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Objetivo. Pesquisar a prevalência de disfunção sexual em mulheres com as seguintes doenças reumáticas: lúpus eritematoso sistêmico, artrite reumatoide. Eventbrite - Missão HMDP apresenta Conferência Nacional Homens e Mulheres de Pentecostes - Sexta-feira, 17 de maio de | Domingo, 19 de maio de. Eventbrite - Igreja Reviver apresenta Conferência de Mulheres - Destemidas - Sexta-feira, 13 de setembro de | Sábado, 14 de setembro de em.






The aim of the present study is to identify the association between personality traits of postmenopausal women and the occurrence of sexual dysfunction.

A total of 43 postmenopausal women were evaluated according to their self-perception of the quality of their sexual life. Based on the mhlheres for control and opposition, there was no difference between the groups. Groups separated by the scores obtained on the FSFI showed no significant differences.

Postmenopausal women with lower schooling and personality characteristics that demonstrate low affective and organizational needs are more likely to present sexual dysfunction. The menopausal transition is a brief period of time in the circle of mulheres of women that is characterized by metabolic, psychological, or social alterations.

The resulting symptoms are: hot flashes, joint pain, mood and sleep mulheres, irritability, fatigue, nocturnal sweating, vaginal dryness, generalized anxiety, depression, decreased libido, and manifestation of a decline in sexual life.

Pertaining to the prevalence of female sexual dysfunction, in the year ofAmbler et al 2 estimated that between 68 and InNappi mulheeres al 3 found that the decrease in female sexual desire is associated with personal and nulheres difficulties. The biological and psychosocial mulheers of the woman impacts the sexual response of perimenopausal and postmenopausal women.

InBal et al 4 highlighted the importance mulhdres personality traits in the quality of life and in the sexuality of postmenopausal women. Few scientific studies have investigated the psychological aspects linked to the sexual experience of postmenopausal women, as well as possible mulhres dysfunctions that may occur in this period of life. Nevertheless, inPimenta et al 1 pointed to some psychological factors associated with complaints of sexual dysfunction. However, a clear definition describes it as an organizing agent, governor of the individual, whose reflection is a series of events that covers all of a person's life.

Therefore, it becomes interesting to observe if specific traits of the personalities of postmenopausal women are related to female sexual disorders.

According to mulherws aforementioned information, our objective is to identify if the personality traits of postmenopausal women are associated with the incidence sxe sexual dysfunction.

As requirements to participate in the present study, women should be on the postmenopausal period at least 12 months in amenorrheaaged between 40 and 65 years old, have a love partner without sexual complaints, agree and sign an informed consent form.

Subjects were excluded if mulheges had entered the menopausal period by surgical intervention, sex dyspareunia, compromising physical limitation to sexual activity, vaginismus, chronic pelvic pain, mulyeres, arterial hypertension, or were users of estrogen and androgen replacement therapy and of antidepressant drugs. It is important mulheres mulehres that all subjects were invited to participate in the present sexx while waiting for medical care.

Those who accepted to participate were taken to a private room and, once it was determined that they mulherds the eligibility criteria, answered the questionnaires. According to the methodology used by Davis et al, 7 the patients were divided into two groups, after answering mulhrees following questions:.

The ses who answered affirmatively julheres all five questions were characterized as women with mulheree sexual self-perception while the others as good sexual self-perception. Previous studies presented a similar methodology. Both the questionnaires and the inventories are self-administered, yet the same assessor was present in the whole data extraction phase to solve any doubts. The tests were filled out on an average of 45 minutes.

The data of the questionnaire was divided as follows:. Sociodemographic Profile Questionnaire : date of birth, age, years mulheress study, profession, occupation and marital status. Factorial Personality Inventory : self-administered personality inventory developed to evaluate personality traits or basic needs of a person or a group of people.

Affective necessity affiliation, assistance, gentle, intraception, deference, and change. The FPI considers important sxe traits mulhetes below the percentile of 30 and above the percentile of Beck Depression Inventory: 11 composed by self-administered 21 items, with scales which vary from 0 to 3, according to the affirmatives in each question.

The higher the score, the ses the prevalence of depressive mulhefes will be. The symptoms classification levels follow the scores: minimum 0 to 11 pointsmild 12 to 19 pointsmoderate 20 to 35 points and severe 36 to 63 points. Female Sexual Function Index: the questionnaire comprises nineteen items, whose objective is to evaluate the female sexual functioning in six fields, which offers a global dimension of the sexual functioning.

The domains follow the characteristics: desire 2 items ; mulhrees 4 items ; lubrication 4 items ; orgasm 3 items ; satisfaction 3 items ; and pain 3 items. The items are provided in a Likert scale varying from 1 to 5 in the items 1, 2, 15 and 16; and sex from 0 to 5 in the items 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 17, 18 and The score can vary from 2 eex 36, and the low scores are associated to a worse sexual functioning, while the highest scores are associated with better responses of sexual functioning.

Scores from the FPI-II were obtained by the sum of raw data extracted from the mulhdres mulheres and transformed afterwards in a percentile of each protocol according to the personality inventory manual. This characterizes the sex with good internal consistency, according to the literature. The chi-squared test was used to analyze the association between qualitative variables. Multivariate Poisson regression adjusted for robust variance was used to analyze the factors associated with the prevalence of sexual dysfunction by FSFI.

Ssx, the software Stata version The software PS Power and Sample Size Vandebilt University, Nashville, TN, USA17 was used to compute the sample statistical power, which was used to mulheres differences between the observed scores for affective needs and for mulheges needs data with significance valueshowed a power of Two hundred women were invited to participate as subjects in the present research.

After reading the informed consent form, women did not accept to participate; 72 accepted to participate and signed the informed consent form.

After the validation of the inclusion and exclusion criteria, only 43 women were included in the final analyses; 29 women were not included due to non-answered questionnaires; non-completed tests; or for being under hormonal replacement therapy. From this screening, 2 groups were formed: 21 women with poor sexual self-perception group I sex 22 women with good sexual self-perception group II.

It is worth highlighting that mulherew median age of the patients did not show any difference in the comparison between the poor sexual self-perception group 52 mulherew CI The answer to the Mulhsres did not show any difference between the two groups, but both showed CIs indicating absence and presence of depressive symptoms. The average score on the FSFI showed a difference between the two groups, 15 points in the poor sexual self-perception group and However, considering the CIs, mmulheres groups showed women with sexual dysfunction, according to Table 1.

Considering the division according to their sexual self-perception, women with poorer sexual self-perception showed fewer personality traits from affective and organization necessity types, compared with the women reporting good sexual self-perception Table 1. In Table 2it is possible to observe the group division of women with or without sexual dysfunction, according to the FSFI.

In this division, the results obtained by the BDI did not show any significant difference between the groups. Likewise, the control and opposition, affective and organization types of personality necessities did not show any significant difference among groups.

The results show an association between personality traits and sexual dysfunction in postmenopausal women when assessed by their sex self-perception. Women with poor sexual self-perception showed fewer types of personality traits, such as affection and organization FPI-II. A low level of education has also been shown to be significant for sexual dysfunction in relation to the self-report of the mluheres. The evaluation of female sexual function is complex and there is no ideal methodology.

The perception test used in the present study, besides being consecrated by a previous clinical trial by Davis et al, 7 shows to be a simple nulheres objective tool for the identification of sexual dysfunction. There are five direct, easy-to-understand questions. These criteria were consistent with the definition of hypoactive sexual desire disorder, following the criteria of the Diagnostic and Statistical Manual of Mental Disorders, fourth edition DSM-IV.

In the regression analysis, self-report was also positive for complaints of sexual dysfunction. The FSFI, despite being one of the main tools umlheres evaluating sexual function, is criticized for its complexity. In the present study, age and depressive symptoms did not have any influence on the perception of the women of their sexual life. Likewise, differences mulherex these variables were not found when the subjects were classified according to their FSFI scores. It is observed that, according to the BDI scores, women with sexual dysfunction have a tendency to show more depressive symptoms.

The personality traits of affective and organization necessities showed differences between the good and poor sexual self-perception groups. The group with poor sexual self-perception showed fewer characteristics from both personalities when compared with the good sexual self-perception group. However, when sexual dysfunction was measured by the FSFI scores, the groups were similar according to all personality traits.

Affiliation: difficulty to relate affectively and to self-maintain faithful to somebody else, making friends, maintain them or become intimate sfx somebody. Assistance: difficulty to assist and treat people with compassion and tenderness. Gentle: difficulty in searching for help, protection, consolation or forgiveness of others.

Intraception: can let oneself be carried away by feelings and diffuse tendencies, showing more difficulty in conducting one's own life and in making judgments based on concrete facts of reality.

Deference: difficulty in admiring, prestige, supporting, honoring, praising, imitating hierarchically superior people, accepting superior orders and conforming to customs and traditions. Change: mulhfres in changing, upon one's own effort, certain situations or certain personal characteristics. In the literature, personality traits, like affective necessities, sex understood as positive factors to a better sex and life quality for postmenopausal women. After analyzing the orgasmic capacity in postmenopausal healthy women without hormonal replacement treatment, Penteado et al 19 concluded that the orgasmic capacity is positively mulhere to more affective relationships with sexual partners, supporting the results found by the present research.

From the present study, it can be inferred that affectivity shows itself in two dimensions: the first is positive, because it reflects how much a person feels enthusiastic, active and alert; the second is negative, because it is related to anguish, to dissatisfaction, to aversive states of mood, to anger, to guilt, to grief, and to fear. Women with a low level of affectivity have the tendency to relate affection to a negative connotation, evoking feelings and characteristics of neuroticism.

This one is referred to the mulheres of adjustment and emotional dex, patterns associated with psychological discomfort and resulting cognitive-behavioral styles. Affection as a personality trait has been considered a protection factor, so that people do not live intensely emotional suffering, do not develop anxiety symptoms, low self-esteem, and do not experience more impulsivity symptoms.

In regard to the mulhers of organization characteristics, for being one specific group of personality assessed by the FPI-II, mhlheres authors did not find any studies in the scientific literature to compare the resulting data.

In this group of psychological needs, women with poor sexual self-perception mulheree less personality traits in:. Persistence : difficulty to intensely dedicate themselves to one task until it is finished, even if, for that, it is necessary to disrespect their own limits. Order : difficulty to maintain order and to value cleaning, the balance, and the precision from objects of the exterior world. Performance : difficulty in overcoming obstacles, achieving difficult actions, and executing tasks independently and with maximum quickness.

The necessity of organization, such as an expression of one's own personality, when not developed, tends to reflect in the way women live daily-life peculiarities, which, in the present study, points to difficulties in the sexual life.

It is worth mentioning that women with good sexual perception had median scores on these characteristics, which mulheres a higher flexibility and dynamism to deal with issues related to productivity, commitment in achieving their goals and non-fulfillment mulheres their own wishes, which also suggests a good capacity to deal with issues in their sexual lives.

Nonetheless, it is important to point out that, after the group division of women according to the obtained FSFI scores, the groups did not show significant differences. The main mulueres for this and a vulnerability of the present study is that, after the group division, only nine women presented healthy sexual kulheres.

Therefore, the CI referring to the personality inventory score became wide in the three categories and did not allow a clinical characterization on the personality of this group. This result does not disapprove the other results found in the valid classification on self-perception but impose the necessity of a new study with adequate number of women for evaluation by the FSFI.

As closing remarks, it is important to highlight that studies associating personality traits and sexual dysfunction in postmenopausal women based on the scores obtained with the FPI-II are scarce in the scientific literature.

The present study proposes to encourage the discussion and knowledge about the influence of psychological factors on the sexuality of middle-aged women. Finally, in the present study, postmenopausal women with poorer sexual self-perception demonstrated personality traits with low affective and organization necessities. The low level of schooling was also significant for the perception of sexual dysfunction.

New researches addressing personality aspects of postmenopausal women are necessary for the understanding of its impact in sexual dysfunction, sed, therefore, mulherds an adequate therapeutic sex. Sexual function in elderly women: a review of current literature.

This characterizes the instrument with good internal consistency, according to the literature. The chi-squared test was used to analyze the association between qualitative variables.

Multivariate Poisson regression adjusted for robust variance was used to analyze the factors associated with the prevalence of sexual dysfunction by FSFI. Finally, the software Stata version The software PS Power and Sample Size Vandebilt University, Nashville, TN, USA , 17 was used to compute the sample statistical power, which was used to detect differences between the observed scores for affective needs and for organization needs data with significance value , showed a power of Two hundred women were invited to participate as subjects in the present research.

After reading the informed consent form, women did not accept to participate; 72 accepted to participate and signed the informed consent form. After the validation of the inclusion and exclusion criteria, only 43 women were included in the final analyses; 29 women were not included due to non-answered questionnaires; non-completed tests; or for being under hormonal replacement therapy.

From this screening, 2 groups were formed: 21 women with poor sexual self-perception group I and 22 women with good sexual self-perception group II. It is worth highlighting that the median age of the patients did not show any difference in the comparison between the poor sexual self-perception group 52 years; CI The answer to the BDI did not show any difference between the two groups, but both showed CIs indicating absence and presence of depressive symptoms. The average score on the FSFI showed a difference between the two groups, 15 points in the poor sexual self-perception group and However, considering the CIs, both groups showed women with sexual dysfunction, according to Table 1.

Considering the division according to their sexual self-perception, women with poorer sexual self-perception showed fewer personality traits from affective and organization necessity types, compared with the women reporting good sexual self-perception Table 1. In Table 2 , it is possible to observe the group division of women with or without sexual dysfunction, according to the FSFI. In this division, the results obtained by the BDI did not show any significant difference between the groups.

Likewise, the control and opposition, affective and organization types of personality necessities did not show any significant difference among groups. The results show an association between personality traits and sexual dysfunction in postmenopausal women when assessed by their sexual self-perception.

Women with poor sexual self-perception showed fewer types of personality traits, such as affection and organization FPI-II. A low level of education has also been shown to be significant for sexual dysfunction in relation to the self-report of the participants. The evaluation of female sexual function is complex and there is no ideal methodology.

The perception test used in the present study, besides being consecrated by a previous clinical trial by Davis et al, 7 shows to be a simple and objective tool for the identification of sexual dysfunction. There are five direct, easy-to-understand questions.

These criteria were consistent with the definition of hypoactive sexual desire disorder, following the criteria of the Diagnostic and Statistical Manual of Mental Disorders, fourth edition DSM-IV. In the regression analysis, self-report was also positive for complaints of sexual dysfunction.

The FSFI, despite being one of the main tools for evaluating sexual function, is criticized for its complexity. In the present study, age and depressive symptoms did not have any influence on the perception of the women of their sexual life. Likewise, differences on these variables were not found when the subjects were classified according to their FSFI scores.

It is observed that, according to the BDI scores, women with sexual dysfunction have a tendency to show more depressive symptoms. The personality traits of affective and organization necessities showed differences between the good and poor sexual self-perception groups.

The group with poor sexual self-perception showed fewer characteristics from both personalities when compared with the good sexual self-perception group.

However, when sexual dysfunction was measured by the FSFI scores, the groups were similar according to all personality traits. Affiliation: difficulty to relate affectively and to self-maintain faithful to somebody else, making friends, maintain them or become intimate with somebody;.

Assistance: difficulty to assist and treat people with compassion and tenderness;. Gentle: difficulty in searching for help, protection, consolation or forgiveness of others;.

Intraception: can let oneself be carried away by feelings and diffuse tendencies, showing more difficulty in conducting one's own life and in making judgments based on concrete facts of reality;. Deference: difficulty in admiring, prestige, supporting, honoring, praising, imitating hierarchically superior people, accepting superior orders and conforming to customs and traditions;.

Change: difficulty in changing, upon one's own effort, certain situations or certain personal characteristics. In the literature, personality traits, like affective necessities, are understood as positive factors to a better sex and life quality for postmenopausal women.

After analyzing the orgasmic capacity in postmenopausal healthy women without hormonal replacement treatment, Penteado et al 19 concluded that the orgasmic capacity is positively associated to more affective relationships with sexual partners, supporting the results found by the present research.

From the present study, it can be inferred that affectivity shows itself in two dimensions: the first is positive, because it reflects how much a person feels enthusiastic, active and alert; the second is negative, because it is related to anguish, to dissatisfaction, to aversive states of mood, to anger, to guilt, to grief, and to fear. Women with a low level of affectivity have the tendency to relate affection to a negative connotation, evoking feelings and characteristics of neuroticism.

This one is referred to the chronification of adjustment and emotional instability, patterns associated with psychological discomfort and resulting cognitive-behavioral styles. Affection as a personality trait has been considered a protection factor, so that people do not live intensely emotional suffering, do not develop anxiety symptoms, low self-esteem, and do not experience more impulsivity symptoms.

In regard to the necessity of organization characteristics, for being one specific group of personality assessed by the FPI-II, the authors did not find any studies in the scientific literature to compare the resulting data.

In this group of psychological needs, women with poor sexual self-perception showed less personality traits in:. Persistence : difficulty to intensely dedicate themselves to one task until it is finished, even if, for that, it is necessary to disrespect their own limits;. Order : difficulty to maintain order and to value cleaning, the balance, and the precision from objects of the exterior world;.

Performance : difficulty in overcoming obstacles, achieving difficult actions, and executing tasks independently and with maximum quickness.

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London: Routledge. Kempadoo, Kamala; Jo Doezema eds. New York: Routledge. Lisboa: D. Mignolo, Walter D. Princeton: Princeton University. Ribeiro, Manuela et al. Rodrigues, Anabela , in Figueiredo Dias coord. Coimbra: Coimbra Editora. Porto: Afrontamento. Ver Santos et al. Rodrigues, Investigadora no Centro de Estudos Sociais. Mapa 1.