Sexual Dysfunction and Self-Esteem in People with Mobility-Related Disability Within Select Nigerian Communities

Author(s):  
Joseph Onuwa Umunnah ◽  
Adaobi Obianuju Onyema ◽  
Chigozie Ikenna Uchenwoke ◽  
Ifeoma Uchenna Onwuakagba ◽  
Victor Chisom Uchendu ◽  
...  
2013 ◽  
Vol 202 (6) ◽  
pp. 396-397 ◽  
Author(s):  
David S. Baldwin ◽  
Thomas Foong

SummaryDepressive symptoms and depressive illness are associated with impairments in sexual function and satisfaction but the findings of randomised placebo-controlled trials demonstrate that antidepressant drugs can be associated with the development or worsening of sexual dysfunction. Sexual difficulties during antidepressant treatment often resolve as depression lifts but may persist over long periods, and can reduce self-esteem and affect mood and relationships adversely. Sexual dysfunction during antidepressant treatment is typically associated with many possible causes, but the risk of dysfunction varies with differing antidepressants, and should be considered when selecting an antidepressant.


1970 ◽  
Vol 19 (4) ◽  
pp. 2973-2984 ◽  
Author(s):  
Samuel Obateru Osasona ◽  
Mary Ehimigbai

Objectives: The objectives were to determine the prevalence of total and specific sexual dysfunction among psychiatric out-patients taking psychotropic medication, assess its relationship with some demographic and clinical variables, determine the effect of sexual dysfunction on subject’s self- esteem and compliance with medication.Methods: This descriptive, cross-sectional study was conducted in the psychiatric out-patient clinic of a Tertiary Care Teaching Hospital in Benin City. The International Index of Erectile Functioning (IIEF), Rosenberg’s self esteem scale and a socio-demographic and clinical data questionnaire were administered to 300 participants; 150 (50%) psychiatric male patients and 150 (50%) controls.Results: The prevalence of total sexual dysfunction was 48.7%, while that of the specific SDs ranged from 20.0% to 39.3%, with erectile dysfunction having the highest proportion. Age, marital status, class, dose of psychotropic medication, poly-pharmacy and duration of treatment were significantly associated with SD. Majority of patient with SD reported poor compliance with medication. Self-esteem scores had significant inverse relationship with total SD scores.Conclusion: Sexual dysfunction is prevalent amongst psychiatric patients taking psychiatric medication and has negative implications for self-esteem and medication compliance. Routine enquiry about sexual symptoms by physicians and prompt treatment of SD might enhance overall treatment success.Keywords: Sexual dysfunction, psychiatric patients, psychotropic medication, Nigeria.


2013 ◽  
Vol 2013 ◽  
pp. 1-8 ◽  
Author(s):  
David S. Baldwin ◽  
M. Carlotta Palazzo ◽  
Vasilios G. Masdrakis

Pleasurable sexual activity is an essential component of many human relationships, providing a sense of physical, psychological, and social well-being. Epidemiological and clinical studies show that depressive symptoms and depressive illness are associated with impairments in sexual function and satisfaction, both in untreated and treated patients. The findings of randomized placebo-controlled trials demonstrate that most of the currently available antidepressant drugs are associated with the development or worsening of sexual dysfunction, in a substantial proportion of patients. Sexual difficulties during antidepressant treatment often resolve as depression lifts but can endure over long periods and may reduce self-esteem and affect mood and relationships adversely. Sexual dysfunction during antidepressant treatment is typically associated with many possible causes, but the risk and type of dysfunction vary with differing compounds and should be considered when making decisions about the relative merits and drawbacks of differing antidepressants. A range of interventions can be considered when managing patients with sexual dysfunction associated with antidepressants, including the prescription of phosphodiesterase-5 inhibitors, but none of these approaches can be considered “ideal.” As treatment-emergent sexual dysfunction is less frequent with certain drugs, presumably related to differences in their pharmacological properties, and because current management approaches are less than ideal, a reduced burden of treatment-emergent sexual dysfunction represents a tolerability target in the development of novel antidepressants.


1983 ◽  
Vol 64 (5) ◽  
pp. 300-307 ◽  
Author(s):  
Patricia L. Gordy

Discovery of common problems among women who suffered incest in childhood led to the development of group work treatment for them. The process made it possible for members to discuss topics such as guilt, low self-esteem, mistrust of men, and sexual dysfunction in beneficial ways.


2021 ◽  
Vol 9 (4) ◽  
pp. 182-188
Author(s):  
Orji Ernest Okechukwu

This study assessed the effect of sexual Dysfunction on the self-esteem between infertile and fertile married women in Ife East Senatorial district Southwest Nigeria. This was a comparative cross-sectional study using both quantitative and qualitative methods of data collection. It was conducted at infertility and family planning clinics of Obafemi Awolowo University Teaching Hospitals Complex Ile-Ife, Nigeria. Using stratified random sampling, 222 infertile women at infertility clinic and 222 family planning clients who met inclusion criteria were recruited from 2020 to 2021. Quantitative data was assessed using the Rosenberg self-esteem questionnaire, while an in-depth interview guide was employed to collect qualitative data. Data were managed using SPSS version 22. P-value was set at P <0.05. Fifty (22.5%) infertile women had low self-esteem compared with five (2.3%) of fertile women. which was statistically significant (P<0.001). Among fertile women, female sexual Dysfunction did not affect self-esteem (P=0.346), but among infertile women, female sexual Dysfunction significantly affected self–esteem (P=0.016). There is a positive relationship between female sexual function index scores and self-esteem scores among fertile and infertile women (r= 0.294 and 0.354 respectively) p<0.001 Sexual dysfunctions among infertile women adversely affected their self-esteem.


Author(s):  
Н.Д. Кибрик ◽  
Ю.П. Прокопенко

В статье рассматриваются факторы, связанные с пандемией COVID-19, влияющие на интимную жизнь в постоянных парах. Исследования сексологов, психологов, психотерапевтов, репродуктологов, объединение разносторонних проявлений самооценки и взаимоотношений в интимной сфере демонстрируют довольно стройную картину явлений, связанных с психологическими, психическими и физиологическими запросами и возможностями как отдельных индивидуумов, так и макросоциальных образований. Отмечается зависимость проявлений сексуальности от напряженности инфекционной ситуации и карантинной политики. Предлагаются практические подходы для стабилизации и улучшения интимного поведения в супружеских парах при проживании в ограниченных условиях в присутствии других членов семьи, направленные на снижение риска депрессии и сексуальных расстройств в условиях самоограничения при пандемии COVID-19. В настоящее время, после зимы 2020-2021 гг., сопровождающейся прогрессивным снижением уровня заболеваемости и смертности, растет число людей с рациональным отношением к происходящему, которые активно адаптируются внутри семьи, а также в социуме. The article examines the factors associated with the COVID-19 pandemic, affecting intimate life in long-term couples. Research by sexologists, psychologists, psychotherapists, reproductologists, combining versatile manifestations of self-esteem and relationships in the intimate sphere demonstrate a fairly harmonious picture of phenomena associated with psychological, mental and physiological needs and capabilities of both individuals and macrosocial formations. The dependence of manifestations of sexuality on the intensity of the infectious situation and quarantine policy is noted. Practical approaches are proposed to stabilize and improve intimate behavior in married couples living in limited conditions in the presence of other family members, aimed at reducing the risk of depression and sexual dysfunction in self-restraint conditions in the COVID-19 pandemic. Currently, after the winter of 2020-2021, accompanied by a progressive decrease in the level of morbidity and mortality, the number of people with a rational attitude to what is happening is growing, who are actively adapting within the family, as well as in society.


2018 ◽  
Vol 22 (1) ◽  
pp. 104-107
Author(s):  
А.P. Hryhorenko ◽  
О.H. Horbatiuk ◽  
А.S. Shatkovska ◽  
А.M. Binkovska ◽  
V.Y. Onyshko

The article presents the data on a study of sexual function in perimenopausal age women with stress urinary incontinence after transobturator tape (TOT) sling procedure with the subsequent prescription of vaginal estrogens during the month. Purpose — to assess the effectiveness of influence transobturator tape (TOT) sling procedure with the subsequent prescription of vaginal estrogens during the month on sexual function in perimenopausal age women with stress urinary incontinence. We evaluate the recovery of sexual function in 16 perimenopausal age (45-50 years) women with stress urinary incontinence after transobturator tape (TOT) sling procedure with the subsequent prescription of vaginal estrogens during the month using the Incontinence Quality of Life (I-QOL) questionnaire. In 1 month after the treatment we found an improvement in the daily activity of women in 3 times, self-esteem in 2.6 times, sexual function in 2 times, the overall quality of life in 3.3 times, a decrease of emotional stress in 2.8 times, the reduction of additional effort in 3.3 times. A decrease in sexual discomfort was found in the postoperative period in 75% of women, number women with lack of libido decreased by 31.25%, and a number of women who had orgasms during coitus increased by 25%. Thus, transobturator tape (TOT) sling procedure with the subsequent prescription of vaginal estrogens during the month normalized sexual dysfunction in perimenopausal age women with stress urinary incontinence.


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