Validation of the interpersonal exchange model of sexual satisfaction questionnaire in adults with a same-sex partner

The Interpersonal Exchange Model of Sexual Satisfaction Questionnaire (IEMSSQ) is one of the few instruments that has been developed from a theoretical model and assess sexual satisfaction. In addition, it has been successfully validated in Spanish heterosexual population. The objective of this study is to adapt and examine its psychometric properties (reliability, evidence of validity, and measurement invariance across sexual orientation and sex) in gay people in a relationship. Method: A sample of 1,820 adults, of whom 50% are gay people and 55% men, answered the Spanish version of the IEMSSQ. In addition, subjects with gay orientation answered the Massachusetts General Hospital-Sexual Functioning Questionnaire and the Dyadic Adjustment Scale. Results: When comparing by sex and sexual orientation, the IEMSSQ has a strict invariant structure. Its reliability is good, and the evidence of construct and concurrent validity is adequate. However, the components of equality are moderate. Conclusions: The IEMSSQ makes it possible to compare the sexual satisfaction between gay/heterosexual men and women, presenting good psychometric properties in gay people, constituting an useful instrument in the clinical and research field

Effect of the Kangaroo Mother Method after Preterm Delivery on Maternal Stress and Anxiety in the Context of the COVID-19 Pandemic—A Cohort Study

Background: The kangaroo mother method (KMM) may benefit infants and mothers in many ways. However, few studies focused on its efficacy on maternal anxiety and stress, especially in the context of the COVID-19 pandemic. Objective: To examine the effect of the kangaroo mother method (KMM) on postnatal stress and anxiety in mothers of preterm infants in neonatal intensive care, in the context of the COVID-19 pandemic. Methods: A cohort study of two groups of 56 mother-infant dyads recruited from a neonatal intensive care unit was conducted. Two groups were compared in terms of the mean duration of KMM during the twelve days of the study: the intervention group (mean duration of more than ninety minutes per day) and the control group (less than ninety minutes). Maternal stress was measured using the Parental Stressor: Neonatal Intensive Care Unit (PSS: NICU) scale and STAI E/R questionnaire before and after intervention (KMM). Demographic and other maternal covariates were extracted from medical records. Daily NICU records were used to track the frequency and duration of KMM sessions. Results: Mothers of the intervention group scored lower on the PSS: NICU and STAI E/R, although no statistically significant differences were found (p > 0.05). Conclusions: Contrary to research based on biological and physiological parameters in newborns or performed before the COVID-19 pandemic, the differences found in applying subjective scales in mothers in the context of the COVID-19 pandemic were not significant. Therefore, mothers’ perception of physical contact with their preterm infants may not have been as positive due to their fear of transmitting COVID

Enfermería Familiar y Comunitaria: mitos y falsas creencias de la reproducción asistida

Introduction: Reproduction is a biological process that can be modified for various reasons, such as the increase in maternal age for pregnancy planning, the appearance of new family concepts or patients who have undergone a chemotherapy treatment, reducing the probability of getting a spontaneous pregnancy. Objectives: Identify the main advice on diet and exercise in pregnancy after an assisted reproduction procedure. Methodology: A bibliographic review of articles in the Medline, ÍnDICEs-CSIC and CUIDEN databases was carried out in the year 2019. Results: As health professionals it is our duty to resolve doubts, and correct possible myths or false beliefs, both in food and in the practice of physical exercise. Conclusions: To guarantee comprehensive quality care, women need a coordinated multidisciplinary team working in the same direction.Introducción: La reproducción es un proceso biológico que puede verse alterado por diversos motivos, como el aumento de la edad maternal para planificar la gestación, la aparición de nuevos conceptos de familia o pacientes que han pasado por un tratamiento de quimioterapia, reduciéndose la probabilidad de conseguir una gestación espontánea. Objetivos: Identificar los principales consejos sobre alimentación y ejercicio en el embarazo tras un procedimiento de reproducción asistida. Metodología: Se ha llevado a cabo una búsqueda bibliográfica en el año 2019, en las principales bases de datos Medline, ÍnDICEs-CSIC y CUIDEN. Resultados: Como profesionales sanitarios es nuestro deber la resolución de dudas, y corrección de posibles mitos o falsas creencias, tanto en la alimentación como en la práctica de ejercicio físico. Conclusiones: Para asegurar una atención integral de calidad, la mujer necesita de un equipo multidisciplinar coordinado trabajando en la misma dirección

Validation of the short version of the experiences in close relationship in adults with a same sex partner

Abstract Attachment includes two dimensions (anxiety by abandonment and avoidance of intimacy). For its evaluation, the validation of the brief version of the Experiences in Close Relationship (ECR-S) scale was carried out in adults with a same-sex partner. Construct validity, factorial invariance, differential item functioning, reliability of internal consistency and concurrent validity were examined. A sample of 815 homosexuals and 815 heterosexuals (half men and half women) were used, all of them in a couple relationship. The bifactorial structure of the ECR-S is confirmed, being invariant by sexual orientation and sex. Its two dimensions have an adequate internal consistency and their measurements show evidence of validity. The ECR-S constitutes an excellent tool for assessing attachment in homosexual adults with a samesex partner.El apego incluye dos dimensiones (ansiedad por abandono y evitación de la intimidad). Para su evaluación se llevó a cabo la validación de la versión breve de la escala Experiences in Close Relationship (ECR-S) en adultos con pareja del mismo sexo. Se examinó la validez de constructo, la invarianza factorial, el funcionamiento diferencia del ítem, la fiabilidad de consistencia interna y la validez concurrente. Se empleó una muestra de 815 homosexuales y 815 heterosexuales (mitad hombres y mitad mujeres), todos ellos en una relación de pareja. Se confirma la estructura bifactorial de la ECR-S, siendo invariante por orientación sexual y sexo. Sus dos dimensiones presentan una consistencia interna adecuada y sus medidas manifiestan evidencias de validez. La ECR-S constituye una excelente herramienta para evaluar el apego en adultos homosexuales con pareja del mismo sexo

Validación del interpersonal exchange model of sexual satisfaction questionnaire en adultos con pareja del mismo sexo

The Interpersonal Exchange Model of Sexual Satisfaction Questionnaire (IEMSSQ) is one of the few instruments that has been developed from a theoretical model and assess sexual satisfaction. In addition, it has been successfully validated in Spanish heterosexual population. The objective of this study is to adapt and examine its psychometric properties (reliability, evidence of validity, and measurement invariance across sexual orientation and sex) in homosexual adults in a relationship. Method: A sample of 1,820 adults, of whom 50% are homosexuals and 55% men, answered the Spanish version of the IEMSSQ. In addition, subjects with homosexual orientation answered the Massachusetts General Hospital-Sexual Functioning Questionnaire and the Dyadic Adjustment Scale. Results: When comparing by sex and sexual orientation, the IEMSSQ has a strict invariant structure. Its reliability is good, and the evidence of construct and concurrent validity is adequate. However, the components of equality are moderate. Conclusions: The IEMSSQ makes it possible to compare the sexual satisfaction between homosexual/heterosexual men and women, presenting good psychometric properties in homosexual population, constituting an useful instrument in the clinical and research field.El Interpersonal Exchange Model of Sexual Satisfaction Questionnaire (IEMSSQ) es uno de los escasos instrumentos que evalúan la satisfacción sexual desde un modelo teórico y ha sido validado con éxito en población española heterosexual. El objetivo de este estudio es adaptar y examinar sus propiedades psicométricas (fiabilidad, evidencias de validez e invarianza según orientación sexual y sexo) en adultos homosexuales con una relación de pareja. Método: Una muestra de 1.820 adultos, de los cuales el 50% son homosexuales y el 55% hombres, contestó a la versión española del IEMSSQ. Además, los sujetos con orientación homosexual contestaron el Massachusetts General Hospital-Sexual Functioning Questionnaire y la Escala de Ajuste Diádico. Resultados: El IEMSSQ posee una estructura invariante estricta, por sexo y orientación sexual. Su fiabilidad es buena, y las evidencias de validez de constructo y concurrente adecuadas, aunque moderadas en los componentes de igualdad. Conclusiones: El IEMSSQ permite comparar la satisfacción sexual entre hombres y mujeres homosexuales y heterosexuales, presentando buenas propiedades psicométricas en adultos homosexuales, constituyendo un instrumento útil en el ámbito clínico y en el de la investigación

El Sexting y su relación con los esquemas tempranos de inadaptación en adolescentes

El objetivo de este estudio es analizar cómo influyen los Esquemas Tempranos de Inadaptación (ETI) en la práctica del sexting, tomando como muestra una población de 609 estudiantes de secundaria de Cuenca (Ecuador). La escala de Young (alfa de Crombach de 0,91) fue usada para identificar los ETI, y un cuestionario sobre sexting. En este estudio, la prevalencia de esta práctica asciende al 52,2%. Los adolescentes que intercambiaban material sexual a través de dispositivos electrónicos presentaron los siguientes factores asociados al sexting: abandono (p<0,001), insuficiente autocontrol/autodisciplina (p<0,001), desconfianza/abuso, (p<0,037), deprivación emocional (p<0,005), autosacrificio (p<0,028), estándares inflexibles 1/autoexigencia (p<0,005) y derecho/grandiosidad (p<0,001). Se considera como factor protector, al uso de anticonceptivos y el ser hombre; un importante factor de riesgo es el embarazo

Incidence and Related Factors of Infidelity among Medical Doctors and Nurses

Although there is a large body of research addressing infidelity, no study, to our knowledge, has specifically addressed infidelity in doctors and nurses and the correlation with work hours, schedule and other variables. This research aimed to know the incidence of and factors related to infidelity among doctors and nurses. A descriptive study was carried out, studying the association of certain variables. In total, 367 volunteer participants completed an online survey. Of them, 21% either have or have had an unfaithful relationship. The majority (81.7%) were doctors. Men were 4.3 times more unfaithful than women, with these differences being statistically significant (OR = 4.37, p < 0.001). Of the participants involved in an unfaithful relationship within the work area, the majority were men. Likewise, those who reported having had sex in the doctor’s room on duty were also men, with these differences being statistically significant (OR = 12.81, p < 0.01). The night emergency schedule was 60% more frequent in unfaithful people, and these differences were statistically significant (OR = 12.43, p < 0.01). There is a significant rate of infidelity in doctors and nurses. Men are more likely to be unfaithful than women are, and people who work nighttime emergencies are more likely to be unfaithful

Assessment of the Risk of Antipsychotics in Patients with Dementia in Actual Clinical Practice in Primary Health Care

Behavioral and psychological symptoms are almost universal in elderly patients with dementia. Antipsychotic drugs can be used but only in specific contexts as they can generate severe adverse effects. The main aim of this research was to evaluate the use of antipsychotic drugs in patients with accompanying treatment for dementia in actual clinical practice in primary health care. We further sought to analyze risk variables and factors associated and to acknowledge how sociodemographic and clinical factors weighed on adverse effects’ occurrence. A multicentric cross-sectional descriptive study was performed in three provinces of Spain. Stratified random sampling was performed to select 332 patients. Clinical data from their digital medical records were collected by their family doctors. The Global risk defined if the patients were subjected to risk. Univariate, bivariate, and multivariate analyses were performed. The most used antipsychotics were quetiapine (65.5%), haloperidol (21.75%), and risperidone (15.8%); 93.8% of patients showed risk, and 81.1% of doses and 75.5% of treatment durations were inappropriate. These two last factors increased the global risk 23 and 20 times, respectively. Conclusions: In actual clinical practice conditions, a high use of antipsychotic drugs was found in patients with dementia. Most patients had inappropriate doses and treatment duration, factors that increased the risk of adverse effects considerably

Influence of Craniosacral Therapy on Anxiety, Depression and Quality of Life in Patients with Fibromyalgia

Fibromyalgia is considered as a combination of physical, psychological and social disabilities. The causes of pathologic mechanism underlying fibromyalgia are unknown, but fibromyalgia may lead to reduced quality of life. The objective of this study was to analyze the repercussions of craniosacral therapy on depression, anxiety and quality of life in fibromyalgia patients with painful symptoms. An experimental, double-blind longitudinal clinical trial design was undertaken. Eighty-four patients diagnosed with fibromyalgia were randomly assigned to an intervention group (craniosacral therapy) or placebo group (simulated treatment with disconnected ultrasound). The treatment period was 25 weeks. Anxiety, pain, sleep quality, depression and quality of life were determined at baseline and at 10 minutes, 6 months and 1-year post-treatment. State anxiety and trait anxiety, pain, quality of life and Pittsburgh sleep quality index were significantly higher in the intervention versus placebo group after the treatment period and at the 6-month follow-up. However, at the 1-year follow-up, the groups only differed in the Pittsburgh sleep quality index. Approaching fibromyalgia by means of craniosacral therapy contributes to improving anxiety and quality of life levels in these patients