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Le réflexe orgasmique : un phénomène biologique dont l’établissement dépend d’une période de sensibilité 性高潮反射:一种生物现象,其建立依赖于一段时间的敏感性
IF 1.2 Q3 Medicine Pub Date : 2022-12-01 DOI: 10.1016/j.sexol.2022.09.001
G. Zwang

C’est Konrad Lorenz qui décrivit la période de sensibilité nécessaire à la maturation épigénétique de certaines fonctions biologiques. Le réflexe orgasmique, fondement de la fonction érotique, est un de ces phénomènes qui ne peut se maturer que pendant la période de sensibilité de l’enfance. La situation de ses mains, et les soins de toilette, favorisent la découverte du pouvoir des zones orgasmogènes ; dont une première phase auto-érotique, infantile des organes génitaux externes. Ceci ouvre la voie à l’accès à la seconde phase, adulte, hétéro-érotique. Ignorer, blâmer ou supprimer cette phase auto-érotique n’est pas seulement une faute de civilisation générale, source de conséquences parfois dramatiques, mais aussi une erreur scientifique.

It is Konrad Lorenz, who described the period of sensitivity necessary for the epigenetic maturation of certain biological functions. The orgasmic reflex, the foundation of the erotic function, is one of these phenomena that can only mature during the sensitive period of childhood It is the individual, guided by the situation his hands, and by grooming, who discovers the power of the orgasmic zones. A first auto-erotic phase, infantile, is necessary to establish the gratifying use of the external genitals, making possible the access to the second phase, adult, heteroerotic. Ignoring, blaming or suppressing this auto-erotic phase is not only a fault of general civilization, here considered, with sometimes dramatic consequences, but also a scientific error.

康拉德·洛伦茨(Konrad Lorenz)描述了某些生物功能表观遗传成熟所必需的敏感性时期。性高潮反射是情色功能的基础,是只有在儿童敏感时期才能成熟的现象之一。她的手的情况,和厕所护理,促进发现性高潮区域的力量;包括第一个自我情色阶段,婴儿阶段的外部生殖器。这为进入第二阶段铺平了道路,成人,异性恋。忽视、指责或压制这种自我情爱的阶段,不仅是普遍文明的错误,有时是悲剧性后果的根源,也是科学上的错误。= =地理= =根据美国人口普查,这个县的面积为,其中土地面积为,其中土地面积为。性高潮反射,性功能的基础,是一种现象,它只能在敏感的童年时期成熟,它是个体,由情境和手的引导,以及通过审美发现性高潮区域的力量。第一个自我情色阶段,婴儿阶段,是建立外部生殖器的有益使用的必要条件,使进入第二个阶段,成人阶段,异性恋阶段成为可能。忽略、指责或压制这种自我情色的阶段不仅是一般文明的错误,有时会产生戏剧性的后果,而且也是一个科学错误。
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引用次数: 0
Effect of drug naïve versus escitalopram on sexual function of depressed females: A cross-sectional comparative study 药物naïve与艾司西酞普兰对女性抑郁症患者性功能影响的横断面比较研究
IF 1.2 Q3 Medicine Pub Date : 2022-12-01 DOI: 10.1016/j.sexol.2021.10.005
A. Mahran , S.F. GamalEl Din , A.A. Ezzat , A.H. Taha , A. Ragab

Objectives

We aimed in the current cross-sectional study to evaluate rates and patterns of SD among drug naïve women with mild to moderate depression against those receiving escitalopram.

Study design

Group (A) included 120 females diagnosed with mild to moderate depression. Group (B) served as controls included 60 age-matched volunteers.

Main outcome measures

Female participants were evaluated by the validated Arabic female sexual function index (ArFSFI), perceived stress situation scale (PSS), patient health questionnaire-9 scale (PHQ-9) and center for epidemiological studies-depression scale (CES-D).

Results

The study demonstrated that females with mild to moderate depression treated with escitalopram had better sexual function than those who were drug naïve. Additionally, treated females got better scores of PSS, CES-D and PHQ-9 compared to those who were drug naïve. The PSS and the CES-D and the PHQ-9 scales negatively correlated with the domains of desire, pain, arousal, lubrication, orgasm, satisfaction and total score of FSFI. Finally, a linear regression analysis after adjustment of FSFI as a dependent variable had revealed that the PSS scale, the PHQ-9 scale and the international index of erectile function-5 were significant independent predictors of the affected females’ sexual function.

Conclusion

Escitalopram is associated with lesser risk of SD in females with mild to moderate depression.

目的:在当前的横断面研究中,我们旨在评估患有轻度至中度抑郁症的药物naïve女性与接受艾司西酞普兰的女性之间SD的发生率和模式。研究设计组(A)包括120名诊断为轻度至中度抑郁症的女性。B组为对照组,包括60名年龄匹配的志愿者。主要结果测量方法:采用阿拉伯女性性功能指数(ArFSFI)、感知压力状况量表(PSS)、患者健康问卷-9量表(PHQ-9)和流行病学研究中心抑郁量表(CES-D)对女性参与者进行评估。结果研究表明,女性轻中度抑郁症患者经艾司西酞普兰治疗后,性功能明显优于口服药物naïve治疗组。此外,与服用药物naïve的女性相比,服用药物的女性在PSS、CES-D和PHQ-9方面得分更高。PSS、CES-D和PHQ-9量表与欲望、疼痛、兴奋、润滑、性高潮、满意度和FSFI总分呈负相关。最后,将FSFI作为因变量进行调整后的线性回归分析显示,PSS量表、PHQ-9量表和国际勃起功能指数-5是影响女性性功能的显著独立预测因子。结论艾司西酞普兰可降低女性轻中度抑郁症患者发生SD的风险。
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引用次数: 0
Medication strategies regarding erectile dysfunction and associated treatment drop out and compliance – A retrospective study of 516 patients 关于勃起功能障碍的药物治疗策略及相关治疗退出和依从性——一项516例患者的回顾性研究
IF 1.2 Q3 Medicine Pub Date : 2022-12-01 DOI: 10.1016/j.sexol.2022.04.004
B.S. Laursen , M. Mikkelsen , J. Hestvang , A.D. Højgaard , A.E. Olesen

Objectives

The pharmacological treatment of Erectile Dysfunction (ED) includes oral or local administration. Despite documented effect of the pharmacological treatment of ED, several studies indicate that a large proportion of patients drop out of treatment. This retrospective systematic descriptive study aims to investigate factors associated with treatment outcome and the pattern for use of medications in 516 Danish patients at a large Sexological Center at a University Hospital in Denmark.

Material and methods

Comparisons of demographics, cause of problem, comorbidities, and information regarding course of treatment were performed between patients who were medicated at treatment termination and patients who discontinued their treatment. Furthermore, the same comparisons were made between the patients treated orally and patients treated with a local acting medicine at discharge.

Results and conclusion

Two hundred and fifty-one (48.6%) patients ended with a pharmacological treatment, whereas 265 (51.4%) patients ended as discontinued. Possible explanations for why the patients discontinued could be non-effectiveness, psychosocial factors, costs of treatment, or several other reasons, but to elucidate this further investigation has to be made.

Objectifs

Le traitement pharmacologique de la dysfonction érectile (DE) comprend l’administration orale ou locale. Malgré l’effet l’efficacité documentée du traitement pharmacologique de la dysfonction érectile, plusieurs études indiquent qu’une grande proportion de patients abandonnent le traitement. Cette étude descriptive, systématique et rétrospective vise à étudier les facteurs associés aux résultats du traitement et au schéma d’utilisation de ces médicaments chez 516 patients danois dans un grand centre de sexologie d’un hôpital universitaire au Danemark.

Matériel et méthodes

Des comparaisons des données démographiques, de l’origine de la DE, la cause du problème, les comorbidités et les informations concernant le déroulement du traitement ont fait l’objet de comparaisons été comparées effectuées entre les patients qui avaient arrêté ou non, leur traitement médicamenteux ainsi qu’entre ceux qui étaient traités par voie orale ou locale étaient médicamentés à la fin du traitement et les patients ceux qui ont arrêté leur traitement. Par ailleurs, les mêmes comparaisons ont été faites effectuées entre les patients traités par voie orale et les patients ceux traités par un médicament à action locale à la sortie.

Résultats et conclusion

Deux cent cinquante et un (48,6 %) patients ont terminé avec un traitement pharmacologique, alors que 265 (51,4 %) patients l’ont interrompu. Les explications possibles pour laquelle les patients ont abandonné pourraient être liées à leur non-efficacité, à des facteurs psychosociaux, les coûts du t

目的勃起功能障碍(ED)的药物治疗包括口服或局部给药。尽管ED的药物治疗有文献记载,但一些研究表明,很大一部分患者退出治疗。本回顾性系统描述性研究旨在调查与丹麦一所大学医院的大型性学中心516名丹麦患者治疗结果和药物使用模式相关的因素。材料和方法在治疗结束时用药的患者和停止治疗的患者之间进行人口统计学、问题原因、合并症和有关治疗过程的信息的比较。此外,在口服治疗的患者和在出院时使用局部作用药物的患者之间进行了相同的比较。结果与结论251例(48.6%)患者结束药物治疗,265例(51.4%)患者停止药物治疗。对患者停止治疗的可能解释可能是无效、心理社会因素、治疗费用或其他几个原因,但为了阐明这一点,必须进行进一步的调查。目的:探讨治疗障碍性抑郁(de)的药理学特点,总结其用药方法。不良情绪、不良影响、不良疗效、不良预后、不良预后、不良预后、不良预后、不良预后、不良预后、不良预后、不良预后、不良预后、不良预后、不良预后、不良预后、不良预后、不良预后等。对516例患者进行了描述性、系统性和前瞻性的研究,研究对象为丹麦性学研究中心hôpital丹麦大学。这些比较涉及到的信息有:与其他的比较、与其他的比较、与其他的比较、与其他的比较、与其他的比较、与其他的比较、与其他的比较、与其他的比较、与其他的比较、与其他的比较、与其他的比较、与其他的比较、与其他的比较、与其他的比较、与其他的比较、与其他的比较、与其他的比较、与其他的比较、与其他的比较、与其他的比较、与其他的比较、与其他的比较、与其他的比较、与其他的比较、与其他的比较、与其他的比较、与其他的比较、与其他的比较、与其他的比较、与其他的比较、与其他的比较、与其他的比较、与其他的比较、与其他的比较、与其他的比较。与其他的比较,例如:与其他的比较,例如:与其他的比较,例如:与其他的比较,例如:与其他的比较,例如:与其他的比较,例如:与其他的比较,例如:与其他的比较。结论2 / 5 5例(48.6%)患者未接受治疗,其余265例(51.4%)患者未接受治疗。可能的解释有:可能的解释有:可能的解释有:可能的解释有:可能的解释有:可能的解释有:可能的解释有:可能的解释有:可能的解释有:可能的解释有:可能的解释有:可能的解释有:可能的解释有:可能的解释有:可能的解释有:可能的解释有:可能的解释有:可能的解释有:可能的解释有:可能的解释有:可能的解释有:可能的解释有:可能的解释有:可能的解释有:可能的解释有:可能的解释有:可能的解释有:可能的解释有:可能的解释有:可能的解释有:可能的解释有:可能的解释有:可能的解释
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引用次数: 0
Results from a preliminary study on the theme of sexuality for therapeutic patient education for people with inflammatory arthritis 炎性关节炎患者性教育主题的初步研究结果
IF 1.2 Q3 Medicine Pub Date : 2022-12-01 DOI: 10.1016/j.sexol.2021.11.005
C. Savel , F. Fayet , D. Abdi , L. Marty , M. Soubrier , S. Malochet-Guinamand

Objective

The objective of this study was to survey nurses and patients about the need to address the sexuality issue as part of therapeutic patient education (TPE).

Method

First, a qualitative study was conducted in the form of a nurse focus group. Second, semi-structured interviews were led with fourteen rheumatoid arthritis or spondyloarthritis patients.

Results

An analysis of verbatim transcriptions of the focus group revealed 5 themes: an absence of any obligation to address the subject, barriers, lack of dedicated training, difficulties related to organizing TPE, and practical concerns on how to broach the issue. All but one patient agreed to address the issue. Over half of the patients reported disease-related impacts on their sex life.

Conclusion

This study mainly highlights barriers encountered by nurses. Healthcare professionals need better training to address these concerns.

Practice implication

Improved care in this area requires training for professionals. It seems relatively easy to address this theme of sexuality as a continuum from the other questions concerning social, family and “psychological” life. Dialogue and understanding within the couple seem to be important to ensuring “satisfactory” sexuality. It seems important to work on the role of the spouse in patient education.

Objectif

L’objectif de cette étude était d’investiguer auprès des infirmières et des patients le besoin d’aborder la santé sexuelle lors des séances d’éducation thérapeutique.

Méthode

D’abord, une enquête qualitative a été menée auprès des infirmières par l’intermédiaire d’un focus groupe. Ensuite, des entretiens semi-structurés ont été proposes à 14 patients souffrant de polyarthrite rhumatoïde ou de spondylarthrite.

Résultats

Une analyse des verbatims de la retranscription du focus groupe a révélé 5 thèmes : absence d’obligation d’aborder le sujet, les barrières, le manqué de formation spécifique, les difficultés organisationnelles liées à l’éducation thérapeutique et les aspects pratiques de comment aborder le sujet. Tous les patients hormis un étaient d’accord pour que le sujet soit abordé. Plus de la moitié des patients témoignait de l’impact de la maladie sur leur santé sexuelle.

Conclusion

Cette étude met en avant les obstacles rencontrés par les infirmières pour aborder le sujet de la santé sexuelle. Les professionnels de santé ont besoin d’une meilleure formation pour aborder ces sujets.

Implactions dans la pratique

Améliorer les soins en santé sexuelle nécessite une meilleure formation des professionnels. Il semble plus aisé d’aborder le sujet de la santé sexuelle comme un continuum d’autres questions d’ordre social, familial, et d’ordre « psychologique ». Le dialogue et la compréhension au sein du

目的本研究的目的是调查护士和患者是否需要将性问题作为治疗性患者教育(TPE)的一部分。方法首先采用护士焦点小组的形式进行定性研究。其次,对14名类风湿关节炎或脊椎关节炎患者进行半结构化访谈。结果对焦点小组逐字记录的分析揭示了5个主题:没有任何义务解决这个问题,障碍,缺乏专门的培训,组织TPE的困难,以及如何提出这个问题的实际问题。除了一名患者外,所有患者都同意解决这个问题。超过一半的患者报告说,他们的性生活受到了与疾病有关的影响。结论本研究重点突出了护士遇到的障碍。医疗保健专业人员需要更好的培训来解决这些问题。实践意义改善这一领域的护理需要对专业人员进行培训。把性这个主题作为社会、家庭和“心理”生活中其他问题的连续体来处理似乎相对容易。夫妻之间的对话和理解似乎对确保“令人满意”的性行为很重要。配偶在病人教育中的作用似乎很重要。目的:研究 医疗器械和患者的医疗器械和医疗器械和医疗器械和医疗器械的医疗器械和医疗器械。方法'abord,调查定性的疾病menee欧珀莱des infirmieres par l 'intermediaire groupe d的一个焦点。Ensuite, des entretiens半结构的和/或 14例患者的多关节关节炎rhumatoïde或脊椎关节关节炎。3 .我们分析了焦点小组的重新抄写的单词数和 交换条件下的 交换条件、交换条件、交换条件、交换条件、交换条件、交换条件、交换条件、交换条件、交换条件、交换条件、交换条件、交换条件、交换条件、交换条件、交换条件和交换条件。我们的病人是不能接受治疗的,所以我们的病人是不能接受治疗的。再加上病人的精神状态和精神疾病的影响。结论变性人在变性人身上遇到的障碍较少,变性人在变性人身上遇到的障碍较少。Les professionnels de santeer不会因此而被称为“d 'une meilleure formation”。Implactions dans la pratiqueamamiclier / sanci.com/ / sanci.com/ / sanci.com/ / sanci.com/ / sanci.com/ / sanci.com/ / sanci.com/。我将会把我的“aborder le sujet de la sant sexelle comuncontinuum d’res questions d’order social, family, and d’order psychologique”集合起来。“对话”是指男女之间的交流:être“交流”是指男女之间的交流。我将把重要的de travailler sur le rôle du partenaire en sametech与samapeutique结合起来。
{"title":"Results from a preliminary study on the theme of sexuality for therapeutic patient education for people with inflammatory arthritis","authors":"C. Savel ,&nbsp;F. Fayet ,&nbsp;D. Abdi ,&nbsp;L. Marty ,&nbsp;M. Soubrier ,&nbsp;S. Malochet-Guinamand","doi":"10.1016/j.sexol.2021.11.005","DOIUrl":"https://doi.org/10.1016/j.sexol.2021.11.005","url":null,"abstract":"<div><h3>Objective</h3><p>The objective of this study was to survey nurses and patients about the need to address the sexuality issue as part of therapeutic patient education (TPE).</p></div><div><h3>Method</h3><p><span>First, a qualitative study was conducted in the form of a nurse focus group. Second, semi-structured interviews were led with fourteen rheumatoid arthritis or </span>spondyloarthritis patients.</p></div><div><h3>Results</h3><p>An analysis of verbatim transcriptions of the focus group revealed 5 themes: an absence of any obligation to address the subject, barriers, lack of dedicated training, difficulties related to organizing TPE, and practical concerns on how to broach the issue. All but one patient agreed to address the issue. Over half of the patients reported disease-related impacts on their sex life.</p></div><div><h3>Conclusion</h3><p>This study mainly highlights barriers encountered by nurses. Healthcare professionals need better training to address these concerns.</p></div><div><h3>Practice implication</h3><p>Improved care in this area requires training for professionals. It seems relatively easy to address this theme of sexuality as a continuum from the other questions concerning social, family and “psychological” life. Dialogue and understanding within the couple seem to be important to ensuring “satisfactory” sexuality. It seems important to work on the role of the spouse in patient education.</p></div><div><h3>Objectif</h3><p>L’objectif de cette étude était d’investiguer auprès des infirmières et des patients le besoin d’aborder la santé sexuelle lors des séances d’éducation thérapeutique.</p></div><div><h3>Méthode</h3><p>D’abord, une enquête qualitative a été menée auprès des infirmières par l’intermédiaire d’un focus groupe. Ensuite, des entretiens semi-structurés ont été proposes à 14 patients souffrant de polyarthrite rhumatoïde ou de spondylarthrite.</p></div><div><h3>Résultats</h3><p>Une analyse des verbatims de la retranscription du focus groupe a révélé 5 thèmes : absence d’obligation d’aborder le sujet, les barrières, le manqué de formation spécifique, les difficultés organisationnelles liées à l’éducation thérapeutique et les aspects pratiques de comment aborder le sujet. Tous les patients hormis un étaient d’accord pour que le sujet soit abordé. Plus de la moitié des patients témoignait de l’impact de la maladie sur leur santé sexuelle.</p></div><div><h3>Conclusion</h3><p>Cette étude met en avant les obstacles rencontrés par les infirmières pour aborder le sujet de la santé sexuelle. Les professionnels de santé ont besoin d’une meilleure formation pour aborder ces sujets.</p></div><div><h3>Implactions dans la pratique</h3><p>Améliorer les soins en santé sexuelle nécessite une meilleure formation des professionnels. Il semble plus aisé d’aborder le sujet de la santé sexuelle comme un continuum d’autres questions d’ordre social, familial, et d’ordre « psychologique ». Le dialogue et la compréhension au sein du","PeriodicalId":45416,"journal":{"name":"Sexologies","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136844611","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
A review study of the effects of the COVID-19 pandemic on individual sexual behavior, purchasing sex toys, and related consequences COVID-19大流行对个体性行为、性玩具购买及其相关后果影响的综述研究
IF 1.2 Q3 Medicine Pub Date : 2022-12-01 DOI: 10.1016/j.sexol.2022.06.002
S.A. Qalati , M.L.S. Limón , S.H. Bhayo

Globally, COVID-19, both during and after the pandemic, has not only slowed countries’ economic development but has also affected social and daily life. Due to COVID-19, physical contact among couples has been reduced, and physical sexual activities have been affected and decreased. In order to satisfy their sexual needs and avoid mental health issues, individuals have shown an increasing inclination to purchase sex toys. Therefore, we conducted this review study to investigate the impacts of the COVID-19 pandemic on sexual activities, purchasing sex toys, and related consequences. Specifically, the present paper examines 45 studies and focuses on four themes: (1) COVID-19 and sex toys; (2) COVID-19 and sex (i.e. sexual life, sexuality, sexual health, sexual behavior); (3) factors affecting purchasing sex toys; and (4) COVID-19 consequences. The study findings reflect that, during to the pandemic, sex toy sales doubled in Australia, Colombia, Denmark, and the UK, and tripled in New Zealand. Sex toys have entailed positive (i.e. increased satisfaction, confidence, pleasure) and negative (addiction, allergic reaction, risk of sexually transmitted infection, embarrassment, and guilt) implications. In addition, participants all over the world engaged more in using sex toys and watching pornography to satisfy their sexual needs. Further, the use of online dating applications also increased, in order to have sex with close or casual partners. Regarding purchasing sex toys, we postulate that people buy these products due to lack of opportunity, relationship avoidance, loneliness, cost-effectiveness, time-saving, and emotionless behavior. Moreover, the pandemic has worsened family and sexual relationships. It has also increased anxiety, stress, and violence in society. In this context, we assert that there is still a need to explore the factors influencing individuals’ intentions toward purchasing sex toys, and studies need to be conducted to understand in more detail COVID-19's effects, both during and after the pandemic.

在全球范围内,无论是疫情期间还是疫情后,新冠肺炎不仅减缓了各国的经济发展,也影响了社会和日常生活。由于新冠肺炎疫情,夫妻之间的身体接触减少,身体上的性活动受到影响并减少。为了满足他们的性需求和避免心理健康问题,人们越来越倾向于购买性玩具。因此,我们开展了这项综述研究,以调查COVID-19大流行对性活动、购买性玩具的影响及其相关后果。具体而言,本文对45项研究进行了分析,重点关注四个主题:(1)COVID-19与性玩具;(2) COVID-19与性(即性生活、性行为、性健康、性行为);(3)影响性玩具购买的因素;(4) COVID-19后果。研究结果表明,在流感大流行期间,性玩具的销量在澳大利亚、哥伦比亚、丹麦和英国翻了一番,在新西兰翻了三倍。性玩具有积极的(比如增加满足感、自信、愉悦感)和消极的(上瘾、过敏反应、性传播感染的风险、尴尬和内疚)暗示。此外,世界各地的参与者更多地使用性玩具和观看色情作品来满足他们的性需求。此外,为了与亲密或随意的伴侣发生性关系,使用在线约会应用程序的人数也有所增加。关于购买性玩具,我们假设人们购买这些产品是由于缺乏机会、回避关系、孤独、成本效益、节省时间和没有情感的行为。此外,这一流行病恶化了家庭关系和性关系。它还增加了社会中的焦虑、压力和暴力。在此背景下,我们认为仍有必要探讨影响个人购买性玩具意愿的因素,并开展研究,以更详细地了解COVID-19在大流行期间和之后的影响。
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引用次数: 1
The link between centrality, gender identity, and sexual pleasure 中心性、性别认同和性快感之间的联系
IF 1.2 Q3 Medicine Pub Date : 2022-12-01 DOI: 10.1016/j.sexol.2022.09.005
H. Tillewein , B. Brashear , P. Harvey

This manuscript aims to study the effect of having high centrality on the commitment to heterosexual norms and heterosexual scripts. Centrality is the level of importance of one's gender is to an individual's identity which has been traditionally prescribed by stereotypical gender traits. Also, this study will evaluate whether gender identity plays a role in determining an individual's choice of sexual partners’ gender. This study focuses on an individual's gender makeup (on the scale of masculine and feminine) and the participants’ own view of importance for how gender identity plays a role in the way the individual feels about themselves. Previous research has focused on sex roles and gender stereotypes as it pertains to pleasure and intimacy, but these studies have only focused on binary gender identity categories (male/female). The researchers conducted a secondary data analysis using survey data, from the 2020 and 2021 Pleasure Study, on human sexuality that was collected online. There were a total of 1183 respondents in the study of various gender identities. The data shows strong correlations between highly masculine individuals with high centrality choosing sexual partners with high femininity and not individuals with high masculinity. This study showed that cismen with nonbinary partners and ciswomen with nonbinary partners had the lowest average centrality out of all the gender partner combinations.

本文旨在研究高中心性对异性恋规范和异性恋剧本承诺的影响。中心性是一个人的性别对个人身份的重要性程度,这是传统上由刻板的性别特征规定的。此外,这项研究将评估性别认同是否在决定个人对性伴侣性别的选择中起作用。这项研究的重点是个人的性别构成(男性和女性的尺度),以及参与者自己对性别认同在个人自我感觉中所起作用的重要性的看法。之前的研究主要关注性别角色和性别刻板印象,因为它与快乐和亲密有关,但这些研究只关注二元性别认同类别(男性/女性)。研究人员利用从2020年和2021年“快乐研究”中收集的关于人类性行为的调查数据进行了二次数据分析。共有1183名受访者参与了不同性别认同的研究。数据显示,具有高度中心性的高度男性化的个体选择女性化的性伴侣,而不是男性化的性伴侣之间存在很强的相关性。本研究表明,在所有性别伴侣组合中,有非二元伴侣的男同性恋者和有非二元伴侣的女同性恋者的平均中心性最低。
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引用次数: 1
Long-term outcomes comparison of immediate and delayed surgical intervention for penile fracture: A systematic review and meta-analysis 阴茎骨折的即时和延迟手术干预的长期结果比较:系统回顾和荟萃分析
IF 1.2 Q3 Medicine Pub Date : 2022-12-01 DOI: 10.1016/j.sexol.2022.07.001
M. Yusuf , N. Yogiswara , M.A. Soebadi , G.W.K. Duarsa , S. Wirjopranoto

Introduction and objectives

Penile fracture is a rare urological trauma that needs immediate repair. However, several reports stated that a delayed surgical repair might be acceptable. Thus, we aim to evaluate the long-term outcomes of immediate and delayed surgical intervention for penile fracture treatment.

Materials and methods

We followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) 2020 guidelines to perform this meta-analysis. A comprehensive search through PubMed, Scopus, and Science-direct was performed using Medical Subject Headings (MeSH®) Terms. The primary outcome analyzed in this study was long-term complications, including erectile dysfunction (ED), penile curvature, penile pain, and palpable plaque. The publication bias was assessed using funnel plot and Harbord's test. All analyses were performed using STATA® 16 and the protocol for the meta-analysis has been registered in PROSPERO (CRD42022315154).

Results

A total of 10 studies were included in the analysis, comprising 2 prospective studies, 5 retrospective studies, and 3 case series, for a total of 531 patients with penile fractures. From the pooled analysis, lower ED incidence in the immediate surgical repair group was significant on less than 12 months follow-up (OR: 0.36, 95% CI: 0.15 to 0.89, P = 0.03). However, this difference was not significant on longer follow-up (OR: 1.39, 95% CI: 0.29 to 6.58, P = 0.68). No significant difference was found in the incidence of palpable plaque (OR: 0.74, 95% CI: 0.26 to 2.12, P = 0.57). Additionally, penile pain/paresthesia (OR: 0.17, 95% CI: 0.06 to 0.51, P < 0.01) and penile curvature incidence (OR: 0.17, 95% CI: 0.06 to 0.47, P < 0.01) was also significantly lower in the immediate repair group than the delayed approach group. The funnel plot analysis and Harbord's test did not suggest any publication bias (P = 0.804).

Conclusion

Immediate surgical intervention remains the best option for penile fracture treatment due to reduced risk of long-term complications, including penile pain and penile curvature.

前言与目的阴茎骨折是一种罕见的泌尿外科创伤,需要立即修复。然而,一些报告指出,延迟手术修复可能是可以接受的。因此,我们的目的是评估阴茎骨折治疗的即时和延迟手术干预的长期结果。材料和方法我们遵循系统评价和荟萃分析首选报告项目(PRISMA) 2020指南进行本荟萃分析。通过PubMed、Scopus和Science-direct进行综合搜索,使用医学主题标题(MeSH®)术语。本研究分析的主要结局是长期并发症,包括勃起功能障碍(ED)、阴茎弯曲、阴茎疼痛和可触及的斑块。采用漏斗图和Harbord检验评估发表偏倚。所有分析均使用STATA®16进行,meta分析方案已在PROSPERO注册(CRD42022315154)。结果共纳入10项研究,其中前瞻性研究2项,回顾性研究5项,病例系列3项,共纳入531例阴茎骨折患者。从汇总分析来看,在不到12个月的随访中,立即手术修复组ED发生率较低(OR: 0.36, 95% CI: 0.15 ~ 0.89, P = 0.03)。然而,在更长时间的随访中,这种差异不显著(OR: 1.39, 95% CI: 0.29 ~ 6.58, P = 0.68)。两组可触及斑块的发生率无显著差异(OR: 0.74, 95% CI: 0.26 ~ 2.12, P = 0.57)。此外,阴茎疼痛/感觉异常(OR: 0.17, 95% CI: 0.06 ~ 0.51, P <0.01)和阴茎弯曲发生率(OR: 0.17, 95% CI: 0.06 ~ 0.47, P <0.01),即刻修复组明显低于延迟入路组。漏斗图分析和Harbord检验未发现任何发表偏倚(P = 0.804)。结论立即手术治疗仍然是阴茎骨折治疗的最佳选择,因为手术可以减少阴茎疼痛和阴茎弯曲等长期并发症的风险。
{"title":"Long-term outcomes comparison of immediate and delayed surgical intervention for penile fracture: A systematic review and meta-analysis","authors":"M. Yusuf ,&nbsp;N. Yogiswara ,&nbsp;M.A. Soebadi ,&nbsp;G.W.K. Duarsa ,&nbsp;S. Wirjopranoto","doi":"10.1016/j.sexol.2022.07.001","DOIUrl":"10.1016/j.sexol.2022.07.001","url":null,"abstract":"<div><h3>Introduction and objectives</h3><p><span>Penile fracture is a rare </span>urological trauma that needs immediate repair. However, several reports stated that a delayed surgical repair might be acceptable. Thus, we aim to evaluate the long-term outcomes of immediate and delayed surgical intervention for penile fracture treatment.</p></div><div><h3>Materials and methods</h3><p>We followed the Preferred Reporting Items for Systematic Reviews<span> and Meta-Analyses (PRISMA) 2020 guidelines to perform this meta-analysis. A comprehensive search through PubMed, Scopus, and Science-direct was performed using Medical Subject Headings (MeSH®) Terms. The primary outcome analyzed in this study was long-term complications, including erectile dysfunction<span> (ED), penile curvature, penile pain, and palpable plaque. The publication bias was assessed using funnel plot and Harbord's test. All analyses were performed using STATA® 16 and the protocol for the meta-analysis has been registered in PROSPERO (CRD42022315154).</span></span></p></div><div><h3>Results</h3><p>A total of 10 studies were included in the analysis, comprising 2 prospective studies, 5 retrospective studies, and 3 case series, for a total of 531 patients with penile fractures. From the pooled analysis, lower ED incidence in the immediate surgical repair group was significant on less than 12 months follow-up (OR: 0.36, 95% CI: 0.15 to 0.89, <em>P</em> <!-->=<!--> <!-->0.03). However, this difference was not significant on longer follow-up (OR: 1.39, 95% CI: 0.29 to 6.58, <em>P</em> <!-->=<!--> <!-->0.68). No significant difference was found in the incidence of palpable plaque (OR: 0.74, 95% CI: 0.26 to 2.12, <em>P</em> <!-->=<!--> <!-->0.57). Additionally, penile pain/paresthesia (OR: 0.17, 95% CI: 0.06 to 0.51, <em>P</em> <!-->&lt;<!--> <!-->0.01) and penile curvature incidence (OR: 0.17, 95% CI: 0.06 to 0.47, <em>P</em> <!-->&lt;<!--> <!-->0.01) was also significantly lower in the immediate repair group than the delayed approach group. The funnel plot analysis and Harbord's test did not suggest any publication bias (<em>P</em> <!-->=<!--> <!-->0.804).</p></div><div><h3>Conclusion</h3><p>Immediate surgical intervention remains the best option for penile fracture treatment due to reduced risk of long-term complications, including penile pain and penile curvature.</p></div>","PeriodicalId":45416,"journal":{"name":"Sexologies","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86664261","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 2
Utilisation problématique de pornographie en ligne chez les hommes et les femmes : facteurs discriminants et prédictifs 男性和女性使用网络色情的问题:区分和预测因素
IF 1.2 Q3 Medicine Pub Date : 2022-12-01 DOI: 10.1016/j.sexol.2022.07.003
C. LeBlanc , D. Trottier

Objectifs

Cette recherche a pour but l’étude des facteurs individuels liés à l’utilisation problématique de pornographie en ligne (UPPL) sur un échantillon d’hommes et de femmes. Spécifiquement, il s’agira (1) de déterminer si la fréquence de consommation, les motifs de consommation ou l’historique sexuel permettent de discriminer les hommes et les femmes présentant une UPPL des hommes et des femmes sans UPPL, et (2) de vérifier si ces mêmes variables permettent de prédire l’UPPL chez les hommes et les femmes.

Méthodes

Au total, 614 utilisateurs et utilisatrices de pornographie en ligne âgés de 16 à 69 ans ont complété un questionnaire en ligne sur leur historique sexuel ainsi que les versions françaises du Short Internet Sex Addiction Test, du Pornography Consumption Inventory et du Sexual Experiences Survey-Perpetration – Tactics first.

Résultats

Les résultats suggèrent que (1) les hommes présentant une UPPL ont des scores significativement plus élevés que les utilisateurs sans UPPL au niveau de la fréquence d’utilisation, des trois motifs de consommations (évitement émotionnel, curiosité sexuelle et plaisir sexuel) et des antécédents de coercition sexuelle ; (2) les femmes présentant une UPPL ont obtenu des scores plus élevés que les utilisatrices sans UPPL sur ces mêmes variables ; (3) lorsque les hommes et les femmes présentant une UPPL ont été comparés entre eux, aucune différence significative n’a été décelée, à l’exception de la fréquence de consommation des hommes qui était significativement plus élevée que celle des femmes; et (4) que les variables à l’étude permettent d’expliquer 39,8 % de l’UPPL chez les hommes et 31,7 % chez les femmes.

Conclusions

Ces résultats suggèrent que les motifs d’utilisation ainsi que les antécédents de coercition sexuelle présentent à la fois une capacité discriminante et prédictive de l’UPPL chez les femmes et les hommes.

Objectives

The purpose of this research was to study individual factors associated with problematic online pornography use on a sample of men and women. Specifically, we aim to (1) determine whether frequency of use, motives for use, or sexual history discriminate users with problematic online pornography use, and (3) investigate whether these variables predict problematic online pornography use in men and women.

Methods

A total of 614 online pornography users aged 16 to 69 completed an online questionnaire about their sexual history and the French versions of the Short Internet sex Addiction Test, the Pornography Consumption Inventory, and the Sexual Experiences Survey-Perpetration form – Tactics first.

Results

Results suggest that (1) men with problematic online pornography use scored significantly higher than other men on frequency of use, all three motives for use (emotional avoidance, sexual curiosity and sexual pleasure

目的本研究以男性和女性为样本,探讨与有问题使用网络色情(UPPL)有关的个人因素。专,将(1)是否消费频次、消费动机或性史使歧视妇女和男子具有无UPPL UPPL男子和妇女,以及(2)这些变量是否能够预测l’UPPL男性和女性。MéthodesAu共有614名男性和女性用户网上色情内容的16岁到69岁的性历史上的在线填写了调查表以及法国版本的Short互联性测试瘾,色情制品的消费清单》和《性经验Survey-Perpetration—策略first。结果表明:(1)有UPPL的男性在使用频率、三种消费动机(情绪回避、性好奇和性快感)和性胁迫史方面得分明显高于没有UPPL的男性;(2)在相同变量上,有UPPL的女性比没有UPPL的女性得分更高;(3)对患有UPPL的男性和女性进行比较时,除男性饮酒频率明显高于女性外,没有发现显著差异;(4)所研究的变量解释了39.8%的男性uppl和31.7%的女性uppl。结论这些结果表明,使用动机和性胁迫史对女性和男性的uppl具有鉴别和预测能力。这项研究的目的是研究与男性和女性样本中有问题的网络色情使用有关的个人因素。具体来说,我们的目标是(1)确定使用频率、使用动机或性历史是否歧视有问题的网络色情使用的用户,(3)调查这些变量是否预测男性和女性有问题的网络色情使用。方法:共有614名年龄在16至69岁之间的网上色情用户完成了一份关于他们的性历史的网上问卷,以及法语版本的简短网络性成瘾测试、色情消费清单和性体验调查-犯罪形式——策略第一。结果表明:(1)使用网络色情作品有问题的男性在使用频率、使用的三种动机(情绪回避、性好奇和性快感)和性胁迫史上得分明显高于其他男性;(2)有问题的网络色情使用女性在这些相同变量上得分高于其他女性;(3)将男性和女性使用有问题的网络色情作品进行比较,除男性使用频率明显较高外,没有明显差异;(4)研究变量解释了39.8%的男性和31.7%的女性使用有问题的网络色情。结论表明,使用频率、使用动机和性胁迫的历史。
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引用次数: 0
Attentes concernant l’instauration d’ateliers sur la sexualité en addictologie 对在成瘾学中引入性讲习班的期望
IF 1.2 Q3 Medicine Pub Date : 2022-12-01 DOI: 10.1016/j.sexol.2022.04.005
L. Boumaarafi

Introduction et hypothèse

Les liens entre addictions et sexualité sont multiples ; effets initiaux recherchés puis délétères des substances psychoactives, conduites sexuelles à risque et commission de violences sexuelles, traitements des pathologies somatiques et psychiques comorbides, hypersexualité. L’abord de ces questions semble nécessaire en addictologie. Les ateliers de groupe présentent de nombreux avantages mais les attentes des usagers et des équipes sur cette thématique n’ont pas été explorées à ce jour. Cette étude nommée ACAPSA a pour objectif d’identifier les attentes des patients et des soignants d’une structure d’addictologie sur le contenu et la structuration de tels ateliers.

Matériels et méthodes

Au total, 35 patients et 35 soignants du service d’addictologie du GHU Paris Seine-Saint-Denis ont participé à l’étude d’avril à juillet 2021. Les patients ont répondu à un questionnaire de 13 questions et les soignants à 16 questions concernant leur expérience antérieure d’ateliers portant sur la sexualité, leur intérêt, contenu, type (éducation thérapeutique, groupes de parole), modalités d’organisation (mixité de genre, nombre d’animateurs et de participants) ainsi que le sentiment d’aise à les animer.

Résultats

La majorité des participants n’avaient ni animé ni assisté à de tels ateliers et les considéraient comme utiles (80 %). Les thématiques proposées ont été choisies par plus de 70 % des participants ; « Sexualité et produits », « Sexualité et traitements », « Violences sexuelles », « Généralités sur la sexualité », « Sexualité et pathologies psychiatriques ». Ils seraient organisés en séances d’éducation thérapeutique ou de groupes de parole thématiques, en mixité de genre, animés par deux professionnels, formés, connus ou non du groupe qui comporterait de 5 à 10 participants. Le sentiment d’aise à l’animation est en moyenne de 4,68/10.

Conclusion

Cette étude permet de mieux appréhender les attentes et besoins, mal connus, des patients et des soignants, quant à l’instauration de ces ateliers, et de guider leur mise en place dans les structures de soins, en complément de l’abord individuel, grâce à une proposition d’atelier type en tenant compte de la nécessité de formation des professionnels.

Introduction and hypothesis

There are multiple links between addictions and sexuality; desired initial effects then deleterious of psychoactive substances, risky sexual behaviour and commission of sexual violence, treatment of comorbid somatic and psychic pathologies, hypersexuality. Addressing these questions seems necessary in addictology. Group workshops have many advantages, however the expectations of users and teams about this theme have not been explored to date. This study, called ACAPSA, aims to identify the expectations of patients and caregivers of an addictology unit on the content and structuring of such workshop

介绍和假设成瘾和性之间的联系是多方面的;精神活性物质的最初预期和随后的有害影响,危险的性行为和性暴力的实施,共病的身体和精神疾病的治疗,性欲亢进。在成瘾学中,处理这些问题似乎是必要的。小组研讨会有许多好处,但用户和团队对这一主题的期望尚未得到探索。这项名为ACAPSA的研究旨在确定成瘾机构的患者和护理人员对此类研讨会的内容和结构的期望。2021年4月至7月,巴黎塞纳-圣德尼GHU成瘾科的35名患者和35名护理人员参加了这项研究。病人们回答一份问卷,13 - 16和护工的事项涉及他们的经验讲习班涉及性、兴趣、内容类型(治疗组)发言,教育模式(混合性别、组织者和参与者数量)以及动画感到满意。结果大多数参与者既没有主持也没有参加这样的研讨会,认为它们是有用的(80%)。70%以上的参与者选择了提议的主题;《性与产品》、《性与治疗》、《性暴力》、《性概论》、《性与精神病理学》。他们将以治疗教育会议或主题演讲小组的形式组织,男女混合,由两名受过培训的专业人员领导,无论他们是否认识小组,小组将由5至10名参与者组成。对动画的舒适感平均为4.68 /10。ConclusionCette研究有助于更好地理解、鲜为人知的期望和需要的患者及其照顾者则采用这些讲习班,并指导其实施医疗机构中,除了个别首先示范车间,多亏了一个建议,同时考虑到需要在专业人员的培训。介绍和假设是成瘾与性行为之间的多重联系;精神活性物质、危险的性行为和性暴力行为、共病躯体和精神疾病的治疗、性行为过度。在成瘾学中,解决这些问题似乎是必要的。小组研讨会有很多优势,但是用户和团队对这个主题的期望还没有被探索。这项名为ACAPSA的研究旨在确定成瘾科患者和护理人员对此类讲习班的内容和结构的期望。方法和材料巴黎塞纳-圣德尼教学医院成瘾科的35名患者和35名护理人员参加了2021年4月至7月的研究。患者回答了一份包含13个问题的问卷,护理人员回答了16个问题,这些问题涉及他们以前参加性讲习班的经验、他们的兴趣、内容、类型(治疗性教育、讨论小组)、组织方法(性别混合、促进者和参与者的数量)以及组织讲习班的轻松感。结果大多数参与者既没有促进也没有参加这样的研讨会,并且认为这些研讨会有用(80%)。70%以上的与会者选择了所提议的主题;“性与产品”、“性与治疗”、“性暴力”、“性与精神疾病的一般信息”。他们将在性别多样性的治疗教育会议或专题讨论小组中组织起来,由两名专业人员领导,他们接受过培训,知道或不知道该小组,将有5至10名参与者。= =地理= =根据美国人口普查,这个县的总面积为,其中土地和(0.964平方公里)水。ConclusionThis study帮助各to better the远大前程啊and needs,骄傲,娇小的病人和the establishment of these caregivers,关于讲习班,and to their指南的结构、添加in to the implementation in the care to a典型个人角度,再加上一个机器厂指南建议,鉴于the need for training专业。
{"title":"Attentes concernant l’instauration d’ateliers sur la sexualité en addictologie","authors":"L. Boumaarafi","doi":"10.1016/j.sexol.2022.04.005","DOIUrl":"10.1016/j.sexol.2022.04.005","url":null,"abstract":"<div><h3>Introduction et hypothèse</h3><p>Les liens entre addictions et sexualité sont multiples ; effets initiaux recherchés puis délétères des substances psychoactives, conduites sexuelles à risque et commission de violences sexuelles, traitements des pathologies somatiques et psychiques comorbides, hypersexualité. L’abord de ces questions semble nécessaire en addictologie. Les ateliers de groupe présentent de nombreux avantages mais les attentes des usagers et des équipes sur cette thématique n’ont pas été explorées à ce jour. Cette étude nommée ACAPSA a pour objectif d’identifier les attentes des patients et des soignants d’une structure d’addictologie sur le contenu et la structuration de tels ateliers.</p></div><div><h3>Matériels et méthodes</h3><p>Au total, 35 patients et 35 soignants du service d’addictologie du GHU Paris Seine-Saint-Denis ont participé à l’étude d’avril à juillet 2021. Les patients ont répondu à un questionnaire de 13 questions et les soignants à 16 questions concernant leur expérience antérieure d’ateliers portant sur la sexualité, leur intérêt, contenu, type (éducation thérapeutique, groupes de parole), modalités d’organisation (mixité de genre, nombre d’animateurs et de participants) ainsi que le sentiment d’aise à les animer.</p></div><div><h3>Résultats</h3><p>La majorité des participants n’avaient ni animé ni assisté à de tels ateliers et les considéraient comme utiles (80 %). Les thématiques proposées ont été choisies par plus de 70 % des participants ; « Sexualité et produits », « Sexualité et traitements », « Violences sexuelles », « Généralités sur la sexualité », « Sexualité et pathologies psychiatriques ». Ils seraient organisés en séances d’éducation thérapeutique ou de groupes de parole thématiques, en mixité de genre, animés par deux professionnels, formés, connus ou non du groupe qui comporterait de 5 à 10 participants. Le sentiment d’aise à l’animation est en moyenne de 4,68/10.</p></div><div><h3>Conclusion</h3><p>Cette étude permet de mieux appréhender les attentes et besoins, mal connus, des patients et des soignants, quant à l’instauration de ces ateliers, et de guider leur mise en place dans les structures de soins, en complément de l’abord individuel, grâce à une proposition d’atelier type en tenant compte de la nécessité de formation des professionnels.</p></div><div><h3>Introduction and hypothesis</h3><p>There are multiple links between addictions and sexuality; desired initial effects then deleterious of psychoactive substances, risky sexual behaviour and commission of sexual violence, treatment of comorbid somatic and psychic pathologies, hypersexuality. Addressing these questions seems necessary in addictology. Group workshops have many advantages, however the expectations of users and teams about this theme have not been explored to date. This study, called ACAPSA, aims to identify the expectations of patients and caregivers of an addictology unit on the content and structuring of such workshop","PeriodicalId":45416,"journal":{"name":"Sexologies","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75468109","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The effect of EX-PLISST and GATHER models on sexual function with gestational diabetes EX-PLISST和GATHER模型对妊娠期糖尿病患者性功能的影响
IF 1.2 Q3 Medicine Pub Date : 2022-12-01 DOI: 10.1016/j.sexol.2022.04.008
H. Fatah , K. Vakilian , A. Moslemi , F. Janani

Objectives

the present study aimed to compare the effect of individual counseling based on EX-PLISSIT and GATHER models on sexual function of women with gestational diabetes background during lactation.

Methods

In this randomized clinical trial, 78 breastfeeding women with gestational diabetes from health centers of Khorramabad were selected using clustering method between 10 and 16 weeks postpartum. Then, they were assigned into two groups of intervention according to randomized blocks. Each participant received two sessions of individual counseling based on GATHER or EX-PLISSIT methods. Sexual function questionnaire was completed one month after the intervention. The data were analyzed using SPSS 23, descriptive statistics (frequency and percentage), and analytical statistics (repeated measurement ANOVA, independent t-test, and chi-squared).

Results

Mean sexual desire is significantly different between before and after the intervention. (p = 0.001). The interaction of group and time is statistically significant (p = 0.007). So that the average sexual desire in both groups is increasing, but during the time in the Ex-PLISSIT group the average libido increases steeper. After the intervention, the average sexual function in the Ex-PLISSIT group is higher than in the GATHER group (p < 0.05).

Discussion

According to the results of the present study, it can be concluded that individual counseling based on Ex-PLISSIT model can be effective on improving women's sexual function during lactation in gestational diabetic women. Therefore, this method can be used in clinics and women's service centers.

目的比较基于EX-PLISSIT和GATHER模型的个体化咨询对妊娠期糖尿病背景女性哺乳期性功能的影响。方法采用聚类法选取霍拉马巴德市卫生院产后10 ~ 16周母乳喂养的妊娠期糖尿病妇女78例进行随机临床试验。然后按随机分组分为两组干预。每个参与者都接受了两次基于GATHER或EX-PLISSIT方法的个人咨询。干预后1个月完成性功能问卷。采用SPSS 23、描述性统计(频率和百分比)和分析性统计(重复测量方差分析、独立t检验和卡方检验)对数据进行分析。结果干预前后平均性欲差异有统计学意义。(p = 0.001)。组与时间的交互作用有统计学意义(p = 0.007)。所以两组的平均性欲都在增加,但在前plissit组的时间里,平均性欲增加得更快。干预后,Ex-PLISSIT组的平均性功能高于GATHER组(p <0.05)。根据本研究结果,基于Ex-PLISSIT模型的个体化咨询可以有效改善妊娠期糖尿病女性的哺乳期性功能。因此,这种方法可以在诊所和妇女服务中心使用。
{"title":"The effect of EX-PLISST and GATHER models on sexual function with gestational diabetes","authors":"H. Fatah ,&nbsp;K. Vakilian ,&nbsp;A. Moslemi ,&nbsp;F. Janani","doi":"10.1016/j.sexol.2022.04.008","DOIUrl":"10.1016/j.sexol.2022.04.008","url":null,"abstract":"<div><h3>Objectives</h3><p><span>the present study aimed to compare the effect of individual counseling based on EX-PLISSIT and GATHER models on sexual function of women with gestational diabetes background during </span>lactation.</p></div><div><h3>Methods</h3><p>In this randomized clinical trial<span>, 78 breastfeeding women with gestational diabetes from health centers of Khorramabad were selected using clustering method between 10 and 16 weeks postpartum. Then, they were assigned into two groups of intervention according to randomized blocks. Each participant received two sessions of individual counseling based on GATHER or EX-PLISSIT methods. Sexual function questionnaire was completed one month after the intervention. The data were analyzed using SPSS 23, descriptive statistics (frequency and percentage), and analytical statistics (repeated measurement ANOVA, independent t-test, and chi-squared).</span></p></div><div><h3>Results</h3><p>Mean sexual desire is significantly different between before and after the intervention. (<em>p</em> <!-->=<!--> <!-->0.001). The interaction of group and time is statistically significant (<em>p</em> <!-->=<!--> <span>0.007). So that the average sexual desire in both groups is increasing, but during the time in the Ex-PLISSIT group the average libido increases steeper. After the intervention, the average sexual function in the Ex-PLISSIT group is higher than in the GATHER group (</span><em>p</em> <!-->&lt;<!--> <!-->0.05).</p></div><div><h3>Discussion</h3><p>According to the results of the present study, it can be concluded that individual counseling based on Ex-PLISSIT model can be effective on improving women's sexual function during lactation in gestational diabetic women. Therefore, this method can be used in clinics and women's service centers.</p></div>","PeriodicalId":45416,"journal":{"name":"Sexologies","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73092352","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
期刊
Sexologies
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