ABSTRACT
Introduction: The consensus on recovery from alcohol use disorder (AUD) has shifted toward encompassing psychological wellbeing and quality of life dimensions. However, few studies have explored the long-term recovery process and its dimensions, timing, styles, and modes. The aim of this study was to investigate the extent, timing, and process of psychological wellbeing and quality of life recovery in alcohol use disorder (AUD) patients, as well as the relationship with classic dimensions of AUD recovery. Method: A cross-sectional study has been carried out with 348 participants with AUD, in different abstinence periods (1 month-28 years), and 171 control subjects. Participants underwent a psychological evaluation, which included self-informed measures of psychological wellbeing, quality of life, negative emotionality, and coping strategies related to alcohol consumption avoidance. Statistical analysis included linear and non-linear regression models between psychological dimensions and maintenance of abstinence, as well as matching the scores of the sample with AUD to those of controls. Scatter plots were used to explore inflection points. In addition, mean comparison tests were performed between participants with AUD and controls and by gender. Results: In general, according to the regression models, there were pronounced increases in indices of wellbeing and coping strategies (and pronounced decreases in negative emotionality) during the first 5 years of abstinence, followed by less pronounced improvements. The matching of AUD subjects in wellbeing and negative emotionality indices with controls occurs at different times: (a) 1 year or less: physical health; (b) 1-4 years: psychological health; (c) 4-10 years: social relationships, wellbeing, and negative emotionality; and (d) more than 10 years: autonomy and self-acceptance. There are statistically significant differences by gender for the negative emotionality and physical health variables. Conclusion: Recovery from AUD is a long process that involves improvements in wellbeing and quality of life. Four stages can be described in this process, with the most pronounced changes occurring during the first 5 years of abstinence. However, AUD patients take more time to obtain similar scores to controls in several psychological dimensions.
ABSTRACT
Fundamento: No existe un consenso sobre las repercusiones que tienela infertilidad sobre la sexualidad. La infertilidad se considera unfactor de alto riesgo para las disfunciones sexuales masculinas y femeninas.Objetivo: Analizar la vivencia de la sexualidad en hombres y mujeresen tratamiento de infertilidad en el Hospital «12 de Octubre» de Madrid.Material y método: Se realizó un estudio observacional, descriptivoy transversal a las mujeres y hombres en tratamiento en la consulta deesterilidad de dicho hospital, entre noviembre de 2007 y abril de 2008.Las mujeres y los hombres respondían al instrumento de medida utilizado:en las mujeres se determinó el índice de función sexual femenina(FSFI) y en los hombres al índice de función eréctil (IIEF).Resultados: Se repartieron 196 cuestionarios, a los que respondieronel 75,25% (n= 73) de los varones y el 81,63% (n= 80) de las mujeres.Para la exposición de resultados se agruparon las variables en sietebloques: satisfacción sexual, deseo, orgasmo, frecuencia sexual, excitación,lubricación y dolor. Como resultado significativo (p <0,001) destacóla diferencia entre hombres y mujeres respecto a los aspectos de satisfacciónen su vida sexual, el nivel de excitación y la frecuencia de (..) (AU)
Background: There is no consensus about the impact of infertility insexuality. Infertility is considered a high risk factor of female and malesexual dysfunction.Objective: To analyze the sexuality in women and men in infertilitytreatment at the Hospital 12 de Octubre.Material and methods: An observational, descriptive and transversalstudy was performed focused on women and men in sterility treatmentat the Hospital 12 de Octubre in Madrid between November2007 and April 2008. Women and men responded to the used instrument:the International Index of Erectile Function (IIEF) questionnairefor men, and the Female Sexual Function Index (FSFI) questionnairefor women.Results: 196 questionnaires were distributed. The men answered75.25% (73) and women 81.63% (80). For the presentation of the results,were grouped in different variables: sexual satisfaction, desire, orgasm,sexual frequency, excitation, lubrication, and pain. As significantresults (p <0.001) the difference between men and women related tosexual life satisfaction, level of excitation and orgasm frequency washighlighted. This study also analyzed the relationships between thesevariables and the independent variables (AU)
