PubMed Health⌕ Search

Biomedical subjects

J M Wenderlein

Publications and source records attributed to J M Wenderlein.

At least 73 records · Page 4Linked to original sources
PubMed1978

[Psychophysiological aspects of mastalgia. Psychometric studies (author's transl)].

After exclusion of clinical causes for intermittent mastalgia, psychosocial factors should be thought of as a study of 533 women showed: 1. Women with intermittent pains in the breast differed statistically significantly from other women without mastalgia in 8 out of 12 personality characteristics (FPI). 2. Mastalgia occurred more frequently with increasing age, in women without partners, in painful experiences with menarche and menstruation. 3. Women with mastalgia examined their breasts regularly, they were confident that they could feel nodules and went more frequently for medical treatment of their breasts. 4. In mastectomy patients with a history of mastalgia particular attention should be paid to a psycho-social status.

Breast Diseases↗
PubMed1978

[The IQ in gynaecology (author's transl)].

Relevant correlations between the level of the IQ and the reactions to gynaecological interventions and changes in the female reproductive system were detected. These are important in medical practice. The findings are based on psychometric studies in 400 to 500 women. First: Puberty and menarche are experienced in correlation to the IQ and pattern the later experience of menstruation. Second: Desire for inclusion of the marital partner in preoperative discussions, the type and frequency of Phobias prior to laparoscopic tubal sterilization are influenced by the IQ. Third: the lower the IQ the more sexual disturance was feared prior to hysterectomy. Fourth: The lower the IQ the more fears of menopause were voiced. Fifth: Statistically significant correlations between the IQ and the motivation for participation in preventive cancer check ups were found. This correlation was also found for the experience of the preventive cancer check up and for the age at which it was desired and for the institution which should encourage the examination. These results favour individualization of the medical advice and information in correlation to the IQ. Psychosocial and preventive medical problems in gynaecology could thus be reduced.

Attitude to Health↗
PubMed1978

[Self-examination of breast under personal and psychologic aspects. (Psychometric studies of 533 women)].

A psychometric study conducted among 533 women tested for statistical significance of personality traits (FPI) between selfexaminations of the breast and the attitude to examinations performed by physicians. --I. Introverts (FPI-E) performed selfexaminations with only half the frequency of extroverts (p less than 0,01). One fifth of the women with personality traits of introversion believed that screening examinations for detection of breast cancer performed by physicians are of lesser importance as did women with personality traits of extroversion (p less than 0,01). The later group believed that breast has significance in cosmetic appearance (p less than 0,05) and sexual value (p less than 0,05). Introverts are mostly of lower education (p less than 0,05) and their intelligence quotient is usually below 100 (p less than 0,1) when compared with that of extroverts. For selfexaminations of the breast this finding is of special importance to preventive medicine to provide effective instructions and guidance. --II. Emotional labile women (FPI-N) produce expected results of being especially fearsome (p less than 0,01) regarding breast change appearance produced by an conscious fear of cancer (p less than 0,05). Upon discovery of a painful lump in the breast labile women delay the visit to the physician longer as emotional stable women (p less than 0,05). Labile women stay single twice as often as emotional stable women (p less than 0,01). This produces a lower possibility to be activated by ones spouse to seek the aid of a physician for treatment of the breast. --III. In women with personality traits of depression or low selfesteem is a longer delay period apparant as in women with high selfesteem. Upon noticing a lump in the breast--if painful or not--women with high selfesteem immediately pay a visit to their physician (p less than 0,05) but the others delay. Here should be mentioned that depressed women deviate from the lot in regard to family status (p less than 0,05) and obtained education/intelligence niveau (p less than 0,01). These results are debated viewing preventive-medical and psychosocial aspects.

Adult↗
PubMed1977

[Pregnancy in adolescence (author's transl)].

Pregnant women and maternity patients up to 20 years of age not only have a lower level of education but also neurotic personality traits three times more frequently than pregnant women over the age of 21. This affects the attitude to pregnancy which, in women up to 20 years was a surprise and unwanted twice as often as in women aged from 21 to 30. After the birth women up to 20 years of age wanted to leave the hospital particularly early. Almost half of them wanted to begin work again.

Adolescent↗
PubMed1977

[Menarche--psychosomatic and psychosocial aspects for the gynaecology (author's transl)].

Does menarche represent such an important event for girls during puberty that it affects the experience of later gynaecological events in women? This was examined quantitatively in 5 series of investigations in 300-500 women. The data were collected by questionnaires and psychometric test methods. Can menarche provide more information to the psychosomatically interested gynaecologist than was previously thought? Early menarche occurred more frequently than expected, not only in younger women examined but also in those with higher school leaving age, higher intelligence and without neurotic personality traits. Women with later menarche attached less importance to sex, were more afraid of labour pains and thought less of labour preparation courses. Late menarche also showed a relation to the menopause insofar as impairment of the feeling of full usefulness and negative effects on sex were feared more frequently than expected. The menarche experience as a rather painful and/or surprising event showed relations to sociologic-pathological data and later gynaecological events. Women with painful menarche experience mostly belonged to the older generation, had a lower education level and rather unstable personality traits. The more painful the experience of menarche, the more frequent were later irregular cycles and menstruation was experienced as very painful. Negative consequences after gynaecological operations were found more frequently than expected. This was shown quantitatively by the example of uterus removal and mastectomy. With painful menarche experience impaired well-being during pregnancy and very painful confinements were reported more often than expected. In women who remembered the menarche as a rather surprising event we found more frequently lower school education, late menarche and no or inadequate sex instruction. The more surprising the experience of menarche was, the more frequent were unstable personality traits and psychosomatic disorders. Women to whom the menarche was not a surprise reported fewer side effects of ovulation inhibitors, experienced less troublesome confinements and were less afraid of uterus removal and the menopause. Where the menarche was very painful as well as a very surprising event the relations to psychologic-sociological data and gynaecological complaints were particularly obvious. Knowledge of the menarche experience thus allows certain predictions as to how future gynaecological events and sex will be experienced and dealt with. This applies especially to the prediction and clarification of so-called psychosomatic complaints in gynaecology.

Adolescent↗
PubMed1977

[Thelarche: psychosocial aspects for gynaecology. Psychometric investigation in 533 women (author's transl)].

The psychosomatic and psychosocial importance of the thelarche for gynaecology was the subject of an investigation in 533 women. Psychometrically personality traits (FPI) and intelligence level (MWT) were examined. Thelarche started the earlier the younger the women examined (p less than 0.001). Women with higher school leaving age and above-average intelligence went through thelarche earlier than those with lower school leaving age (p less than 0.01) and below-average intelligence (p less than 0.01). Breast development in the phase of puberty was observed with greater attention by younger women with higher level of education than by older women with lower level of education (roughly estimated by school leaving age and intelligence level). Thelarche was observed with greater attention by sociable, vivacious, extrovert women than by unsociable, introvert women (p less than 0.001). Women who consciously observed their breast development reported very regular cycles more often than expected (p less than 0.05) and mostly were of ideal weight (p less than 0.001). The practical importance of the thelarche experience for gynaecology manifests itself above all in the breast prophylaxis behaviour. The more attentively the women observed their breast development the more importance they attached to prophylactic medical breast examinations (p less than 0.01) and the more frequently they examined themselves (p less than 0.01) which worried them more rarely (p less than 0.05). The effect of the thelarche experience on future breast prophylaxis behaviour underlines the importance of early health education for preventive gynaecology.

Adolescent↗
PubMed1977

[Women's self examination of the breast. Value, frequency, self examination; A psychometric study on 532 women].

Immediate cooperation between doctor and patient is of extreme importance for the early detection of mamma carcinoma. In addition to the doctor's examination and palpation of the mammary and the keeping of an up-to-date health record, the patient must conduct frequent self-examinations of the breast. An attitude-study concerning self-examinations was conducted with 500 women using a questionnaire and the psychometric test method.

Attitude to Health↗
PubMed1977

[Smoking and pregnancy (psychosocial aspects of the prevention of damage caused by nicotine) (author's transl)].

The literature on the detrimental effects of smoking on pregnancy is indeed extensive. Despite the hazard of a significantly increased perinatal mortality, especially on account of prematurity with low birth weight of the infants, no wellaimed campaign has been conducted so far which would aim at enlightening pregnant women about the dangers involved in smoking. A study conducted with a group of 425 women treated in our outpatient department is analyzed to determine the audience for an informative brochure on smoking, and also to find out the most effective way in which this brochure should be presented and worded. Every third young woman up to 25 years of age is a regular smoker (p less than 0,0001). There is a significantly higher incidence of smokers among unmarried women than among married ones. (p less than 0.05). Career women and employees were found to smoke twice as often than those not gainfully employed (p less than 0.01). Women without children, too, smoked twices as often as women with two and more children (p less than 0.05). Furthermore, women with an IQ above 100 smoked cigarettes twice as often than women with an IQ up to 100. Two out of 12 psychometrically studied personality traits bore a significant relationship to smoking. These results agree with perinatologic literature and are discussed under the aspect of effective information on the hazards of smoking during pregnancy.

Adult↗