A Preliminary Study of Short-Term Sexual Function and Satisfaction Among Men Post-Myocardial Infarction

2021 ◽  
pp. 089801012110380
Author(s):  
Asa B. Smith ◽  
Debra L. Barton ◽  
Matthew Davis ◽  
Elizabeth A. Jackson ◽  
Jacqui Smith ◽  
...  
Keyword(s):  
Myocardial Infarction ◽  
Sexual Function ◽  
Self Report ◽  
Post Discharge ◽  
Adult Men ◽  
The Social ◽  
Male Sexual Function ◽  
And Function ◽  
Satisfaction Subscale

Sexuality is an important component of holistic quality of life, and myocardial infarction (MI) negatively influences many aspects of sexuality, including sexual function. However, there is limited literature that examines sexuality beyond the most basic physical components. This pilot study aimed to describe the relationships between the physical, psychologic, and social domains of holistic sexuality at an early timepoint post-MI. Adult men post-MI were mailed self-report surveys at 2 weeks post discharge. Physical domains of sexuality were measured with the arousal, orgasm, erection, lubrication, and pain subscales of the Male Sexual Function Index (MSFI). The social domain utilized the sexual satisfaction subscale of the MSFI. The psychologic domain included the desire subscale of the MSFI and sexual fear (Multidimensional Sexuality Questionnaire). Spearman correlations were estimated to examine associations among the different measurement subscales. Twenty-four men post-MI were analyzed. Average scores on the MSFI were 9.2 ( SD 7.7). Desire and satisfaction were the highest scoring subscales among men when compared with other subscales (i.e. erection, lubrication). There was minimal evidence supporting a relationship between sexual fear and function. Additional research is also needed with larger samples, and among women post-MI.

The impact of sex, gender and healthcare system on quality of care among young adults with acute myocardial infarction

2020 ◽  
Vol 41 (Supplement_2) ◽  
Author(s):  
V Raparelli ◽  
L Pilote ◽  
H Behlouli ◽  
J Dziura ◽  
H Bueno ◽  
...  
Keyword(s):  
Myocardial Infarction ◽  
Acute Myocardial Infarction ◽  
Young Adults ◽  
Quality Of Care ◽  
Healthcare System ◽  
Quality Indicators ◽  
Funding Source ◽  
Post Discharge ◽  
Single Payer

Abstract Background The quality of care among young adults with acute myocardial infarction (AMI) may be related to biological sex, psycho-socio-cultural (gender) determinants or healthcare system-level factors. Purpose To examine whether sex, gender, and the type of healthcare system influence the quality of AMI care among young adults. Methods A total of 4,564 AMI young adults (<55 years) (59% women, 47 years, 66% US) were analyzed from the VIRGO and GENESIS-PRAXY studies consisting of single-payer (Canada, Spain) versus multipayer (US) systems. For each patient treated in each system we calculated a quality of care score (QCS) for pre-AMI (1-year pre admission), in-hospital, and post-AMI (1-year post discharge) phases of care (number of quality indicators received divided by the total number [range=0–100%], with higher scores indicating better quality). Ordinal logistic or linear regression models, and 2-way interactions between sex, gender and healthcare system were tested. Results Women in the multipayer system had the highest risk factor burden. Across the phases of care for AMI, 20% of quality indicators were missed in both sexes. High stress, earner status, and social support were associated with a higher QCS in the pre-AMI phase, whereas only employment and earner status were associated with QCS in all other phases. In the pre-AMI phase, women had higher QCS than men, mainly in the single-payer system (adjusted-OR=1.85, 95% CI 1.46,2.35 vs. 1.07, 95% CI 0.84,1.36, P-interaction= 0.002). Regardless of sex, only employment status had a greater effect in the multipayer system (adjusted-OR=0.59, 95% CI 0.44,0.78 vs 1.13, 95% CI 0.89,1.44, P-interaction <0.001). In the in-hospital phase, women had a lower QCS than men, especially in the multipayer system (adjusted-mean-difference: −2.48, 95% CI-3.87, −1.08). Employment was associated with a higher QCS (2.0, 95% CI 0.9–3.17, P-interaction >0.05). Finally, in the post-AMI phase, men and women had a lower QCS, predominantly in the multipayer system. However, primary earners had higher QCS regardless of system. Conclusion Sex, gender, and healthcare system affected the quality of care after AMI. Women had a poorer in-hospital than men and both women and men had suboptimal post-discharge care. Being unemployed lowered the quality of care, more so in the multipayer system. Funding Acknowledgement Type of funding source: Public grant(s) – National budget only. Main funding source(s): Canadian Institutes of Health and Research (CIHR)

Erectile dysfunction in psychiatric patients

2011 ◽  
Vol 26 (S2) ◽  
pp. 1548-1548
Author(s):  
M. Ladea ◽  
M. Bran ◽  
C.M. Barbu ◽  
M.C. Sarpe
Keyword(s):  
Erectile Dysfunction ◽  
Sexual Function ◽  
Antipsychotic Medication ◽  
Sexual Desire ◽  
Erectile Function ◽  
Psychotic Disorders ◽  
Psychiatric Patients ◽  
Young Patients ◽  
Male Sexual Function

IntroductionErectile dysfunction (ED) is defined as the inability to achieve or maintain an erection sufficient for sexual activity.ObjectivesED is a common condition in psychiatric patients, which can modify their quality of life.AimsThe aim of this study is to assess the prevalence and the severity of ED in psychiatric patients.MethodsThis naturalistic, observational study was conducted during a six months period. The International Index of Erectile Function (IIEF) 15-item questionnaire was used to assess 144 male inpatients with different psychiatric disorders. IIEF is a brief, cross-culturally valid, self-administered scale for detecting treatment-related changes in patients with erectile dysfunction and addresses the relevant domains of male sexual function: erectile function, orgasmic function, sexual desire, intercourse satisfaction, and overall satisfaction. The patients were analyzed by age, psychiatric diagnosis, medication, IIEF scores at admission.ResultsThen mean age was 36.4 years. The lot included 44 patients with Psychotic Disorders, 68 with Mood Disorders, 21 with Alcohol Dependence, 11 with Personality Disorders. Severe ED was registered in 38% of investigated patients, which determined abandon of sexual attempts in 57% of cases; 12% had moderate ED, 15% had mild to moderate ED, 18% had mild ED and 17% had normal sexual function. No orgasm was reported in 32% of patients and 37% had no sexual desire. Under treatment with antipsychotic medication 78% had severe or moderate ED.ConclusionsSevere ED was correlated with age, also being seen in young patients. ED was correlated with depression, schizophrenia and antipsychotic medication.

scholarly journals Predictors of Quality of Life in Patients With Myocardial Infarction Combined With Dyslipidemia

2021 ◽  
Vol 9 ◽  
Author(s):  
Mengran Zhang ◽  
Pingyu Chen ◽  
Yan Zhang ◽  
Xi Su ◽  
Jiyan Chen ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Myocardial Infarction ◽  
Healthy Lifestyle ◽  
The Elderly ◽  
High Cholesterol Diet ◽  
Tobit Regression ◽  
Post Discharge ◽  
Related Quality ◽  
History Of

Background: Dyslipidemia is an important risk factor for myocardial infarction (MI). This study aimed to examine the health-related quality of life (HRQoL) and its predictors of patients with MI combined with dyslipidemia in China.Methods: Information on patients' sociological characteristics, lifestyle, clinical characteristics, and quality of life were collected by electronic medical records and questionnaires. Tobit regression model was used to investigate the predictors of quality of life.Results: There were 756 patients responded. The average EQ-5D score of all the patients was 0.95 (SD: 0.11). For all patients, factors such as age, high-fat and high-cholesterol diet, sports, family history of dyslipidemia, history of peripheral artery disease significantly affected HRQoL.Conclusions: Post-discharge care of the elderly group should be paid more attention to and suggestions on the healthy lifestyle (fat control) of the patients should be encouraged to improve the quality of life of these population.

scholarly journals Role of High Physical Fitness in Deterioration of Male Sexual Function in Japanese Adult Men

2019 ◽  
Vol 13 (3) ◽  
pp. 155798831984917 ◽  
Author(s):  
Hiroshi Kumagai ◽  
Toru Yoshikawa ◽  
Kanae Myoenzono ◽  
Keisei Kosaki ◽  
Nobuhiko Akazawa ◽  
...  
Keyword(s):  
Physical Fitness ◽  
Sexual Function ◽  
Japanese Adult ◽  
Adult Men ◽  
Male Sexual Function

Surprise: a micro-sociological analysis

2021 ◽  
Author(s):  
Susie Scott
Keyword(s):  
Impression Management ◽  
Subjective Experience ◽  
Verbal Response ◽  
Interaction Rituals ◽  
The Social ◽  
Interaction Order ◽  
Identity Changes ◽  
And Function ◽  
Dual Consciousness

This article explores the social and relational aspects of surprise: a reaction to the sudden discovery of unexpected knowledge. Drawing on the micro-sociological perspectives of phenomenology, dramaturgy and symbolic interactionism, I present a five-stage trajectory of this social emotion, charting its emergence, feeling, meaning, responses and function. Surprise emerges from situated encounters when an unexpected incident causes a break in the script. This evokes a subjective experience of flustering and dual consciousness, which separates the actor from their role. The signified meanings of surprise include shifts of biographical identity, changes in power and status, and concerns about the exposure of epistemological naivety. Actors perform expressive gestures of surprise in line with cultural feeling and display rules, using dramaturgical techniques of impression management; these include dramatic realisation and verbal response cries. Team-mates cooperatively enact reparative interaction rituals, such as apologies, token exchange and feigned non-reaction, which restore the normal appearance of a scene. Surprise therefore has the paradoxical quality of being disruptively cohesive. While its immediate expression marks a momentary disturbance, it ultimately functions to maintain interaction order.

Abstract 334: Impact of Sex, Gender and Healthcare System on the Quality of Care in Young Adults With Acute Myocardial Infarction

2020 ◽  
Vol 13 (Suppl_1) ◽  
Author(s):  
Valeria Raparelli ◽  
Louise Pilote ◽  
Hassan Behlouli ◽  
Dziura D James ◽  
Hector Bueno ◽  
...  
Keyword(s):  
Myocardial Infarction ◽  
Acute Myocardial Infarction ◽  
Young Adults ◽  
Quality Of Care ◽  
Healthcare System ◽  
Quality Indicators ◽  
System Level ◽  
Post Discharge ◽  
Single Payer

Background: The quality of care among young adults with acute myocardial infarction (AMI) may be related to biological (sex) or psycho-socio-cultural (gender) determinants or healthcare system-level factors. Objectives: To examine whether sex, gender, and the type of healthcare system influence the quality of AMI care among young adults. Methods: A total of 4,564 AMI young adults (<55 years) (59% women, 47 years, 66% US) were analyzed from the VIRGO and GENESIS-PRAXY studies consisting of single-payer (Canada, Spain) versus multipayer (US) systems. For each patient treated in each system, we calculated a quality of care score (QCS) for pre-AMI (1-year pre-admission), in-hospital, and post-AMI (1-year post-discharge) phases of care (the number of quality indicators received divided by the total number [range=0-100%], with higher scores indicating better quality). The standard quality of care indicators were selected on the basis of being the standard of care to which young adults with AMI should have access to, based on European and North American Guidelines. Ordinal logistic or linear regression models and 2-way interactions between sex, gender and healthcare system were tested. Results: Women in the multipayer system had the highest risk factor burden. Across the phases of care for AMI, 20% of quality indicators were missed in both sexes. High stress, earner status, and social support were associated with a higher QCS in the pre-AMI phase, whereas only employment and earner status were associated with QCS in all other phases. In the pre-AMI phase, women had higher QCS than men, mainly in the single-payer system (adjusted-OR=1.85, 95%CI 1.46,2.35 vs. 1.07, 95%CI 0.84,1.36, P-interaction=0.002). Regardless of sex, only employment status had a greater effect in the multipayer system (adjusted-OR=0.59, 95%CI 0.44,0.78 vs 1.13, 95%CI 0.89,1.44, P-interaction<0.001). In the in-hospital phase, women had a lower QCS than men, especially in the multipayer system (adjusted-mean-difference: -2.48, 95%CI-3.87,-1.08). Employment was associated with a higher QCS (2.0, 95%CI 0.9-3.17, P interaction >0.05). Finally, in the post-AMI phase, men and women had a lower QCS, predominantly in the multipayer system. However, primary earners had higher QCS regardless of the healthcare system. Conclusion: Sex, gender, and the healthcare system affected the quality of care after AMI. Women had a poorer in-hospital than men and young adults had suboptimal post-discharge care. Being unemployed lowered the quality of care, more so in the multipayer healthcare system.

The Nature of Social Support Available to People Living with Spinal Cord Injury

2002 ◽  
Vol 8 (1) ◽  
pp. 30-38
Author(s):  
Sian Reilly ◽  
Gregory Murphy
Keyword(s):  
Social Support ◽  
Spinal Cord ◽  
Spinal Cord Injury ◽  
Self Report ◽  
Post Discharge ◽  
Perceived Availability ◽  
The Social ◽  
Cord Injury ◽  
One Year ◽  
Discharge From Hospital

This study examined the nature of the social support received by persons following spinal cord injury (SCI). Social support was assessed through use of an abridged version of the ISEL scale (Cohen et al., 1985), a self-report measure of perceived support. Seventy persons who had been living in the community at least one year post discharge from hospital provided information about four types of support received — instrumental, emotional, informational, and appraisal social support. The aim of this study was to identify whether there were any significant differences in the perceived availability of the four types of social support. Analyses revealed that overall there were significant (p < .05) perceived differences in the average availability of the four separate types of support, with Instrumental support being seen as the most available. Taken together, these findings support the usefulness of measuring separately the different types of social support perceived to be available to individuals, and thus hold important implications for the rehabilitation effort following SCI.

Myocardial infarction and its influence on male sexual function

1986 ◽  
Vol 15 (6) ◽  
pp. 499-504 ◽  
Author(s):  
C. B. Dhabuwala ◽  
Anil Kumar ◽  
J. M. Pierce
Keyword(s):  
Myocardial Infarction ◽  
Sexual Function ◽  
Male Sexual Function

scholarly journals Aspects of Data Quality in Psychology: Missing Data and Aberrant Responses

2021 ◽  
Author(s):  
Maxwell Hong ◽  
Matt Carter ◽  
Cheyeon Kim ◽  
Ying Cheng
Keyword(s):  
Missing Data ◽  
Data Quality ◽  
Developmental Psychology ◽  
Data Preprocessing ◽  
Self Report ◽  
Listwise Deletion ◽  
The Social ◽  
Address Data ◽  
Missing Data Treatment

Data preprocessing is an integral step prior to analyzing data in the social sciences. The purpose of this article is to report the current practices psychological researchers use to address data preprocessing or quality concerns with a focus on issues pertaining to aberrant responses and missing data in self report measures. 240 articles were sampled from four journals: Psychological Science, Journal of Personality and Social Psychology, Developmental Psychology, and Abnormal Psychology from 2012 to 2018. We found that nearly half of the studies did not report any missing data treatment (111/240; 46.25%) and if they did, the most common approach to handle missing data was listwise deletion (71/240; 29.6%). Studies that remove data due to missingness removed, on average, 12% of the sample. We also found that most studies do not report any methodology to address aberrant responses (194/240; 80.83%). For studies that reported issues with aberrant responses, a study would classify 4% of the sample, on average, as suspect responses. These results suggest that most studies are either not transparent enough about their data preprocessing steps or maybe leveraging suboptimal procedures. We outline recommendations for researchers to improve the transparency and/or the data quality of their study.

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