Sexologies最新文献

{"title":"Le réflexe orgasmique : un phénomène biologique dont l’établissement dépend d’une période de sensibilité","authors":"G. Zwang","doi":"10.1016/j.sexol.2022.09.001","DOIUrl":"10.1016/j.sexol.2022.09.001","url":null,"abstract":"<div><p>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.</p></div><div><p>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.</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":"74763416","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}

{"title":"Effect of drug naïve versus escitalopram on sexual function of depressed females: A cross-sectional comparative study","authors":"A. Mahran ,&nbsp;S.F. GamalEl Din ,&nbsp;A.A. Ezzat ,&nbsp;A.H. Taha ,&nbsp;A. Ragab","doi":"10.1016/j.sexol.2021.10.005","DOIUrl":"10.1016/j.sexol.2021.10.005","url":null,"abstract":"<div><h3>Objectives</h3><p>We aimed in the current cross-sectional study to evaluate rates and patterns of SD among drug<span> naïve women with mild to moderate depression against those receiving escitalopram.</span></p></div><div><h3>Study design</h3><p>Group (A) included 120 females diagnosed with mild to moderate depression. Group (B) served as controls included 60 age-matched volunteers.</p></div><div><h3>Main outcome measures</h3><p>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).</p></div><div><h3>Results</h3><p>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<span> 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.</span></p></div><div><h3>Conclusion</h3><p>Escitalopram is associated with lesser risk of SD in females with mild to moderate depression.</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":"84304650","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}

{"title":"Medication strategies regarding erectile dysfunction and associated treatment drop out and compliance – A retrospective study of 516 patients","authors":"B.S. Laursen ,&nbsp;M. Mikkelsen ,&nbsp;J. Hestvang ,&nbsp;A.D. Højgaard ,&nbsp;A.E. Olesen","doi":"10.1016/j.sexol.2022.04.004","DOIUrl":"10.1016/j.sexol.2022.04.004","url":null,"abstract":"<div><h3>Objectives</h3><p><span>The pharmacological treatment of </span>Erectile Dysfunction<span><span> (ED) includes oral or local administration. Despite documented effect of the pharmacological treatment of ED, several studies indicate that a large proportion of </span>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.</span></p></div><div><h3>Material and methods</h3><p>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.</p></div><div><h3>Results and conclusion</h3><p>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.</p></div><div><h3>Objectifs</h3><p>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.</p></div><div><h3>Matériel et méthodes</h3><p>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.</p></div><div><h3>Résultats et conclusion</h3><p>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","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":"76216165","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}

{"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}

{"title":"A review study of the effects of the COVID-19 pandemic on individual sexual behavior, purchasing sex toys, and related consequences","authors":"S.A. Qalati ,&nbsp;M.L.S. Limón ,&nbsp;S.H. Bhayo","doi":"10.1016/j.sexol.2022.06.002","DOIUrl":"10.1016/j.sexol.2022.06.002","url":null,"abstract":"<div><p>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.</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":"https://www.sciencedirect.com/science/article/pii/S1158136022000603/pdfft?md5=71459c989a40f70766498c31aff43d69&pid=1-s2.0-S1158136022000603-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76787214","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The link between centrality, gender identity, and sexual pleasure","authors":"H. Tillewein ,&nbsp;B. Brashear ,&nbsp;P. Harvey","doi":"10.1016/j.sexol.2022.09.005","DOIUrl":"10.1016/j.sexol.2022.09.005","url":null,"abstract":"<div><p><span>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 </span>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.</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":"83474685","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}

{"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}

{"title":"Utilisation problématique de pornographie en ligne chez les hommes et les femmes : facteurs discriminants et prédictifs","authors":"C. LeBlanc ,&nbsp;D. Trottier","doi":"10.1016/j.sexol.2022.07.003","DOIUrl":"10.1016/j.sexol.2022.07.003","url":null,"abstract":"<div><h3>Objectifs</h3><p>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.</p></div><div><h3>Méthodes</h3><p>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.</p></div><div><h3>Résultats</h3><p>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.</p></div><div><h3>Conclusions</h3><p>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.</p></div><div><h3>Objectives</h3><p>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.</p></div><div><h3>Methods</h3><p>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.</p></div><div><h3>Results</h3><p>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","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":"79611573","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}

{"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}

{"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}