scholarly journals Sexual dysfunction in epilepsy: identifying the psychological variables

2000 ◽  
Vol 58 (2A) ◽  
pp. 214-220 ◽  
Author(s):  
ELISABETE ABIB P. DE SOUZA ◽  
DAYSE M. B. KEIRALLA ◽  
DIOSELY C. SILVEIRA ◽  
CARLOS A. M. GUERREIRO
Keyword(s):  
Sexual Behavior ◽  
Sexual Dysfunction ◽  
Trait Anxiety ◽  
Psychological Factors ◽  
Anxiety And Depression ◽  
Healthy Individuals ◽  
State Trait Anxiety Inventory ◽  
Psychological Variables ◽  
Group 2 ◽  
Group 1

In order to evaluate the psychological variables that affect sexual dysfunction (SD) in epilepsy, where compared 60 epileptics (Group 1) with 60 healthy individuals (Group 2), through the State-Trait Anxiety Inventory (Spielberger et al., 1970), Beck Depression Inventory (Beck, 1974) and Sexual Behavior Interview (Souza, 1995). Sexual dysfunction (SD), anxiety and depression were found more frequently in Group 1 than in Group 2 and were not related to sex. Variables such as the onset duration and frequency of seizures as well as the use to medication were not associated with SD. Temporal lobe epilepsy was related to SD (p = 0.035) but not to anxiety or depression. Anxiety and depression were related to SD in both groups. Perception in controlling the seizures was closely related to anxiety (p = 0) and depression (p = 0.009). We conclude that psychological factors play an important role in the alteration of sexual behavior in epileptics and that suitable attention must be given to the control of these variables.

scholarly journals Transseptal Suturing Reduce Patient Anxiety after Septoplasty Compared to Nasal Packing

2016 ◽  
Vol 59 (4) ◽  
pp. 133-136 ◽  
Author(s):  
Kamran Sari ◽  
Ali Irfan Gul ◽  
Yunus Kantekin ◽  
Ozgul Karaaslan ◽  
Zeliha Kapusuz Gencer
Keyword(s):  
Trait Anxiety ◽  
Clinical Assessment ◽  
Operating Time ◽  
The State ◽  
Nasal Packing ◽  
State Trait Anxiety Inventory ◽  
Patient Anxiety ◽  
The Difference ◽  
Group 2 ◽  
Group 1

Background: We measured postoperative anxiety in patients who underwent transseptal suturing or nasal packing after septoplasty. Materials and Methods: Transseptal suturing was performed on Group 1 patients and nasal splints with airway were placed after septoplasty in Group 2 patients. Postoperative 48-h anxiety levels of both groups were measured using the State-Trait Anxiety Inventory (STAI) clinical assessment scale, prior to removal of nasal packing in Group 2. Results: Transseptal suturing was performed after septoplasty in 28 patients and nasal packing in 34 patients. The State-Trait Anxiety Inventory clinical assessment state (STAI-S) and trait (STAI-T) instruments were used to measure postoperative anxiety. The STAI-S scores were found 35.00 in the transseptal suturing group and 43.8 in the nasal packing group; the difference was found significant (p < 0.05). The STAI-T scores were found 42.6 in the transseptal suturing group and 45.7 in the nasal packing group; the difference was not found significant (p > 0.05). The rate of minor hemorrhage was found 10.7% in Group 1 patients. Conclusions: Transseptal suturing is simple and reliable when performed after septoplasty. The technique is painless and comfortable, and reduces patient anxiety (compared to that associated with nasal packing) with only a minor increase in operating time and hemorrhage.

Spielberger's State-Trait Anxiety Inventory: Measuring Anxiety with and without an Audience during Performance on a Stabilometer

1983 ◽  
Vol 57 (1) ◽  
pp. 15-18 ◽  
Author(s):  
R. Ferreira ◽  
J. Murray
Keyword(s):  
Trait Anxiety ◽  
State Anxiety ◽  
The State ◽  
State Trait Anxiety Inventory ◽  
Orthogonal Contrasts ◽  
Trait And State Anxiety ◽  
Pre Treatment ◽  
Group 2 ◽  
Faculty Group ◽  
Group 1

Half of the 56 subjects ( n = 28) performed 15 pre-treatment trials on a stabilometer, then six more with an audience of three faculty (Group 1), the other half performed the same task with no audience (Group 2). Subjects completed the State-Trait Anxiety Inventory prior to and after the treatments. Orthogonal contrasts indicated that Group 1 (audience) post-State-anxiety was significantly different from its own pre-State-anxiety and significantly different from Group 2 (no audience) on post-State-anxiety. It was concluded that the State-Trait Anxiety Inventory is an appropriate measure of trait and state anxiety in studies of motor performance.

scholarly journals Sexual dysfunction in women with rheumatic diseases

2021 ◽  
Vol 15 (3) ◽  
pp. 43-49
Author(s):  
O. V. Teplyakova ◽  
A. A. Morozova ◽  
A. A. Popov
Keyword(s):  
Sexual Dysfunction ◽  
Sexual Function ◽  
Affective Disorders ◽  
Depression Scale ◽  
Anxiety And Depression ◽  
Average Score ◽  
Control Group ◽  
Depression Symptoms ◽  
Group 2 ◽  
Group 1

Objective: to assess sexual function in female patients with rheumatoid arthritis (RA) and fibromyalgia (FM) and to identify the main risk factors of sexual dysfunction (SD).Patients and methods. 60 patients with FM (mean age 44.2±10.1 years) – Group 1; 69 patients with RA (mean age 45.0±9.6 years) – Group 2; and 100 healthy women controls (mean age 45.1±11.8 years) – Group 3 were enrolled in the study. Medical history, severity of pain at rest and during movement by visual analog scale (VAS), and anxiety and depression symptoms by hospital anxiety and depression scale (HADS) were assessed. Sexual function was evaluated by «Female Sexual Function index (FSFI)».Results and discussion. The overall sexual function score in Group 1 (12.7±9.0) was almost twice lower than in the control group (23.55±8.24, p<0.001) and in Group 2 (20.9±11, p<0.001). There was no difference between RA patients group and control group, where the average score for each of the scales was above 3 (with the exception of the «desire» scale). In FM patients all scales were below 3 points, which indicated significant SD, score on the «orgasm» scale was the lowest (1.8±0.9), and score on «absence of sexual pain» scale was the highest (2.6±1.8). SD in patients with FM was significantly driven by affective disorders presenting with anxiety and depression. Inflammatory activity and severity of pain by VAS were strongly associated with SD in RA group. The divorced person status was associated with the development of SD, regardless of nosological diagnosis.Conclusion. RA and FM have a negative impact on women's sexual function. The inflammatory disease activity is the main driver of SD in RA patients while affective disorders promote SD in FM patients.

scholarly journals Hybrid cardiac rehabilitation program as a potential enhancer of adherence to cardiac rehabilitation in smoking patients with coronary heart disease - a retrospective single-centre analysis

2021 ◽  
Vol 28 (Supplement_1) ◽  
Author(s):  
M Cabral ◽  
R Santos ◽  
F Januario ◽  
A Antunes ◽  
R Fonseca-Pinto
Keyword(s):  
Mental Health ◽  
Cardiac Rehabilitation ◽  
Smoking Status ◽  
Rehabilitation Program ◽  
Anxiety And Depression ◽  
Cardiac Rehabilitation Program ◽  
Phase 2 ◽  
Significant Difference ◽  
Group 2 ◽  
Group 1

Abstract Funding Acknowledgements Type of funding sources: None. Cardiac rehabilitation (CR) has well known beneficial effects on physical capacity, health-related quality of life, morbidity and mortality following an acute cardiac event. It is also known that smoking status is a powerful predictor of recurrent cardiovascular disease events. However, it has been noted that smoker patients may be less likely to access or complete CR. The aim of this study was to determine the levels of anxiety and depression and its improvement, depending on the smoking status of patients with coronary artery disease (CAD) on phase 2 of the Cardiac Rehabilitation Program (CRP). Additionally, we intend to investigate the mental health impact on smoker patients" group in conventional CR versus telemonitored CR. A retrospective study was conducted and patients in CRP between 2017 and 2020 were included. Patient selection and information collection were obtained through medical records. The outcomes of anxiety and depression were evaluated through the Hospital Anxiety and Depression Scale (HADS). Patients were divided into two groups: group 1 for non-smokers or ex-smokers and group 2 for smokers. For group 2 patients, a sub-analysis was performed for patients following the conventional CR versus the telemonitored CR, with the use of MOVIDA mobile application. Variables were analysed in the beginning (T0) and in the end (T1) of phase 2, around 3 months after. Group comparisons tests and statistical analysis were performed using SPSS software v25.0. A p-value less than 0.05 is statistically significant.  We analysed 107 patients, which 93 of these were assiduous and 69 concluded the phase 2 of CRP: 39 patients in group 1 and 30 patients in group 2. Two groups have similar baseline characteristics, except for the higher presence of diabetes (p = 0.02) in group 1. It was noted an improvement in both anxiety and depression items for group 1 (p &lt; 0.01 for both), but only for anxiety item for group 2 (p = 0.03). In subgroup analysis, we observed no improvement for smoking patients following the conventional CR for both anxiety and depression items (p = 0.60 and p = 0.71, respectably) versus a significant difference in telemonitored CR patients (p = 0.02 and p = 0.04). We hypothesise that, when compared to conventional CR, cardiac telemonitored exercise using modern communication methods may result in an improved mental health state among smoking patients, which can lead to a better adherence for CRP. Further studies including more patients and phase 3 of CRP are needed to confirm these results.

Perceptions of Breastfeeding in Mothers of Babies Born Preterm in Comparison to Mothers of Full-Term Babies

2011 ◽  
Vol 14 (2) ◽  
pp. 884-898 ◽  
Author(s):  
Flávia Helena Pereira Padovani ◽  
Geraldo Duarte ◽  
Francisco Eulógio Martinez ◽  
Maria Beatriz Martins Linhares
Keyword(s):  
Birth Weight ◽  
Child Development ◽  
Clinical Symptom ◽  
Trait Anxiety ◽  
Demographic Characteristics ◽  
Full Term ◽  
Psychological Status ◽  
Anxiety And Depression ◽  
State Trait Anxiety Inventory ◽  
Breastfeeding Rate

The purpose of the present study was: a) to describe the theme of verbalizations about breastfeeding in mothers' pre-term (M-PT) and full-term (M-FT) infants; b) to examine the association between these themes and mother's anxiety and depression indicators and socio-demographic characteristics and, neonatal characteristics of the infants. The sample consisted of 50 M-PT and 25 M-FT. The mothers were assessed through State-Trait Anxiety Inventory and Beck Depression Inventory and were interviewed using a Guide focusing breastfeeding issues. The M-PT group had significantly more mothers with clinical symptom of anxiety than the M-FT group. The M-PT reported more uncertainties and worries about breastfeeding and figured out more obstacles for the successful breastfeeding than the M-FT. These reports were associated positively with the infants' risk neonatal status; lower birth-weight, higher neonatal clinical risk, and more length time stay in NICU were associated with more mothers' worries and seeing obstacles for breastfeeding. In conclusion, the strategies to enhance the breastfeeding rate in the preterm population have to take into account the mothers' psychological status and their ideas in addition to offering information about the advantages of breastfeeding for child development.

scholarly journals Medial plantar nerve: normative parameters of an electroneuromyographic study in adults

2021 ◽  
Vol 11 (2) ◽  
pp. 28-34
Author(s):  
D. A. Grishina ◽  
N. A. Suponeva
Keyword(s):  
Statistical Analysis ◽  
Healthy Subjects ◽  
Tibial Nerve ◽  
Age Group ◽  
Research Practice ◽  
Healthy Individuals ◽  
Medial Plantar Nerve ◽  
Comparative Statistical Analysis ◽  
Group 2 ◽  
Group 1

Background. The study of the sensitive portion of the medial plantar nerve is relevant not only in the examination of patients with tibial nerve mononeuropathy or its branches, but also in the diagnosis of polyneuropathies.Objective: to analyze the normative parameters of the sensory potential recorded during the study of the medial plantar nerve by the orthodromic method in healthy adults.Materials and methods. 126 sensitive fibers of the medial plantar nerves were studied on the Dantec Keypoint G4 device (Denmark) in 63 healthy individuals (31 men and 32 women; age from 20 to 80 years). 3 groups were identified taking into account age: group 1 included healthy people aged 20 to 39 years (n = 23); group 2 consisted of people aged 40 to 60 years (n = 20); and 3 – older than 60 years (n = 20). The parameters of the sensory potential of the medial plantar nerve are analyzed.Results. The sensory potential in the study of the sensitive portion of the medial plantar nerve was registered in all 126 healthy subjects. Comparative statistical analysis did not demonstrate significant differences between groups 1–3 in the values of such parameters of the sensory potential as the latency of the onset, the duration of the negative phase and the rate of propagation of excitation. At the same time, in groups 2 and 3, the magnitude of the amplitude from peak to peak of the sensory potential was significantly lower compared to group 1, and averaged 8.92 and 7.86 MV, respectively.Conclusion. Knowledge of the regulatory parameters will allow expanding the use of electroneuromyography of the sensitive portion of the medial plantar nerve in clinical and research practice.

Anticancer treatment and cognitive functions in elderly cancer patients: A prospective study

2006 ◽  
Vol 24 (18_suppl) ◽  
pp. 8543-8543
Author(s):  
A. M. Minisini ◽  
P. Ermacora ◽  
S. Russo ◽  
G. Cardellino ◽  
C. Andreetta ◽  
...  
Keyword(s):  
Cancer Patients ◽  
Endocrine Therapy ◽  
Cognitive Functions ◽  
Therapy Group ◽  
Anxiety And Depression ◽  
Elderly Cancer Patients ◽  
Anticancer Treatment ◽  
Group 3 ◽  
Group 2 ◽  
Group 1

8543 Background: It has been reported that anticancer treatment may alterate cognitive functions in cancer patients but very few prospective studied addressed this issue. Moreover, little is known about the cognitive impact of anticancer treatment in elderly cancer patients. We aimed at investigating the effect on cognitive functions of antiblastic chemotherapy and endocrine therapy in a consecutive series of elderly cancer outpatients. Methods: We evaluated cognitive functions by means of the Cambridge Cognitive Examination (CAMCOG) test and the Mini-Mental Scale Examination (MMSE) at baseline (before anticancer systemic treatment), after 3 months and after 6 months in cancer patients aged more than 65 years. Mood disturbances such as anxiety and depression were also evaluated (Hospital Anxiety and Depression Scale); comprehensive geriatric assessment and blood tests were performed at each evaluation. Results: Sixty patients were enrolled, 15 patients received chemotherapy (group 1), 13 patients received endocrine therapy (group 2) and 32 patients had neither chemotherapy nor endocrine therapy (group 3, control). Fifty-eight (97%) patients had no evidence of disease at the time of assessment. Median age was 71.5, 73 and 71 years in group 1, 2 and 3, respectively. At baseline, median Activities of Daily Living (ADL) score, Instrumental Activity of Daily Living (IADL) score, number of comorbidities and concomitant medications were 6, 8, 5, 1 in group 1, and 6, 8, 3, 2 in group 2, and 6, 8, 4, 2 in group 3, respectively. Median hemoglobin value was 12.9, 12.8, 13.3 g/dl in group 1, 2 and 3 respectively. At baseline, no significant unbalance was evident among groups. There was a statistically significant correlation between ADL or IADL score and CAMCOG total score (Spearman test, rho=0.4, p<0.05). Higher scolarity level was associated with higher CAMCOG total score. No deterioration of CAMCOG score was evident in group 1, 2 and 3 after 3 and 6 months (paired t-test p>.05); the separate analyses for the different items in CAMCOG test did not evidence any deterioration in time in the 3 groups. No worsening was seen in MMSE. Conclusions: Our study showed that anticancer treatment is not associated with rapid cognitive deterioration in elderly cancer patients. No significant financial relationships to disclose.

Effects of Acupuncture on the Symptoms of Anxiety and Depression Caused by Premenstrual Dysphoric Disorder

2013 ◽  
Vol 31 (4) ◽  
pp. 358-363 ◽  
Author(s):  
Fabiana Carvalho ◽  
Kelly Weires ◽  
Márcia Ebling ◽  
Maristela de Souza Rabbo Padilha ◽  
Ygor Arzeno Ferrão ◽  
...  
Keyword(s):  
Rating Scales ◽  
Premenstrual Dysphoric Disorder ◽  
Randomised Clinical Trial ◽  
Sham Acupuncture ◽  
Anxiety And Depression ◽  
Significant Difference ◽  
The Mean ◽  
Group 2 ◽  
Single Blind ◽  
Group 1

Objective The objective of this investigation was to evaluate the effects of acupuncture and sham acupuncture on the symptoms of anxiety and depression brought on by premenstrual dysphoric disorder (PMDD). Methods In a single-blind randomised clinical trial, 30 volunteers with PMDD were assigned alternately to group 1 (acupuncture) or group 2 (sham acupuncture), and completed an evaluation of symptoms of anxiety and depression using the Hamilton Anxiety (HAM-A) and Hamilton Depression (HAM-D) Rating Scales. The procedure was performed twice a week for two menstrual cycles, for a total of 16 attendances for each participant. Results Before the intervention the mean HAM-A and HAM-D scores did not differ between groups. Following the intervention symptoms of anxiety and depression were reduced in both groups; however, the improvement was significant in group 1 compared to group 2, as shown by a mean reduction in HAM-A scores of 58.9% in group 1 and 21.2% in group 2 (p<0.001). The reduction in the mean HAM-D scores was 52.0% in group 1 and 19.6% in group 2, resulting in a significant difference (p=0.012). Conclusions The results suggest that acupuncture could be another treatment option for PMDD patients.

scholarly journals Evaluation Of Postpartum Depression Scores Of Elective And Emergency Cesarean Section Patients

2019 ◽  
Author(s):  
Berrin Göktuğ Kadıoğlu ◽  
Zeynep KAMALAK ◽  
Gokhan OZPOLAT ◽  
Edip BICEN
Keyword(s):  
Postpartum Depression ◽  
Cesarean Section ◽  
Trait Anxiety ◽  
State Anxiety ◽  
Depression Scale ◽  
Preoperative Period ◽  
Emergency Cesarean ◽  
Anxiety Levels ◽  
Group 2 ◽  
Group 1

Abstract Purpose This study aims to provide early diagnosis of postpartum depression by investigating the relationship between the emergency situation and pre-operative anxiety of women, who had elective and emergency cesarean. Methods The study was conducted on 103 people in total, 51 of which were elective and 52 of which were emergency cesarean section cases. Right before the surgery the patients filled State Trait Anxiety Inventory (STAI) and a form surveying the anesthesia concerns. Their anxiety levels were determined. Edinburg postpartum depression scale was applied two weeks after delivery. The impact of these results and the anxiety levels in preoperative period on postoperative depression were analyzed. Hemoglobin and biochemical values in preoperative period were analyzed in terms of their correlation with anxiety state. Results State anxiety level of 60.2% of group 1 and 74.6% of group 2 were higher than average in STAI-1; whereas in STAI-2 state anxiety levels were 4.1% of group 1 and 90.3% of group 2 were higher than average. Edinburg depression scale detected minor depression in 4% of the elective and 13.45 of the emergency cesarean patients. There was no linear relationship between blood parameters and anxiety levels. Conclusion Both groups had high state and trait anxiety but postpartum depression rate in emergency patients was higher. Thus, it is significant to provide necessary psychological support to the patients with high pre-operative anxiety and provide early treatment to the ones with higher tendency of depression in postpartum period.

scholarly journals Listening Music in Reducing Anxiety for Regional Anesthesia Cases

2021 ◽  
Author(s):  
Mohd Rahmat Bin Abd Hamid ◽  
Marzida Binti Mansor ◽  
Mohd Fitry Bin Zainalabdin
Keyword(s):  
Elderly Patients ◽  
Music Therapy ◽  
Operating Room ◽  
Trait Anxiety ◽  
Regional Anaesthesia ◽  
Depression Score ◽  
Anxiety And Depression ◽  
Control Group ◽  
State Trait Anxiety Inventory ◽  
Hospital Anxiety

In this study, the effects of music therapy on anxiety for patients undergoing regional anaesthesia in an operating room was succinctly investigated. This investigation was largely based on the adapted Hospital Anxiety and Depression Score (HADS) and Spielberger State-Trait Anxiety Inventory (STAI-S), of patients undergoing regional anaesthesia in an operating room. A randomized control trial was performed on 90 patients due for surgery. The selected patients for regional anaesthesia were allocated to either the music therapy group who listened to music using headphones for the entire surgery or the no-treatment control group. Based on the findings, it has been conclusively demonstrated that music can decrease the patient's anxiety level. According to the socio-demographic evaluation, elderly patients have the highest stress hormones levels when compared to young patients. Although elderly patients are more likely to choose religious songs to help them relax, cortisol analysis revealed an increase in cortisol levels among the elderly compared with younger patients. As a result, music is especially important to be delivered to elderly patients. Nonetheless, there is no restriction against administering music to elderly patients because evidence from the Hospital Anxiety and Depression Score (HADS) and State-Trait Anxiety Inventory (STAI-S) has shown that music helps to shift their attention away from pain and complications and makes them feel tranquil. Similarly, the HADS and modified Spielberger STAI (STAI-S) analyses demonstrate a substantial outcome for both groups, with respondents responding positively. The study found that listening to music during regional anaesthesia might help people feel less worried.

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