Psychological Aspects of Sexual Dysfunction in the Elderly

1990 ◽  
pp. 136-146 ◽  
Author(s):  
Mark L. Elliott
2021 ◽  
Vol 16 (1) ◽  
Author(s):  
Zeng-Rong Luo ◽  
Dong-Shan Liao ◽  
Liang-Wan Chen

Abstract Background To compare postoperative sexual dysfunction (SD) and quality of life (QOL) in Type A Aortic Dissection (AAD) Patients of Different Ages. Methods From January 2018 to December 2019, 204 AAD postoperative survivors in Union Hospital of Fujian Medical University were selected and were divided into young group (less than 50 years old) and elderly group (more than 50 years old). We evaluated SD according to the male International Erectile Dysfunction Index (IIEF-5) and female sexual function index (FSFI). The Short Form 12 Health Survey Questionnaire (SF-12) and Quality of Life Enjoyment and Satisfaction Questionnaire (Q-LES-Q) were used to investigate the QOL, Quick Inventory Depressive Symptomatology-Self Report (QIDS-SR) and the Beck Depression Inventory-II (BDI-II) to investigate depressive symptoms. Results One hundred seventy-five patients completed all the questionnaire (85.8%). The total SD prevalence rate was 38.9% (68 cases), with 27.4% of the young (20 cases) and 47.1% of the elderly (48 cases). The age of non-SD and SD patients was 49.0 ± 11.5 and 56.9 ± 10.8 years, respectively (P = 0.03). Compared with non-SD patients, the total physical health of SD patients was significantly worse (P = 0.04), however, the mental health was not significantly worse (P = 0.77); the depressive symptoms did not expressed a significant difference between the SD and non-SD groups (QIDS-SR P = 0.15, BDI-II P = 0.06). Total physical health scores in the young SD group did not show significant better than elderly SD group (P = 0.24), however, total mental health scores showed significantly worse (P = 0.04), depressive symptoms scores were significantly higher (QIDS-SR P = 0.03, BDI-II P = 0.04). Conclusion The postoperative AAD SD prevalence of elderly is higher than that of young, and the total physical health of SD patients is poorer than those without SD patients. The young SD patients did not show a significant higher physical health scores than the elderly SD patients, instead, the young SD patients were more psychologically affected than the elderly SD patients, whose mental health was worse, and depression symptoms were more obvious, suggesting that the factors affecting the QOL of postoperative SD patients are related to physical factors, but the young postoperative SD patients mainly affected by psychological factors.


2021 ◽  
Vol 7 (10) ◽  
pp. 96411-96428
Author(s):  
Gabriel Roel Elias Carvalho ◽  
Beatriz Temoteo Silva ◽  
Eliane Viana Cardoso ◽  
Lucas Daniel Soares De Oliveira ◽  
Henrique Ciabotti Elias ◽  
...  

2019 ◽  
Vol 7 (10) ◽  
pp. 98 ◽  
Author(s):  
Chung

Sexual function among older men is often thought to decrease as part of normal ageing biology despite the fact that sexuality remains an important issue in the elderly. Sexual dysfunction in the aged male is likely multifactorial in nature, with the development and/or progression of medical comorbidities often resulting in decline in male sexual function and poor treatment response. At present, sexual dysfunction in the ageing male is poorly investigated and understood, and current treatment strategies aim at improving sexual desire and erectile function with limited data on ejaculatory and orgasmic dysfunctions. In addition, men are often reticent to seek help for health concerns including sexual dysfunction. The following article provides a narrative review of strategies to address various aspects of sexual dysfunction in the ageing male. Clinicians need to be educated to be sensitive when discussing sexuality issues among older men and to present practical solutions that take into account individual and cultural differences.


1987 ◽  
Vol 35 (11) ◽  
pp. 1014-1022 ◽  
Author(s):  
John E. Morley ◽  
Stanley G. Korenman ◽  
Arshag D. Mooradian ◽  
Fran E. Kaiser

Author(s):  
О.Д. Мухина

Актуальность отмеченной в названии темы определяется наличием противоречий между высокой потребностью пожилых людей в социально-психологической поддержке и отсутствием теоретической и практической разработки данного вопроса, а также преимущественно опекающим характером деятельности специалистов, работающих с этой категорией населения. На основе теоретического анализа работ и обобщения эмпирического опыта автором выявлены и описаны социально-психологические особенности пенсионеров с различными стратегиями старения, а также определены социально-психологические аспекты социальной работы с пенсионерами по старости, определяемой типом старения, к которому принадлежит пожилой человек. В статье описаны социально-психологические особенности пенсионеров по старости в зависимости от их социально-психологической стратегии старения (активные или пассивные), проанализированы технологии, применяемые в работе специалистов с пенсионерами по старости: социально-психологическая диагностика, социально-психологическое консультирование, социально-психологический тренинг. Обобщены теоретические и практические наработки по социально-психологическому сопровождению пожилых пенсионеров. Подтверждена гипотеза о том, что социальная работа с использованием специально разработанных социально-психологических технологий в зависимости от типа старости может обеспечить успешность адаптации людей позднего возраста к изменяющимся условиям жизни, связанным с выходом на пенсию по старости. Подход к работе с пенсионерами по старости, при котором социально-психологическая поддержка корректируется в соответствии со стратегией старения человека, не распространен, что определяет новизну представленных в статье материалов, а возможность использования их и сформулированных выводов в социально-психологической практике с целью совершенствования работы специалистов по социально-психологическому сопровождению людей пожилого возраста — практическую значимость исследования. The relevance of the issue mentioned in the title is accounted for by contradictions between senior citizens’ need for psychological support and the absence of theoretical and practical guidelines for those who render support to the elderly, as well as by the fact that specialists working with elderly people tend to treat their charges in a patronizing and condescending way. The author generalizes theoretical and empirical research to single out and describe social and psychological characteristics of senior citizens with different aging strategies. She identifies social and psychological aspects of social work with the elderly people depending on the aging type they belong to. The article describes social and psychological features of senior citizens related to their aging strategy (active or passive). It analyzes the methods employed by social workers helping elderly individuals: social and psychological diagnosis, psychological consultation, social and psychological training. The article generalizes theoretical and practical research on social and psychological support of the elderly. The article proves the hypothesis that the use of special social and psychological methods depending on senior citizens’ aging type ensures successful adaptation of elderly individuals to the changing conditions of life associated with retirement. The theoretical novelty of the research is accounted for by the fact that the described approach presupposing that elderly people are rendered social and psychological support depending on their aging strategy is not commonly known. The practical value of the research is accounted for by the possibility to use the materials of the research to improve the quality of social and psychological support given to senior citizens by social workers.


2020 ◽  
Author(s):  
Zeng-Rong Luo ◽  
Dong-Shan Liao ◽  
Liang-Wan Chen

Abstract Background: To compare postoperative sexual dysfunction (SD) and quality of life (QOL) in Type A Aortic Dissection (AAD) Patients of Different Ages. Methods: From January 2018 to December 2019, 204 AAD postoperative survivors in Union Hospital of Fujian Medical University were selected and were divided into youth group (less than 50 years old) and elderly group (more than 50 years old). We evaluated SD according to the male International Erectile Dysfunction Index (IIEF-5) and female sexual function index (FSFI) . The Short Form 12 Health Survey Questionnaire (SF-12) and Quality of Life Enjoyment and Satisfaction Questionnaire (Q-LES-Q) were used to investigate the QOL, Quick Inventory Depressive Symptomatology-Self Report (QIDS-SR) and the Beck Depression Inventory-II (BDI-II) to investigate depressive symptoms. Results: 175 patients completed all the questionnaire (85.8%). The total SD prevalence rate was 38.9% (68 cases), with 27.4% of the youth (20 cases) and 47.1% of the elderly (48 cases). The age of non-SD and SD patients was 49.0±11.5 and 56.9±10.8 years, respectively (P=0.03). Compared with non-SD patients, the total physical health of SD patients was significantly worse (P=0.04), however, the mental health was not significantly worse (P=0.77); the depressive symptoms did not expressed a significant difference between the SD and non-SD groups (QIDS-SR P=0.15, BDI-Ⅱ P=0.06) . Total physical health in the youth SD group did not show significant better (P = 0.24), however, total mental health showed significantly worse (P=0.04), depressive symptoms scores were significantly higher (QIDS-SR P=0.03, BDI-Ⅱ P=0.04). Conclusion: The postoperative AAD SD prevalence of elderly is higher than that of youth, and the total physical health of SD patients is poorer than those without SD patients. The youth SD patients did not show a significant higher scores than the elderly SD patients, instead, the youth SD patients were more psychologically affected than the elderly SD patients, whose mental health was worse, and depression symptoms were more obvious, suggesting that the factors affecting the QOL of postoperative SD patients are related to physical factors, but the youth postoperative SD patients mainly affected by psychological factors.


2017 ◽  
Vol 41 (S1) ◽  
pp. S283-S284
Author(s):  
H. Ben Ammar ◽  
G. Hamdi ◽  
H. Zalila ◽  
Z. El Hechmi

IntroductionFor a long time, antidepressants sexual side effects have been neglected. Currently, no reliable scientific data is available regarding the nature and frequency of sexual dysfunction induced by antidepressants. The aim of our study was to evaluate the prevalence and type of sexual dysfunction induced by antidepressants, and to identify factors associated with the occurrence of these disorders.MethodologyA descriptive and analytical cross-sectional study extending over a period of two week. For the purpose of this research, a socio-demographic card, the Arizona Sexual Experiences Scale (ASEX) and the Psychotropic-Related Sexual Dysfunction Questionnaire (SALSEX) were used.ResultsFifty-five patients were recruited. The diagnosis of major depressive episodes was dominant (49.1%). Moreover, fluoxetine and tricyclic were in top of the list of antidepressants with respective proportions of 41.8% and 38.2% and respective dose 20.86 mg/24 h and 72.38 mg/24 h. The score using the ASEX scale was 14.63 ± 5.23. Using the SALSEX scale, 47.3% of patients claimed to have had sexual disorders secondary to antidepressants with a moderate score of 9.19 ± 2.56. Furthermore, sexual disorders were more common in the elderly aged of 45 (66.66%) as well as in patients started on paroxetine (66.66%) and on sertraline (66.66%) (P ≤ 0.05).ConclusionThe sexual side effects of antidepressants have a major impact on the quality of life and adherence to treatment. They also represent an important risk factor for relapse and recurrence in major depression, in this context, the prescription of an antidepressant.Disclosure of interestThe authors have not supplied their declaration of competing interest.


2005 ◽  
Vol 17 (S1) ◽  
pp. S52-S56 ◽  
Author(s):  
M E Camacho ◽  
C A Reyes-Ortiz

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