Search Results (116)

Background: Penile prosthesis implantation (PPI) is an established treatment for erectile dysfunction (ED). Nevertheless, the effectiveness of and satisfaction with PPI in mainly psychogenic ED compared to mainly organic ED patients remain underexplored. Aim: To evaluate patient satisfaction outcomes following PPI in individuals diagnosed as mainly psychogenic ED vs. mainly organic ED. Methods: Twenty-five patients with psychogenic ED who underwent PPI were included. Data were collected from medical records and a follow-up assessment was done using the Quality of Life and Sexuality with Penile Prosthesis (QolSPP) questionnaire. Additionally, the patients filled out an ad hoc questionnaire including self-reported satisfaction rated on a 1-to-10 scale, the Global Assessment Questionnaire-Questions 1 and 2 (GAQ-1, 2), and the Sexual Encounter Profile Questions 2 and 5 (SEP-2, 5). Results were compared with those of 36 patients with mainly organic ED (control) for comparative analysis. Results: In the psychogenic ED group, 96% reported improved erections, 92% felt more confident initiating sex, 92% achieved penetration and 95% had satisfactory sexual encounters. The overall satisfaction score was 8.71 on a 10-point scale. Comparative analysis using the QolSPP questionnaire revealed statistically significant differences favouring the psychogenic group in 8 of 16 questions, regarding prosthesis satisfaction and overall well-being. Surgical complications were noted in 16% of the psychogenic group, compared to a 2.8% complication rate in the organic ED control group. Conclusions: The findings indicate high levels of satisfaction with PPI among patients with psychogenic ED, comparable to those with organic ED. However, an increase in complications in the psychogenic cohort highlights the need for careful consideration of surgical risks in this population. Full article

The purpose of this study is to evaluate the differences in sexual functioning in women who used cannabis before sex and those who used cannabis but not before sex, among those with sexual dysfunction. The cross-sectional study, conducted from August 2019 to January 2020 at an academic sexual dysfunction clinic in the Midwest region of the United States, included 187 participants. Patients completed an anonymous questionnaire during their visit, which included the Female Sexual Function Index (FSFI), cannabis use, and sociodemographic factors. The primary objective of this study was to assess the relationship between cannabis use and female sexual dysfunction (FSD). The secondary objective was to examine the FSFI domains of sexual function with cannabis use over the past four weeks. Among the participants, 90% (n = 168) had sexual dysfunction based on the FSFI scores among those with FSD. Women with FSD who used cannabis before sex reported significantly higher lubrication scores and trends toward higher arousal and total FSFI scores than those who used cannabis but not before sex. However, no significant differences were observed in sexual desire, satisfaction, or pain. Quality of life was statistically significant across cannabis groups, with those who never used cannabis indicating “very good to excellent” health more often than those who used cannabis before sex. In addition, women with FSD who had never smoked cigarettes had a significantly higher proportion of never having used cannabis compared to those who used cannabis not before sex and those who used it before sex. These findings suggest that women with sexual dysfunction who use cannabis before sex may experience improvements in lubrication, arousal, and overall sexual function, highlighting the potential benefits of cannabis use in enhancing specific aspects of sexual health in this population. Full article

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

Background: The Mediterranean diet is considered one of the healthiest and safest diets for preventing chronic diseases. The primary objective of this study was to assess the association between adherence to the Mediterranean diet and the occurrence of prediabetes in a representative population of Bialystok, Poland. Prediabetes is a condition characterized by elevated blood glucose levels that are higher than normal but not yet in the diabetic range, indicating an increased risk of developing type 2 diabetes. Methods: The study participants were selected into healthy control (HC) and prediabetic (PreD) groups based on age and gender. Biochemical measurements included total cholesterol (TC), low-density lipoprotein cholesterol (LDL-C), high-density lipoprotein cholesterol (HDL-C), triglycerides (TG), fasting glucose (FG), glycated hemoglobin (HbA1c), high-sensitivity C-reactive protein (hs-CRP), interleukin-6 (IL-6). Additionally, blood pressure, handgrip strength, anthropometric parameters, and body composition were measured. Information on patients’ social data, medical history, and lifestyle history was collected using questionnaires developed for this study. A standardized questionnaire, the Satisfaction with Life Scale (SWLS), was used to assess life satisfaction. Dietary total antioxidant capacity (DTAC) and dietary total polyphenol intake (DTPI) were determined using a 3-day nutritional interview and appropriate databases containing information on polyphenols and the antioxidant potential of food products. To assess adherence to the Mediterranean diet recommendations, a 9-item Mediterranean Diet Index (MDI) was used. Results: It was found that the mean MDI for the entire group was low (3.98 ± 1.74), and the HC was characterized by a significantly higher MDI compared to the PreD. A statistically significant positive correlation was found between MDI and HDL-C, whereas a negative correlation was found between MDI and FG, homeostatic model assessment for insulin resistance (HOMA-IR), diastolic blood pressure (DBP), IL-6, body mass index (BMI), waist-hip ratio (WHR), waist circumference, visceral fat mass, android/gynoid fat ratio. Conclusions: Abdominal obesity was shown to significantly reduce life satisfaction. In model 3, after adjusting for age, sex, dietary energy intake, alcohol consumption, and smoking, each additional MDI point indicated a 10% lower risk of prediabetes. Full article

Sexual health in cancer care is often overlooked. This study examines oncology nurses’ knowledge and practices regarding sexuality care, identifying barriers and facilitators. A Preferred Reporting Items for Systematic reviews and Meta-Analyses (PRISMA)-guided search of Scopus, ScienceDirect, PubMed, and EBSCO focused on studies from 2014 to 2024. Of 1735 identified studies, only 11 met inclusion criteria. Findings revealed a lack of knowledge among nurses and dissatisfaction with sexual healthcare. Barriers include time constraints, cultural factors, and personal reservations. Routine discussions are often absent due to inadequate training. Education- and system-based strategies are needed to enhance nurses’ competence in addressing sexual concerns. Implementing training programs, structured records, evaluation tools, concept maps, and system support would improve patient care and oncology nursing practices. Addressing these gaps with practical measures can enhance communication, patient satisfaction, and quality of life. This unique analysis was conducted by two experienced advanced nurses in the Middle East, where discussions about sex are often regarded as taboo. Full article

Background: Life satisfaction serves as a preventive agent against various emotional, cognitive, and behavioral challenges, making it a crucial cognitive indicator of subjective well-being, particularly during adolescence. Accurately assessing life satisfaction is essential for understanding and promoting adolescent mental health, especially in applied settings such as physical education, which plays a key role in fostering psychological well-being and positive youth development. However, additional investigation is needed to confirm the tools used for this purpose. This study aimed to analyze the psychometric properties, metric invariance, and temporal stability of the Satisfaction with Life Scale (SWLS) in adolescents from a region in southeastern Spain. Thus, the present study sought to answer the following research questions: (1) Does the SWLS demonstrate adequate psychometric properties in an adolescent population? (2) Is the SWLS invariant across gender and residential environments? (3) Does the SWLS show adequate stability over time? Methods: A sample of 400 students was assessed using exploratory and confirmatory factor analyses, multigroup comparisons, and test–retest techniques. Results: The results showed significant differences in scale scores in the sex and demographic location variables. Also, a robust unifactorial model with five items demonstrated good performance in terms of goodness of fit and internal consistency. Furthermore, full metric invariance was observed across genders, while configural invariance was supported for residential environment. Concurrent validity analyses revealed significant associations with another unidimensional well-being measure, and temporal stability was confirmed through the intraclass correlation coefficient. Conclusions: The findings support the SWLS as a potentially valid, reliable, and time-effective tool for assessing adolescent life satisfaction. Its strong psychometric properties make it highly suitable for use in mental health research, longitudinal monitoring, and large-scale studies. Moreover, its ease of administration allows its integration into educational, clinical, community-based, and physical education contexts, offering insightful information for the creation of long-lasting mental health regulations and preventive measures meant to improve the well-being of adolescents. Notwithstanding these encouraging results, some restrictions must be noted. The sample was restricted to a single geographic area, and contextual or cultural factors may have an impact on how satisfied people are with their lives. Furthermore, response biases could have been introduced by using self-report measures. Full article

Interest in the balance between work and life and improving the quality of life is expected to steadily increase the number of users of forest welfare facilities. In this study, the “2023 Forest Recreation and Welfare Activity Survey” was used to analyze how characteristics of forest visits, such as visit frequency, the number of visited areas, expenditures, and the presence of companion animals, affect life satisfaction based on three visit types: daily (less than 4 h), day (more than 4 h), and overnight (more than 1 night). A hierarchical regression of 9437 respondents revealed that age, occupation, education, spouse, children, household income, and type of residence, excluding sex, were significantly correlated with life satisfaction. A hierarchical regression analysis revealed that for daily visitors, both visit frequency and companion animals increased life satisfaction. For day visitors, visit frequency, the number of visited areas, expenditures, and companion animals enhanced life satisfaction. For overnight visitors, visit frequency and expenditures positively impacted life satisfaction. Across all visit types, the frequency of forest visits consistently increased life satisfaction. This study statistically clarified how the characteristics of each visit type affect life satisfaction. The findings provide foundational data for future policies and research on forest recreation and welfare. Full article

Background/Objectives: Patient safety is directly linked with health and wellbeing of healthcare workers. In the UK, COVID-19 severely disrupted healthcare, with surgeons tackling prolonged waiting lists and working longer hours under high stress. This study explored the biomechanical and psychosocial demands on hospital surgeons, as well as their experience of pain and work-life balance post-pandemic. Methods: A questionnaire was developed combining validated tools assessing physical demands; modified job demand, control, and support; the WHO-5 wellbeing index; work–life balance from the Copenhagen Psychosocial Questionnaire; musculoskeletal pain; job satisfaction and retirement intentions. An online survey was developed using the Qualtrics© (Provo, UT, USA) platform and circulated through surgical networks using snowball sampling. Poisson regression modelling with robust confidence intervals was used to explore relationships between work-related factors and musculoskeletal pain, and associations with retirement intentions. Results: In total, 242 replies were received. Surgeons frequently reported strenuous occupational activities and work–life imbalance, and one in six reported job dissatisfaction. Only 17% reported no pain; the one-month prevalence of pain ranged from 46% at the lower back to 12% at the ankle, and pain was frequently disruptive. Better work–life balance had a protective effect for pain (PRR = 0.92, 95% CI = 0.85–0.99), while risk of pain increased with increasingly physically demanding activities at work (PRR = 1.04, 95% CI = 1.01–1.07) in the age- and sex-adjusted models. Job dissatisfaction was associated with intention to retire early (PRR = 1.83, 95% CI = 1.02–3.27). Conclusions: This study demonstrated high physical and mental demands among surgeons and poor work–life balance. Physical and emotional links to pain were identified. Fit surgeons ensure safe patient care. Our findings suggest that surgeons were facing health issues and work–life conflict post-pandemic, potentially limiting their job satisfaction and career span. A follow-up study is recommended. Full article

Background and Objectives: As the world enters an aging society, it is necessary to focus on older individuals, especially those with disabilities. The latter must face two issues, their disability and their age; therefore, a lot of attention must be paid to their health. In this study, we aimed to explore the association between participation in leisure sports activities, health behaviors, and life satisfaction among older adults with disabilities. The research question we aimed to address was as follows: Can participation in leisure sports activities positively affect the health behaviors and life satisfaction of older adults with disabilities? Materials and Methods: Data were sourced from the 2023 Survey on the Status of Persons with Disabilities organized by the Korea Ministry of Health and Welfare. The collected data were analyzed using frequency analyses, chi-squared tests, and multivariate logistic regression analyses. Results: Multivariate logistic regression analyses revealed that regarding sex, the average odds ratio (OR) was 1.525 (p = 0.001) for males. Regarding efforts to control weight, the average OR was 1.808 (p < 0.001) for “tried to reduce”, 1.893 (p < 0.001) for “tried to maintain”, and 1.245 (p = 0.345) for “tried to increase”. Regarding smoking, the average OR was 0.612 (p = 0.008) for “smoke daily”, 0.947 (p = 0.889) for “smoke occasionally”, and 1.175 (p = 0.255) for “smoked in the past but do not smoke now”. Regarding health status satisfaction, the average OR was 2.014 (p = 0.022) for very satisfied, 1.846 (p = 0.013) for somewhat satisfied, and 1.347 (p = 0.220) for somewhat dissatisfied. Regarding friendship satisfaction, the average OR was 9.177 (p < 0.001) for very satisfied, 5.428 (p < 0.001) for somewhat satisfied, and 3.024 (p = 0.011) for somewhat dissatisfied. Namely, participation in leisure sports activities was significantly related to weight control efforts, smoking cessation, increased health status satisfaction, and increased friendship satisfaction among older adults with disabilities. Conclusions: Access to leisure sports activities should be increased to improve the health of older adults with disabilities. Furthermore, leisure sports activities should be considered in the establishment of policies and services to enhance the health of these individuals. Full article

Background: The present research seeks to understand the impact of emotional intelligence on the psychological well-being of young graduates Well-being is closely linked to happiness and life satisfaction and occurs when individuals possess adequate psychological, social, and physical resources to manage life’s challenges. Emotional Intelligence, defined as the ability to recognize, understand, and regulate emotions, has been identified as a key factor influencing psychological well-being. Research highlights that individuals with higher emotional intelligence tend to experience greater life satisfaction, lower stress levels, and improved mental health. However, the specific impact of emotional intelligence on the psychological well-being of young graduates remains underexplored, particularly in the Portuguese context, making this study highly relevant. Methods:To investigate this impact, a questionnaire was administered to a sample of 209 young graduates in Portugal, which included emotional intelligence and psychological well-being items and a multiple regression model was used. Results: the results obtained indicate that emotional intelligence has a statistically significant influence on psychological well-being, where young people with higher levels of emotional intelligence showed higher levels of psychological well-being. Regarding age and sex, our data did not show a statistically significant relationship with emotional intelligence or psychological well-being. Conclusions: In summary, this study confirmed that young people with greater ability to manage their own emotions are more likely to experience higher psychological well-being. Full article

Mental health literacy (MHL) is defined as the ability to obtain, understand, and use information to identify, manage, and prevent mental health problems and helps university health students to manage mental health challenges by reducing stigma, fostering resilience, and promoting coping strategies. Objectives: To assess MHL levels in Portuguese university health students and explore its relationship with academic life and psychosocial domains; Identify knowledge gaps and educational needs regarding a targeted MHL intervention. Methods: A convergent parallel mixed-methods study, involving collecting quantitative (online cross-sectional survey) and qualitative (focus group) data simultaneously, followed by a separate and integrative analysis. Results: Twenty-four students (75% female, mean age = 25.5) were included. Overall, differences were found in the MHL domains in terms of sex (p = 0.025), mental health history variables (p = 0.020; p = 0.044; p = 0.007), and a negative relation with academic environment satisfaction (r_s = −0.571). Focus groups revealed the needs, gaps, and main characteristics for a targeted intervention. Integrative analysis used for data triangulation was possible and helped to converge and reinforce some of the data findings. Conclusions: This study highlights the importance of integrated methodological approaches to explore MHL among undergraduate health students. Also, it highlights the importance of promoting MHL through targeted interventions to enhance well-being and reduce distress in academic contexts. Full article

Sexual dysfunction (SD) prevalence in lung cancer (LC) patients is largely unknown. This study aims to assess the prevalence of SD among LC patients at our center. We conducted a cross-sectional survey of 69 patients using a questionnaire on sexual activity and satisfaction. Participants were recruited from 1 July 2023 to 30 September 2024 and had to be diagnosed with LC, age > 18 years, able to read, and with at least 1 month of treatment. A total of 61 patients completed the survey, predominantly male (67.2%) with stage IV LC (68.9%). Less than half (45.9%) reported recent sexual activity, while many expressed little to no interest (55.7%) and minimal satisfaction with their sex life (42.8%). The factors affecting sexual satisfaction included fatigue (37.7%) and feelings of anxiety/stress (24.6%). The reasons for decreased sexual activity included a lack of interest (36.4%), difficulties with erection (24.2%), and issues with partners (24.3%). A significant association was found between SD and the perceived impact of LC on sexual life, with higher dysfunction scores linked to more negative reports. SD is common among LC patients. Implementing assessment strategies and interventions may improve the sexual life of these patients. Full article

Social media use has rapidly increased over the past decade, especially among young people. To obtain more insight into the potential negative associations with problematic social media use in Dutch early adolescents, we assessed its relation to self-reported well-being. We conducted a cross-sectional study with 585 students in their final year of primary school (11–12 years old) who completed a questionnaire during school hours. We examined the association between problematic social media use and psychosomatic complaints, as well as general life satisfaction and whether perceived social support and sex moderated these associations. Problematic social media use was associated with lower general life satisfaction, as well as all psychosomatic complaints, with the strongest association for having a bad mood or feeling irritated (OR = 3.08, 99% CI = 2.05–4.63). Most associations were not moderated by perceived social support or sex. Our findings indicate that the well-being of early adolescents may be affected by problematic social media use already in primary school. The association persisted regardless of the amount of perceived social support, and without strong gender differences. This suggests that the potential for limiting the potential negative consequences of problematic social media use through increasing social support is limited. Full article

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

As the face ages, the skin, fat, muscle, and fascia descend, and the underlying bone, cartilage, and teeth may lose mass. Oculofacial aging is a multifactorial process that is influenced by genetic, environmental, and lifestyle factors. This review summarizes the patterns of oculofacial aging that are observed across populations, including variations in periorbital hollowing, eyelid ptosis, and skin elasticity. Evidence indicates significant variability in aging patterns between sex- and race-based subgroups. Nonetheless, there remains a paucity of research on the progression of aging in some under-studied demographic groups. Signs of oculofacial aging often become apparent to patients well before these changes reach full maturity in later years, leading many to seek early esthetic interventions. Others may present with more advanced signs of aging, motivating a diverse range of therapeutic options. We discuss minimally invasive esthetic interventions to mitigate the signs of aging, which may include botulinum toxin injections, dermal fillers, applied energy-based treatments (e.g., lasers), and emerging techniques such as micro-focused ultrasound and platelet-rich plasma therapies. We review evidence on outcomes related to patient satisfaction and quality of life following esthetic interventions for oculofacial aging. Finally, we outline ethical considerations and challenges faced with the delivery of esthetic surgery, including treatment complications and the influence of social media. This review provides a comprehensive overview of oculofacial aging patterns, its management, and important considerations for the provision of esthetic oculofacial treatment. Full article