Predictors of sexual function among men after myocardial infarction: a pilot study

2021 ◽  
pp. 1-11
Author(s):  
Asa B Smith ◽  
Debra L Barton ◽  
Elizabeth A Jackson ◽  
Daniela Wittmann ◽  
Jacqui Smith ◽  
...  
Keyword(s):  
Myocardial Infarction ◽  
Pilot Study ◽  
Problem Solving ◽  
Sexual Function ◽  
Coping Strategies ◽  
Longitudinal Research ◽  
Post Myocardial Infarction ◽  
Measurement Information ◽  
Patient Reported ◽  
Support Seeking

Background/Aims Sexual dysfunction often persists among men who have had a myocardial infarction. While some cross-sectional and longitudinal research has been conducted, there are still no known modifiable targets for intervention. This pilot study aimed to model hypothesised predictive factors of higher sexual function in a cohort of men post myocardial infarction. Methods Using a longitudinal study design, data on sexual function, sexual fear, anxiety and depressive symptoms, and use of coping strategies were collected using the Male Sexual Function Index, Multidimensional Sexuality Questionnaire, Patient-Reported Outcomes Measurement Information System and Coping Strategy Indicator respectively. Spearman correlations were estimated to examine associations between factors at 2 weeks and 3 months following myocardial infarction. Linear regression models were conducted for sexual function while controlling for age. Results The data for 14 men were analysed. Sexual fear and use of problem-solving and support-seeking coping strategies were moderately correlated with sexual function at 3 months post myocardial infarction. Increased use of problem-solving and support-seeking coping strategies was associated with increased sexual function at 3 months. Conclusions Use of coping strategies may predict increased sexual function 3 months post myocardial infarction. However, additional studies are needed to further examine these hypothesised relationships with a larger and more diverse sample.

Patient Reported Outcomes Measurement Information System® Sexual Function and Satisfaction

2013 ◽  
Author(s):  
Kathryn E. Flynn ◽  
Li Lin ◽  
Jill M. Cyranowski ◽  
Bryce B. Reeve ◽  
Jennifer Barsky Reese ◽  
...  
Keyword(s):  
Information System ◽  
Sexual Function ◽  
Patient Reported Outcomes ◽  
Measurement Information ◽  
Outcomes Measurement ◽  
Patient Reported ◽  
Measurement Information System

scholarly journals Initial report of the cancer Patient-Reported Outcomes Measurement Information System (PROMIS) sexual function committee

Cancer ◽  
2009 ◽  
Vol 115 (6) ◽  
pp. 1142-1153 ◽  
Author(s):  
Diana D. Jeffery ◽  
Janice P. Tzeng ◽  
Francis J. Keefe ◽  
Laura S. Porter ◽  
Elizabeth A. Hahn ◽  
...  
Keyword(s):  
Information System ◽  
Cancer Patient ◽  
Sexual Function ◽  
Patient Reported Outcomes ◽  
Measurement Information ◽  
Initial Report ◽  
Outcomes Measurement ◽  
Patient Reported ◽  
Measurement Information System

Coping Strategies: Gender Differences and Development throughout Life Span

2012 ◽  
Vol 15 (3) ◽  
pp. 1089-1098 ◽  
Author(s):  
Juan Carlos Meléndez ◽  
Teresa Mayordomo ◽  
Patricia Sancho ◽  
José Manuel Tomás
Keyword(s):  
Social Support ◽  
Problem Solving ◽  
Life Span ◽  
Coping Strategies ◽  
Personal Characteristics ◽  
Stressful Events ◽  
Emotional Coping ◽  
Gender And Age ◽  
Social Support Seeking ◽  
Support Seeking

Development during life-span implies to cope with stressful events, and this coping may be done with several strategies. It could be useful to know if these coping strategies differ as a consequence of personal characteristics. This work uses the Coping with Stress Questionnaire with this aim using a sample of 400 participants. Specifically, the effects of gender and age group (young people, middle age and elderly), as well as its interaction on coping strategies is studied. With regard to age, on one hand, it is hypothesised a decrement in the use of coping strategies centred in problem solving and social support seeking as age increases. On the other hand, the use of emotional coping is hypothesised to increase with age. With respect to gender, it is hypothesised a larger use of emotional coping and social support seeking within women, and a larger use of problem solving within men. A MANOVA found significant effects for the two main effects (gender and age) as well as several interactions. Separate ANOVAs allowed us to test for potential differences in each of the coping strategies measured in the CAE. These results partially supported the hypotheses. Results are discussed in relation to scientific literature on coping, age and gender.

Coping Strategies Used by Syrian Refugees in Jordan

2017 ◽  
Vol 28 (4) ◽  
pp. 396-421 ◽  
Author(s):  
Fatmeh Ahmad Alzoubi ◽  
Ahmed Mohammad Al-Smadi ◽  
Yazeed Mohammad Gougazeh
Keyword(s):  
Social Support ◽  
Problem Solving ◽  
Coping Strategies ◽  
Chronic Illnesses ◽  
Syrian Refugees ◽  
Total Income ◽  
Cross Sectional ◽  
Social Support Seeking ◽  
Support Seeking ◽  
Study Participants

This study examined the coping strategies used by Syrian refugees in Jordan in relation to their demographics. A cross-sectional correlational study was conducted with a convenient sample of 550 Syrian refugees. Out of all the study participants, 88% reported seeking social support, 64.5% reported using avoidance, and 39.5% reported using problem solving. Participants who were male, single, and younger, and who had a higher education and a higher total income were satisfied with their income, were employed and free of chronic illnesses, and had higher problem-solving scores. Higher social support-seeking scores were associated with being female, older, and widowed; having a lower education and lower total income; being dissatisfied with their income; being nonemployed; and having chronic illnesses. A number of significant predictors were identified for each coping strategy. The results of this study could be used to formulate programs and develop services regarding the stressors encountered by Syrian refugees and their coping strategies.

Development of Coping Strategies From Childhood to Adolescence

2018 ◽  
Vol 25 (1) ◽  
pp. 18-30 ◽  
Author(s):  
Heike Eschenbeck ◽  
Steffen Schmid ◽  
Ines Schröder ◽  
Nicola Wasserfall ◽  
Carl-Walter Kohlmann
Keyword(s):  
Social Support ◽  
Emotion Regulation ◽  
Problem Solving ◽  
Coping Strategies ◽  
Media Use ◽  
Avoidant Coping ◽  
Developmental Changes ◽  
Cross Sectional ◽  
Social Support Seeking ◽  
Support Seeking

Abstract. Extensive research exists on coping in children and adolescents. However, developmental issues have only recently started to receive more attention. The present study examined age differences and developmental changes in six coping strategies (social support seeking, problem solving, avoidant coping, palliative emotion regulation, anger-related emotion regulation, and media use) assessed by a coping questionnaire (German Stress and Coping Questionnaire for Children and Adolescents, SSKJ 3–8; Lohaus, Eschenbeck, Kohlmann, & Klein-Heßling, 2006 ) in middle/late childhood and early adolescence. At the initial assessment, 917 children from grades 3 to 7 (age range 8–15 years) were included (cross-sectional sample). Three cohorts (grades 3–5 at baseline) were traced longitudinally over 1½ years with four assessments (longitudinal sample: n = 388). The cross-sectional coping data showed significant effects for grade level in four coping strategies. Older children scored higher in problem solving and media use, and lower in avoidant coping. Seventh graders scored lower than fourth and fifth graders in social support seeking. Longitudinal data confirmed time effects and cohort effects indicating developmental changes. Increases over time were found for problem solving and media use; decreases were found for avoidant coping and anger-related emotion regulation. For social support seeking, an increase within the youngest cohort (grades 3–5) was found. Developmental trends (in cross-sectional and longitudinal data), with especially strong increases for problem solving or declines in avoidant coping in the youngest cohort, differed for the two studied stressful situations (social, academic) but were independent of the child’s gender. To conclude, particularly in the age range of 9–11 years relevant developmental changes toward a more active coping seem to appear.

scholarly journals Emerging From the Haze: A Pilot Study Evaluating Feasibility of a Psychoeducational Intervention to Improve Cancer-Related Cognitive Impairment in Gynecologic Cancer Survivors

2018 ◽  
Vol 34 (1) ◽  
pp. 32-37 ◽  
Author(s):  
Margaret I. Liang ◽  
Bryce Erich ◽  
Charlotte Bailey ◽  
Mi-Yeoung Jo ◽  
Christine S. Walsh ◽  
...  
Keyword(s):  
Cognitive Impairment ◽  
Pilot Study ◽  
Cognitive Abilities ◽  
Prospective Cohort ◽  
Patient Reported Outcomes ◽  
Gynecologic Cancer ◽  
Psychoeducational Intervention ◽  
Measurement Information ◽  
Patient Reported ◽  
Change In Mean

Purpose: The objective of this pilot study is to evaluate the (1) applicability of a 15-hour attending-taught psychoeducational intervention in a retrospective cohort and (2) feasibility of a trainee-taught intervention in a prospective cohort of patients with gynecologic cancer to help manage cancer-related cognitive impairment (CRCI). Methods: Adults with any stage gynecologic cancer who completed chemotherapy and reported cognitive complaints were eligible. Additionally, the screening criteria of Functional Assessment of Cancer Therapy–Cognition (FACT-Cog) perceived cognitive impairment (PCI) subscale score <59 was used in the prospective cohort. Validated patient-reported outcomes including FACT-Cog and Patient-Reported Outcomes Measurement Information System (PROMIS) Applied Cognition Abilities and General Concerns were measured before and after the intervention. Results: Twelve patients underwent an attending-taught intervention between 2011 and 2014. Significant improvements in mean FACT-Cog PCI (+6.1, P < .048), quality of life (+2.4, P = .04), and total score (+9.8, P = .03) were demonstrated, while there was no significant change in mean FACT-Cog perceived cognitive abilities. Ten patients underwent a trainee-taught intervention in 2017. No significant changes in mean FACT-Cog subscale or total scores were seen. Significant improvements in PROMIS Applied Cognition Abilities (+8.2, P = .01) and PROMIS Applied Cognition General Concerns were demonstrated (−8.0, P < .01). Conclusions: Our psychoeducational intervention demonstrates applicability to patients with gynecologic cancer reporting CRCI and supports the feasibility of more widespread training based on improvements in validated patient-reported outcomes related to cognition.

Social Support Moderates the Negative Association Between Reduced Driving and Life Satisfaction in Older Adults

2019 ◽  
Vol 39 (11) ◽  
pp. 1258-1262
Author(s):  
Vanya C. Jones ◽  
Renee M. Johnson ◽  
Carey Borkoski ◽  
George W. Rebok ◽  
Andrea C. Gielen ◽  
...  
Keyword(s):  
Social Support ◽  
Older Adults ◽  
Life Satisfaction ◽  
Longitudinal Research ◽  
Predictor Variable ◽  
Negative Association ◽  
Outcome Variable ◽  
Measurement Information ◽  
Linear Regression Models ◽  
Patient Reported

When older adults reduce their driving, there can be subsequent decreases in life satisfaction. In this cross-sectional study, we used baseline data from the multi-site Longitudinal Research on Aging Drivers (LongROAD) study to examine whether social support moderates the negative association between reduced driving and life satisfaction. The outcome variable was life satisfaction, and the main predictor variable was past-year reduced driving (yes/no). Emotional, instrumental, and informational social support were measured using PROMIS v2.0 (Patient-Reported Outcomes Measurement Information System) items. We used generalized linear regression models to examine how social support moderated the association between reduced driving and life satisfaction. Statistical adjustment for social support attenuated the negative effect of reduced driving on life satisfaction by ~10% for all three types of social support.

scholarly journals Evaluation of the effect of multipoint intra-mucosal vaginal injection of a specific cross-linked hyaluronic acid for vulvovaginal atrophy: a prospective bi-centric pilot study

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Nicolas Berreni ◽  
Jennifer Salerno ◽  
Thierry Chevalier ◽  
Sandrine Alonso ◽  
Pierre Mares
Keyword(s):  
Hyaluronic Acid ◽  
Pilot Study ◽  
Sexual Function ◽  
Subjective Assessment ◽  
Vaginal Mucosa ◽  
Vaginal Atrophy ◽  
Code Number ◽  
Collagen Formation ◽  
Sexual Symptoms ◽  
Patient Reported

Abstract Background Vulvo-vaginal atrophy (VVA) is one of the common consequences of estrogen deficiency especially after the menopause. Several studies have assessed the effects of Hyaluronic acid (HA) on physical and sexual symptoms associated with VVA with promising results. However, most of these studies have focused on subjective assessment of symptom response to topically administered preparations. Nonetheless, HA is an endogenous molecule and it is logical that its effects are best realized if injected in the superficial epithelial layers. Desirial® is the first crosslinked HA that is administered by injection in the vaginal mucosa. The aim of this study was to explore the effect of multipoint vaginal intra-mucosal injections of specific cross-linked hyaluronic acid (DESIRIAL®, Laboratoires VIVACY) on several clinical and patient reported core outcomes. Methods A cohort bi-centric pilot study. The chosen outcomes included change in vaginal mucosa thickness, biological markers for collagen formation, vaginal flora, vaginal pH, vaginal health index, vulvo-vaginal atrophy symptoms and sexual function 8 weeks post Desirial® injection. Patients’ satisfaction was also assessed using the patient global impression of improvement (PGI-I) scale. Results A total of 20 participants were recruited between 19/06/2017 and 05/07/2018. At the end of the study, there was no difference in the median total thickness of the vaginal mucosa or in procollagen I, III or Ki67 fluorescence. However, there was a statistically significant increase in COL1A1 and COL3A1 gene expression (p = 0.0002 and p = 0.0010 respectively). There was also a significant reduction in reported dyspareunia, vaginal dryness, vulvar pruritus, vaginal chafing and significant improvement in all female sexual function index dimensions. Based on PGI-I, 19 patients (95%) reported varying degrees of improvement where, 4 (20%) felt slightly better; 7 (35%) better and 8 (40%) much better. Conclusions Multi-point vaginal intra-mucosal injections, of Desirial® (a crosslinked HA) was significantly associated with the expression of CoL1A1 and CoL3A1 suggesting stimulation of collagen formation. Furthermore, there was a significant reduction in VVA symptomatology and a significant improvement in patient satisfaction and sexual function scores. However, there was no demonstrable change in the total vaginal mucosal thickness. Study registration ID-RCB: 2016-A00124-47, Protocol code number: LOCAL/2016/PM-001.

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