and quality [...] Read more.
Background: Surgical residents are a high-risk population for burnout, yet no studies have assessed its prevalence among thoracic surgery residents in Europe or Italy. Methods: A nationwide cross-sectional survey was conducted among Italian thoracic surgery residents to assess burnout and quality of life. The Maslach Burnout Inventory measured burnout risk, while tailored questions evaluated quality of life. Univariate and multivariable analyses identified burnout risk factors, and χ2 tests explored relevant associations between variables. Results: Of 193 eligible residents, 98 (50.8%) completed the survey. High burnout risk was identified in 60.2% of respondents. Independent risk factor associations between burnout risk and low perceived inclusion and aggregation, low colleague quality, low residency program rating, low personal life satisfaction, perceived lack of valorization, and exposure to sexual harassment were not significant in multivariable models. No differences in burnout risk were found across gender, geographic location, or training year. Conclusions: Burnout among Italian thoracic surgery residents underscores systemic challenges such as excessive administrative demands, insufficient mentorship, limitations to self-care, and gaps in theoretical training. Addressing these issues requires comprehensive reforms, including curriculum enhancement, strengthened mentorship, improved administrative support, and accessible mental health resources. A multi-level intervention strategy is essential to enhance resident well-being and training quality. Full article
(This article belongs to the Section Medics)
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24 pages, 314 KiB  
Article
Predictors of Young Adult Women’s Psychological Well-Being in Romantic Relationships
by Elif Yöyen, Süreyya Çalık and Tülay Güneri Barış
Behav. Sci. 2025, 15(1), 82; https://doi.org/10.3390/bs15010082 - 18 Jan 2025
Viewed by 3261
Abstract
Psychological well-being is the experience of fewer negative emotions, such as feelings of loneliness, depression, and low mood, and more positive emotions, such as taking pride in one’s life, being enthusiastic about one’s life, and having a highly satisfying purpose in life. In [...] Read more.
Psychological well-being is the experience of fewer negative emotions, such as feelings of loneliness, depression, and low mood, and more positive emotions, such as taking pride in one’s life, being enthusiastic about one’s life, and having a highly satisfying purpose in life. In other words, it describes an individual who is happy and free from psychopathology. Psychological well-being in romantic relationships is influenced by several factors, such as empathy, relationship stability, and quality of sex life. This study was conducted to examine the relationship between psychological well-being and empathy, quality of sexual life, love, relationship intimacy, and relationship stability among women in romantic relationships. This study included 415 female participants aged 23–45 who had been in a romantic relationship for at least 12 months. Data were collected using the Sociodemographic Data Form, the Psychological Well-Being Scale (PWBS), the Basic Empathy Scale (BES), the Sexual Quality of Life Scale—Women’s Form (SQLS), the Relationship Stability Scale (RSS), the Passionate Love Scale (PLS) and the Romantic Relationship Closeness Scale (RRCS). Independent group t-test, one-way analysis of variance (ANOVA), Pearson correlation analysis, and regression analysis were used to analyse the data. The analyses found that the variables that predicted psychological well-being were the relationship satisfaction sub-dimension of the relationship stability scale, quality of sexual life, empathy, and having children. In addition, correlational analysis revealed that empathy, sexual quality of life, intimacy in romantic relationships, relationship satisfaction, and relationship attachment were significantly positively correlated with psychological well-being. In terms of demographic information, it was found that scores for evaluating options in the relationship increased as education level increased; scores for investing in the relationship increased as education level decreased; passionate love was more common among working women; having children increased psychological well-being but decreased intimacy in romantic relationships; and quality of sexual life increased as seriousness in the relationship increased. The results of this study may be useful to psychologists and psychiatrists in their studies of female clients, to sociologists and public health specialists in their studies of women, and to policy makers in determining public health policies. Full article
(This article belongs to the Special Issue Psychological Well-Being and Mental Health)
18 pages, 285 KiB  
Article
The Impact of Dialysis Duration on Multidimensional Health Outcomes: A Cross-Sectional Study
by Leszek Sułkowski, Andrzej Matyja and Maciej Matyja
J. Clin. Med. 2025, 14(2), 376; https://doi.org/10.3390/jcm14020376 - 9 Jan 2025
Cited by 3 | Viewed by 1625
Abstract
Background: Dialysis patients face multidimensional challenges that affect their quality of life. This study aimed to evaluate the association between dialysis duration and various physical, cognitive, and psychosocial parameters, including fatigue, pain, sexual satisfaction, bowel control, vision, cognitive deficits, mental health, social support, [...] Read more.
Background: Dialysis patients face multidimensional challenges that affect their quality of life. This study aimed to evaluate the association between dialysis duration and various physical, cognitive, and psychosocial parameters, including fatigue, pain, sexual satisfaction, bowel control, vision, cognitive deficits, mental health, social support, quality of life, and life satisfaction, while incorporating sociodemographic data for greater context. Methods: A cross-sectional study was conducted using validated instruments such as the Modified Fatigue Impact Scale (MFIS), Pain Effect Scale (PES), Sexual Satisfaction Scale (SSS), Bowel Control Scale (BWCS), Impact of Visual Impairment Scale (IVIS), Perceived Deficits Questionnaire (PDQ), Mental Health Inventory (MHI), Modified Social Support Survey (MSSS), WHOQOL-BREF, and Cantril Ladder. Associations between dialysis duration and these parameters were analyzed. Correlations between current and future life satisfaction were also examined. Results: Dialysis duration significantly affected sexual satisfaction, with scores worsening over time (p = 0.029). Cognitive deficits in planning and organization exhibited a near-significant trend (p = 0.072). Patients with low current life satisfaction anticipated significant future declines (p = 0.001). However, no significant associations were observed between dialysis duration and fatigue, pain, bowel control, vision, mental health, social support, overall quality of life, or life satisfaction. Conclusions: Prolonged dialysis negatively influences sexual satisfaction and may impact specific cognitive domains. The relationship between current and expected life satisfaction highlights the importance of addressing psychological health in this population. While other parameters remained unaffected, individualized care strategies focusing on sexual, cognitive, and psychological support could improve outcomes. Future research should focus on exploring these relationships further and developing targeted interventions to address vulnerable areas, such as sexual, cognitive, and psychological health. Full article
(This article belongs to the Special Issue New Insights into Peritoneal Dialysis and Hemodialysis)
14 pages, 4869 KiB  
Article
The Outcomes of Adult Acquired Buried Penis Surgical Reconstruction
by Marco Falcone, Natalia Plamadeala, Lorenzo Cirigliano, Mirko Preto, Federica Peretti, Ilaria Ferro, Martina Scavone, Emanuele Zupo and Paolo Gontero
Life 2024, 14(10), 1321; https://doi.org/10.3390/life14101321 - 17 Oct 2024
Cited by 1 | Viewed by 5166
Abstract
Adult Acquired Buried Penis (AABP) is a morbid condition that often requires surgical intervention. This retrospective study of 46 patients who underwent AABP surgery from November 2017 to July 2023 evaluates surgical outcomes, functional outcomes, and patient-reported outcomes. The median follow-up (FU) was [...] Read more.
Adult Acquired Buried Penis (AABP) is a morbid condition that often requires surgical intervention. This retrospective study of 46 patients who underwent AABP surgery from November 2017 to July 2023 evaluates surgical outcomes, functional outcomes, and patient-reported outcomes. The median follow-up (FU) was 46 months. Patients were categorized by surgical complexity using the Pariser classification, with 76.1% undergoing high-complexity procedures (Pariser ≥ III). Common comorbidities included obesity (58.7%), prior circumcision (52.2%), and hypertension (52.2%). The low-complexity group had a shorter hospital stay (p = 0.02). No other significant differences were noted between groups in terms of Body Mass Index, operative time, or FU. Sexual dysfunction (45.7%) and urinary issues (38.1%) were the main reasons for surgical consultation. Skin grafting was required in 63.0% of patients; partial graft loss was more common in full thicknes skin graft group (p = 0.04). Postoperative complications occurred in 32.6% of patients, 13.3% of which were classified severe (Clavien ≥ III). The median increase in stretched penile length was 2 cm. The recurrence rate was 21.7%. The 12-month recurrence-free survival rate was 89.1%. All groups saw significant improvements in urinary and sexual function post-surgery (p < 0.05), and high patient satisfaction was reported (90.3%). Despite the complication rate, AABP surgery significantly improves quality of life, with ongoing advancements in technique anticipated to enhance outcomes further. Full article
(This article belongs to the Section Medical Research)
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16 pages, 745 KiB  
Article
Sexual Satisfaction in a Sample of Italian Women during the COVID-19 Lockdown Period
by Matilde Buattini, Luca Daminato, Greta Riboli, Mattia Nese, Gianni Brighetti, Daniel Giunti and Rosita Borlimi
Sexes 2024, 5(4), 428-443; https://doi.org/10.3390/sexes5040031 - 28 Sep 2024
Viewed by 1676
Abstract
This study explored the relationships among psychological, relational, and sexual factors and their impact on sexual satisfaction among Italian women during the COVID-19 lockdown. Data were collected via an online survey with 3803 participants. The survey assessed mental health, relationship quality, frequency of [...] Read more.
This study explored the relationships among psychological, relational, and sexual factors and their impact on sexual satisfaction among Italian women during the COVID-19 lockdown. Data were collected via an online survey with 3803 participants. The survey assessed mental health, relationship quality, frequency of sexual intercourse, frequency of masturbation, body awareness, and sexual satisfaction. Correlation analyses revealed positive relationships among all the variables and negative relationships with low mental health. A network analysis showed that sexual satisfaction was the most central variable, strongly linked to relationship quality, frequency of sexual intercourse, and body awareness. An exploratory mediation model examined the indirect effects of mental health and frequency of masturbation on sexual satisfaction through the other variables as mediators. The results indicated that mental health negatively influenced sexual satisfaction both directly and indirectly through relationship quality and body awareness, while frequency of masturbation had a positive indirect effect through body awareness. These findings highlight the complex interplay among mental health, body awareness, relational factors, and sexual satisfaction, emphasizing the importance of holistic approaches in enhancing sexual well-being. Future research should focus on longitudinal studies to establish causality and explore interventions that promote positive body awareness and relationship quality. Full article
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12 pages, 1154 KiB  
Article
A New Approach to the Assessment of Erectile Dysfunction Based on Vasomotion Monitored by the Flow-Mediated Skin Fluorescence (FMSF) Technique—A Preliminary Study
by Jolanta Slowikowska-Hilczer, Renata Walczak-Jedrzejowska, Daria Adamczewska, Piotr Byczkiewicz, Katarzyna Marchlewska, Joanna Katarzynska and Jerzy Gebicki
J. Clin. Med. 2024, 13(11), 3210; https://doi.org/10.3390/jcm13113210 - 30 May 2024
Cited by 2 | Viewed by 2882
Abstract
Background: Erectile dysfunction (ED) most often has vascular etiology and usually is the earliest symptom of vascular dysfunction. The aim of this study was to evaluate vascular dysfunction with the use of the Flow-Mediated Skin Fluorescence (FMSF) technique in men with and without [...] Read more.
Background: Erectile dysfunction (ED) most often has vascular etiology and usually is the earliest symptom of vascular dysfunction. The aim of this study was to evaluate vascular dysfunction with the use of the Flow-Mediated Skin Fluorescence (FMSF) technique in men with and without ED. Methods: Included were 39 men (median age 53) with ED and 40 men (median age 41.5) without ED. Medical interview, physical examination, and anthropometrical measurements were performed for all participants. The serum total testosterone, LH, and SHBG determinations were performed in patients with ED, and the Free Testosterone Index (FTI) was calculated. The FMSF technique was used to measure the microcirculatory oscillations at the baseline and to determine the flowmotion (FM) and vasomotion (VM) parameters. The Normoxia Oscillatory Index (NOI) was calculated, which represents the contribution of the endothelial (ENDO) and neurogenic (NEURO) oscillations relative to all oscillations detected at low-frequency intervals (<0.15 Hz): NOI = (ENDO + NEURO)/(ENDO + NEURO + VM). Results: In men with ED were found significantly lower FM and VM parameters, but the NOI was significantly higher in comparison to men without ED. VM and FM correlated significantly positively with erectile function, orgasmic function, and general sexual satisfaction in the whole group and the FTI in the ED group. The thresholds of 53.5 FM (AUC = 0.7) and 8.4 VM (AUC = 0.7) were predictive values for discriminating men with ED. Conclusions: It was shown that the FMSF diagnostic technique may be helpful in the early diagnosis of microcirculation dysfunction due to impaired vasomotion caused by decreased testosterone activity. Full article
(This article belongs to the Section Reproductive Medicine & Andrology)
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16 pages, 281 KiB  
Article
Using Social Media to Recruit Seldom-Heard Groups: Reaching Women and Girls with Experience of Violence in Iran
by Ladan Hashemi, Fateme Babakhani, Nadia Aghtaie and Sally McManus
Soc. Sci. 2024, 13(5), 246; https://doi.org/10.3390/socsci13050246 - 30 Apr 2024
Cited by 3 | Viewed by 2172
Abstract
Social media recruitment and online surveys are valuable tools in social science research, but their effectiveness in reaching seldom-heard victims of gender violence in low-middle income (LMI) countries is under-explored. This empirical study aims to: (1) describe violence and abuse experiences and (2) [...] Read more.
Social media recruitment and online surveys are valuable tools in social science research, but their effectiveness in reaching seldom-heard victims of gender violence in low-middle income (LMI) countries is under-explored. This empirical study aims to: (1) describe violence and abuse experiences and (2) assess the benefits and limitations of using social media to document violence against women and girls (VAWGs) in a LMI country to render visible the experiences of potentially isolated victims. A total of 453 Iranian women (aged 14–59, mean = 28.8, SD = 8.04) responded to an Instagram invitation for a study on women’s health and violence exposure from February 2020 to January 2022. The questionnaire covered general gendered abuse, domestic violence (DV), and forced unemployment. The analysis was performed using Stata 17. Nearly all participants reported abuse, including sexual (85.0%), psychological (83.4%), and technology-facilitated (57.4%) abuse, with 77.4% experiencing multiple forms. The street (62%) and home (52.8%) were common abuse locations. The perpetrators included known individuals (75.9%) and strangers (80.8%), with 56.7% reporting abuse by both. DV was reported by 72.6%, mainly involving psychological (73.1%), physical (53.4%), and/or sexual (17.2%) violence, with fathers (47.8%), husbands (42.7%), and brothers (40.2%) as frequent perpetrators. A quarter reported forced unemployment. Those experiencing DV and/or forced unemployment showed higher depression levels, suicidal ideation, and lower marital satisfaction. The study suggests using social media recruitment for VAWG research but cautions against overgeneralising from these data. Full article
(This article belongs to the Special Issue New Perspectives on Measuring Interpersonal Violence)
13 pages, 1626 KiB  
Article
Assessment of the Impact of SARS-CoV-2 Infection on the Sexual Function of Women, Levels of Oxytocin and Prolactin: A Prospective Cohort Study
by Klaudia Żak, Ernest Starek, Agnieszka Korga-Plewko, Karolina Rasoul-Pelińska, Monika Abramiuk, Mariola Michalczuk, Alicja Rajtak, Jan Kotarski, Karolina Frankowska, Liliana Bis, Marta Ostrowska-Leśko and Marcin Bobiński
J. Clin. Med. 2024, 13(8), 2230; https://doi.org/10.3390/jcm13082230 - 12 Apr 2024
Cited by 2 | Viewed by 2170
Abstract
(1) Background: There is a lack of direct evidence on whether SARS-CoV-2 affects women’s sexual function through a biological-organic mechanism. Existing studies on the topic are few and have produced contradictory results. This study aims to explore the possible relationship between sex [...] Read more.
(1) Background: There is a lack of direct evidence on whether SARS-CoV-2 affects women’s sexual function through a biological-organic mechanism. Existing studies on the topic are few and have produced contradictory results. This study aims to explore the possible relationship between sex hormones and sexual function in patients who have been infected with SARS-CoV-2. Moreover, we aimed to determine whether these changes are related to the clinical course of COVID-19 and whether they are temporary or long-lasting. (2) Methods: A study was conducted on 104 women, including 64 women infected with COVID-19 and a control group of 40 healthy women, between January 2021 and August 2022. Blood samples were collected to measure prolactin and oxytocin levels, and a clinical assessment was performed 3 and 6 months later. Sexual function self-assessment was captured based on the FSFI scale. (3) Results: Our study found that patients with severe COVID-19 had better sexual satisfaction scores one month after recovery but no discernible difference after six months. High levels of serum prolactin were observed in patients with active COVID-19 but became similar to a control group after one month and remained stable over time. Higher prolactin levels were significantly associated with increased arousal and hydration. Individuals with severe COVID-19 had notably low levels of plasma oxytocin, but there was no correlation between oxytocin levels and sexual satisfaction. (4) Conclusions: The gynecologic symptoms, as well as disturbances in oxytocin and prolactin levels, might be observed in a short time after infection. However, SARS-CoV-2 infection has no lasting effect on sexual function, oxytocin, and prolactin levels among women. Full article
(This article belongs to the Special Issue Clinical Consequences of COVID-19: 2nd Edition)
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11 pages, 898 KiB  
Article
Ostomy Belt Use Improves Quality of Life in Patients with a Stoma
by Elisa K. Karhu, Alexandra E. Hernandez, Ana M. Restrepo and Vanessa W. Hui
Surgeries 2024, 5(1), 92-102; https://doi.org/10.3390/surgeries5010011 - 8 Mar 2024
Viewed by 3835
Abstract
Ostomy formation is a vital component in the treatment of advanced gastrointestinal diseases, including colorectal cancer and inflammatory bowel disease. It usually involves externalizing a part of the colon or small bowel to the skin surface. Thus, the creation of an ostomy can [...] Read more.
Ostomy formation is a vital component in the treatment of advanced gastrointestinal diseases, including colorectal cancer and inflammatory bowel disease. It usually involves externalizing a part of the colon or small bowel to the skin surface. Thus, the creation of an ostomy can often have a major negative impact on quality of life. This study aimed to evaluate whether the use of an ostomy belt could improve quality of life measures in stoma patients through a prospective interventional open-label study of 17–80-year-old English- and Spanish-speaking patients with stomas who were using an ostomy belt for 8 weeks. Changes in quality of life were assessed using the Stoma Quality of Life Scale questionnaire at baseline, at 4 weeks, and at 8 weeks post ostomy belt use. A total of 45 patients enrolled (20 female, mean age 48) in the study. The ostomy belt significantly improved quality of life scores from baseline to 4 weeks regarding overall life satisfaction (F(2, 76) = 14.77, p < 0.001) and in the domains of work/social function (F(2, 72) = 30.32, p < 0.001), sexuality/body image (F(2, 68) = 3.34, p = 0.04), and stoma function (F(2, 72) = 8.72, p < 0.001). These improvements were sustained at the 8-week follow-up. No significant differences were observed in the domains of financial impact and skin irritation. This study represents the first prospective interventional study that provides evidence for the simple low-cost intervention of ostomy support belt use in improving quality of life in patients with a stoma. Full article
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Article
Body Dissatisfaction, Cognitive Distraction, and Sexual Satisfaction in a Sample of LGB+ People: A Mediation Study Framed by Cognitive Psychology Models of Sexual Response
by Andreia A. Manão and Patrícia M. Pascoal
Healthcare 2023, 11(22), 2930; https://doi.org/10.3390/healthcare11222930 - 9 Nov 2023
Cited by 3 | Viewed by 1957
Abstract
Introduction: Body dissatisfaction is a well-established risk factor for emotional problems and low levels of well-being indicators, such as sexual health. Cognitive models propose that dissatisfaction with one’s body can cause cognitive distraction related to physical appearance during sexual activity. This may compromise [...] Read more.
Introduction: Body dissatisfaction is a well-established risk factor for emotional problems and low levels of well-being indicators, such as sexual health. Cognitive models propose that dissatisfaction with one’s body can cause cognitive distraction related to physical appearance during sexual activity. This may compromise sexual response, namely, sexual satisfaction in heterosexual cis women. However, this relationship has only been studied within heterosexual samples. The present study aims to test a mediation model using cognitive distraction related to body appearance during sexual activity as a mediator between body dissatisfaction and sexual satisfaction in LGB+ cis people (lesbian, gay, bisexual, and other minority sexual orientations). Methods: This cross-sectional online study comprised 165 cisgender LGB+ participants (n = 67 cis women, 40.6%; n = 98 cis men, 59.4%). Self-report questionnaires were used: the Global Body Dissatisfaction Scale, the Body Appearance Distraction Scale, and a Single-Item Measure of Sexual Satisfaction. Results: Cis women and cis men experience similar levels of body dissatisfaction, cognitive distraction with body appearance during sexual activity, and sexual satisfaction. Body appearance cognitive distraction during sexual activity mediated the relationship between body dissatisfaction and sexual satisfaction only in the men’s sample. Discussion: Overall, in terms of gender and body dissatisfaction, our results reveal a reversed pattern than those found in heterosexual samples. This may be because LGB+ cis women may conform less to societal pressure, leading to less meaning given to body dissatisfaction in relation to sexuality, which may lead to more positive sexual outcomes. Likewise, LGB+ cis men present higher body dissatisfaction and experience lower sexual satisfaction, possibly due to the emphasis on physical appearance in the gay subculture. The results confirm the validity of cognitive models of sexual response. Full article
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