Sexual Fears and Avoidant Sexual Behavior in Medical Students / Сексуальные Страхи И Отклоняющееся Сексуальное Поведение Среди Студентов-Медиков

Popov, Stefan P.; Маteva, Nonka; Iliev, Yanko T.; Dechev, Ivan D.; Karalilova, Rositsa

doi:10.1515/folmed-2015-0034

Folia Medica

2015

DOI: 10.1515/folmed-2015-0034

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Sexual Fears and Avoidant Sexual Behavior in Medical Students / Сексуальные Страхи И Отклоняющееся Сексуальное Поведение Среди Студентов-Медиков

Stefan P. Popov¹,

Nonka Маteva

Yanko T. Iliev³

et al.

Abstract: Sexual fears and aversive or blocking behavior were mild to moderate. In both sexes similar fears--aversive or blocking patterns of sexual behavior were found, mainly associated with the fear of unwanted pregnancy and the risk of HIV infection, more expressed in women.

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2024

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The Psychiatric, Psychological, and Psychotherapeutic Approach to Erectile Dysfunction – Between Good Practices and Clinical Challenges

Vasiliu,

Mangalagiu,

Petrescu

et al. 2024

RJMM

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Erectile dysfunction (ED) has an intricate pathogenesis, with organic and psychosocial factors contributing to the shaping of its clinical manifestations and functional impairment. ED disrupts not only an individual’s sexual life but may also contribute to impairments of self-esteem, social functioning, quality of life, overall well-being, mood, etc. The assessment process and therapeutic interventions should be adequate to the specific profile of each patient, therefore an interdisciplinary approach is usually recommended, in order to find the vulnerability factors, recent triggers, psychiatric and organic comorbidities or causes, and elements that contribute to maintaining the sexual dysfunction, such as lifestyle factors, interpersonal conflicts, or inadequate sexual education. This narrative review explores the evidence-based approaches to structured psychiatric, psychological, and therapeutical assessment in patients with ED, and the most validated psychosocial treatments available. The results support the use of recognized diagnostic criteria within DSM-5TR and ICD-11, together with structured instruments (scales, questionnaires, and inventories), in a multidisciplinary approach. The cognitive model and cognitive-emotional model of ED support the initiation of cognitive-behavioral therapy in these patients. Other interventions, like the PLISSIT model, sexual therapy, couple therapy, and sexual-focused psychoeducation are also supported by evidence. In conclusion, ED requires a combined, psychiatric, psychologic, psychotherapeutic, and organic-oriented assessment, with the purpose of tailoring the treatment to the patient’s particularities.

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The Psychiatric, Psychological, and Psychotherapeutic Approach to Erectile Dysfunction – Between Good Practices and Clinical Challenges

Vasiliu,

Mangalagiu,

Petrescu

et al. 2024

RJMM

View full text Add to dashboard Cite

show abstract

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Sexual Fears and Avoidant Sexual Behavior in Medical Students / Сексуальные Страхи И Отклоняющееся Сексуальное Поведение Среди Студентов-Медиков

Abstract: Sexual fears and aversive or blocking behavior were mild to moderate. In both sexes similar fears--aversive or blocking patterns of sexual behavior were found, mainly associated with the fear of unwanted pregnancy and the risk of HIV infection, more expressed in women.

Cited by 1 publication

References 6 publications

The Psychiatric, Psychological, and Psychotherapeutic Approach to Erectile Dysfunction – Between Good Practices and Clinical Challenges

The Psychiatric, Psychological, and Psychotherapeutic Approach to Erectile Dysfunction – Between Good Practices and Clinical Challenges

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