Monday, 13 February 2017

Fibromyalgia and sexuality in women

Roger Watson, Editor-in-Chief

Fybomyalgia is a chronic, painful disease which, in some people, has no identified cause. The physical effects are obvious and it also has severe psychological consequences such as depression. However, in the words of these authors from Spain: '(a)lthough concerns related to sexuality are commonly reported, research has tended to focus on the physical symptoms.'

The study is by Matarín Jiménez et al (2017), titled: 'Perceptions about the sexuality of women with fibromyalgia syndrome: a phenomenological study' and publshed in JAN. The aim of the study was: 'to explore and understand the perceptions and experiences of women with fibromyalgia syndrome regarding their sexuality.' The researchers interviewed 13 women and found that sexual activity could be painful. As one woman said: 'Sometimes you have to say, ‘Stop, stop, . . .you’re hurting me, I can’t do it’. Or he holds you and . . . ‘Ow, you’re hurting me!’' Anticipating such pain made contemplating sexual intercourse difficult and another woman said: 'I had a lot of discomfort doing it (coitus), some pain here (vulva) and I didn’t have one (an orgasm). I was very nervous, I couldn’t relax, I wasn’t enjoying it. How can you always explain that? It’s like...it’s a bit ridiculous.'

The authors pointed to one difficulty in conducting this kind of research which was: 'The implementation of Catholic morality in Spain makes sexuality a subject that is scarcely addressed in healthcare services.' In conclusion, they said: 'Guilt and fear have an impact on female sexuality, which becomes focused on pleasing the partner who, while desiring the woman, does not understand her.´and: '(i)n their battle to preserve their sexual health, women require support and understanding from their partner, their socio-family environment and from health professionals.'

You can listen to this as a podcast


Reference

MATARÍN JIMÉNEZ T.M., FERNÁNDEZ-SOLA C., HERNÁNDEZ- PADI L LA J .M., CORREA CASADO M., ANTEQUERA RAYNAL L.H. & GRANEROMOLINA J. (2017) Perceptions about the sexuality of women with fibromyalgia syndrome: a phenomenological study. Journal of Advanced Nursing doi: 10.1111/jan.13262

Successful strategies to stop smoking

Roger Watson, Editor-in-Chief

What works to help people stop smoking and to remain that way? Not surprisingly, having the desire and the self-efficacy to stop smoking are helpful and the desire to smoke makes it harder as this study from Japan by Taniguchi et al (2017) shows. The study titled: 'Cognitive, behavioural and psychosocial factors associated with successful and maintained quit smoking status among patients who received smoking cessation intervention with nurses’ counselling' is published in JAN.

The aim of the study was to: 'identify cognitive, behavioural and psychosocial factors associated with successful and maintained quit smoking status after patients received smoking  intervention with nurses’ counselling.' Over 1000 participants responded to a questionnaire asking them about nicotine dependence and desire to stop smoking. The participants had all taken part in 'the Japanese smoking cessation therapy, which consists of smoking cessation intervention five times with nurses’ counselling over 12 weeks.'

The authors concluded: 'Our study indicated that having a high self-efficacy to quit smoking was associated with short-term success of quitting smoking in the smoking cessation intervention with nurses’ counselling. Continuing to have a strong desire to smoke at the end of the intervention was a significant predictor of relapse in the abstainers. Our finding suggested the necessity and importance of promotion of self-efficacy and control of postquit craving by appropriate behavioural counselling in the nurses’ intervention.'

You can listen to this as a podcast

Reference

TANIGUCHI C., TANAKA H., SAKA H., OZE I ., TACHIBANA K., NOZAKI Y.,  Y. & SAKAKIBARA H. (2017) Cognitive, behavioural and psychosocial factors associated with successful and maintained quit smoking status among patients who received smoking cessation intervention with nurses’ counselling. Journal of Advanced Nursing doi: 10.1111/jan.13258