Search Results (1,168)

Background: Functional Neurological Disorder (FND) encompasses conditions with neurological symptoms inconsistent with structural pathology, arising instead from complex interactions between psychological, biological, and social factors. Despite growing research, the etiological and risk factor landscape remains only partially understood, complicating diagnosis and treatment. Objective: This systematic review maps risk factors for major FND subtypes such as functional seizures (psychogenic non-epileptic seizures or PNES), functional cognitive disorder (FCD), functional movement disorders (FMD), functional weakness and sensory disturbances, functional visual symptoms, and functional gait abnormalities by categorizing predisposing, precipitating, and perpetuating influences. Methods: A systematic search of PubMed, PsycINFO, Scopus, and Web of Science initially identified 245 records. After removal of 64 duplicates, 181 studies were screened by title and abstract. Of these, 96 full texts were examined in detail, and finally 23 studies met the predefined inclusion criteria. Data were extracted and analyzed thematically within a biopsychosocial framework, with results summarized in subtype-specific profiles. Results: Childhood adversity, especially emotional, physical, or sexual abuse, emerged as a robust and consistent predisposing factor across PNES cohorts. Psychiatric history (notably anxiety, depression, and PTSD), neurodevelopmental traits (more frequent in FCD), and personality patterns such as alexithymia and somatization also contributed to vulnerability. Precipitating influences included acute psychological stress, intrapersonal conflict, or concurrent medical illness. Perpetuating factors comprise maladaptive illness beliefs, avoidance behaviors, insufficient explanation or validation by healthcare providers, and secondary gains related to disability. While several risk factors were shared across subtypes, others appeared subtype-specific (trauma was especially associated with PNES, whereas neurodevelopmental traits were more characteristic of FCD). Conclusions: FND arises from a dynamic interplay of predisposing, precipitating, and perpetuating factors, with both shared and subtype-specific influences. Recognizing this heterogeneity can enhance diagnostic precision, guide tailored intervention, and inform future research into the neurobiological and psychosocial mechanisms underlying FND. Full article

This narrative review has examined the psychological and emotional effects of non-consensual distribution of intimate images, a phenomenon known as Image-Based Sexual Abuse (IBSA). It is an increasingly frequent phenomenon, and in detail, it consists of when a person uploads nude/semi-nude photos of someone online; therefore, it is similar to nonconsensual pornography. According to the scientific literature, this phenomenon has caused victims to experience trust issues, anxiety, depression, suicidal thoughts, social withdrawal, public shame and humiliation, depression, fear, anxiety, stress, inability to find new romantic partners, and several other mental health effects. The aim of this study was to study the psychological consequences of Image-Based Sexual Abuse on victims. This study is a narrative review conducted in accordance with the SANRA guidelines. Findings have shown that revenge pornography and non-consensual intimate images have had devastating impacts on victims’ mental health. Full article

The increasing migration phenomenon and its impact on sexual health highlight the urgency of improving access to preventive services and developing responsive surveillance mechanisms. This study aims to describe the context and define the implementation circuits of a Community-Based Surveillance System (CBSS) focused on social epidemiological aspects related to sexual health in Chile’s migrant population. A two-phase qualitative design was employed: Phase 1 involved formative research, and Phase 2 focused on the design of CBSS implementation circuits. The formative phase led to the selection and characterization of three community-based organizations (CBOs)—two in Santiago and one in Antofagasta—and two primary healthcare centers (PHCs). Findings revealed heterogeneity in institutional capacities, limited coordination between CBOs and the health system, and a high level of willingness to participate. PHCs showed comparable profiles. Based on this, differentiated operational circuits were co-designed and adapted with stakeholders, and formalized through site-specific implementation manuals. This pre-implementation evaluation helped identify critical contextual barriers and generate tailored strategies for CBSS deployment. The active involvement of local actors is essential to ensuring the contextual relevance, institutional acceptability, and future sustainability of the proposed model. These insights offer transferable learning for the design of health interventions in underserved and structurally constrained settings. Full article

Background and Objectives: This study aims to investigate female sexual dysfunction (FSD) and the clinical, pathological, and social factors affecting it in women diagnosed with non-metastatic breast cancer. Materials and Methods: The study included patients over the age of 18 who were followed up between January 2020 and December 2024, diagnosed with breast cancer at least 12 months previously, and treated. The Female Sexual Function Index (FSFI) and its six subheadings (desire, arousal, lubrication, orgasm, satisfaction, and pain) were used to assess sexual dysfunction, and the Hospital Anxiety and Depression Scale (HADs) was used to assess depression. Results: FSD was identified in 86.6% of the 217 patients (mean FSFI score: 20.38). Among women undergoing breast cancer treatment, being over 45 years of age (p = 0.003) and the use of luteinizing hormone-releasing hormone (LHRH) agonists (p < 0.001) were significantly associated with reduced sexual desire. Conversely, premenopausal status (p = 0.012) was associated with increased sexual satisfaction. Independent risk factors for FSD included age, menopausal status, use of LHRH agonists, income level, and axillary dissection. Furthermore, depression was found to have a significant negative impact on sexual desire, lubrication, and orgasm. Conclusions: This study demonstrates that sexual dysfunction is common among women undergoing treatment for breast cancer and is influenced by numerous clinical and social factors. These findings highlight the need for strategic interventions to reduce the adverse effects of treatment processes on the sexual health of women with breast cancer. Full article

Sexual violence among adolescents remains a persistent social and public health issue. Prevention approaches tend to be designed and executed by adults, with young people serving limited roles. Getting young people involved in the field of prevention can be a lofty goal for community-based organizations, who often work with limited time, capacity, funds, and resources to build impactful youth programs. Young people have grown up observing injustices in their communities and have clear, actionable ideas for addressing sexual violence and advancing social change. Unfortunately, little has explained how and why centering youth voices and leadership matters in sexual violence prevention efforts and how it can be done. In this paper, a collection of youth leaders use interview data from a participatory evaluation of a groundbreaking youth-centered prevention program to introduce the Youth-Led Program to Prevention Model. Using members’ testimonies and co-constructed analysis, and inspired by ripple effect and ecological models, the Youth-Led Program to Prevention Model showcases how youth-centered activism and education can advance the goals of sexual violence prevention and impact young people, communities, and systems. Written by youth leaders themselves and based on their lived experiences in the evaluated program, this paper accompanies the Youth-Led Program to Prevention Model with actionable strategies for practitioners who wish to celebrate young people’s contributions and visions for change. Full article

Background/Objectives: The adolescent and youth phase is characterized by rapid physical, cognitive, and psychosocial development during which adolescents encounter numerous challenges. These challenges include experiences of sexual violence, sexually transmitted diseases, mental health issues, poverty, lack of education, social discrimination, and high fertility rates. The Adolescent and Youth-Friendly Services (AYFS) program in South Africa aims to enhance young people’s access to sexual and reproductive health services (SRHS). This study explores the healthcare providers’ (HCPs’) experiences in implementing the AYFS within public health facilities in eThekwini, KwaZulu-Natal. Methods: This exploratory, descriptive qualitative study employed individual in-depth interviews to gather data from eight HCPs. The target population consisted of HCPs working in the public health facilities that offer AYFS. A purposive sampling technique was utilized to select HCPs who met the inclusion criteria. Thematic analysis was conducted following the steps outlined by Braun and Clarke. Results: The participants consisted of black females and one male, aged 34 to 50, with 1 to 14 years of experience. The four main themes emerged from the study: appropriate service provision, HCPs’ competency, accessibility of AYFS, and adherence to the principles of beneficence and non-maleficence. Overall, HCPs reported a positive experience in implementing AYFS. Conclusions: The findings indicated that AYFS was delivered as a comprehensive package addressing the needs of adolescents; however, there is a pressing need to enhance demand-creation initiatives in schools and communities to raise awareness and promote service utilization among this vulnerable population. The implications of these findings are to ensure thorough implementation and utilization of AYFS in the country. Full article

We analysed the socioeconomic, behavioural, and protection factors (PFs) influences on the HIV combined prevention (CP) strategy among Brazilian Amazonian men who have sex with men (MSMs). PFs are resources that reduce the effect of adversity and help people maintain their well-being. Methods: Cross-sectional study employing a convenient sample of MSMs living in the metropolitan region of Belém. A questionnaire containing socioeconomic, behavioural, PFs, and behaviour/knowledge concerning CP questions was used. “Behaviour/knowledge concerning CP” was defined as a dependent variable and received a maximum score of 16 points. The Mann–Whitney and Kruskal–Wallis tests and multiple linear regression were employed. Results: Our sample comprised 384 MSMs scoring an average of 7.83 points (±1.9). Contributing to lower scores were “not talking about sex life with confidants”, “not talking with work colleagues about personal life and sexually transmissible infections”, and “not participating in non-governmental organisations.” On the other hand, “not being happy in the neighbourhood of residency” contributed to higher scores. Conclusion: Peer support and social inclusion are essential for increasing MSMs’ access to CP. Full article

This essay explores the convergence of Decadence, queer sociality, and Pacific imagery in the work of American travel writer Charles Warren Stoddard and Japanese poet Yone Noguchi. For these writers, the “South Seas” seemed to epitomize a prelapsarian sexual innocence, exempted (at least provisionally) from capitalist calculations of value and the impositions of Victorian bourgeois morality. As such, the Pacific furnished a shared imaginary in which they could articulate transgressive homosocial intimacies, both with each other and with others in their bohemian circle. But these expressions of queer, cosmopolitan kinship also depended on well-worn stereotypes about native decline, in which Indigenous peoples were seen to embody an irrecoverable past—one doomed to disappear in the onward march of modernity. Drawing on postcolonial conceptions of extinction discourse and Indigenous agency, this essay will thus contend with one potential “misuse” of Decadence: that is, as the driver of an exoticism that perpetuated imperialist narratives about the inevitable extinction of Indigenous peoples. Full article

Breadcrumbing is a psychologically harmful dating behavior that involves sending non-committal signals to another person and periodically feigning interest in them, despite having no intention of taking the relationship forward. This is the first empirical study to examine the correlates of breadcrumbing experiences in the United Kingdom. A sample of 544 adults in the United Kingdom indicated their age, sex, sexual orientation, and relationship status and completed measures of social support and frequency of exposure to ghosting, gaslighting, and breadcrumbing. Hierarchical multiple regression analyses showed that age and social support were negatively correlated with breadcrumbing, and that ghosting and gaslighting were positively associated with breadcrumbing. When ghosting and gaslighting were entered in the model as predictors, the effects of social support were no longer statistically significant. The findings suggest that there is a cumulative effect of exposure to victimization that can increase vulnerability to breadcrumbing and that, under these circumstances, social support may cease to operate as a protective factor. Coping may be impaired, heightening the risk of revictimization. Younger adults appear to be at higher risk of breadcrumbing. Full article

The issue of effective treatments for individuals with a history of sexual offending has legal, social, economic, political, and clinical impacts. Studies conducted on the topic of evaluating treatment outcomes for sex offenders have examined both biological and psychological interventions. The etiology of the phenomenon appears to be multifactorial, as the sexual harasser learns from the social and family context the norms that will constitute our framework of rules, in addition to the characteristics of temperament, character, and personality. Therefore, there is a need for a definite social–health policy at the government level to be able to address the legal-judicial, socio-political, and health problem of Italian sex offenders to reeducate and reintegrate them into society by drastically reducing or nullifying the risk of recidivism. This study proposes the “Trident State Program” (TSP), which could reduce or solve the problem of recidivism of Italian sexual offenders and promote a better process of re-education and reintegration of these individuals. The operational protocol of the program is being drafted. Full article

Black gay and bisexual older men face numerous barriers across the life course that can contribute to negative health and well-being as they age. Drawing on strengths-based social determinants discussed in the health literature and literature on intersectionality, justice, and critical consciousness, this study examines qualitative data from seventeen Black gay and bisexual older men about sources and strategies of resilience and thriving amidst intersecting systems of power and oppression that shape health inequities. The findings revealed an evolution of positive support networks across their life courses, including biological family and families of choice such as “houses” and support groups. Early and ongoing negative experiences relating to intersecting positionalities (e.g., race, gender, sexual orientation) also provided sources of strength and resilience. Participants identified three strategies for building resilience and thriving: naming external ignorance, acknowledging common struggles, and reconciling contradictions. These strategies reflected various levels of critical consciousness that helped them navigate complex and intersecting systems of power that they encountered as Black gay men across the life course. Overall, the findings underscore the importance of considering intersecting systems of power and critical consciousness when examining resilience and social determinants of health and contribute new insights on a vastly understudied population. Full article

Sexual health constitutes a fundamental aspect of overall well-being, with direct implications for individual development and the broader social and economic progress of communities. Promoting environments that ensure sexual experiences free from coercion, discrimination, and violence is a key public health priority. Sexuality, in this regard, should be understood as an inherent dimension of human experience, shaped by biological, cultural, cognitive, and ideological factors. Accordingly, sexual health education requires a holistic and multidimensional approach that integrates sociocultural, biographical, and professional perspectives. This study aims to examine the level of knowledge and training in sexual health among nursing students and healthcare professionals, as well as to assess the extent to which sexual health content is incorporated into nursing curricula at Spanish universities. A scoping review was conducted using the Dialectical Structural Model of Care (DSMC) as the theoretical framework. The findings indicate a significant lack of knowledge regarding sexual health among both nursing students and healthcare professionals, largely due to educational and structural limitations. Furthermore, sexual health education remains underrepresented in nursing curricula and is frequently addressed from a narrow, fragmented biomedical perspective. These results highlight the urgent need for the comprehensive integration of sexual health content into nursing education. Strengthening curricular inclusion is essential to ensure the preparation of competent professionals capable of delivering holistic, inclusive, and empowering care in this critical area of health. Full article

Public opinion on public healthcare rationing regarding gender identity is crucial for democratic policymaking because of public concern regarding sexual orientation, gender identity, and gender expression (SOGIE). Based on rationality theory, rationally equitable rationing depends on equity orientations and prioritizing public interest over self-interest. Specifically, equity orientations include those toward equality, need, personal contribution, and social contribution. To project public preference for public healthcare rationing, this study involved 744 Chinese people in a web survey. These participants indicated their preferences for public healthcare rationing and self-interest, public interest, and equity orientations, including those based on contribution, equality, and need. Regression analysis based on the rationality framework showed that public healthcare rationing that was equal across SOGIE identities was predominantly preferable, based on rational equity. In contrast, public healthcare rationing without considering SOGIE was less preferable, and rationing unequally across gender identities was not preferred. These results imply that affirmative and egalitarian rationing is the most rationally equitable approach. Full article

Intersectionality is a concept used to explain the power dynamics and inequalities that some groups experience owing to the interconnection of social differences such as in gender, sexual identity, poverty status, race, geographic location, disability, and education. The relation between software engineering, feminism, and intersectionality has been addressed by some studies thus far, but it has never been codified before. In this paper, we employ the commonly used ABC Framework for empirical software engineering to show the contributions of intersectional software engineering (ISE) as a field of software engineering. In addition, we highlight the power dynamic, unique to ISE studies, and define gender-forward intersectionality as a way to use gender as a starting point to identify and examine inequalities and discrimination. We show that ISE is a field of study in software engineering that uses gender-forward intersectionality to produce knowledge about power dynamics in software engineering in its specific domains and environments. Employing empirical software engineering research strategies, we explain the importance of recognizing and evaluating ISE through four dimensions of dynamics, which are people, processes, products, and policies. Beginning with a set of 10 seminal papers that enable us to define the initial concepts and the query for the systematic mapping study, we conduct a systematic mapping study leads to a dataset of 140 primary papers, of which 15 are chosen as example papers. We apply the principles of ISE to these example papers to show how the field functions. Finally, we conclude the paper by advocating the recognition of ISE as a specialized field of study in software engineering. Full article

Background/Objective: Puberphonia is a voice disorder characterized by the persistence of a high-pitched voice in sexually mature males. In phoniatrics and speech-language pathology, it is also known as post-mutational voice instability, mutational falsetto, persistent fistulous voice, or functional falsetto. The absence of an age-appropriate vocal pitch may adversely affect psychological well-being and hinder personal, social, and occupational functioning. The aim of this study was to evaluate of the impact of phoniatric and logopedic rehabilitation on voice quality in patients with puberphonia. Methods: The study included 18 male patients, aged 16 to 34 years, rehabilitated for voice mutation disorders. Phoniatric and logopedic rehabilitation included voice therapy tailored to each subject. A logopedist led exercises aimed at lowering and stabilizing the pitch of the voice and improving its quality. A phoniatrician supervised the therapy, monitoring the condition of the vocal apparatus and providing additional diagnostic and therapeutic recommendations as needed. The duration and intensity of the therapy were adjusted for each patient. Before and after voice rehabilitation, the subjects completed the following questionnaires: the Voice Handicap Index (VHI), the Vocal Tract Discomfort (VTD) scale, and the Voice-Related Quality of Life (V-RQOL). They also underwent an acoustic voice analysis. Results: Statistical analysis of the VHI, VTD, and V-RQOL scores, as well as the voice’s acoustic parameters, showed statistically significant differences before and after rehabilitation (p < 0.005). Conclusions: Phoniatric and logopedic rehabilitation is an effective method of reducing and maintaining a stable, euphonic male voice in patients with functional puberphonia. Effective voice therapy positively impacts selected aspects of psychosocial functioning reported by patients, improves voice-related quality of life, and reduces physical discomfort in the vocal tract. Full article