ResumoO presente estudo teve por objetivo investigar a sexualidade e a qualidade de vida de homens com dificuldades sexuais. Foram selecionados dez homens que procuraram o serviço de sexualidade do CIESEX/UNIFESP. A triagem foi realizada através de uma entrevista estruturada contendo dados sociodemográficos e informações sobre as queixas apresentadas. Optou-se pela utilização dos questionários The Golombok-Rust Inventory of Sexual Satisfaction (GRISS) e Short Form Health Survey 36-item (SF-36), preenchidos pelos próprios entrevistados. Os resultados apontaram que homens com dificuldades sexuais apresentam uma menor qualidade em seu funcionamento sexual, bem como uma diminuição dos aspectos emocionais na qualidade de vida. Tal quadro revela um campo a ser explorado, demonstrando a necessidade de estudos que investiguem a correlação entre as dificuldades sexuais e qualidade de vida. Palavras-chave: Disfunções sexuais; Qualidade de vida; Sexualidade. Sexuality and quality of life in men with sexual difficulties AbstractThe present study aimed to investigate sexuality and quality of life of men with sexual difficulties. We selectedten men who contacted the department ofsexuality CIESEX/UNIFESP. The screening was performed using a structured interview containing socio-demographic data and information on their complaints. We have chosentouse of questionnairesThe Golombok-Rust Inventory of Sexual Satisfaction(GRISS) and Short Form36-item Health Survey (SF-36), completed by the respondents. The results showed that men withs exual difficulties have lower performance in their sexual functioning, as well as a reduction in emotional quality of life. This table shows a field to be explored, demonstrating the need for studies to investigate the correlation between sexual difficulties and quality of life. Keywords: Sexual dysfunctions; Quality of life; Sexuality. Sexualidad y calidad de vida en hombres con dificultades sexuales ResumenEste estudio tuvo como objetivo investigar la sexualidad y la calidad de vida de hombres con problemas sexuales. Fueron seleccionados diez hombres que buscaron el servicio de sexualidad del CIESEX/UNIFESP. La selección se realizó mediante una entrevista estructurada con datos sociodemográficos e informaciones sobre las quejas presentadas. Se optó por utilizar los cuestionarios The Golombok-Rust Inventory of Sexual Satisfaction (GRISS) y Short Form Health Survey 36-item (SF-36), respondidos por los propios participantes. Los resultados mostraron que los hombres con dificultades sexuales presentaron una menor calidad en su funcionamiento sexual, así como una reducción de los aspectos emocionales en la calidad de vida. Ese hecho muestra un campo a explorar, lo que demuestra la necesidad de realizar estudios para investigar la correlación entre las dificultades sexuales y la calidad de vida. Palabras-clave: Disfunciones sexuales; Calidad de vida; Sexualidad. IntroduçãoA sexualidade é um componente inerente à vida de todos os seres humanos, desenvolvendo-se em um processo contínuo, que se inicia antes...

ResumoO transplante hepático é um recurso caro e sofisticado e, quando o procedimento é bem sucedido, tende a proporcionar uma melhora física significativa, apesar da necessidade de acompanhamento médico e do uso de medicações imunossupressoras durante toda a vida. Uma das preocupações atuais das equipes transplantadoras é a qualidade de vida dos pacientes após o transplante, e a presença de sintomas depressivos de pacientes portadores de doença hepática crônica, transplantados e em lista de espera, para transplante de fígado. A amostra constou de 15 pacientes transplantados e 15 aguardando transplante. Foram utilizados: ficha sociodemográfica, Short-Form Health Survey (SF-36), Inventário Beck de Depresão (IBD) e a classificação de gravidade de doença Child-Turcotte-Pugh (CTP). A qualidade de vida dos transplantados apresentou melhor resultado quanto aos domínios do componente físico e pior nos domínios do componente mental do SF-36. Os resultados do IBD revelaram uma tendência dos transplantados a apresentar escores para depressão maior que aqueles em lista de espera. Os pacientes transplantados, embora com escores para depressão mais elevados, apresentaram melhora da capacidade física e da qualidade de vida em relação ao componente físico, porém mostraram piora em relação à condição psicossocial.Palavras-Chave: Qualidade de vida; depressão; transplante de fígado. AbstractThe liver transplant is an expensive and sophisticated resource and, when successful, provides a significant physical improvement, despite the need for medical surveillance and the use of immunosuppressive medications throughout life. One of the transplanting team's current concerns is the patients' quality of life after the transplant and the presence of depressive symptoms in transplanted patients with chronic liver disease and those in the waiting list for liver transplant. The sample consisted of 15 transplanted patients and 15 waiting transplant. The following were used to assess the patients: sociodemographic form, Short-Form Health Survey (SF-36), Beck Depression Inventory (BDI), and the Child-Turcotte-Pugh (CTP) rating of illness severity.The quality of life of those with a liver transplant produced better results concerning the SF-36 physical component areas and worst in the mental components. The BDI results revealed a tendency for those with a transplant to present greater depression scores than those in the waiting list. Even though the transplanted patients presented higher scores for depression, they showed an improvement in the physical capacity and quality of life in relation to the physical component, but showed worsening in relation to psychosocial condition.

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Background Health professionals treating sexual dysfunction and relational dissatisfaction recognize that they are multifactorial phenomena, and depression can be bidirectionally associated with both. Aim The purpose of this study was to investigate sexual dysfunction in heterosexual couples in relation to the quality of their marital relationship and depression symptoms. Methods The sample consisted of 100 heterosexual couples recruited in Brazil. Both partners of each couple completed the Golombok-Rust Inventory of Sexual Satisfaction and the Golombok-Rust Inventory of Marital Satisfaction, which were translated and adapted, and the Beck Depression Inventory, which was validated for the Brazilian population. Both partners completed their questionnaires separately, and the couple’s surveys were linked to preserve conjugal data for dyadic analysis. The Actor-Partner Interdependence Model was used to understand how sexual dysfunction in couples is related to depression and relationship quality among and between partners. Results Sexual dysfunction was found to be strongly associated with dissatisfaction in the relationship (husbands, β = 0.57, P < 0.001; wives, β = 0.60, P < 0.001), and a positive association was found between depressive symptoms and marital dissatisfaction (husbands, β = .32, P < .001; wives β = .40, P < .001). Clinical Implication The results suggest that it is important for health professionals to be aware of the dyadic impact of struggles with both sex and the relationship and the presence of depression symptoms in patients who seek care for sexual complaints or depression and who are in a marital relationship. Strengths and Limitations The different results found for men and women may shed light on the biopsychosocial dimensions of human sexuality. When treated as a purely physical experience, sex is myopic. In this study we demonstrated psychosocial aspects associated with gender and sexuality, and the partner’s variables were found to have a greater impact on women than they did on the men. A limitation of this study is that the sample is not generalizable as it is not demographically representative of all socioeconomic groups in Brazil. Furthermore, the participants in this sample did not have clinical levels of depression, so the results cannot be extended to couples in which one or both spouses have depressive disorder. Conclusion It was found that sexual dysfunction is strongly associated with the quality of the couple relationship, and that the quality of relationship plays a mediating role between depression and marital quality, especially for the women.