Psychophysical Well-being Research Articles

Determinants of Self-Perceived Health: The Importance of Physical Well-Being but Also of Mental Health and Cognitive Functioning.

With life expectancy increasing for the general population, public health promotion activities should be a priority to aim at a reduction of the burden and costs of hospitalization, disability, and lifelong treatment. This study aimed to explore the influence of parameters pertaining to different aspects of well-being, including physical and mental health and cognitive functioning, on self-perceived health, a predictor of chronic disease prevalence and mortality. We used data from the Survey of Health, Aging and Retirement in Europe (SHARE) project gathered between 2013 and 2017, obtaining a sample of 96,902 participants (63.23 ± 6.77 years). We found a strong association between the self-perceived health rating and not only physical health aspects but also mental health and cognitive functioning. In particular, BMI, chronic diseases and medications, muscle strength, and mobility issues had a strong effect on self-perceived health, as also did the quality of life, depression, and verbal fluency, while other aspects, such as individual characteristics, limitations in daily activities, and pain, among others only had a small effect. These results show that public health and prevention interventions should prioritize the targeting of all aspects of well-being and not only of physical health, acknowledging self-perceived health rating as a simple tool that could help provide a complete overview of psycho-physical well-being and functional status.

Improving “quality of life” through exercise and proper nutrition

In line with what is defined by W.H.O. (World Health Organization) the objective of the work is to observe and define the interconnection between a healthy lifestyle and the quality of life perceived by people. For this purpose, 30 healthy subjects, who had never practiced sports at a competitive level, were recruited. All individuals were evaluated at T0 and T1 through clinical evaluation and specific functional tests to define the psycho-physical well-being of the person. For three months they were followed with a personalized diet. Subjects were divided into two randomized groups: group A called experimental that followed the protocol for the duration of the study, and group B said evaluation group that performed only evaluations at the same time as group A. both groups were evaluated twice, the first immediately after the last training session, the second evaluation was performed after 30 days from the first. The objective of the project was to analyze, after three months, the cognitive changes in memory and concentration skills, stress experienced at work or study, and psycho-physical well-being perceived by interested parties. The data collected during the evaluations showed that the interconnection between a healthy lifestyle and the quality of life perceived by people is evident.

Transits in Oncology: A Protocol Study for a Therapy-Educational Training Built-In Intervention

The study “Transits in oncology” has been perfected with the collaboration of the UOC of Oncological Mammary Surgery of the Azienda Ospedaliero Universitaria Senese Siena, specifically by Prof. Donato Casella. The study means to analyze the impact of art-therapy interventions aimed at minimizing psychological distress in women with a diagnosis of breast cancer/mammary carcinoma (anxiety/depression), hence improving their psychophysical wellbeing. To this end, the study employs the evaluation of specific psychological parameters with the purpose of monitoring anxiety and depression levels, while investigating a potential correlation between the anxiety and depression levels and other psychological variables, such as alexithymia. The mammary carcinoma diagnosis, to all effects, constitutes an actual “disorienting dilemma” for the woman: it leads to questioning one’s way of life, and their past and future choices; the upheaval is conducive to a reflective phase that upsets one’s “expectations of meaningfulness”. The art-therapy intervention has been elaborated in a protocol that underscores its transformative methodology qualities: it aims to act on the regenerative potential of the turmoil, for an elaboration of trauma that does not negate it or further it (the feeling that nothing will change and everything will go back to the way it was before), but rather disrupts it. The final goal is to promote new existential practices, generating positive change towards self-awareness, stimulating the activation of one’s latent resources by accessing one’s symbolic world and one’s imagination.

Somatic, Emotional and Behavioral Symptomatology in Children during COVID-19 Pandemic: The Role of Children's and Parents' Alexithymia.

The COVID-19 pandemic has deeply affected the psychophysical wellbeing of children worldwide. Alexithymia, a personality trait involving difficulties in identifying and expressing feelings represents a vulnerability factor for stress-related disorders. Under pandemic stress exposure, we aimed to investigate the role of parents' and children's alexithymia in the psychophysical symptomatology shown by children and to evaluate possible differences according to age, gender and history of COVID-19 infections. The perception of parents and children about the impact of the pandemic on children's emotional, social and physiological wellbeing was also explored. Sixty-five familial triads were surveyed in the period from March to May 2022: children (n = 33 males; mean age = 9.53, sd = 1.55), mothers (mean age = 44.12; sd = 6.10) and fathers (mean age = 47.10; sd = 7.8). Both parental and children's alexithymia scores were significantly associated with somatic and externalizing symptomatology in children. Self-reported anger and externally oriented thinking scores were higher in younger children (age 8-9.9 years) than in older ones (10-12 years). Girls scored higher than boys in somatic complaints, as reported by parents. No difference emerged between children affected/not affected by COVID-19. Notably, children reported a greater negative impact of the pandemic on their emotional and psychosocial well-being than their parents. The findings emphasize the role of alexithymia in the occurrence of psychophysical symptoms in children during the COVID-19 pandemic. The reduced parental awareness of the emotional burden imposed by the pandemic on children indicates the need to better consider how epidemics affect children's mental health and to develop adequate preventive strategies to support them in these exceptional times.

The Relationship between Physiotherapist and Patient: A Qualitative Study on Physiotherapists' Representations on This Theme.

The physiotherapist represents a resource for the psychophysical well-being of an individual. Specific characteristics of the physiotherapist-patient relationship can influence the outcome of rehabilitation. This study aimed to explore physiotherapists' representations on how they perceive their relationship with their patients, in order to highlight helpful elements in promoting the outcome of the intervention. In this study, 50 physiotherapists (27 females and 23 males; mean age = 42 years; sd = 12.2) participated in an individual interview, conducted remotely via videocall. Socio-demographic and occupational data were collected. The interviews were recorded and transcribed. Texts were analyzed using emotional text mining (ETM). Participants organized their work by means of three categories: (1) work with the patient, in which the physiotherapists described two complementary elements of the therapy, which are the observable-technical aspects of their work and the internal predispositions; (2) the healing process, highlighting the aims of their intervention, including the physical pathology and the relationship with the patients; (3) physiotherapist as a psychologist, describing the attempt to understand patients' emotional experience to gradually transition to the practical intervention. Understanding the emotional and relational processes that form the basis of physiotherapist practice can contribute to the development of interventions in which the body and the mind can be integrated, resulting in a real person-centered point of view.

Psycho-social working conditions of nursing, medical and paramedic staff in a hospital emergency department

Background: A hospital Emergency Department (ED) is a working place in which numerous working conditions evoke various organisational and operational stressors affecting medical staff working there. Aim of the study: Analysing the psycho-social working environment in nursing, paramedic and medical staff in a specific hospital ED and, in particular, examining 1) work requirements, 2) levels of control, 3) psycho-physical wellbeing and 4) changes expected by the staff. Material and methods: The research was conducted among 69 employees of ED (nursing, paramedic and medical staff) in the University Clinical Hospital in Opole. A standardized Psychosocial Working Conditions Questionnaire (PWCQ) was applied. Results: The average score were as follows: at the demands scale 94.99 points, at the control scale 59.26 pts, at the social support scale 48.94 pts, at the social support scale 48.94 pts, at desirable changes scale 75.32 pts. The length of service in the job correlated negatively with the support received at workplace (r= - 0.308, p=0.01). The necessity for changes at workplace was stronger in the residents of villages and towns below 100 000 residents (p=0.007). The material status of the respondents had a statistically significant correlation (p<0.05) with the answers collected in each PWCQ questionnaire subscale. The support received at workplace was significantly higher in the groups of paramedics (51.11±8.48) and doctors (52.95±13.66) than in nurses (44.39±10.26), p=0.005. Conclusions: Due to numerous stressors present at EDs and psycho-social working conditions, employers ought to make some effort to modify them.

Designing active breaks in secondary school, results from focus group with teachers: the brave study

Abstract Background Many adolescents are unable to accomplish the daily 60 minutes of moderate to vigorous physical activity (PA) recommended by WHO. Secondary school is a critical period for developing healthy habits and PA interventions have the potential to promote healthy development. Active Breaks (ABs) are a school-based intervention consisting of short bursts (5-15 minutes) of PA made part of the academic routine. Primary school has been ABs main setting, while secondary school interventions received less attention. The aim of the BRAVE Study is to investigate teachers’ opinion about the feasibility of ABs in Italian secondary school. Methods In November 2020 20 teachers from two secondary schools located in Bologna province (Italy) were enrolled in two focus groups (FGs). FGs were held online, recorded, and transcribed. Questions were asked about the role of PA in the school routine and related experiences, perceived barriers and facilitators of the intervention, suggestions regarding the intervention design. Final expectations were then discussed. Results Despite limited experience with PA interventions, participants felt ABs would improve psycho-physical well-being for both students and teachers. Lack of time and space and a wary attitude towards ABs were listed as barriers. Program flexibility regarding content, administration time frames and implementation mode was listed as a great facilitator: program should be adaptable to participants’ needs, favoring easy and quick exercises. Overall, expectations emphasized improving classroom behavior and promoting healthy habits. Conclusions Teachers felt that inclusion of ABs in secondary school was promising and could lead to many health benefits. ABs were deemed feasible given their short duration and adaptability, since the program can be implemented with current personnel resources and space configurations. Co-design is essential to overcome personal barriers and create an effective and sustainable intervention. Key messages • According to secondary school teachers, PA interventions have the potential to improve psycho-physical well-being and classroom environment, promoting healthy habits among students. • ABs are deemed as a feasible and sustainable PA intervention thanks to program flexibility regarding contents, administration time frames and implementation mode.

The role of academic sport in health promotion - the example of the Academic Sports Association in Poland

Academic sports are physical activities in which members of the academic community participate: students, doctoral students, research, teaching or administrative staff of higher education institutions. The academic community is extremely diverse, but as a rule, it is rarely associated directly with physical activity, but rather with the advancement of knowledge and the development of science. All the more reason why the promotion of physical activity in this community is extremely important for maintaining the psychophysical well-being of members of this group. 
 The AZS is the most numerous academic organization in Poland, with nearly 33,000 members. The Association's Academic Championships of Poland and community leagues are the primary system of rivalry between universities in the country. Among the objectives of AZS are those relating directly or indirectly to the promotion of health, including: the dissemination of physical culture and tourism, raising physical fitness and improving health among the academic community, working for the rehabilitation of the disabled or counteracting social pathologies, particularly addictions that threaten the environment of young students. 
 These goals are pursued through various types of programs and projects, including sports activation of the academic community within the framework of sports sections, especially within the framework of general sports, organized sports competitions both at the university, regional, national or international level. Academic sports are also often the only available opportunity for physical activity during college, where physical education classes usually last no more than a year in the five-year cycle of study.

Machine learning approaches to identify profiles and predictors of psychosocial discomfort among Italian college students

Introduction. College students live a crucial period of transition from late adolescence to adulthood when they have to deal with important stressful tasks. Thus, university often represents a stressful environment, pushing students to cope with a high academic pressure. As a result, this period constitutes a sensitive age for the onset of mental disorders. Typically, students are not aware of the early signs of their own compromised mental health until symptoms aggravate to an overt disorder. Therefore, it is important to timely detect subthreshold symptoms mostly related to generic mental distress. Objective. First, to assess psychophysical well-being and mental distress among college students in northern Italy, and to detect predictors, among socio-demographic and academic characteristics, and risky drug use of these two outcomes. Method. The study involved 13,886 students who received an email explaining the purpose of the e-research. The questionnaires used were the General Health Questionnaire (GHQ-12), the University Stress Scale (USS), and a modified version of World Health Organization-ASSIST v3.0. Results. 3,754 students completed the web-survey. Students showed poor well-being and mental distress. The strongest predictor of mental distress and compromised well-being was physical health, followed by sex, study field, risky drug use, and academic performance concerns. Discussion and conclusion. This study shows that it is very important to promote in college students healthy behaviors in order to increase their physical exercise and reduce substance use. Moreover, it would be desirable to improve academic counselling facilities as an important front-line service to intercept mental health issues among young adults.

Body composition and psychophysical well-being of women practicing yoga

Introduction: This study characterized yoga as a form of free-time physical activity by analyzing and evaluating the body composition of women who regularly practice yoga, and by describing the effect of yoga on their psychophysical health. Material and Methods: The study involved 94 women: 56 yoga practitioners and 38 Zumba participants. The subjects were surveyed with a questionnaire to elicit information about their socioeconomic status. Body composition was determined by bioelectrical impedance analysis. Differences were assessed with two-tailed chi-square tests and Student’s t-tests. Results: The vast majority of the participants (89%) felt a positive influence of yoga on their mental well-being; 86% noticed an improvement in physical health. More than half of the subjects adhered to a diet; those who practiced yoga chose vegetarian (29%) and vegan (13%) diets more often than those who did Zumba. Yoga participants had a higher BMI than Zumba participants (24.19 vs. 23.43), but they had a lower percentage of fat (28.84% vs. 29.89%) and higher fat free mass (47.08 kg vs. 44.13 kg). Conclusions: Yoga practice positively affects the psychophysical well-being of women. Despite their higher BMI, yoga practitioners had a slightly more favorable body composition, which may indicate that yoga positively affects individual body components and body shape.

Body Image and Body Mass Index Influence on Psychophysical Well-Being in Bariatric Patients: A Cross-Sectional Study.

Background: Psychophysical factors may have an impact on the disease of obesity, and it is important to explore which aspects may play an important role on the well-being of obese patients undergoing bariatric surgery. The purpose of this study was to assess the associations of a high body mass index (BMI) and greater dissatisfaction with body image with higher levels of psychopathological aspects, feelings of hopelessness, and psychological and physical health in patients undergoing evaluation for bariatric surgery. Methods: Fifty-nine patients undergoing bariatric surgery filled out the Symptom Checklist-90-Revised, the Body Uneasiness Test, the 12-item Short Form Survey, the Beck Inventory Scale II, and the Beck Hopelessness Scale. Correlations and hierarchical regressions between measures were performed. Results: Dissatisfaction with the perception of one’s own body image was strongly correlated with a worse psychophysiological health. On the contrary, BMI showed no significant correlation with the previous variables. Furthermore, the perception of one’s own body image significantly predicted the state of psychological health. Conclusions: The findings showed a more relevant role of body image compared to the BMI in the association with psychological outcomes, suggesting the importance of considering body image in the assessment and treatment of obese patients requiring bariatric treatment.

Factors Affecting Perceived Work Environment, Wellbeing, and Coping Styles: A Comparison between Physicians and Nurses during the COVID-19 Pandemic.

The COVID-19 pandemic is a current emergency worldwide. All the consequent changes in sanitary systems have negatively affected the work–life balance. In particular, healthcare workers suffered from anxiety, stress, and depression, mostly nurses compared to physicians. To handle this situation, the adoption of different coping strategies has played a strategic role in psychophysical wellbeing. Our main goal is to the assess the perception of work environment and wellbeing (EQ-5D questionnaire), as well as to analyze possible differences in coping styles between physicians and nurses (brief COPE questionnaire). The arising differences were compared between the two groups, and associations with variables were assessed through a bivariate correlation analysis. This cross-sectional study was conducted from November to December 2020 through an online survey. A total of 172 respondents (117 physicians and 55 nurses), of which 102 were women and 70 were men, accepted to join the study. Our results showed that physicians referred a higher perception of wellbeing, and nurses reported an increased perception of work activity and efficiency, along with an unchanged economic status. The most frequently adopted coping strategies were Active and Planning (self-sufficient coping). Physicians showed a greater tendency to use avoidant coping strategies. More-experienced nurses and physicians were less prone to adopt socially supported coping strategies, emphasizing the need for novel organizational measures at the social dimension that favored sharing and interaction between peers. Future research should aim to further investigate the relationship between the perception of work environment and coping strategies in order to identify risk factors to be prevented by promoting adequate measures at an organizational level.

Psychological Distress in Healthcare Workers During the Covid-19 Pandemic: Development and Validation of the Italian Version of the Healthcare Workers Emergency Distress Questionnaire (HEDQ).

ObjectiveThe COVID-19 pandemic has presented unprecedented challenges for health systems as it has proven to be an extraordinary emergency. Exposure to such chronic stress can have detrimental effects on the psychophysical well-being of healthcare workers, with possible manifestation of stress-related symptoms. The present study aimed to develop and validate the Healthcare Workers Emergency Distress Questionnaire (HEDQ), a self-report screening questionnaire with the purpose of identifying the healthcare workers at risk for psychological and moral distress, and PTSD-related symptoms during emergencies.MethodThe HEDQ was administered to 250 healthcare workers of the AULSS 3 Serenissima and 47 citizens from the general population in Venice (Italy) during the health emergency period (from April to June 2020). In the second administration (from August to September 2020), data were collected from 101 of the 250 healthcare workers who had participated in the first administration. To test for the convergent validity, the Depression Anxiety Stress Scale (DASS-21) was also administered.ResultsExploratory and hierarchical confirmatory factor analyses validated the 21-item structure of the questionnaire. Internal consistency, and factorial and convergent validity were good. Moreover, the HEDQ discriminated between those who worked in COVID-19 hospital units and those who did not (including the general population), showing good known-group validity. The two-month temporal stability of the questionnaire was excellent. The HEDQ scale scores significantly decreased from the first to the second administration, thus supporting that the tool is a measure of acute stress in healthcare workers.ConclusionsOur results provide support for the use of the HEDQ as a brief, multidimensional measure of emergency-related stress reactions in healthcare workers. Consequently, the HEDQ can be considered a useful instrument supporting clinical activity to identify those who may be more easily affected by stress reactions in the event of atypically high levels of risk exposure during crises.

An Investigation of the Influence of the Night Lighting in a Urban Park on Individuals’ Emotions

Outdoor urban lighting design is a complex issue. It involves multiple aspects (energy consumption, lighting pollution, aesthetics, and safety) that must be balanced to make sustainable decisions. Although the energy and environmental issues assumed a driving role in the optimization of the urban lighting design, its impact on the psychophysical well-being of individuals has received less attention. Artificial lighting has been shown to add several meanings to an individual’s experience of space: affective (affect, emotion, mood), cognitive (attention, imagination, perception), associative (memory, judgment), and motivational (closeness, openness, communication). Traditionally, studies on the effects of lighting on individuals’ emotions have mainly focused on indoor spaces, while the present study aims to investigate the influence of lighting on individuals’ emotions in an outdoor environment. Participants experienced a simulated urban park through virtual reality. Specifically, the urban park was shown with different combinations of overall illuminance (high vs medium vs low) and correlated colour temperature (CCT) (warm vs intermediate vs cool). For each combination, participants were asked to judge how they felt. In general, results showed that high-intensity cool light made participants more nervous, while warm light made individuals feel more tired and less motivated to explore the park. In contrast, an intermediate CCT at low or medium illuminance impacted individuals positively. Finally, it was found that participants’ mood predicted the impact that park lighting would have on them. These results suggest that assessing the influence of lighting on individuals’ emotions allows the decision-makers to implement the type of artificial lighting that will simultaneously safeguard both the well-being of individuals and the environment.

The impact of school closure intervention during the third wave of the COVID-19 pandemic in Italy: Evidence from the Milan area.

In February 2021, the spread of a new variant of SARS-CoV-2 in the Lombardy Region, Italy caused concerns about school-aged children as a source of contagion, leading local authorities to adopt an extraordinary school closure measure. This generated a debate about the usefulness of such an intervention in light of the trade-off between its related benefits and costs (e.g. delays in educational attainment, impact on children and families' psycho-physical well-being). This article analyses the epidemiological impact of the school closure intervention in the Milan metropolitan area. Data from the Agency for Health Protection of the Metropolitan City of Milan allowed analysing the trend of contagion in different age classes before and after the intervention, adopting an interrupted times series design, providing a quasi-experimental counterfactual scenario. Segmented Poisson regression models of daily incident cases were performed separately for the 3-11-year-old, the 12-19-year-old, and the 20+-year-old age groups, examining the change in the contagion curves after the intervention, adjusting for time-varying confounders. Kaplan-Meier survival curves and Cox regression were used to assess the equality of survival curves in the three age groups before and after the intervention. Net of time-varying confounders, the intervention produced a daily reduction of the risk of contagion by 4% in those aged 3-11 and 12-19 (IRR = 0·96) and by 3% in those aged 20 or more (IRR = 0·97). More importantly, there were differences in the temporal order of contagion decrease between the age groups, with the epidemic curve lowering first in the school-aged children directly affected by the intervention, and only subsequently in the adult population, which presumably indirectly benefitted from the reduction of contagion among children. Though it was not possible to completely discern the effect of school closures from concurrent policy measures, a substantial decrease in the contagion curves was clearly detected after the intervention. The extent to which the slowdown of infections counterbalanced the social costs of the policy remains unclear.

E-bike use in urban commuting: empirical evidence from the home-work plan

A substantial part of the environmental issues relies on fossil fuels. This dependence is crucial in transport even though many incentives and interventions have been proposed to reduce pollutant emissions. Electric vehicles with zero emissions might represent a viable solution in urban areas. Many cities encouraged modal shift policies from cars to an e-bike or car-sharing/pooling with electric vehicle fleets. This paper reports the ongoing outputs from a pilot project, relying on a modal shift to the e-bike, promoted in the city of Messina (Southern Italy) by the Ministry of Ecological Transition. The objective is to assess, in the territorial context of Messina, the e-bike as a competitive transport mode in terms of social awareness of eco-friendly mobility solutions. The available dataset consists of about nine months of observations; data on total distance and trips have been gathered for each e-bike. It emerged how, in a typical working day, the average distance travelled is about 6.9 km, the usage rate for working days is about 81 %, and the carbon dioxide reduction is about 245 kg per person each year. During the project, information was also collected on the satisfaction with the e-bike and the quality of travel. It emerged that regular bicycle use has good repercussions on the interviewees' psycho-physical well-being, reducing the stress factor connected with urban mobility. Despite mechanical breakdowns and the lack of an infrastructure dedicated to active mobility representing a limitation, travel comfort and safety are two latent variables that are transversally valid within the population; about 15 % became familiar with the e-bike and made it their primary mode choice for everyday activities. In this sense, outputs represent a starting point for future policies and give back adjustments before introducing similar services to students from the university and second-grade schools.

Gynecological surgical interventions (conservative and non-conservative): Clinical psychological variables and symptomatology pertaining to perioperative period

Objective: After considering great inter-individual variability of subjective experience and clinical course in reference to conservative and non-conservative gynecological surgical interventions, an attempt was made to evaluate potential role of several clinical and psychological variables with respect to perioperative symptomatology course and illness behaviour. Materials and methods: The sample consists of 58 women (mean age 41.4 ± 8.7) undergoing gynecological surgical interventions (conservative and non-conservative ones) for benign pathologies. The anamnestic and clinical data (psychological anamnesis, clinical history, indications, methods and typology of the intervention) were collected using a specifically designed summary form. For the evaluation of pre-and post-operative symptomatology course and illness behaviour, the following psychological tests were respectively used: The Symptom Questionnaire (SQ), with 3 planned administrations (respectively 15 days before the intervention, a day before the intervention and at discharge) and the Illness Behavior Questionnaire (IBQ), completed before discharge. Non-parametric tests (Mann-Whitney and Kruskal-Wallis) were used to compare performances on independent samples. Results: Results show that perioperative course and illness behaviour in the cases of gynecological surgical interventions for benign pathologies depend on clinical variables, that is, typology and methods of the intervention, clinical history, psychopathological anamnesis. Conclusion: Findings suggest the importance of clinical-anamnestic inquiry oriented towards the evaluation of variables that emerged as risk factors, with the goal of planning personalized support interventions for preventing and/or reducing distress and impact on psychophysical wellbeing arising after gynaecological surgical interventions.

Use of an Online Platform to Evaluate the Impact of Social Distancing Measures on Psycho-Physical Well-Being in the COVID-19 Era.

Background: The SARS-CoV-2 pandemic (Severe Acute Respiratory Syndrome Coronavirus 2) and the worldwide health crisis have significantly changed both people’s habits and lifestyles. Most of the studies found in the literature were carried out on specific professional categories in the socio-health sector, taking into consideration psychological disorders in relation to work. The purpose of this study was to analyze the psychological impact on a portion of the normal population subjected to lockdown. Methods: A questionnaire was distributed in the period between 23 March 2020 and 18 May 2020 (during Italian lockdown) using an online platform. The scales GAD-7, IES-r, PHQ-9 and MANSA were used to investigate the level of anxiety, the presence of post-traumatic stress disorder, the severity of depression and the perceived quality of life, respectively. Results: Four hundred and eight Italian subjects responded. Females and younger people were more affected by anxiety and depression. Post-traumatic stress disorder affected about 40% of the population sample, significantly young people and women, thus attesting to an important psychopathological response. About one-fifth of the sample population recorded an unsatisfactory quality of life. Conclusions: The results highlight the need to set up preventive interventions (primary and secondary), trying to focus on the most fragile group of subjects from a psychosocial point of view, in order to obtain a significant reduction in psychophysical damage in terms of relapses and outcomes.

Longitudinal Impact of Social Restrictions on Sexual Health in the Italian Population

BackgroundSeveral trials have reported on the impact of social restrictions due to SARS-CoV-2 (COVID-19) pandemic on sexual function and psycho-physical well-being. However, data showing modifications of these outcomes over time and at the end of lock-down are scant.AimWe investigated the longitudinal changes in sexual function during social restrictions for COVID-19 pandemic in Italy.MethodsA web-based survey was administered to Italian citizens of legal age via social networks. The Beck Depression Inventory Primary Care, the General Health Survey, Female Sexual Function Index, International Index of Erectile Function, UCLA Loneliness Scale-version 3 questionnaires were used to test mental, physical and sexual well-being. The questionnaires were administered at the beginning of the lockdown (T0), 15 days from the first assessment (T1) and 1 month after the end of the restrictions in 2020 (T2).OutcomesDescriptive statistics and multiple regression analysis were applied to investigate changes in sexual function over and at the end of social restrictions.ResultsData were available for 2543 people (47.2% of men; 43.4% women; 9.4% undefined). Mean age was 48.3 ± 15.1 years for males and 43.9 ± 13.4 for females. Overall, 2.6% reported depressive symptoms according to Beck Depression Inventory Primary Care, 7.4% reported a high level of UCLA loneliness and 19.4% low levels of general mental health. Mild to severe erectile dysfunction was reported by 59.1% of men at T0, while 68.4% of women reported sexual dysfunction. Sexual function levels remain generally unchanged at further follow-up over the social restriction time period (T1), although those who were sexually active at baseline showed a decrease in sexual function scores. At T2, there was an overall improvement in sexual function scores with a rate of severe erectile dysfunction decreasing from 37.1% to 24.1% from T0 to T2 among males and a significant decrease of female sexual dysfunction from 68.4% to 51.2%.Clinical ImplicationsYoung individuals and those with good mental and physical health were more likely to improve sexual function at the end of social restrictions.Strengths & LimitationsValid and reliable questionnaires and longitudinal approach design represent strengths; a large but convenient sample and lack of pre-pandemic baseline data represent limits.ConclusionSocial restrictions due to COVID-19 pandemic led to an increase in sexual dysfunctions in both genders. However, these conditions appeared temporary since an overall improvement was observed at the end of lockdown and especially in younger individuals with higher psycho-physical well-being.Vedovo F, Capogrosso P, Di Blas L, et al. Longitudinal Impact of Social Restrictions on Sexual Health in the Italian Population. J Sex Med 2022;19:923–932.

Quality of Life, Psychological Wellbeing, and Sexuality in Women with Urinary Incontinence-Where Are We Now: A Narrative Review.

Urinary incontinence (UI) is a very common condition, negatively affecting social, occupational, domestic, and psychophysical wellbeing. In particular, a peculiar and detrimental effect of UI has been described concerning sexual function. However, the impact of UI on quality of life is not fully understood yet, and further investigation into this issue is warranted. With this narrative review, we aimed to report the current evidence from recent literature regarding the quality of life and psychological wellbeing in patients with urinary incontinence, with a special focus on sexual function and its evolution after UI treatment. There is strong evidence that urinary incontinence—in its different forms, including stress urinary incontinence, urge urinary incontinence, mixed urinary incontinence, and coital urinary incontinence—negatively affects female sexual function. Treatments aimed to cure urinary incontinence—including pelvic floor muscles training, medications, and surgery—seem to improve quality of life by recovering, at least in part, sexual function. In conclusion, there is a substantial association between involuntary urinary loss and sex life quality. However, few studies are available and more evidence is needed before consistent conclusions can be made.