Investigating sexual problems, psychological distress and quality of life in female patients with Takotsubo cardiomyopathy: A prospective case–control study

Saffari, Mohsen; Lin, Chung‐Ying; Broström, Anders; Mårtensson, Jan; Malm, Dan; Burri, Andrea; Fridlund, Bengt; Pakpour, Amir H.

doi:10.1177/1474515117702028

Cited by 9 publications

(6 citation statements)

References 29 publications

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“…Also, there were descriptions of not fully processed the incident being afflicted by a TTS and a year after the incident the patients were still not being able to manage the emotional reactions and they could feel sadness and start crying. These results are confirmed in other studies reporting that patients with TTS suffer from psychological illness (24, 25). Emotional reactions are an important part of patients' experiences of an evolving event (26–28) and these should be considered when giving guidance to patients about their new life situation.…”

Section: Discussionsupporting

confidence: 90%

Patients’ experiences when afflicted by takotsubo syndrome – is it time for guidelines?

Mäenpää

Ekstrand

Petersson

et al. 2020

Scandinavian Caring Sciences

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Background Takotsubo syndrome (TTS) is an acute and reversible type of heart failure that shares common features with acute coronary syndrome. It is usually caused by psychological or physical stress, but for a third, triggers cannot be identified. Patients also suffer from residual symptoms and decreased mental health in the recovery phase and may struggle to comprehend and manage everyday living. Aim To describe patients' experiences when afflicted by takotsubo syndrome, after discharge from hospital. Method An inductive explorative design using a qualitative approach with semi‐structured individual interviews. The text was analysed using qualitative content analysis according to Graneheim and Lundman. Result Ten women and one man afflicted by TTS were interviewed two to twelve months after discharge. Six sub‐categories were identified, and a main category emerged: The process from symptom onset and understanding to increased awareness and changes in life. The patients suffered from emotional reactions and they sought answers and understanding about the underlying causes. The disease led to changes in patients' daily lives as they were affected physically and psychologically. Spouses and/or bystanders had a positive supporting role, but the patients desired more support from the healthcare professionals such as an earlier appointment for follow‐up with a nurse. Conclusion Being afflicted by TTS can lead to changes in life conditions but these changes vary among patients. Becoming ill was associated to acute physical stress and prolonged psychological stress and they suffered from emotional reactions. The follow‐up care needs to improve as the patients need more guidance from healthcare professionals and earlier appointment for follow‐up with a nurse. A structured and multiprofessional treatment with a person‐centred approach could support patients in their recovery.

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Section: Discussionsupporting

confidence: 90%

Patients’ experiences when afflicted by takotsubo syndrome – is it time for guidelines?

Mäenpää

Ekstrand

Petersson

et al. 2020

Scandinavian Caring Sciences

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“…The study by Ebadi et al investigating the effect of reflexive plantar massage on physiologic indices and extubation time in OHS patients, showed no effect on these indices; yet, it exerted an effect on reducing extubation time, a finding which is consistent with this study (Ebadi, Kavei, Moradian, & Saeid, 2015). Apart from the promising effects of aromatherapy in these patients, other factors including medication adherence (Lin et al, 2017, 2018, 2019), health literacy (Lin, Brostrom, Griffiths, & Pakpour, 2019), and self‐care behaviors (Lin et al, 2018, 2020; Saffari et al, 2017) in the patients with CVDs have protective effects.…”

Section: Discussionmentioning

confidence: 99%

The effect of aromatherapy with rose and lavender on anxiety, surgical site pain, and extubation time after open‐heart surgery: A double‐center randomized controlled trial

Darzi

Vahedian‐Azimi

Ghasemi

et al. 2020

Phytotherapy Research

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To determine the effect of aromatherapy with rose and lavender on the patient outcomes after open-heart surgery (OHS). In the clinical trial, patients were randomized to four groups. One group received routine care, the placebo group received a cotton swab soaked in water and the other two groups received either a cotton swab containing three drops of rose or lavender essence (0.2 ml). A total of 160 patients were randomized into four groups. Intergroup anxiety was not significantly different; however, the reciprocal time-group effect was significant among the four groups. The extubation time was significant among the four groups which related to rose essence group compared with the control group (p < .001) and placebo group (p = .029). The surgical site pain was significant in the rose essence and lavender groups compared to the control group. Aromatherapy can reduce extubation time, surgical site pain severity, and anxiety in patients undergoing OHS

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“…The FSDS, a 13-item self-report, is widely used to assess female sexual activities. The 13 items are rated on a five-point Likert scale (ranging from 0 to 4), with higher scores indicating more sexual distress [22]. The FSDS has been translated into Persian with satisfactory internal consistency (α = 0.81) [23] and good known-group validity (i.e., the Persian FSDS can distinguish sexual distress among healthy women, women with hypoactive sexual desire disorder, and women with other types of female sexual dysfunction) [24].…”

Section: Female Sexual Distress Scale Revised Version (Fsds)mentioning

confidence: 99%

Mindfulness-based cognitive therapy for sexuality (MBCT-S) improves sexual functioning and intimacy among older women with epilepsy: A multicenter randomized controlled trial

Lin

Potenza

Broström

et al. 2019

Seizure

Self Cite

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Women with epilepsy (WWE) frequently experience sexual problems, including sexual dysfunction and sexual distress. Therefore, this study aimed to examine the efficacy of a mindfulness-based cognitive therapy for sexuality (MBCT-S) on sexual function and intimacy among older adult WWE in Iran. Methods: A multicenter randomized controlled trial was conducted at 15 neurology clinics in three Iranian cities. WWE together with their partners and healthcare providers were randomly assigned in patient and partner (PP; n = 220), patient, partner, and healthcare provider (PPHP; n = 220), or treatment as usual (TAU; n = 220) group. WWE and their partners in both the PP and PPHP groups received eight weeks of MBCT-S sessions. In the PPHP group, three individual sessions on sexual counseling were added for healthcare providers. Self-assessment scales were used at baseline, one month and six months after completing the intervention. Mixed linear regression models were developed to determine differences among the three groups. Multilevel mediation analyses were conducted to understand the mediating effects of mindfulness, intimacy, patient-physicians relationship and sexual counseling barriers. Results: Improvements in sexual function, sexual distress, and intimacy were found in both the PP and PPHP groups at one-month and six-month follow-ups. The PPHP group compared with the PP group had greater improvement in intimacy at both follow-ups. Regarding sexual function, the PPHP group performed better than the PP group at the six-month follow-up. Conclusions: The MBCT-S appears efficacious in enhancing sexual function and reducing sex-related distress in Iranian older adult WWE. Future studies should examine its efficacy in other populations.

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Investigating sexual problems, psychological distress and quality of life in female patients with Takotsubo cardiomyopathy: A prospective case–control study

Abstract: Depression, anxiety, health-related quality of life, and sexual dysfunction tend to increase over time in female patients with TSCM; thus, healthcare providers should pay attention to these problems and provide appropriate treatment where necessary.

Cited by 9 publications

References 29 publications

Patients’ experiences when afflicted by takotsubo syndrome – is it time for guidelines?

Patients’ experiences when afflicted by takotsubo syndrome – is it time for guidelines?

The effect of aromatherapy with rose and lavender on anxiety, surgical site pain, and extubation time after open‐heart surgery: A double‐center randomized controlled trial

Mindfulness-based cognitive therapy for sexuality (MBCT-S) improves sexual functioning and intimacy among older women with epilepsy: A multicenter randomized controlled trial

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