Novel Research in Sexuality and Mental Health—Volume II

A special issue of Journal of Clinical Medicine (ISSN 2077-0383). This special issue belongs to the section "Mental Health".

Deadline for manuscript submissions: closed (26 May 2023) | Viewed by 11919

Special Issue Editor


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Guest Editor
1. Psychiatry Service, Clinical Hospital of the University of Salamanca, 37007 Salamanca, Spain
2. Institute of Biomedical Research of Salamanca (IBSAL), Paseo San Vicente SN, 37007 Salamanca, Spain
3. Nursing School, University of Salamanca, Av. Donates de Sangre SN, 37007 Salamanca, Spain
Interests: sexuality and mental health; psychotropic-related sexual dysfunction; sexual medicine
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Special Issue Information

Dear colleagues.

It has been a great satisfaction for me to collaborate as Guest Editor in the Special Issue Novel Research in Sexuality and Mental Health, published in 2019 (https://www.mdpi.com/journal/jcm/special_issues/research_sexuality_mentalhealth). Fortunately, the participation was high, with 19 manuscripts including original research and revisions. The repercussions on sexuality have been addressed from the surgical field and from a medical (psoriasis) or psychiatric (posttraumatic disorder, high-functioning autism, child sexual offenders) perspective. The clinical management of different sexual dysfunctions caused by psychotropic drugs and their possible associated biological mechanisms have been also addressed. On the other hand, changes in contemporary sexuality such as sexting, hypersexuality, or special situations in prison inmates have been investigated. Additionally, sexual diversity has been considered, including studies in males and females on different individual transgender or heroin-dependent populations as well as aspects of intergenerational communication.
The Special Issue also included updates on topics of notable clinical interest and social impact, such as pornography (which have been widely cited in the scientific literature). The influence of contraceptives on sexuality, a review of female sexual offenders, and the role of neurotransmitters in the sexuality of the male human brain have been addressed as well.
Our goal now is to address a second part of the Special Issue Novel Research in Sexuality and Mental Health. We consider that research in sexuality is highly relevant for supporting the advances of clinical practice, so our main interest is to collaborate in its production and dissemination. Numerous topics remain to be investigated, including biological, social, intercultural and gender aspects. All aspects related to human sexuality will be welcomed, although mainly new knowledge about sexual diversity, the gender perspective, and the evolution of the ancient sexuality to new models such as the influence of the internet or new sex apps that undoubtedly modify the access and meaning of contemporary sexual relationships. We are facing challenges never experienced before that undoubtedly require scientific and conscientious research to obtain a better understanding of both the old and new sexuality.

Prof. Dr. Angel L. Montejo
Guest Editor

Manuscript Submission Information

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Keywords

  • sexuality
  • mental health
  • mental disorder
  • sexual dysfunction
  • psychotropic (antidepressant, antipsychotic, antiepileptic)
  • mechanism of action
  • clinical management

Published Papers (4 papers)

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Research

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11 pages, 851 KiB  
Article
Higher Prevalence of Adverse Childhood Experiences in Transgender Than in Cisgender Individuals: Results from a Single-Center Observational Study
by Katharina Feil, David Riedl, Bettina Böttcher, Martin Fuchs, Klaus Kapelari, Sofie Gräßer, Bettina Toth and Astrid Lampe
J. Clin. Med. 2023, 12(13), 4501; https://doi.org/10.3390/jcm12134501 - 05 Jul 2023
Cited by 3 | Viewed by 2660
Abstract
Adverse childhood experiences (ACE) have been shown to have a tremendous negative impact on health outcomes later in life. This study presents data on the prevalence of ACEs, psychological distress, and trauma-related symptoms in transgender and gender-diverse (TGD) people compared to cisgender people. [...] Read more.
Adverse childhood experiences (ACE) have been shown to have a tremendous negative impact on health outcomes later in life. This study presents data on the prevalence of ACEs, psychological distress, and trauma-related symptoms in transgender and gender-diverse (TGD) people compared to cisgender people. TGD adults (n = 35) and a matched sample of nonpsychiatric hospital patients (n = 35) were surveyed between September 2018 and March 2019. Participants completed the Maltreatment and Abuse Chronology of Exposure Scale to assess ACEs, as well as the Brief Symptom Inventory and the Essener Trauma Inventory to assess psychological distress and trauma-related symptoms. TGD patients reported a higher number of ACEs than cisgender patients (0.7 vs. 2.4; p < 0.001; d = 0.94). A total of 28.6% of TGD vs. 5.7% cisgender patients reported four or more ACEs (p < 0.001). The most common forms of ACEs were parental abuse (54.3%) and peer abuse (54.3%). No significantly increased prevalence of sexual abuse was found (p > 0.05). TGD patients also reported a higher prevalence of depression (48.4% vs. 5.7%, p < 0.001), posttraumatic stress disorder symptoms (59.4% vs. 13.8%, p < 0.001), and anxiety (58.1% vs. 28.6%, p = 0.016). Health care providers should be aware of and assess ACEs, especially in vulnerable groups such as TGD people, and create a safe place through open-minded, affirming care. Full article
(This article belongs to the Special Issue Novel Research in Sexuality and Mental Health—Volume II)
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14 pages, 858 KiB  
Article
Genito Pelvic Pain/Penetration Disorder (GPPPD) in Spanish Women—Clinical Approach in Primary Health Care: Review and Meta-Analysis
by María Berenguer-Soler, Antonio Navarro-Sánchez, Antonio Compañ-Rosique, Paloma Luri-Prieto, Ramón Navarro-Ortiz, Luis Gómez-Pérez, Carla Pérez-Tomás, Elsa Font-Juliá, Vicente F. Gil-Guillén, Ernesto Cortés-Castell, Felipe Navarro-Cremades, Angel L. Montejo, María del Ángel Arroyo-Sebastián and Virtudes Pérez-Jover
J. Clin. Med. 2022, 11(9), 2340; https://doi.org/10.3390/jcm11092340 - 22 Apr 2022
Cited by 3 | Viewed by 2432
Abstract
Sexuality is a component of great relevance in humans. Sexual disorders are a major public health problem representing a high prevalence in the general population. DSM-5 genito-pelvic pain/penetration disorder (GPPPD) includes dyspareunia and vaginismus (DSM-IV-TR). To assess the importance of research on these [...] Read more.
Sexuality is a component of great relevance in humans. Sexual disorders are a major public health problem representing a high prevalence in the general population. DSM-5 genito-pelvic pain/penetration disorder (GPPPD) includes dyspareunia and vaginismus (DSM-IV-TR). To assess the importance of research on these disorders in Spain, we evaluated the Spanish scientific publications of primary and community care. The objective was to quantify the magnitude of the publications of GPPPD in Spanish women in primary and community care. For this, we used the method of conducting a systematic review and meta-analysis of studies evaluating GPPPD. As main results, of the 551 items found, we selected 11 studies that met the inclusion criteria. In primary care in Spain, one in nine women has these disorders; the percentage of women with GPPPD in this study (raw data) was 11.23% (95% CI: 0–29%) (vaginismus 5%; penetration pain 8.33%; dyspareunia 16.45%). These percentages can differ of those from other countries, and they are at the top of the data of the European countries (9−11.9%). There is much variability in the studies found in the world with respect to the prevalence of these health problems. Full article
(This article belongs to the Special Issue Novel Research in Sexuality and Mental Health—Volume II)
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10 pages, 299 KiB  
Article
Impact of Social Determinants of Health on Women’s Satisfaction with Their Sexual Life and Its Relationship with the Use of Psychotropic Drugs: A Cross-Sectional Study
by Regina Ruiz de Viñaspre-Hernández, Iván Santolalla-Arnedo, Rosana Garrido-Santamaría, Michał Czapla, Clara Isabel Tejada-Garrido, Juan Luis Sánchez-González, Esther Sapiña-Beltrán, Verónica Iriarte-Moreda, María Estela Colado-Tello, Vicente Gea-Caballero and Raúl Juárez-Vela
J. Clin. Med. 2022, 11(9), 2320; https://doi.org/10.3390/jcm11092320 - 21 Apr 2022
Cited by 2 | Viewed by 1865
Abstract
Sexual satisfaction (SS) is defined as an affective response arising from one’s subjective evaluation of the positive and negative dimensions associated with one’s sexual relationship. It is an important indicator of health. In women, SS has an important personal component consisting of the [...] Read more.
Sexual satisfaction (SS) is defined as an affective response arising from one’s subjective evaluation of the positive and negative dimensions associated with one’s sexual relationship. It is an important indicator of health. In women, SS has an important personal component consisting of the physical experiences of pleasure and the positive feelings and emotions that they experience in their affective-sexual relationships. The socioeconomic position is determined by income, educational level, and work, and it conditions women’s sexual health. We aimed to assess whether social determinants of health (income, education, work, and gender) are associated with women’s sexual satisfaction and to identify whether the impact of social determinants on sexual satisfaction differs with psychotropic consumption. We conducted a cross-sectional study designed to assess the association between variables related to the social determinants of health (work, education, income, and gender) and sexual satisfaction in women of reproductive age in La Rioja (Spain). The women in this study ranged in age from 17 to 52 years, with a mean age of 33.4 (Standar Deviation 8.6). Most were Spanish (82.9%), had undertaken non-compulsory specialized education (84%), and worked (72.7%). Regarding their relationships, 87% maintained monogamous relationships, 84.5% had stable relationships, and 65.7% lived with their partners. In total, 12.3% of the women were taking psychotropic drugs prescribed for the treatment of anxiety and/or depression. We observed that SS is significantly lower among women who have only undertaken compulsory education (Student-t = −4.745; p < 0.01), in those who have unstable affective-sexual relationships (Student-t = −2.553; p < 0.01), and in those who take psychotropic drugs (Student-t = −4.180, p < 0.01). We conclude that the social determinants of health such as education, not continuing to study beyond compulsory education, gender, and taking psychoactive drugs have a significant impact on women’s degree of satisfaction with their sexual life. Full article
(This article belongs to the Special Issue Novel Research in Sexuality and Mental Health—Volume II)

Review

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9 pages, 766 KiB  
Review
The State of Health and the Quality of Life in Women Suffering from Endometriosis
by Monika Ruszała, Dominik Franciszek Dłuski, Izabela Winkler, Jan Kotarski, Tomasz Rechberger and Marek Gogacz
J. Clin. Med. 2022, 11(7), 2059; https://doi.org/10.3390/jcm11072059 - 06 Apr 2022
Cited by 17 | Viewed by 4161
Abstract
Quality of life is related to good health, family relations, feeling of self-esteem, and ability to cope with difficult situations. Endometriosis is a chronic condition which affects different areas of life. The lack of satisfaction in everyday life is mainly due to constant [...] Read more.
Quality of life is related to good health, family relations, feeling of self-esteem, and ability to cope with difficult situations. Endometriosis is a chronic condition which affects different areas of life. The lack of satisfaction in everyday life is mainly due to constant pain. The process of adjusting to a life with illness is associated with negative emotions. The aim of the article is to review the current state of knowledge concerning the impact of social and medical factors on a population of women affected by endometriosis. Women with endometriosis have an impaired quality of life compared to the general female population. Psychological consequences of endometriosis include: depression, anxiety, powerlessness, guilt, self-directed violence, and deterioration of interpersonal relations. It may contribute to lower productivity at work and less satisfying intimate life. A multi-disciplinary, evidence-based care is needed. The disease can take away the ability to be physically active, obtain an education, work continuously, and interact with friends. Social support and cognitive-behavioral therapy are extremely important for healing. Full article
(This article belongs to the Special Issue Novel Research in Sexuality and Mental Health—Volume II)
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