Sexual dysfunction in the climacteric period and associated factors / Disfunção sexual no climatério e fatores associados

Abstract Objectives: to evaluate associated factors with sexual dysfunction among middle-aged women. Methods: cross-sectional and analytical study was carried out with climacteric women attended at a Family Health Strategy Unit in the city of Montes Claros, MG. Brazil. The eligible women answered a question form containing sociodemographic, behavioral, anthropometric, gynecological factors and sexuality. The Body Mass Index and waist circumference were used to assess nutritional status and metabolic risk. To evaluate quality of life and sexual performance the Menopause Rating Scale and the Sexual Quotient - Female Version were used, respectively. Bivariate analysis and hierarchical multiple regression were used to identify associated factors with sexual dysfunction in the climacteric period. Results: among 195 women, 29.6% had sexual dysfunction. The prevalence of unsatisfactory sexual performance was higher among women who reported moderate to severe climacteric symptoms (OR=2.47) and lower schooling level was also associated (OR=1.95). However, age at menarche below 12 years (OR=0.43) and non-white (OR=0.36) seem to have a protective effect for good sexual performance. Conclusion: the prevalence of sexual dysfunction was high and the level of schooling and climacteric symptomatology were associated factors with this outcome.

Resumo Objetivos: avaliar os fatores associados à disfunção sexual entre as mulheres de meia-idade. Métodos: estudo de corte transversal e analítico realizado com mulheres climatéricas atendidas em uma Unidade de Estratégia de Saúde da Família no município de Montes Claros-MG, Brasil. As mulheres elegíveis responderam a um formulário contendo questões sociodemográficas, comportamentais, antropométricas, fatores ginecológicos e sexualidade. Utilizou-se o Índice e Massa Corporal e a circunferência da cintura para avaliar o estado nutricional e risco metabólico. Para avaliar a qualidade de vida e o desempenho sexual foram utilizados a Menopause Rating Scale e o Quociente Sexual -Versão Feminina, respectivamente. Empregou-se análise bivariada e regressão múltipla hierarquizada para identificar fatores associados à disfunção sexual no climatério. Resultados: dentre 195 mulheres, 29,6% apresentaram disfunção sexual. A prevalência de desempenho sexual insatisfatório foi maior entre as mulheres que declararam sintomas climatéricos moderados a graves (OR = 2,47) e o menor grau de escolaridade (OR = 1,95). No entanto, a idade da menarca abaixo de 12 anos (OR = 0,43) e a cor de pele não branca (OR = 0,36) parecem ter efeito protetor para o bom desempenho sexual. Conclusão: a prevalência de disfunção sexual foi elevada e o nível de escolaridade e a sintomatologia climatérica foram fatores associados a esse resultado.

Getting Psychology Back Onto Its Feet: the Developmental View of James Mark Baldwin.

The purpose of this article is to provide a general view of Baldwin's evolutionary theory on the interaction between ontogenesis and phylogeny processes and on the imitative reactions and its social implications in mental development. The focus is on the organic selection model as complementary developmental view to what has been posed by the target article of Zagaria et al. (Integrative Psychological and Behavioural Sciences, 2020) about evolutionary psychology understood as meta-theoretical perspective to resolve the nature-nurture dialectics.

The Cases of Lumbago and Numbness of Legs Successfully Treated with Saikokaryukotsuboreito / 日本東洋医学雑誌

The low back pain is often intractable and leads to the drop of the daily living activity. These symptoms are good indications of Kampo medicine. We report 5 cases of low back pain that saikokaryukotsuboreito treatment succeeded regardless of psychogenetic presence. These patients complained of low back pain and lower melagra or numbness of limbs. Four of 5 cases did not have any psychogenetic presence. After administration of saikokaryukotsuboreito, their pain decreased and walking distance was improved in to 4 weeks and analgesics were not required. Generally, saikokaryukotsuboreito is prescribed for patients with psychogenetic symptoms, but these treatments based on abdominal patterns were effective even if they do not have subjective psychogenetic symptoms. Saikokaryukotsuboreito may be the differential prescription for such low back pain cases.

Síndrome de Gardner-Diamond. Presentación de un caso / Gardner-Diamond syndrome: A case report

RESUMEN El sindrome de Gardner- Diamond conocido también como púrpura psicógena o síndrome de autosensibilización eritrocitaria es muy poco frecuente. Se presenta el caso de un hombre de 50 años, blanco, ingresado en el Servicio de Medicina Interna del Hospital Clínico Quirúrgico Docente "Faustino Pérez Hernández" por síndrome febril agudo, cefalea holocraneana, epistaxis y hemolacria. En el examen físico realizado se notó la salida de lágrimas con sangre, por el ángulo interno de ambos ojos y epistaxis. La inyección intradérmica en la cara dorsal del muslo izquierdo de 0,1 mL de sangre autóloga, no indujo reacción equimótica. La inyección de 0,1 mL de solución salina al 0,9 % como control en el muslo contralateral resultó negativa. Sobre la base del examen clínico y otras pruebas, se concluyó como un Síndrome de Gardner-Diamond. Esta infrecuente enfermedad debe ser considerada en el diagnóstico diferencial de un síndrome purpúrico de etiología no bien precisada, fundamentalmente en pacientes con problemas psiquiátricos (AU).

ABSTRACT The Gardner-Diamond syndrome, also known as psychogenetic purpura or erythrocyte autosensitization syndrome is very few frequent. The case of a white patient aged 50 years is presented. He entered the Service of Internal Medicine of the Teaching Clinic-surgical Hospital "Faustino Pérez Hernández" because of an acute fever syndrome, holocraneal headache, epistaxis and haemolacria. At the physical examination it was stated the flow of tears with blood, through the internal angle of both eyes and epistaxis. The intradermal injection of 0.1 ml of autologous blood in the left thigh dorsal side did not induce an ecchymotic reaction. The injection of 0.1 ml of 0.9 % saline solution as control in the contralateral side was negative. On the basis of the clinical examination and other tests, the authors arrived to the conclusion it is a Gardner-Diamond syndrome. This infrequent disease should be considered in the differential diagnosis of a purpuric syndrome of non-good précised etiology, mainly in patients with psychiatric problems (AU).

Síndrome de Gardner-Diamond. Presentación de un caso / Gardner-Diamond syndrome: A case report

RESUMEN El sindrome de Gardner- Diamond conocido también como púrpura psicógena o síndrome de autosensibilización eritrocitaria es muy poco frecuente. Se presenta el caso de un hombre de 50 años, blanco, ingresado en el Servicio de Medicina Interna del Hospital Clínico Quirúrgico Docente "Faustino Pérez Hernández" por síndrome febril agudo, cefalea holocraneana, epistaxis y hemolacria. En el examen físico realizado se notó la salida de lágrimas con sangre, por el ángulo interno de ambos ojos y epistaxis. La inyección intradérmica en la cara dorsal del muslo izquierdo de 0,1 mL de sangre autóloga, no indujo reacción equimótica. La inyección de 0,1 mL de solución salina al 0,9 % como control en el muslo contralateral resultó negativa. Sobre la base del examen clínico y otras pruebas, se concluyó como un Síndrome de Gardner-Diamond. Esta infrecuente enfermedad debe ser considerada en el diagnóstico diferencial de un síndrome purpúrico de etiología no bien precisada, fundamentalmente en pacientes con problemas psiquiátricos.

ABSTRACT The Gardner-Diamond syndrome, also known as psychogenetic purpura or erythrocyte autosensitization syndrome is very few frequent. The case of a white patient aged 50 years is presented. He entered the Service of Internal Medicine of the Teaching Clinic-surgical Hospital "Faustino Pérez Hernández" because of an acute fever syndrome, holocraneal headache, epistaxis and haemolacria. At the physical examination it was stated the flow of tears with blood, through the internal angle of both eyes and epistaxis. The intradermal injection of 0.1 ml of autologous blood in the left thigh dorsal side did not induce an ecchymotic reaction. The injection of 0.1 ml of 0.9 % saline solution as control in the contralateral side was negative. On the basis of the clinical examination and other tests, the authors arrived to the conclusion it is a Gardner-Diamond syndrome. This infrequent disease should be considered in the differential diagnosis of a purpuric syndrome of non-good précised etiology, mainly in patients with psychiatric problems.

Effects of morphine on place conditioning and ERK1/2 phosphorylation in the nucleus accumbens of psychogenetically selected Roman low- and high-avoidance rats.

RATIONALE: Extracellular signal-regulated kinase (ERK1/2) phosphorylation is critical for neuronal and behavioural functions; in particular, phosphorylated ERK1/2 (pERK1/2) expression in the nucleus accumbens (Acb) of the rat is stimulated by addictive drugs with the exception of morphine, which decreases accumbal ERK1/2 phosphorylation in the Sprague-Dawley and Wistar rats. The psychogenetically selected Roman low- (RLA) and high-avoidance (RHA) rats differ behaviourally and neurochemically in many responses to addictive drugs. In particular, morphine elicits a greater increment in locomotor activity and in dopamine transmission in the Acb of RHA vs RLA rats. However, the effects of morphine on place conditioning (conditioned place preference (CPP)) and ERK1/2 phosphorylation in the Roman lines remain unknown. OBJECTIVES AND METHODS: To characterize in the Roman lines the reinforcing properties of morphine (i.e. morphine-elicited CPP acquisition) and the relationship between these properties and its effects on ERK1/2 phosphorylation in the Acb, the behavioural effects of morphine were evaluated in a place-conditioning apparatus and ERK1/2 phosphorylation was assessed by immunohistochemistry in the shell and core subregions of the Acb of rats both acutely administered with morphine or undergoing conditioning. RESULTS: Morphine elicited CPP in both Roman lines and decreased pERK1/2 expression in the Acb of RLA but not RHA rats. Such decrease was prevented by conditioning. CONCLUSIONS: These findings indicate that the selective breeding of the Roman lines has generated a divergence, in terms of morphine-elicited pERK1/2 expression but not of morphine-elicited CPP, between RLA and RHA rats and sustain the observation that changes in pERK1/2 expression in the Acb are not a requisite for the reinforcing effects of morphine.

Differential effects of cocaine on extracellular signal-regulated kinase phosphorylation in nuclei of the extended amygdala and prefrontal cortex of psychogenetically selected Roman high- and low-avoidance rats.

Roman high (RHA)- and low (RLA)-avoidance rats are selectively bred for rapid vs. poor acquisition of active avoidance, respectively, and differ markedly in emotional reactivity, coping style, and behavioral and neurochemical responses to morphine and psychostimulants. Accordingly, acute cocaine induces more robust increments in locomotion and dopamine output in the nucleus accumbens shell (AcbSh) of RHA than of RLA rats. Cocaine induces short- and long-term neuronal plasticity via activation of the extracellular signal-regulated kinase (ERK) pathway. This study compares the effects of acute cocaine on ERK phosphorylation (pERK) in limbic brain areas of Roman rats. In RHA but not RLA rats, cocaine (5 mg/kg) increased pERK in the infralimbic prefrontal cortex and AcbSh, two areas involved in its acute effects, but did not modify pERK in the prelimbic prefrontal cortex and Acb core, which mediate the chronic effects of cocaine. Moreover, cocaine failed to affect pERK immunolabeling in the bed nucleus of stria terminalis pars lateralis and central amygdala of either line but increased it in the basolateral amygdala of RLA rats. These results extend to pERK expression previous findings on the greater sensitivity to acute cocaine of RHA vs. RLA rats and confirm the notion that genetic factors influence the differential responses of the Roman lines to addictive drugs. Moreover, they support the view that the Roman lines are a useful tool to investigate the molecular underpinnings of individual vulnerability to drug addiction.

Apresentações na ANPED que fazem referência a Henri Wallon estudo exploratório / Papers presented at the ANPED that refer to Henri WallonExploratory study / Presentaciones en la ANPED que hacen referencia a Henri WallonEstudio exploratorio

Neste artigo apresenta-se, a partir de um levantamento de cunho documental, de que forma a teoria de Henri Wallon e/ou seus estudos têm sido apresentados nas reuniões da Associação Nacional de Pós-Graduação e Pesquisa em Educação (ANPED), no período de 2000 a 2012. O propósito deste trabalho é contribuir com os estudiosos da Psicologia e da Educação, especialmente aqueles dedicados à psicogenética walloniana. A partir do levantamento junto aos 5424 trabalhos nos grupos de trabalho (GT) da ANPED do referido período, realizou-se a busca daqueles que continham a teoria walloniana por meio dos indicadores Wallon, psicogenética e afetividade. Foram identificados 75 trabalhos, dos quais 32 estudos continham Wallon como autor principal e 43 outros em que o autor era citado para complementar ideias de outros estudiosos. O GT07 – Educação de Crianças de 0 a 6 anos – e o GT20 – Psicologia da Educação – foram os grupos de trabalho cujos textos mais fizeram referência a Wallon. Em outros grupos de trabalho, ainda que de maneira menos expressiva, observou-se o surgimento de um olhar voltado à psicogenética walloniana. O presente levantamento permitiu verificar que a teoria de Wallon, que entende o ser humano de forma completa e integrada, pode transitar por diferentes pesquisas e estudos cuja proposta seja a compreensão do desenvolvimento humano.

This paper presents how Henri Wallon’s theory and his studies have been presented at Associação Nacional de Pós-Graduação e Pesquisa em Educação (ANPED) meetings in the period 2000-2012, based on a documentary survey. It aims to help Psychology and Education researchers, especially those interested on Wallon´s psychogenetic theory. From the total of 5424 productions, 75 have mentioned Wallon: in 32 he appeared as the main author and in 43 his ideas were used to complement another author theory. The GT07 Educação de crianças de 0 a 6 anos and GT20 Psicologia da Educação were working groups whose texts have cited Wallon more times. In others work groups (GT) walloniana psychogenetic was less observed. This survey has shown that the Wallon’s theory, that understands the person in an integrated manner, can go through different research and studies that have proposed to the understanding of human development.

Este artículo presenta, a partir de un levantamiento de carácter documental, de qué forma los estudios de Henry Wallon han sido presentados en las reuniones de la Asociación Nacional de Pos Grado e investigación en educación (ANPED) en el periodo de 2000 a 2012. El propósito de este trabajo es contribuir con los estudiosos de sicología y de educación, especialmente con aquellos dedicados a la sicogenética walloniana. A partir del levantamiento realizado junto a los 5424 trabajos en los grupos (GT) de la ANPED en el referido periodo, se realizó la búsqueda de aquellos que incluían la teoría walloniana por medio de los indicadores Wallon, sicogenética y afectividad. Fueron identificados 75 trabajos de los cuales 32 de ellos incluían Wallon como autor principal y en 43 trabajos el autor era citado para complementar ideas de otros estudiosos. El GT07 – Educación de niños de 0 a 6 años – y el GT20 – Sicología de la Educación – fueron los grupos de trabajo cuyos textos hicieron más referencia a Wallon. En otros grupos de trabajo, aunque de forma menos expresiva, se observó el nacimiento de una mirada direccionada hacia la sicogenética walloniana. El presente levantamiento permitió verificar que la propuesta de Wallon, que entiende al ser humano de forma completa e integrada, le permite transitar por diferentes trabajos de investigación y estudios que tengan como propuesta la comprensión del desarrollo humano.

Apresentações na ANPED que fazem referência a Henri Wallon estudo exploratório / Papers presented at the ANPED that refer to Henri WallonExploratory study / Presentaciones en la ANPED que hacen referencia a Henri WallonEstudio exploratorio

Neste artigo apresenta-se, a partir de um levantamento de cunho documental, de que forma a teoria de Henri Wallon e/ou seus estudos têm sido apresentados nas reuniões da Associação Nacional de Pós-Graduação e Pesquisa em Educação (ANPED), no período de 2000 a 2012. O propósito deste trabalho é contribuir com os estudiosos da Psicologia e da Educação, especialmente aqueles dedicados à psicogenética walloniana. A partir do levantamento junto aos 5424 trabalhos nos grupos de trabalho (GT) da ANPED do referido período, realizou-se a busca daqueles que continham a teoria walloniana por meio dos indicadores Wallon, psicogenética e afetividade. Foram identificados 75 trabalhos, dos quais 32 estudos continham Wallon como autor principal e 43 outros em que o autor era citado para complementar ideias de outros estudiosos. O GT07 – Educação de Crianças de 0 a 6 anos – e o GT20 – Psicologia da Educação – foram os grupos de trabalho cujos textos mais fizeram referência a Wallon. Em outros grupos de trabalho, ainda que de maneira menos expressiva, observou-se o surgimento de um olhar voltado à psicogenética walloniana. O presente levantamento permitiu verificar que a teoria de Wallon, que entende o ser humano de forma completa e integrada, pode transitar por diferentes pesquisas e estudos cuja proposta seja a compreensão do desenvolvimento humano.(AU)

This paper presents how Henri Wallon’s theory and his studies have been presented at Associação Nacional de Pós-Graduação e Pesquisa em Educação (ANPED) meetings in the period 2000-2012, based on a documentary survey. It aims to help Psychology and Education researchers, especially those interested on Wallon´s psychogenetic theory. From the total of 5424 productions, 75 have mentioned Wallon: in 32 he appeared as the main author and in 43 his ideas were used to complement another author theory. The GT07 Educação de crianças de 0 a 6 anos and GT20 Psicologia da Educação were working groups whose texts have cited Wallon more times. In others work groups (GT) walloniana psychogenetic was less observed. This survey has shown that the Wallon’s theory, that understands the person in an integrated manner, can go through different research and studies that have proposed to the understanding of human development.(AU)

Este artículo presenta, a partir de un levantamiento de carácter documental, de qué forma los estudios de Henry Wallon han sido presentados en las reuniones de la Asociación Nacional de Pos Grado e investigación en educación (ANPED) en el periodo de 2000 a 2012. El propósito de este trabajo es contribuir con los estudiosos de sicología y de educación, especialmente con aquellos dedicados a la sicogenética walloniana. A partir del levantamiento realizado junto a los 5424 trabajos en los grupos (GT) de la ANPED en el referido periodo, se realizó la búsqueda de aquellos que incluían la teoría walloniana por medio de los indicadores Wallon, sicogenética y afectividad. Fueron identificados 75 trabajos de los cuales 32 de ellos incluían Wallon como autor principal y en 43 trabajos el autor era citado para complementar ideas de otros estudiosos. El GT07 – Educación de niños de 0 a 6 años – y el GT20 – Sicología de la Educación – fueron los grupos de trabajo cuyos textos hicieron más referencia a Wallon. En otros grupos de trabajo, aunque de forma menos expresiva, se observó el nacimiento de una mirada direccionada hacia la sicogenética walloniana. El presente levantamiento permitió verificar que la propuesta de Wallon, que entiende al ser humano de forma completa e integrada, le permite transitar por diferentes trabajos de investigación y estudios que tengan como propuesta la comprensión del desarrollo humano.(AU)

Psychogenetics of post-traumatic stress disorder: a short review.

Post-traumatic stress disorder is a commonly overlooked psychiatric disorder due to the heterogeneity of symptoms that may simulate many other psychiatric disorders. Such heterogeneity of manifestations may be explained by the multifaceted nature of the different neurotransmitters, endocrinologic axis, and their genetic basis, that are implicated in the etiology. Although this disorder has been studied from many different perspectives, its etiology is still enigmatic. This minireview demonstrates, in brief, that different susceptibility genes are associated with post traumatic stress disorder.