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Psychological Consultation (psychological + consultation)

Distribution by Scientific Domains
Medical Sciences80%

Selected Abstracts

Support needs and acceptability of psychological and peer consultation: attitudes of 108 women who had undergone or were considering prophylactic mastectomy

PSYCHO-ONCOLOGY, Issue 8 2008
Andrea F. Patenaude
Abstract Objective: Prophylactic mastectomy (PM) offers 90% or greater reduction in risk of breast cancer to women at increased hereditary risk. Nonetheless, acceptance in North America is low (0,27%) and 25,50% of women electing surgery report psychological distress and/or difficulty adapting following PM. Most women also report reduced cancer worry postoperatively. Psychological consultation to aid decision-making and post-surgical coping is not routinely offered. This retrospective, cross-sectional study explored interest in and acceptability of psychological consultation for issues related to PM among 108 women who had undergone or were considering surgery. Method: Qualitative interviews were conducted with 26 healthy women who had undergone prophylactic mastectomy of both (bilateral) breasts (BPM), 45 women who had undergone prophylactic mastectomy of one breast (unilateral contralateral) (UPM) after diagnosis of invasive breast cancer in the other breast or ductal carcinoma in situ (DCIS), and 37 women who were considering having PM surgery. Results: Of the women who had undergone PM, more than half felt pre-surgical psychological consultation was advisable; nearly 2/3 thought post-surgical psychological consultation would be helpful. All women currently considering PM believed psychological consultation would aid decision-making and preparation for surgery. Strong support was reported in all groups for the emotional and informational value of speaking with a woman who had previously undergone PM. Conclusions: Narratives illustrate the nature and intensity of the need for psychological support and describe preferences for the role of the psychologist. Suggestions are offered for integration of psychological services for women deciding about or adapting to PM. Copyright © 2008 John Wiley & Sons, Ltd. [source]

Mental health outcomes of adjudicated males and females: the aftermath of juvenile delinquency and problem behaviour

CRIMINAL BEHAVIOUR AND MENTAL HEALTH, Issue 4 2004
Mélanie Corneau
Background Empirical evidence indicates that the rates of mental health problems and disorders are relatively high among adjudicated youths, especially females, yet few longitudinal studies have focused on gender differences regarding their mental health outcomes as adults. Aims The present study was designed to assess the prevalence rates of self-reported suicide attempts and psychological help-seeking in young adults adjudicated for antisocial behaviours in adolescence. This study also assessed gender differences in the prevalence rates of mental health problems and disorders reported by participants. Methods Structured interviews assessing personal and social adaptation were conducted on three occasions with 292 adjudicated male and 113 female youths (mean age 15 years on the first occasion). Data from the third testing wave (mean age 23.51 at T3) provide information on their mental health outcomes in adulthood. Results Results indicate that in individuals with a history of juvenile delinquency and/or problem behaviour over 10% of the males and 20% of the females reported suicide attempts, and one-fifth and one-third respectively reported psychological consultation. Similar and lower proportions reported psychiatric hospitalization and/or drug addiction programme/therapy at the beginning of adulthood. Implications for practice The present study suggests that these youths may need more mental health directed interventions in their assessment rehabilitation programmes. Copyright © 2004 Whurr Publishers Ltd. [source]

Support needs and acceptability of psychological and peer consultation: attitudes of 108 women who had undergone or were considering prophylactic mastectomy

PSYCHO-ONCOLOGY, Issue 8 2008
Andrea F. Patenaude
Abstract Objective: Prophylactic mastectomy (PM) offers 90% or greater reduction in risk of breast cancer to women at increased hereditary risk. Nonetheless, acceptance in North America is low (0,27%) and 25,50% of women electing surgery report psychological distress and/or difficulty adapting following PM. Most women also report reduced cancer worry postoperatively. Psychological consultation to aid decision-making and post-surgical coping is not routinely offered. This retrospective, cross-sectional study explored interest in and acceptability of psychological consultation for issues related to PM among 108 women who had undergone or were considering surgery. Method: Qualitative interviews were conducted with 26 healthy women who had undergone prophylactic mastectomy of both (bilateral) breasts (BPM), 45 women who had undergone prophylactic mastectomy of one breast (unilateral contralateral) (UPM) after diagnosis of invasive breast cancer in the other breast or ductal carcinoma in situ (DCIS), and 37 women who were considering having PM surgery. Results: Of the women who had undergone PM, more than half felt pre-surgical psychological consultation was advisable; nearly 2/3 thought post-surgical psychological consultation would be helpful. All women currently considering PM believed psychological consultation would aid decision-making and preparation for surgery. Strong support was reported in all groups for the emotional and informational value of speaking with a woman who had previously undergone PM. Conclusions: Narratives illustrate the nature and intensity of the need for psychological support and describe preferences for the role of the psychologist. Suggestions are offered for integration of psychological services for women deciding about or adapting to PM. Copyright © 2008 John Wiley & Sons, Ltd. [source]

Efficacy of sildenafil on erectile dysfunction of newly-weds

ANDROLOGIA, Issue 6 2009
Q. He
Summary To explore the efficacy of sildenafil on erectile dysfunction (ED) of newly-weds, the author studied 60 outpatients within a month of marriage, who suffered from sexual intercourse (SI) failure caused by ED and showed no improvement after receiving sex education and psychological consultation. The patients were given oral sildenafil, 100 mg for the first and second times, 50 mg for the third and fourth times, no more than once every day, with a 1- to 3-day break between every two times. Four times of sildenafil administration formed one course of treatment. Sildenafil was taken 1 h before SI and was aided with adequate sexual stimulation. The rates of successful SI due to improved erection during and after a course of sildenafil treatment were 93.3% (56/60) and 85% (51/60), both P > 0.05. In the groups with one and more than one SI failure the successful SI rates after a sildenafil treatment course were 93.1% (27/29) and 77.4% (24/31), both P > 0.05. Oral sildenafil with psychological therapy in the treatment of ED of newly-weds proves to be effective in restoring the patients' sexual function and relieving their mental pressure or stress. [source]