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Biomedical subjects

D Jehu

Publications and source records attributed to D Jehu.

9 recordsLinked to original sources
PubMed1993

Aspects of psychological and social morbidity in patients awaiting coronary artery bypass grafting.

OBJECTIVES: To assess anxiety, depression, and social adjustment in patients awaiting coronary artery bypass surgery. DESIGN: Patient completed questionnaire study. SETTING: Regional cardiothoracic centre. PATIENTS: 109 questionnaires were sent to patients on the waiting list of two cardiothoracic surgeons. Sixty eight (62%) were returned and 15 (22%) of the respondents were women. There was no difference in the response rates for men (53/84) 63% and women (15/25) 60%. MAIN OUTCOME MEASURES: Anxiety and depression were assessed by the hospital anxiety and depression (HAD) scale. Social functioning was assessed by several nine point rating scales on which patients indicated how their work, family relationships, social activities, private leisure activities, and home management were impaired. Patients also indicated the severity of their cardiac symptoms on a questionnaire based on the New York Heart Association classification for the assessment of the functional state of patients with heart disease. RESULTS: On the HAD scale 19 (28%) patients scored in the clinically significant range for anxiety. Time spent on the waiting list was positively and significantly related to anxiety (p = 0.05). Thirty two (47%) patients scored in the clinically significant range for depression. Time spent on the waiting list was positively and significantly related to depression (p = 0.005). Positive and significant relations were found between time spent on the waiting list and impairment of work (p = < 0.0001), family relationships (p = < 0.0001), private leisure activities (p = < 0.0001), and social activities (p = 0.004). No correlation was found between any of the above variables and the indicated level of clinical symptoms. CONCLUSIONS: This study documents previously unreported associations between the time patients wait for coronary artery surgery and levels of anxiety, depression, and social functioning. Conclusions regarding the causes of these symptoms cannot be made from this small population of patients but these results do suggest that these associations should be studied further.

Anxiety↗
PubMed1991

The management of impotence in diabetic men by vacuum tumescence therapy.

The treatment of impotence in diabetic men with vacuum tumescence therapy was studied in a specialist clinic. Of 54 diabetic men referred with impotence, seven declined treatment, three chose self-injection with papaverine, and 44 chose vacuum therapy. Patients underwent autonomic function testing (heart rate response to respiration), measurement of penile blood flow (duplex Doppler scanning), and estimation of serum prolactin and testosterone levels. After 2 months, 33 men (75%) were able to have satisfactory intercourse using vacuum therapy. Three others could produce a satisfactory erection with vacuum therapy but their partners found it unacceptable. Eight men (18%) were unable to have satisfactory intercourse; six of these were later treated by self-injection. The median frequency of use of vacuum therapy was 5.5 (1-26) times a month. Outcome was independent of penile blood flow, autonomic function or endocrine status. Impotent diabetic men should be given counselling and offered a choice of the available treatments. Vacuum tumescence therapy is an effective and simple treatment which requires little investigation.

Diabetes Mellitus↗
PubMed1987

Psychological effects of stomas--I. Psychosocial morbidity one year after surgery.

Sixty eight subjects who had undergone stoma surgery 12 months previously were assessed as to their psychiatric and social outcome. They had been previously also assessed at the 3rd month postoperatively. The majority had a diagnosis of bowel cancer (38) and smaller numbers had inflammatory bowel disease (15) or diverticular disease (15). 22% of the subjects had moderate or severe psychiatric symptoms and most of these had also shown similar disturbance at the 3 month assessment, indicating that the condition was longstanding. There was no significant difference in outcome between the diagnostic groups. The results also showed that ability to perform housework, leisure and sexual activities was affected in a number of subjects.

Adaptation, Psychological↗
PubMed1987

Psychological effects of stomas--II. Factors influencing outcome.

Sixteen patients with a moderate or severe anxiety and/or depression one year after stoma surgery were compared with 52 patients who had made a good psychiatric adjustment. Factors that were associated with an increased risk of psychiatric morbidity included a previous psychiatric history, postoperative physical symptoms and complications, inadequate advice and personality traits of neuroticism, anxiety and obsessionality.

Adaptation, Psychological↗
PubMed1984

The role of anxiety in sexual dysfunctions: a review.

Studies are reviewed which (a) compare anxiety and other measures of psychopathology between normals and dysfunctionals ; (b) evaluate the effectiveness of anxiety reduction procedures for treating sexual dysfunctions; and (c) try to identify anxiety-related stimuli that alter sexual arousal. The studies, in general, suggest that (a) anxiety is common among people with sexual dysfunctions, but that the level and nature of the anxiety may vary greatly between individuals; (b) anxiety reduction procedures improve some, but probably not all, aspects of sexual dysfunctions; and (c) recent research has begun to identify some anxiety-related factors that can disrupt sexual arousal.

Anxiety↗
PubMed1984

Psychosocial morbidity in the first three months following stoma surgery.

One hundred and six consecutive subjects were seen in hospital a few days after undergoing surgery for bowel disease that necessitated the formation of a stoma. They consisted of patients with cancer (74), colitis (17) and diverticular disease (15). At this initial assessment details of psychological and social functioning were obtained for the preceding three months before operation. At 3 months post-operatively the subjects were interviewed in their own homes, 87 subjects were available (12 died, 7 refused) and again psychological and social assessments were made. Seventeen per cent of males and 19% of females had moderate or severe psychiatric disturbance and there was also a significant number of patients with various social disturbances. Physical diagnosis did not significantly affect psychiatric outcome. There was, however, high pre-operative psychiatric disturbance and the relevance of this in assessing post-operative symptoms is discussed.

Activities of Daily Living↗