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Biomedical subjects

H B M van de Wiel

Publications and source records attributed to H B M van de Wiel.

8 recordsLinked to original sources
PubMed2006

Psychological assessment of patients with Menière's disease.

The objective of this study was to evaluate daily stressors, coping, personality, physical and mental health, and quality of life in Menière patients. 110 consecutive patients with definite Menière's disease were assessed using the Dutch Daily Hassles List, Coping Inventory for Stressful Situations (CISS), Symptoms Checklist 90 (SCL-90), NEO Five Factor Inventory (NEO-FFI), General Health Questionnaire (GHQ-12), and the Short Form Health Survey 36 (SF-36). Duration and subjective severity of symptoms were scored using a self-report questionnaire. It was shown that Menière patients had more daily stressors, used certain coping strategies less often, and had more psychopathology (e.g. anxiety and depression), and a worse quality of life compared to healthy reference groups. No abnormalities in personality were found. Patients with more severe symptoms had more psychopathology and a worse quality of life than patients with mild symptoms. The psychological profile of Menière patients seems comparable to patients with other chronic diseases. The outcomes should be used to intensify psychological support in patients with this disabling disease.

Adaptation, Psychological↗
PubMed2002

What importance do women attribute to the size of the penis?

OBJECTIVE: A great deal of men consider that the size of the penis is directly proportional to its sexual power. Some men, who are worried that their penis is too small, wish to be considered for surgical lengthening or thickening procedures. The argumentation for this chiefly points in the direction of women. However, have women actually been asked about the extent to which they consider the size of the penis to be of importance from a sexual point of view? Or asked what they think about ideas surrounding the size of the penis in relation with actual sexual functioning? PATIENTS AND METHODS: To address these questions, 375 sexually active women who had recently given birth at the University Hospital Groningen were asked a number of questions about sexual functioning and the importance they attach to the size of their partner's penis. RESULTS: A total of 170 questionnaires were returned (response rate 45%); 20% of the women found the length of the penis important and 1% very important; 55% and 22% of the women found the length of the penis unimportant and totally unimportant, respectively. Opinions about the girth of the penis followed the same trend. Length was less important than girth: 21% and 32%, respectively. The women who found the girth of the penis important had the same opinion about the length of the penis (correlation 0.71, p=-0.001). Median division into two subgroups (girth important/unimportant; t-test) did not reveal any significant differences in relation with demographic data. Correlation analysis did not reveal any significant correlation between sexual functioning (measured with the NSF) and opinions about the girth of the penis. CONCLUSION: Although clearly in the minority, a nevertheless considerable percentage of the women respondents attached substantial importance to the size of the male sexual organ.

Anthropometry↗
PubMed2002

Sexual outcomes following treatment for early-stage gynecological cancer: a prospective and cross-sectional multi-center study.

This study evaluates the impact of early-stage gynecological cancer and its treatment on sexuality and assessed needs for care regarding sexual rehabilitation. Data from 58 women from a prospective, longitudinal study were compared to data from 220 women from a cross-sectional study. Patients in the prospective study completed questionnaires prior to treatment and then 6 and 12 months post-treatment. A single assessment was obtained from patients in the cross-sectional study. All women had a partner. Both groups were comparable on important independent variables. Both samples had an equal level of sexual contact, but participants in the cross-sectional study (mean time 46 months post-treatment) reported a higher frequency of sexual problems, were more troubled by those problems and reported a lower sexual satisfaction. However, in both groups the level of the reported dysfunctions was relatively low. Around 80% of the patients were satisfied with the information provided on sexual rehabilitation. Little need for extra care on sexual rehabilitation was reported. In conclusion, women with early-stage gynecological cancer were not especially prone to severe sexual problems and seemed to cope well with the consequences of cancer and its treatment on their sexual lives. It was suggested that this relatively positive outcome is a result of the improved patient care and education on sexual aspects in the last decade.

Adaptation, Psychological↗
PubMed2002

Opinions about 'unexplained subfertility'.

The term 'unexplained subfertility' applies to the situation in which a couple, despite serious attempts, does not achieve pregnancy, while according to current knowledge no physiological or anatomical abnormalities can be found. In this paper, possible causes of this phenomenon are reviewed and opinions of six doctors working in the field of reproductive medicine are described. The most significant finding of this study is that all doctors hold personal views with a high level of certainty about the causes of unexplained subfertility. However, they hardly agree with each other! In conclusion, in the field of reproductive medicine there is a dangerous combination of strong personal opinions and much disagreement with regards to unexplained infertility.

Expert Testimony↗