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J M Wenderlein

Publications and source records attributed to J M Wenderlein.

At least 37 records · Page 2Linked to original sources
PubMed1983

[Comparison of the psychosocial benefits of augmentation and reduction mammaplasty in women. Retrospective study of 122 women].

Plastic surgery procedures are being increasingly used on the female mammae. Our study involved procedures for reduction or augmentation of breast size in 83 and 39 noncancer patients, respectively. In order to answer the question of whether more psychosocial benefits are to be expected in reduction or augmentation operations, the following aspects were explored in patient interviews: social, personality/psychological, sexual satisfaction, professional and leisure time, and honest evaluation of the results. These data should have bearing on focussing the preoperative explanation of the operation to the patient.

Breast↗
PubMed1983

[Complaints caused by episiotomy. Study of 413 women with spontaneous complication-free labor].

In 413 women following normal spontaneous delivery the short and long term complaints due to the episiotomy were studied. Every fifth woman found the cutting of the episiotomy painful. Episiotomies done by specialist's or chief residents were found to be less-painful. The suturing of the episiotomy was found to be painful by 4 of 10 women. The more experienced the surgeon the less was the pain. Only every tenth woman had no pain in the episiotomy immediately post-partum independent of the experience of the obstetrician. Medilateral episiotoma were twice as often very painful (21%) as median episiotomies (11%). Every fifth woman had pain in the perineum for more than one month. A third of these women had more pain with sexual intercourse than prior to delivery. Every tenth woman had infections in the episiotomy, half of these required treatment. Following medio-lateral episiotomy there were twice as many complication with the episiotomy than following median-episiotomy. Every fifth woman though that her vagina and perineum was disfigured by the episiotomy scar. This impression was independent of the type of episiotomy and of the experience of the obstetrician. More dyspareunia than prior to delivery was reported by twice as many primipara (20%) as multipara (11%). 18% of the women reported that the vaginal introitus appeared to be narrower than prior to the delivery.

Dyspareunia↗
PubMed1983

[Gestosis and psychosomatic aspects].

Concerning the pathogenesis of toxemia there is little psychosomatically oriented research. 1. Etiology of toxemia. There is an elevated reactability of arterioles and consequently of the blood pressure on vasomotoric stimulation, which makes one think of a stress hypothesis. Excessive psychosocial distress is very hard to be grasped and quantified, even for scientific purposes. Therefore there are no greater sociological studies including extreme groups, for instance unmarried juvenile pregnant women. Their elevated risk of toxemia should be predictable by means of psychosocial factors. These expectations were raised by research dealing with psychology of personality and some endocrinological studies.--2. Therapy of toxemia. Some psychosomatical aspects can be considered in practice. a) Employing the manifold drug therapies, for instance of high blood pressure in late pregnancy, it is necessary to enlighten on possible side effects, to avoid unnecessary fears, favoring hypertension. b) Hospitalization without drug therapy, which for instance aims at tranquilization, should not go along with social isolation.--One-sided dietary rules as well as exaggerated invitations to reduce weight often by failing cause feelings of insufficiency and guilt. This kind of distress causes vegetative reactions and is of disadvantage for all kinds of toxemia. This is pointed out by animal experiments and successes of psychotherapy in cases of light hypertension during late pregnancy.

Blood Pressure↗
PubMed1982

[Vaginism - a surgical or consultative problem? (author's transl)].

For the last one hundred years or so doctors have been confronted with the phenomenon of vaginism as a functional sexual disturbance. 70 years ago the psychogenetic nature of this disturbance was recognized, and yet gynaecologists and surgeons are still suggesting and practising surgical and mechanical interventions at the vaginal orifice. This is indeed regrettable - and not only because such attempts remain unsuccessful: in this manner doctors are fixed on the idea of an organic cause of the disturbance instead of motivating the patients to undergo consultative treatment. Vaginism may even entail psychosocial advantages for the women in some cases.

Adult↗
PubMed1982

[Low birth weight is a negative factor in the mother-infant relationship. (A study of 122 women following primary Caesarean section for breech presentation or repeat Caesarean section.) (author's transl)].

The mother-infant relationship was studied in the first days post-partum in 122 women following Caesarean section for breech presentation and following repeat Caesarean section. 1. Birth weight With low birth weights women had more rarely a good relationship to the infant in the early days post-partum. In only 20% of women with children under 3000 grams the early relationship was good compared to a good relationship in 61% with infants over 3500 grams birth weights. 2. Parity Less primiparae had good contact to the children in the first post-partum days (35%) than secondi and multiparae (54%). 3. Newborn care Women with difficulties to care for the newborn had good contact to the newborn in only 39% of the cases in the first post-partum days. Women without problems to care for the newborn had an early good relationship to the infant in 60% of the cases. 4. The personality of the mother Mothers with an intro-verted personality (according to MPI-E) and depressive tendencies (according to EDS) had significantly rarer close relationships to the newborn in the first post-partum days. According to these results the mother-infant relationship must be supported more vigorously in low birth weight infants not only in premature infants in the first days post-partum. Individual psychosocial factors must be taken into account which could make a satisfactory mother role more difficult.

Adolescent↗
PubMed1982

[Depression and climacteric (psychometric studies on 116 women in a gynecologic polyclinic)].

In 166 women who desired estrogen treatment for menopausal symptoms, psychosocial data were obtained prior to treatment, six weeks, three months and six months after treatment. The data were obtained by questionnaire and psychometric testing. 1. Of the 25% of women with significant depressive tendencies (according to EDS) 7 of 10 were also very anxious (according to EDS). 2. Emotional stability (according to MPI-N) present in every third woman without depressive mood changes but only in 3% of women with depressive changes. 3. Every third woman with depressive changes reported sexual fantasies or dreams. Only 3% of the women without depression had these fantasies. Discharge was complained of twice as often by depressive women (according to EPS) than in those without depression. 4. Pain on micturition was a complaint of half the women with depressive mood but only 1/8 of those without depression. 5. Heart palpitations were complained of by women without depression only half as often as by the other women. 6. The satisfaction with the role as women had a significant relationship to depression scores as expected. 7. The antidepressive and anxiolytic effect of estrogen treatment in the menopause was shown objectively by psychometric studies. The findings are discussed in view of a gynaecological office practice.

Adult↗
PubMed1982

[Sociomedical aspects of a gynecological tumor follow-up practice (retrospective study of 308 women following genital and breast cancer therapy)].

Described in this paper are correlations between gynaecological carcinomas and the environment which were subject of a pilot study into 308 women.--MPI testing of aspects relating to personality psychology showed that one of the dimensions, extraintroversion, was independent of age but related with statistical significance to the time which had passed from primary tumour treatment. More than five years had passed from cancer therapy of one third of the above probands. Introverted personality traits were exhibited by 23 per cent of them. Only 15 per cent were introverted among 25 per cent of the above probands for whom tumour therapy had been one year back. The incidence of extraverted personality traits in the latter group was twice as high (21 per cent) as that in the group to whom primary cancer therapy had been applied more than five years back (ten per cent) (p less than 0,05). Social factors, too, were important to these correlations. --The amount of neurotic trends psychometrically recordable from married women following tumour therapy (25 per cent) was higher than that recorded from other women (16 per cent) (p less than 0,05). The incidence of neuroticism among women in tumour after-care who had given birth to three or more children was higher (33 per cent) than that recorded from those without children (ten per cent) (p 0,01).--The occurrence of psychosocial stress beyond expectation to women in the wake of cancer can be generally assessed by means of simple social data, such as age, marital status, and educational background.

Adult↗
PubMed1981

[The benefit of the classification of oral contraceptives. Studies of 525 women taking oral contraceptives (author's transl)].

The multiplicity of oral contraceptives suggests a classification for clinical routine. From the dosage of estrogens and gestagens in oral contraceptives, aberration indices were calculated from consideration of proliferation and transformation aspects. According to these a classification of oral contraceptives into 3 "estrogen" groups and 4 "gestagen" groups was made. Such a classification was made in 525 women taking oral contraceptives which took into consideration the following parameters: age, length of time during which oral contraceptives had been taken, subjective side-effects, sexual medical and psychometric aspects.

Adult↗
PubMed1981

[Hormonal contraceptives cause depression?].

Psychometrical investigation found depressive feelings in 515 women under hormonal contraceptives. There was a significant lower compatibility of oral contraceptive with that quarter of women suffering from depressive tendencies. This group complained nearly twice as often about headaches. Temporary listlessness and tiredness were registered nearly for three times more than in that of women without depressive tendencies. Personal striking features which were registered by psychometrical investigation indicate that psychogenesis is the dominating factor of depressive feelings. One seventh of women with neurotic tendencies suffered from depressive feelings in 54 per cent. You can find the same situation only in 3 per cent of this seventh part of women without any neurotic features. The results of this study influence the way of practical advice in contraceptives.

Adult↗