RESUMEN
INTRODUCTION: The Sexual Confidence Scale (SCS) and the Sexual Relationship Scale (SRS) are two new measures designed for use by men and women across sexual dysfunction groups. The SCS assesses how confident an individual feels as a sexual partner, while the SRS assesses feelings that an individual has about their sexual relationship with their partner. AIM: To conduct item reduction and psychometric validation of the SCS and SRS instruments. METHODS: To validate the new measures, 104 men with premature ejaculation (PE), 101 men with erectile dysfunction (ED) and 106 women with female sexual arousal disorder (FSAD) took part in the study. One hundred and one males and 53 females without sexual dysfunction also completed the measures. MAIN OUTCOME MEASURES: The internal consistency, convergent, and discriminant validity, test-retest reliability and known-groups validity of the instruments were assessed. RESULTS: The number of items in each scale was reduced following standard item reduction analyses and reference to the conceptual framework. Factor analysis confirmed a one-factor solution for the SCS and a two-factor solution for the SRS. Internal consistency was good, with cronbach's alpha >or=0.7 across the groups for both the SCS and SRS. Excellent test-retest reliability and ability to discriminate between men and women with and without sexual dysfunction were also demonstrated for both scales. Correlations with the Sexual Quality of Life Questionnaire (SQOL) ranged from 0.48 to 0.80 indicating good convergent validity. CONCLUSIONS: The SCS and the SRS are reliable and valid instruments in men with PE or ED and in women with FSAD. These modules may be used either as stand-alone measures or, preferably, in conjunction with the SQOL to provide a complete assessment of sexual quality of life.
Asunto(s)
Dispareunia/diagnóstico , Disfunción Eréctil/diagnóstico , Relaciones Interpersonales , Autoimagen , Conducta Sexual , Vaginismo/diagnóstico , Adulto , Femenino , Humanos , Impotencia Vasculogénica/diagnóstico , Masculino , Persona de Mediana Edad , Psicometría , Investigación Cualitativa , Calidad de Vida , Factores Sexuales , Estadística como Asunto , Encuestas y CuestionariosRESUMEN
Individuals engage in behaviors or partake of specific substances because it pleases them. Indeed, without the sensations of pleasure and displeasure we would be unlikely to repeat or restrict behaviors. Since repetitive sexual activity over the millennia has ensured the continuance of the human race, it is perhaps surprising that pleasure has received little attention in the research literature on sexual function and behavior. By exploring sexual pleasure and motivation theories and studies relevant to the evaluation of sexual function and dysfunction, a goal response model is presented. This model proposes a route from sexual stimuli, via cognitive and emotional processing to behavior and subsequent feedback, which illustrates how eudemonic goals could influence treatment outcomes.
Asunto(s)
Coito , Orgasmo , Satisfacción Personal , Autoimagen , Sensación , Parejas Sexuales , Estado de Conciencia , Femenino , Humanos , Relaciones Interpersonales , Masculino , MotivaciónRESUMEN
INTRODUCTION: Hypoactive sexual desire disorder (HSDD) is a common clinical problem that may bother women. AIM: To provide a clear clinical pathway for the assessment and management of women presenting with symptoms of loss of sexual interest and desire (HSDD). MAIN OUTCOME MEASURES: Patient self-report of sexual satisfaction and quality of life. METHODS: A multidisciplinary team of experts reviewed a clinical case summary. The contribution of physical, pharmacological, psychological, and psychiatric as well as interrelational factors as potential contributors to the condition are described. RESULTS: A multifactorial assessment with a combination of psychosocial, physical, and hormonal interventions may be a useful model in offering treatment pathways for symptoms of HSDD. A favorable outcome was reported. CONCLUSION: Multidisciplinary teamworking that allows a thorough assessment and package of interventions is often necessary to support women with HSDD.
Asunto(s)
Nivel de Alerta , Libido , Posmenopausia , Disfunciones Sexuales Psicológicas/diagnóstico , Disfunciones Sexuales Psicológicas/terapia , Coito , Terapia de Reemplazo de Estrógeno , Femenino , Humanos , Terapia Conyugal/métodos , Persona de Mediana Edad , Consejo Sexual/métodos , Disfunciones Sexuales Fisiológicas/diagnóstico , Disfunciones Sexuales Fisiológicas/terapia , Resultado del TratamientoRESUMEN
AIM: To investigate possible causes and treatment of persistent sexual arousal syndrome, which was exacerbated by sleep onset, in a postmenopausal subject. METHODS: A clinical examination and interviews with the patient to obtain her case history and follow-up of the effects of drug treatments. Pretreatment laboratory investigations monitored vaginal blood flow by photoplethysmography and heated electrode. Routine blood chemistry and endocrine assessments were undertaken. Magnetic resonance imaging (MRI) scans of brain, pelvis, and spinal cord and genito-sensory neural analysis of clitoral and vaginal areas were performed. A selective internal iliac artery arteriogram was utilized to check the normality of the pelvic blood supply. RESULTS: Genitalia appeared normal and uncongested. No structural abnormalities were observed in the MRI scans. Hormonal levels and blood chemistry were commensurate with the subject's postmenopausal status. Basal vaginal blood flow (heat electrode) was within the range of normal premenopausal women and showed (photoplethysmography) normal vasomotion. On becoming drowsy and falling lightly asleep in the laboratory the vaginal pulse amplitude (VPA) increased by 95% of the basal value and the low-amplitude VPAs were replaced by high-amplitude VPAs--all evidence of increased vaginal blood flow and congestion and confirming the subject's complaint of persistent sexual arousal during sleep. A simple cognitive task of repeatedly subtracting 7 from 500 out aloud did not hasten the reversion to the basal level. There was no evidence of malfunction of the brain, spinal cord, or pelvic area by MRI but genito-sensory analysis of the clitoral and vaginal area showed evidence of reduced sensory function. CONCLUSIONS: Of the treatments tried only risperidone has been effective allowing the subject to sleep throughout the night without disturbance and according to the subject has significantly reduced the aggravation of the arousal during the day.
Asunto(s)
Nivel de Alerta , Posmenopausia , Disfunciones Sexuales Fisiológicas/complicaciones , Trastornos Intrínsecos del Sueño/etiología , Nivel de Alerta/efectos de los fármacos , Femenino , Humanos , Persona de Mediana Edad , Flujo Sanguíneo Regional , Risperidona/administración & dosificación , Disfunciones Sexuales Fisiológicas/psicología , Trastornos Intrínsecos del Sueño/tratamiento farmacológico , Vagina/irrigación sanguíneaRESUMEN
OBJECTIVE: To evaluate the introduction of telephone follow-up reviews for prescriptions of oral erectogenic agents. PATIENTS AND METHODS: 124 men of 166 invited patients who had participated in telephone consultations during the first 12 months of operation. RESULTS: 91.9% of respondents found the telephone clinic more convenient than traditional attendance particularly because the former requires no travel and waiting time to be seen by a consultant. CONCLUSION: Men with erectile dysfunction can be followed up by telephone in the majority of cases where an oral erectogenic agent has been prescribed.
Asunto(s)
Instituciones de Atención Ambulatoria , Teléfono , Urología/métodos , Prescripciones de Medicamentos , Disfunción Eréctil/tratamiento farmacológico , Humanos , Masculino , Encuestas y Cuestionarios , Vasodilatadores/uso terapéuticoRESUMEN
Human sexuality is an important part of the medical student undergraduate curriculum. A description of one of the most comprehensive and established training programmes in the UK is presented. A review of the students on the programme found a perceived improvement in the ability of knowledge in all of the objectives set within the training schedule. The provision of an evolving programme using didactic lectures, role play and small-group work is an effective delivery programme for medical students and it would be expected to be of similar usefulness for other healthcare professionals in training.