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Biomedical subjects

S B Jensen

Publications and source records attributed to S B Jensen.

At least 55 records · Page 3Linked to original sources
PubMed1986

Emotional aspects in a chronic disease: a study of 101 insulin treated diabetics.

Emotional considerations are crucial to the management of diabetes. These include the impact of diabetes on the patients' everyday life, and the impact of day-to-day stress. The role which the patient adopts - "healthy" or "sick" - is only partially related to the actual medical status. In this study we have focused on some of the long-standing emotional reactions related to diabetes, e. g. somatopsychological reactions. These reactions are common and some, such as reduced bodily self-esteem, sexual dysfunction and use of the disease as an alibi, are more common in men. The diabetics feel that some of these reactions are more common in themselves than in their partners. The symptoms correlate with acceptance of the disease. The risk of sexual dysfunction appears to be lower in the well-adjusted patient despite the possible presence of organic complications. In the management of diabetes these somatopsychological reactions must be treated in order to achieve the best possible medical status and an acceptable way of life for the individual and his/her family.

Adult↗
PubMed1985

Emotional aspects in diabetes mellitus: a study of somatopsychological reactions in 51 couples in which one partner has insulin-treated diabetes.

Fifty-one couples in which one partner has insulin-treated diabetes were studied in a combined questionnaire/interview procedure. Focus was the emotional aspects in having a chronic disease seen from both the patient's and the partner's point of view. The diabetics complained more often of fear and anxiety about future, fluctuations in mood and were finding their daily life more troublesome. Further the diabetics claimed to be more tired and diabetic males had more sexual concerns. We find the emotional considerations crucial to the management of diabetes and suggest better efforts should be made in coping with these problems including both the patient and the spouse.

Adaptation, Psychological↗
PubMed1985

Sexual relationships in couples with a diabetic partner.

This study assessed the quality of the sexual relationship in 51 couples that included a Type I diabetic partner (23 male and 28 female). Using traditional diagnostic criteria, the frequencies of sexual dysfunction was higher in diabetic than in healthy men, as in previous studies. Diagnosis based on a multiaxial system showed that both male and female diabetics had more arousal phase dysfunctions than did healthy spouses. Diabetics and healthy spouses were similar in terms of sexual initiative and discrepancies between sexual desire and activity levels. Although peripheral neuropathy was correlated with sexual dysfunction in diabetic men, a stronger predictive factor was a rating of the couple's acceptance of the diabetes. Nevertheless sexual dysfunction was blamed on the diabetes by 22 of 23 couples who had a sexual problem.

Adult↗
PubMed1985

Sexual dysfunction in men with alcoholic liver cirrhosis. A comparative study.

Sexual dysfunction in men with alcoholic cirrhosis was investigated in young (less than 56 years) outpatients with steady female partners. Sixty-one per cent (11/18) claimed sexual dysfunction, with erectile dysfunction and/or reduced sexual desire being the most common symptoms. Comparing patients with (n = 11) and without (n = 7) sexual dysfunction, no significant differences were found concerning a number of pertinent clinical variables. This should be interpreted with caution, however, owing to the small number of patients in each group. The prevalence and type of sexual dysfunction were not significantly different comparing alcoholic cirrhotic men to chronic alcoholic men without overt liver disease (matched for duration of alcoholism, age and duration of partnership) and to insulin-dependent diabetic men (matched for age and duration of partnership). However, all groups had a significantly (p less than 0.025) raised prevalence of sexual dysfunction when compared to men without chronic disease (matched for age and duration of partnership).

Adult↗
PubMed1985

Sexual dysfunction in younger insulin-treated diabetic females. A comparative study.

The presence of sexual dysfunction was studied comparatively in 80 insulin treated diabetic women, 26-45 years of age, and in an age-matched control group of women without chronic somatic disease or psychiatric illness. We found no significant difference in the incidence of sexual dysfunction between the two groups (27.5% and 25% respectively). In diabetics and controls, the most common symptom of sexual dysfunction was reduced libido (22.5% in both groups) while only 18% complained of orgasmic dysfunction. In diabetics, sexual dysfunction was not correlated to age and diabetes duration. Sexual dysfunction was correlated to peripheral neuropathy but not to retinopathy, nephropathy, reduced beat-to-beat variation, regulation quality, insulin treatment and age at diabetes onset. Nearly half the patients reporting sexual dysfunction were without any late diabetic complications, indicating the influence of psychosocial factors. Somatopsychic reactions (emotional reactions to somatic disease) seem to be of relevance, although diabetic women may have less problems in this area than diabetic men. A better acceptance of the disease might partly explain the difference in sexual complications between diabetic males and females. Diabetic women and their partners should be offered, at least once a year, the possibility to discuss interpersonal relationships and the emotional aspects of living with diabetes. Most sexual problems should be handled in the diabetes clinic and only selected cases referred for sex therapy.

Adult↗
PubMed1984

Glomerular filtration rate during lithium therapy. A longitudinal study.

In order to investigate the side effect of lithium on renal function the glomerular filtration rate (GFR) was measured before (to) and after a mean of 16.5 months (t1) (range 12-25 months) lithium treatment in 13 consecutive patients aged 32-67 years (mean age 46 years). The patients had a normal renal function before the treatment was started; none of them had previously been treated with lithium. During treatment GFR (ml/min) fell from 101.9 to 98.3 which was not significant. However, standard-GFR (ml/min/1.73 m2) fell from 88.4 to 84.8 (P less than 0.05) mainly due to a significant rise in body weight and estimated surface area during treatment. No significant changes appeared in plasma creatinine. It is concluded that lithium therapy for a mean of 16.5 months does not affect the glomerular filtration rate; but considerably longer observations of GFR during lithium therapy should be done by means of a reliable GFR measurement method.

Adult↗
PubMed1984

Sexual function and dysfunction in younger married alcoholics. A comparative study.

Sexual dysfunction in male and female alcoholic addicts was evaluated in a comparative study of 60 married alcoholics and an age-matched control group from a general practitioner's clinic. 63% of the alcoholic men reported sexual dysfunction - mainly erectile and libido disorders - compared with 10% in the control group. The frequency of sexual dysfunction in alcoholic women did not differ from that in controls. Approximately 25% of the women who reported sexual dysfunction had reduced libido. The male alcoholics claim the aversive treatment, (Antabus), to be the causative factor, and considered their problem began as soon as they started treatment. There was no change in masturbation or coital frequency in the month before and after initiation of treatment. The study discusses present knowledge of relevant etiological factors in sexual function and dysfunction in alcoholics - implicating a multifacetted therapeutic approach.

Adult↗