1,720,972 research outputs found
Smartphone-Based Therapeutic Exercises for Men Affected by Premature Ejaculation: A Pilot Study
Full text linkIntroduction: Smartphone-delivered healthcare interventions allow patients to access services on demand when needed, improving motivation and compliance. However, the use of mobile health apps has been scarcely explored in sexual medicine.
Aim: To evaluate the effects of integrating psychological treatment for premature ejaculation (PE) with a mobile coaching app that offers therapeutic exercises on the patient’s smartphone.
Methods: This study comprised 35 heterosexual men with primary psychogenic PE (mean age 34 years, standard deviation 1⁄4 9.15). All patients entered a cycle of 15 sessions of psychodynamic psychotherapy integrating behavioral therapy, each lasting about 45 minutes. The patients were randomly assigned to 2 groups, each of which performed daily homework exercises (physiotherapy exercises for reinforcing the pelvic floor muscles and cognitive exercises for distancing from sexual failure.) The first group (15 patients) received verbal and printed instructions only (treatment as usual—TAU), whereas the second group (17 patients) experienced the exercises with guidance from the mobile app (app). In both groups, the exercises started after the seventh session. Patients were advised to perform the exercises 3 times a day for 3 months.
Main Outcome Measures: The primary outcome measures were the Premature Ejaculation Diagnostic Tool and the Premature Ejaculation Profile.
Results: Analysis of the data revealed significant pre-post improvements in Premature Ejaculation Diagnostic Tool and Premature Ejaculation Profile scores for the app group compared with those of the TAU group (P < .01). The frequency of patients with no-PE condition for the app group after treatment was significantly higher than the frequency of patients with no-PE condition for the TAU group (P < .001).
Conclusion: Results suggest that a mobile coaching app performs better than TAU in improving both the behavioral skills of ejaculatory delay and sexual self-confidence within a psychological treatment for PE. Future studies should collect follow-up data and explore the potential of mobile coaching apps in combined pharmacotherapy and psychotherapy interventions
Il Brief Index of Sexual Functioning for Women (BISF-W): validazione su un campione italiano
No full textLo scopo del presente studio è di validare il Brief Index of Sexual Functiong for Women sulla popolazione italiana e di valutarne le proprietà psicometriche. Il campione studiato consisteva di 1305 donne italiane di età compresa tra i 18 e i 74 anni. È stata condotta un’analisi fattoriale esplorativa (EFA) con il metodo delle componenti principali e rotazione OBLIMIN. La consistenza interna è stata valutata per mezzo dell’alpha di Cronbach per ciascun fattore. Sulla base dello sree-test sono stati considerati 4 fattori che spiegano il 49% della varianza totale: Sessualità di coppia (F1); Sessualità autoerotica (F2); Insoddisfazione (F3); Sessualità anale (F4). Sono risultai debolmente correlati F1 e F2, F1 e F4 ed F2 e F4. L’alpha di Cronbach è risultata .95 per F1, .85 per F2, .73 per F3 e .80 per F4, attestando un discreto grado di omogeneità fra gli item. Questo studio fornisce la validazione del BISF-W come strumento utile per valutare la funzione sessuale delle donne italiane
Male Sexual Disfunction and Multimedia Immersion Therapy (Follow Up)
No full textThe aim of the study was to evaluate the efficiency, after 1 year, of combined use of psychodynamic psychotherapy integrating virtual reality (VR) for the treatment of erectile dysfunction (ED) and premature ejaculation (PE) in 160 heterosexual males who had neither any prior
sexual therapy nor had made use (either before, during or after therapy) of any specific pharmaceuticals for the treatment of primary sexual dysfunction. All subjects had given their
informed consent. After a clinical diagnosis in an andrologic center, 50 presumably psychological ED (average age 43.7 years), 60 mixed ED (53.9 years) and 50 primary PE (39 years)
who suffered these problems over 6 months were undergoing a cycle of 12 sessions, over a
25-week period, of psychotherapy, integrating an audio CD and helmet with miniature television screens that projected specially designed CD-ROM program on the ontogenetic development of male sexual identity. The clinical follow up was done after 6 and 12 months after
the cycle. After one year, the overall partial (two times out of three) and complete positive response rate for psychological ED was 75%, for mixed ED was 47% and for PE was 54%. We
considered drop-out cases as only before the 7th session of the treatment cycle, the drop-outs
after session 7 and the patients that did not show up for follow-up are counted as negative results. Two patients reported nausea and one, vertigo during the first 15-min virtual reality
experience. Considering the particular way that full-immersion virtual reality involves the
subject who experiences it, we hypothesized that this methodological approach could speed
up the therapeutic process. The evidence that positive results persist over time allows us to
hypothesize that certain changes in cerebral function can be possible and that these changes
are correlated to favorable sexual performance in the male
Controlling memory impairment in the elderly using virtual reality memory training: a randomized controlled, pilot study
No full textBackground. Memory decline is a prevalent aspect of aging but may also be the first sign of cognitive pathology. Virtual reality (VR) using immersion and interaction may provide new approaches to the treatment of memory deficits in elderly individuals. Objective. The authors implemented a VR training intervention to try to lessen cognitive decline and improve memory functions. Methods. The authors randomly assigned 36 elderly residents of a rest care facility (median age 80 years) who were impaired on the Verbal Story Recall Test either to the experimental group (EG) or the control group (CG). The EG underwent 6 months of VR memory training (VRMT) that involved auditory stimulation and VR experiences in path finding. The initial training phase lasted 3 months (3 auditory and 3 VR sessions every 2 weeks), and there was a booster training phase during the following 3 months (1 auditory and 1 VR session per week). The CG underwent equivalent face-to-face training sessions using music therapy. Both groups participated in social and creative and assisted-mobility activities. Neuropsychological and functional evaluations were performed at baseline, after the initial training phase, and after the booster training phase. Results.The EG showed significant improvements in memory tests, especially in long-term recall with an effect size of 0.7 and in several other aspects of cognition. In contrast, the CG showed progressive decline. Conclusions . The authors suggest that VRMT may improve memory function in elderly adults by enhancing focused attention
Multimedia memory training using virtual reality in mnesic-impaired people living in a residential care-home: A controlled trial
No full textADVANCED INSTRUMENTAL ACTIVITIES OF DAILY LIVING SCALE (AIADL): Scala di valutazione delle attività strumentali di tipo avanzato della vita quotidiana degli anziani, in differenti contesti di vita e in un mondo tecnologicamente avanzato e in continuo e rapido cambiamento (proposta valutativa con implicazioni e prospettive diagnostiche e riabilitative).
No full textThe present article presents a new questionnaire to measure instrumental activities
of daily living for both institutionalized (residential care home) and independent
older adults. The purpose is to validate a questionnaire to evaluate
older adults profiles of autonomy, in a technological world which is in constant
evolution. The questionnaire has a satisfactory reliability and validity, showing
positive correlation with standardized tests (IADL and MMSE), and therefore can
be considered a useful tool for medical screening and rehabilitation programs
Virtual interaction in cognitive neuropsychology
No full textSeveral recent studies have investigated whether knowledge representation turns possible within virtual reality simulated environments. According to these affirmative results different clinical applications were developed in psychology. Among these applications virtual reality seems to have a specific role in assessment and treatment of neuropsychological diseases. This chapter will firstly investigate possibilities and challenges carried from virtual-reality-based neuropsychological application focusing both on patient's and therapist's point of view. Afterward it will provide a survey of research and intervention application examples. More in detail a clear explanation of contribution goals will be discussed, in order to place research and applied works within a cognitive neuroscience frame of reference, according with their usefulness and effectiveness in clinical treatment. Fulfilling these objectives neuropsychological virtual reality approaches in memory, motor abilities, executive functions and spatial representation will be shown
Going Beyond Counting First Authors in Author Co-citation Analysis
Full text linkThe present study examines one of the fundamental aspects of author co-citation analysis (ACA) - the way co-citation
counts are defined. Co-citation counting provides the data on which all subsequent statistical analyses and mappings
are based, and we compare ACA results based on two different types of co-citation counting - the traditional type that
only counts the first one among a cited work's authors on the one hand and a non-traditional type that takes into
account the first 5 authors of a cited work on the other hand. Results indicate that the picture produced through this non-traditional author co-citation counting contains more coherent author groups and is therefore considerably clearer. However, this picture represents fewer specialties in the research field being studied than that produced through the traditional first-author co-citation counting when the same number of top-ranked authors is selected and analyzed. Reasons for these effects are discussed
Variations on the Author
Full text link“Variations on the Author” discusses two of Eduardo Coutinho’s recent films (Um Dia na Vida, from 2010, and Últimas Conversas, posthumously released in 2015) and their contribution to the general question of documentary authorship. The director’s filmography is characterized by a consistent yet self-effacing form of authorial self-inscription: Coutinho often features as an interviewer that rather than express opinions propels discourses; an interviewer that is good at listening. This mode of self-inscription characterizes him as an author who is not expressive but who is nonetheless markedly present on the screen. In Um Dia na Vida, however, Coutinho is completely absent form the image, while Últimas Conversas, on the contrary, includes a confessional prologue that moves the director from the margins to the center of his films. This article examines the ways in which these works stand out in the filmography of a director who offers new insights into the notion of cinematic authorship
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