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Biomedical subjects

J M Wenderlein

Publications and source records attributed to J M Wenderlein.

At least 91 records · Page 5Linked to original sources
PubMed1976

[Side-effects of oral contraceptives under psychological-sociological aspects. Results of an empirical study on 345 women].

Do women without experience in taking oral contraceptives expect more side-effects than women, who use this contraceptive method, ever experienced? This question was examined on 345 women in pregnancy and childbed Psychological and sociological data, as personality factors, general well-being, school education, intelligence and age were evaluated. The attitude towards the pill depended on the families opinion of the pill, fear of cancer, knowledge about the pill and experience of menstruation. Half of the women had never taken the pill. Those women expected more side-effects than women, who had taken the pill had experienced (p less than 0,05). Those women who had never taken the pill stated frequently, that their partner (p less than 0,001) and mother (p less than 0,001) rejected the pill. Three fourth of women without experiences in taking the pill doubted thepill to be safe. Two thirds of these women were anxious the pill might cause cancer. Four fifth of the questioned women thought a pregnancy would mean more stress than taking the pill, women without experience in taking the pill more frequently thought the pill to be more disturbing (p less than 0,01). Women who had never taken the pill, suffered more often from reduced well-being (p less than 0,05) and were also more often introverted (p less than 0,1). The more irregular and painful menstruations were, the more women accepted the pill (p less than 0,01). Women with experience in taking the pill had often higher intelligence (p less than 0,05) and a higher education level (p less than 0,01). This is important for the interpretation of the results. The results were statistically checked by the x2-method.

Conditioning, Psychological↗
PubMed1976

[Psychological aspects of the fear of cancer (author's transl)].

The fear of cancer was investigated in 423 women in our policlinic by means of a questionnaire. Psychological and sociological data, knowledge of the genital organs and experience of gynecological events were recorded. Of the women questioned, 16% said that they "often" feared suffering from cancer, 57% "sometimes" and 27% "seldom/never". The fear of cancer increased with age (P 5%). Women with higher education expressed fear of cancer more rarely (P 1%). The greater the knowledge of the genital organs, the less the fear of caner (P 5% and P 1%). Women with unpleasant experience or expectation of gynecological procedures frequently expressed fear of cancer. Of 12 with FPI recorded personality dimensions, 8 had a statistically significant relationship to fear of cancer. The fear of cancer had an effect on the attitude to investigation for early detection of cancer (P 10%) and to the curability of cancer detected early (P 1%).

Adult↗
PubMed1976

[Psychological-sociological views on S 218 (study on 379 pregnant women and women in puerperium)].

Studies on the attitude towards the abortion law and abortion have practical significance if women in the reproductive age group are questioned. Pregnant women and women in childbed are especially adequate for this purpose. They may realize best the situation of a women who has to think over an abortion. Therefore we asked 379 pregnant women and women in childbed in our hospital. 70% of them could imagine a situation which would justify an abortion. Women with high school degree and average or above average intelligence were more frequent in this group. 38% expected a very severe stress by an abortion, 40% severe stress and 22% a rather moderate one. Most frequently women with high education level as well as more introverted women expected an emotional disturbance by such an operation. 62% of the questioned women favored a change of the abortion law, 38% did not. Again women with high school degree and above average intelligence wanted a change more often than those who had passed primary school and had an intelligence below average. Moreover age, wellbeing and experience of menarche had a relation to the attitude towards the abortion law. The results were statistically checked by the X2 -method.

Abortion, Induced↗
PubMed1976

[Sexual education and contentment with the feminine sexual role (author's transl)].

The correlation of sexual education during childhood and the later contentment with the feminine sexual role was quantitively tested for its statistical significance. The data were collected for 386 women with a questionnaire and psychometric testing. Contentment with the feminine sexual role showed correlations to the age of the first sexual education (p smaller than 0.01), to the quality of the sexual education (p smaller than 0.05) and to the experience of the individual sexuality during adolescence (p smaller than 0.05). The earlier and the more positive the sex education the higher was the contentment with the own sexual role. Women who were most content with their presently experienced sexuality were also most content with their social role (p smaller than 0.01). Of importance in the discussion of the results were relationships between the contentment with the sexual role and the age (p smaller than 0.05), neurotic personality traits (p smaller than 0.01), obesity (p smaller than 0.01), psychosomatic complaints (p smaller than 0.05) and the present state of health (p smaller than 0.001). These results are of practical importance for sexual councelling in gynaecology.

Adolescent↗
PubMed1976

[The psychosomatic aspects of complaints of varicose veins during pregnancy. A psychosometric investigation in 345 antenatal patients (author's transl)].

A discrepancy between complaints of varicose veins of the legs such as stabbing in the legs, pain in the legs, tiredness of the legs, heaviness of the legs, feeling of swelling in the legs and nocturnal cramps in the calves, and anatomical signs of varicose veins in the legs was observed. Therefore these complaints were analyzed in 345 antenatal patients regarding their psychological aspects. No complaints of venous insufficiency were found in 47% of the pregnant women. Of the 53% antenatal patients with complaints, 24% had mild, 18% had moderate and 11% had severe complaints. Antenatal patients with well noticable neurotic personality traits in the MPI had complaints twice as often as women without neurotic traits (p smaller than 0.05). Introverted antenatal patients (according to the MPI) had more venous leg complaints than expected (p smaller than 0.05). Pregnant women with frequent psychosomatic complaints and altered general well being had the highest incidence of varicose veins complaints (p smaller than 0.001) or p smaller than 0.05). In addition to these psychometric data, there was also a correlation of the gynaecological history with complaints of venous insufficiency in the legs during pregnancy. Pregnant women with a very painful menarche had more varicose vein complaints than expected (p smaller than 0.05). The incidence was also higher with a history of abortion (p smaller than 0.05), marked dysmenorrhea (p smaller than 0.01) and side effects from oral contraception (p smaller than 0.01) and in primigravida (p smaller than 0.05). Age was only correlated to the symptom of stabbing pain in the legs in a statistically significant correlation (p smaller than 0.05). The results were tested statistically for significance with the X2-method.

Abortion, Spontaneous↗
PubMed1975

[The future of estrogen substitution in the menopause. Psychological and sociological aspects (author's transl)].

The future of estrogen substitution (ES) in the menopause was examined in 425 patients in our clinic from the psychological and sociological aspects. Of the women questioned, one fourth would not consider estrogen substitution from the menopause onwards another fourth would only accept this for one year, one quarter for up to six years and the remaining quarter for longer than six years. The reasons for this decision were sought. The positive attitude towards estrogen substitution was seen to depend on age, education level, intelligence, knowledge of sexual hormones, experience with the pill, history of abortion, parity and personality factors.

Abortion, Spontaneous↗
PubMed1975

[The attitude of women to prophylactic hysterectomy (author's transl)].

The attitude of women to prophylactic hysterectomy (pH) after age 40 was investigated in 324 women in our out-patient clinic by a questionnaire taking into account psychological and sociological data. More than 50% of the women were against a prophylactic hysterectomy. This negative attitude cannot be explained by a desire for child bearing since only prophylactic hysterectomy after 40 was discussed. Other factors are important. The knowledge of the women about their reproductive organs was limited. One third of the patients thought the uterus is responsible for the production of sexual hormones and 3/4 of the women expected a hormonal imbalance following hysterectomy. The greater the ignorance the more frequent was the negative attitude to prophylactic hysterectomy (S 5%). 2/3 of the women ascribed a life long importance to the uterus and were against prophylactic hysterectomy (S 5%). 1/4 of the patients described the uterus as an organ important for sexual intercourse and therefore were against prophylactic hysterectomy (S 5%). It is understandable that 2/3 of the women thought of hysterectomy as a procedure which would have a negative or very negative influence on their lives (S 5%) when women ascribed to the uterus frequently a significance in hormone production or in sexuality in addition to the child bearing function of the uterus. Only approximately 1/3 of the women would feel of themselves as full women after a hysterectomy. Not quite 1/2 of the patients thought of the sterility following hysterectomy as a positive feeling and were more often accepting of the thought of a prophylactic hysterectomy (S 1%). Women who felt that they could talk about problems of their female genital organs with their partners had more often a negative attitude to prophylactic hysterectomy (S 1%). About 2/3 of the patients stated they would wish to have their partner present during a pre-operatitive discussion of a necessary hysterectomy. Only 1/4 of the patients were sure that a hysterectomy would not have a negative effect on their marital lives. Among the psychological factors, intelligence was of importance in the attitude to prophylactic hysterectomy. The more intelligent the woman, the more frequently she had a negative attitude to prophylactic hysterectomy (S 0.1%). There was no statistically significant correlation between personality factors according to Eysenck and the attitude to prophylactic hysterectomy. The older women more frequently accepted the thought of prophylactic hysterectomy (S 10%). The results were all tested statistically by the X2 method. A prophylactic hysterectomy should not be done without a thorough discussion of the attitudes and the expectational anxieties to such an operation.

Adult↗
PubMed1975

[Breast feeding and the relationship between mother and infant (author's transl)].

The attitude of 345 maternity patients to nursing was explored by a questionnaire. Psychological and sociological data were taken into account. 4/5 of the women expected that breast feeding would enhance the relationship between mother and infant. The least enhancing effect was expected by women under the age of 20 (S 5%). Knowledge on breast feeding was the most important factor governing the attitude toward nursing. The less women knew on breast feeding the rarer did they expect that nursing would be of importance for the relationship between mother and child (S 1%). Uninformed women often had the anxiety that breast feeding was not sufficient to nourish an infant (S 1%). Women who did not think that breast feeding was of importance in the relationship between mother and infant did also not think that it had other advantages such as protection against infection (S 1%). Women who had frequent so-called psychosomatic complaints were especially motivated in favor of breast feeding (S 1%).

Age Factors↗
PubMed1975

[Experiencing fetal movements. A psychologic investigation of 386 pregnant and recently delivered women (author's transl)].

During the first half of pregnancy fetal movement can be quite well assessed with the ultrasound technique. In the second half, however, one depends largely on the subjective comments of the women. Which are the factors influencing the experience of fetal movements? 386 pregnant women and those after delivery were sent a questionnaire including psychologic data. First fetal movements were clearly observed by about one third, weakly by about two thirds of patients. The intensity of this experience depended on the level of intelligence and the personality factor neuroticism. About three quarters of the women judged the first fetal movements to be very important, one quarter of only medium or minor importance. How significant these signs of pregnancy were for them, depended inter alia on their age, personality dimension extra-or introversion, the experience of gynecologic happenings, their attitude towards pregnancy, relations to their partner, attitude towards sexuality and their role as women. The results showed that registering and experiencing fetal movements depended too much on external social factors and on the personality of the women to be of use in assessing the fetus during the second half of pregnancy. They were tested for significance with the X2-method.

Adult↗