Posts mit dem Label Quality werden angezeigt. Alle Posts anzeigen
Posts mit dem Label Quality werden angezeigt. Alle Posts anzeigen

Freitag, 31. Juli 2015

For seniors, sexual activity is linked to higher quality of life

(Reuters Health) – Older adults who value sexual activity and engage in it have better social lives and psychological well-being, according to a small study in Scotland





Older adults said “they miss and want to engage in sexual behaviors, whether that be a kiss to intercourse,” said study coauthor Taylor-Jane Flynn in an email. “For many, these behaviors remained an important element in their life.”





Flynn, a psychology PhD candidate at Glasgow Caledonian University, said the study was inspired by her work as a health care assistant for elderly people.





Although quality of life is a key consideration for older adults, sexuality is rarely studied, write Flynn and Alan Gow, an associate professor of psychology at Heriot-Watt University in Edinburgh, in the journal Age and Ageing.





The researchers recruited 133 Scottish adults aged 65 and over by distributing questionnaires at local clubs, small businesses and older people’s groups.





About half the participants lived with a spouse or partner.





The questionnaire asked how often in the last six months participants had engaged in six sexual behaviors: touching/holding hands, embracing/hugging, kissing, mutual stroking, masturbation and intercourse.






Participants also rated how important those behaviors are to them, on a five-point scale ranging from “not at all important” to “very important.”





Additionally, the questionnaires assessed participants’ quality of life based on physical health, psychological health, social relationships and environment.





Between 75 and 89 percent said they’d engaged in kissing, hugging and holding hands or touching. Men and women scored about the same for frequency and importance of sexual behaviors overall, and for quality of life.






Although people with frequent sexual activity also placed higher importance on it, the analysis found the two measures were associated with different aspects of quality of life.





Participants reporting more frequent sexual behavior rated their social relationships as higher quality, while people who found sexual activity to be important had higher scores for psychological quality of life.





Overall, however, seniors’ health status had the strongest impact on all aspects of quality of life.






John DeLamater, a sociology professor at the University of Wisconsin – Madison, said the fact that participants were recruited in community settings – which may attract more healthy and active older people – might affect the results.





“If they are generally healthier (which the results show to be associated with quality of life), they are probably more sexually active,” DeLamater said in an email.





For people who have valued sexuality throughout their lives, he noted, “continuing activity provides protection against a sense of aging and loss, and of continuity if the person is in a long-term relationship.” That may explain the links between sex and well-being found in the study, he said.





While the current study only looked at associations and cannot determine whether sexuality raises quality of life, Gow noted, he hopes that future research will focus more on this subject.





“What we hope is that our current findings encourage other researchers interested in the determinants of health and well-being in older adults to also consider sexual behaviors,” Gow said in an email.





The sexuality of older people should be considered and encouraged, DeLamater said. “We should encourage couples to spend time alone, provide arrangements in care facilities that enable sexual intimacy, provide sexual health information in medical settings.”





SOURCE: bit.ly/1CXCiLh Age and Ageing, online July 14, 2015.




For seniors, sexual activity is linked to higher quality of life

Freitag, 3. April 2015

Genital Psoriasis Negatively Impacts Quality of Life and Sexual Function

MedicalResearch.com Interview with: Caitriona Ryan, MD Baylor University Medical Center, DallasMedicalResearch.com Interview with:

Caitriona Ryan, MD


Baylor University Medical Center, Dallas


MedicalResearch: What is the background for this study? What are the main findings?


Dr. Ryan: Psoriasis is a common, chronic, inflammatory disorder of the skin which has a considerable impact on social functioning and personal relationships. Genital involvement can have devastating psychosexual implications for psoriasis patients. In a study examining the stigmatization experience in psoriasis patients, involvement of the genitalia was found to be the most relevant, regardless of the overall psoriasis severity. Although sexual function is an integral component of quality of life, dermatology-specific and psoriasis-specific scales largely neglect the impact of disease on sexual health. Despite major advances in other aspects of psoriasis research, there has been little emphasis in recent times on the identification and treatment of genital psoriasis and few studies have examined predisposing risk factors, phenotypical associations or its impact on quality of life and sexual functioning.


This study was designed to examine the prevalence and nature of genital involvement in patients with psoriasis, to ascertain risk factors for the development of genital psoriasis, to determine the impact of genital disease on quality of life and sexual functioning, and to assess patient satisfaction with current topical treatments for genital psoriasis.



MedicalResearch: What should clinicians and patients take away from your report?


Dr. Ryan: Genital psoriasis in our patient cohort contributed significantly to the burden of disease. The prevalence of current genital psoriasis was high at 38%, while approximately two-thirds of patients reported ever having genital involvement. A significant proportion of patients reported itch, pain, dyspareunia, worsening of their genital psoriasis after intercourse and a decreased frequency of intercourse. Patients with genital psoriasis had more impairment in quality of life and sexual health as determined by the Dermatology Life Quality Index, the Center for Epidemiological Studies-Depression Scale and the Relationship and Sexuality Scale .


It has been shown that few dermatologists routinely examine for the presence of genital disease, and if present, patients are seldom questioned or counseled about its effect on their quality of life. Likewise, a significant number of patients “hide” their genital psoriasis from both their dermatologist and their sexual partner.


Hopefully the important findings of this study will heighten awareness about the prevalence of genital involvement together with the considerable psychosocial and psychosexual morbidity associated with genital disease. Dermatologists should systematically screen all psoriasis patients in a sensitive fashion for the presence of genital involvement and its impact on their sexual health and relationships, while tailoring appropriate therapy to their patients.


MedicalResearch: What recommendations do you have for future research as a result of this study?


Dr. Ryan: There is a great need for more effective therapies for genital psoriasis. Controlled studies are necessary to adequately assess the impact of topical, systemic and biologic treatments on genital psoriasis. We have shown the value of the genital PASI and the RLSS scale in quantifying the objective severity of genital disease and the patient-reported psychosexual burden of genital involvement. These could be valuable instruments for use in drug trials of new targeted psoriasis therapies, which, to date, have failed to specifically measure efficacy in treating genital disease. We hope that the results of this study will encourage drug companies and drug regulatory agencies to assess the efficacy of psoriasis therapies in the genital area when designing future clinical trials.


Citation:


Genital psoriasis is associated with significant impairment in quality of life and sexual functioning


Caitriona Ryan, Muriel Sadlier, Edward De Vol, Mahir Patel, Amanda Abramson Lloyd, Antoinette Day, Aoife Lally, Brian Kirby, Alan Menter


Publication stage: In Press Corrected Proof
Journal of the American Academy of Dermatology
Accepted: February 18, 2015; Published Online: March 30, 2015


http://dx.doi.org/10.1016/j.jaad.2015.02.1127


MedicalResearch.com Interview with: Caitriona Ryan, MD (2015). Genital Psoriasis Negatively Impacts Quality of Life and Sexual Function 



Genital Psoriasis Negatively Impacts Quality of Life and Sexual Function