Sample Of Spanish Women Research Articles

The Prevalence of the Risk of Sexual Dysfunction in the First and Third Trimesters of Pregnancy in a Sample of Spanish Women

Sexuality is a central aspect for all human beings. Research into the prevalence of sexual dysfunction in pregnant Spanish women is scarce. The aim of this work is to examine the prevalence of risk of sexual dysfunctions in pregnant Spanish women and determine in which trimester the greatest difficulties in sexual response occur. The sample consisted of 180 pregnant Spanish women, with an average age of 32.03 years (SD = 4.93). The participants completed a questionnaire for socio-demographic data, as well as the female sexual function index, the state/trait depression inventory, and the dyadic adjustment scale. The results indicate that the percentage of women with a risk of sexual dysfunction was 65% in the first trimester and 81.11% in the third trimester. Likewise, the highest score on the depression questionnaire was in the third trimester, and the couple's relationship also improved in the third trimester. To improve women's sex lives during pregnancy, it is recommended to increase sexual education and information for both pregnant women and their partners.

Absence Versus Presence of Intimate Partner Violence in a Sample of Spanish Women: Conflict Resolution Strategies and Associated Variables.

Through two studies (N = 544 women), the role of types of relational problems (absence vs. presence of intimate partner violence [IPV]) in the use of conflict resolution strategies (exit and loyalty) was analyzed, considering the serial mediating effect of dependency and commitment and the moderating effect of benevolent sexism. The main results showed that higher scores in dependency and commitment predicted less use of exit strategies among women who reported IPV. No significant results were found regarding loyalty strategy and benevolent sexism. Ultimately, implications for women's perceived risk of future violence were discussed.

Psychological inflexibility and valuing happiness: Dangerous liaisons.

Previous evidence has shown that excessive valuing happiness may relate to lower psychological wellbeing across cultures. Considering the lack of data with Spanish population, we examined the relation between tightly holding happiness emotion goals and subjective wellbeing in a sample of Spanish women, and explored the mediation role exerted by psychological inflexibility components (namely, cognitive fusion and experiential avoidance) in the relation between valuing happiness and subjective wellbeing. A female adult sample (n = 168) filled out measures of excessive valuing happiness, psychological inflexibility, positive affect, negative affect, and life satisfaction. Valuing happiness only showed positive total effects on negative affect and strong direct effects on both cognitive fusion and experiential avoidance. Analyses revealed the mediating roles exerted by psychological inflexibility components, with experiential avoidance leading to lower pleasure; and cognitive fusion leading to greater displeasure and lower life satisfaction. Psychological inflexibility components explained between 40 and 80% of the total effect of valuing happiness on our outcome variables. Our findings highlight the need for further research on the benefits of hedonic vs. values-based approaches to happiness.

The role of women's traditional gender beliefs in depression, intimate partner violence and stress: insights from a Spanish abbreviated multicultural measure

BackgroundResearch on traditional gender beliefs has highlighted their psychological impact and social implications for women. The purpose of this study was twofold. First, we aimed to adapt and validate the Spanish version of the Multicultural O’Kelly Women’s Beliefs Scale. Next, we explored its sources of validity evidence in relation to intimate partner violence, stress, and depression. Based on the Rational Emotive Behavior Therapy framework, traditional gender beliefs were expected to be associated with higher levels of intimate partner violence, stress and depression. We also expected to obtain a psychometrically-sound factor structure of the Multicultural O’Kelly Women’s Beliefs Scale.MethodsA sample of Spanish women (N = 322) completed the Multicultural O’Kelly Women’s Beliefs Scale, the Beck’s Depression Inventory II, the Modified Conflict Tactics Scale, and the Stress Perceived Scale. To test the psychometric properties of the Multicultural O’Kelly Women’s Beliefs Scale we implemented exploratory and confirmatory factor analyses and an analysis of the area under the curve.ResultsRegarding the psychometric properties of the scale, statistical analysis revealed a one-factor dimensionality (Global traditionalism) and supported a reduction of items in the original instrument. The abbreviated version (eight items) obtained the best fit indices. Considering the association between traditional gender beliefs and psychological outcomes, we found that traditional gender beliefs were associated with increased severity of stress, depressive symptoms and reciprocal verbal aggression.ConclusionThe Spanish adaptation of the Multicultural O’Kelly Women’s Beliefs Scale provided a very short, psychometrically robust and clinically relevant measure of traditional gender beliefs. In addition to the association between traditional gender beliefs and mental health outcomes, an important finding was the relationship between traditional gender beliefs and intimate partner violence. Our scale might be used in clinical settings by helping women to identify their traditional gender beliefs and replace them by healthy and goal-oriented beliefs, which would also contribute in achieving a more egalitarian society.

Anthropometric Measurements, Metabolic Profile and Physical Fitness in a Sample of Spanish Women with Type 2 Diabetes.

Background: Exercise training has proven to be effective for treatment of metabolic diseases, such as type 2 diabetes mellitus. The aims of this study were to compare anthropometric measurements, metabolic profile and physical fitness between active and sedentary women with type 2 diabetes, and to analyse relationships between anthropometry and metabolic profile and components of physical fitness (balance, flexibility, strength and endurance). Methods: Cross-sectional research on 28 women with type 2 diabetes. Amount of daily physical activity, BMI, waist circumference, HbA1c, fibrinogen, hs-CRP, tiptoe dynamic balance, static balance, finger floor distance, abdominal, upper and lower limb strength and walking cardiovascular endurance were recorded. Results: Age: 58.5 ± 7.8. Overall, 16 subjects were physically active and 12 were sedentary. Active subjects had lower BMI (p = 0.033) and better cardiovascular endurance (p = 0.025). BMI and waist circumference were not influenced by any physical fitness component. HbA1c, fibrinogen and hs-CRP were related with worse dynamic balance (p = 0.036, 0.006 and 0.031, respectively). Conclusions: Active women had lower BMI and showed a better performance in cardiovascular endurance. Tiptoe dynamic balance impairments were related to worse glycaemic control, hypercoagulation and inflammatory state.

Correlates of Sexual Function in a Sample of Spanish Women with Endometriosis.

Background: In the present study, we aim to report on the sexual function of women experiencing symptoms of endometriosis, analysing the clinical and psychosocial factors that may be associated. Methods: A multicentre cross-sectional study was performed to analyse the sexual function in a sample of 196 Spanish women with endometriosis, using the Female Sexual Function Inventory. Results: The Female Sexual Function Inventory (FSFI) was validated in our endometriosis study group. The mean FSFI score for the sample was 22.5 (SD 6.6), with 20.9 and 26.9 being in the 25th and 75th percentiles, respectively. Although physical sexual pain and dyspareunia were factors that influenced the sexual function of women with endometriosis, our results show that the impairment was multifactorial. Conclusions: We found impaired sexual function in women diagnosed with endometriosis. The final model included deep endometriosis, depression, age, and unemployment as strongest predictive factors for poor (deteriorated) sexual function.

Health literacy and its relation to continuing with breastfeeding at six months post-partum in a sample of Spanish women.

AimTo explore the relation between health literacy (HL) and continuing breastfeeding (BF) at 6 months post‐partum.DesignObservational, longitudinal and prospective study between December 2018–May 2019. The STROBE checklist was used.Methods114 mother/baby pairings from a Spanish Hospital were included. Mothers’ health literacy was studied with the Newest Vital Sign and Short Assessment of Health Literacy for Spanish Adults 50 (SAHLSA‐50). Before hospital discharge, BF efficiency was studied using the LATCH BF score and BF continuity was followed for 6 months. Survival analysis and Cox regression were done.ResultsHealth literacy levels and BF effectiveness were adequate before hospital discharge. At 6 months post‐partum, less than half the sample still exclusively breastfed. The main reason for early exclusive BF cessation was lower than the recommended newborn weight gain. The HL level acted as a protective factor against abandonment of BF.

Menstrual blood concentrations of parabens and benzophenones and related factors in a sample of Spanish women: An exploratory study

AimTo evaluate concentrations of parabens (PBs) and benzophenones (BzPs) in menstrual blood and explore related sociodemographic/lifestyle factors, and to compare between menstrual and peripheral blood concentrations in a subset of samples. Material and methodsConcentrations of 4 PBs [methyl- (MeP), ethyl- (EtP), propyl- (PrP) and butyl-paraben (BuP)] and 6 BzPs [BzP-1, BzP-2, BzP-3, BzP-6, BzP-8 and 4-OH-BzP] were determined in menstrual blood from 57 women and in both menstrual and peripheral blood samples from 12 women, all healthy Spanish women of reproductive age. Socio-demographic characteristics and lifestyle habits [diet and use of cosmetics and personal care products (PCPs)] were gathered using an online questionnaire. Spearman correlation analysis was performed to examine the relationship between menstrual and peripheral blood concentrations, while multivariable linear regression was used to identify potential explanatory variables for menstrual PB and BzP concentrations. ResultsGlobally, all menstrual blood samples had detectable levels of ≥3 compounds, and 52.6% of the samples contained ≥6 compounds. MeP, PrP, and BzP-3 were the most frequently detected compounds (detection frequencies >90.0%), with median concentrations of 1.41, 0.63, and 1.70 ng/mL of menstrual blood, respectively. Age, the use of PCPs, and consumption of some food items (meat, pasta, cheese, or dairy products) were related to the menstrual blood concentrations of some PBs/BzPs. Serum:menstrual blood ratios of PBs/BzPs ranged from 1.7 to 3.6, with no inter-matrix correlations. ConclusionsThis study reveals, to our knowledge for the first time, the widespread presence of several PBs and BzPs in intimate contact with gynecological tissues, although their concentrations in menstrual blood were not correlated with those in peripheral blood from the same women. These results shed light on the information provided by the menstrual blood as a potential matrix for characterizing exposure to PBs and BzPs, whose consequences for women's reproductive health need to be addressed.

Psychometrics of the SCL-90-R and Development and Testing of Brief Versions SCL-45 and SCL-9 in Infertile Couples.

Although infertile couples are mentally healthy, dealing with infertility and assisted reproductive technology (ART) treatment is usually associated with psychological distress. It would therefore be useful to have short, multidimensional instruments to be able to identify people who present more intense emotional reactions and follow up their emotional distress throughout the ART. The goals of the study were to analyze the psychometric adequacy of the original 90-item version of the Symptom Checklist (SCL-90) in a sample of Spanish women and their partners undergoing ART, as well as to develop and analyze two brief versions of the SCL-90, given the absence of adequate short versions for this population. A cross-sectional design for patients and their partners in the process of ART through in vitro fertilization was used. The two brief scales were obtained, which took into account the levels of variance explained by the items and confirmatory factor analysis. Two brief instruments were developed. The first, with 45 items (SCL-45-I Infertility), includes nine subdimensions: Somatization, Interpersonal Sensitivity, Obsessive-Compulsive Disorder, Depression, Anxiety, Hostility, Paranoid Ideation, Phobic Anxiety, and Psychoticism. The second instrument contains nine items (SCL-9-I or Global Severity Index [GSI]), one item for each dimension. Both instruments were psychometrically adequate (SCL-45-I: χ/df = 7.24, RMSEA = .057, 95% CI [.056, .059], CFI = .97, NNFI = .97, SRMR = .049; SCL-9-I: χ/df = 9.66, RMSEA = .068, 95% CI [.061, .076], CFI = .97, NNFI = .96, SRMR = .035). Measurement invariance analysis by gender was conducted, and the instruments were shown to be suitable for both men and women. The suitability of the SCL-90-R for use in ART was verified, and two valid instruments-useful and easy to use for nurses, psychologists, and other care providers-were developed.

Adherence to treatment in patients with systemic lupus erythematosus

Background and objectiveNon-adherence to treatment is usually a clinical problem in patients with systemic lupus erythematosus (SLE). Increasing the knowledge of predictors of treatment adherence can be meaningful in the clinical setting. The main objective of the present study was to analyze the influence of sociodemographic, clinical and psychological variables on the degree of treatment adherence in a sample of Spanish women with SLE. Patients and methodThis is an observational–transversal study. All participants were evaluated for the degree of treatment adherence, their clinical status, psychopathological manifestations, the level of perceived stress and self-efficacy. The sample was divided into two groups (adherent vs non-adherent). The factors associated with a lack of adherence in this sample were analyzed by means of logistic regression. ResultsThis study comprises 72 women with SLE (average age=36.72±12.2 years). Almost 64% of patients with SLE were non-adherent to treatment. The results showed that a low educational level, being unemployed, living with a partner and alcohol abuse were associated with low treatment adherence. There were significant mean differences between groups in psychopathological subscales of somatization, obsession–compulsion and general psychopathological indices. There were also mean differences between groups for the level of perceived stress. The use of non-steroidal anti-inflammatory drugs, suffering arthrosis and scoring higher in dimensions of psychopathology were significant predictors of treatment adherence, explaining between 35% and 47% of its variability. ConclusionsIncluding the clinical and psychopathological manifestations as important aspects in the clinical reasoning of health professionals could improve the adherence to treatment of patients with SLE.

Adherencia al tratamiento en pacientes con lupus eritematoso sistémico

Background and objectiveNon-adherence to treatment is usually a clinical problem in patients with systemic lupus erythematosus (SLE). Increasing the knowledge of predictors of treatment adherence can be meaningful in the clinical setting. The main objective of the present study was to analyse the influence of sociodemographic, clinical and psychological variables on the degree of treatment adherence in a sample of Spanish women with SLE. Patients and methodThis is an observational-transversal study. All participants were evaluated for the degree of treatment adherence, their clinical status, psychopathological manifestations, the level of perceived stress and self-efficacy. The sample was divided into two groups (adherent vs non-adherent). The factors associated with a lack of adherence in this sample were analysed by means of logistic regression. ResultsThis study comprises 72 women with SLE (average age=36.72±12.2 years). Almost 64% of patients with SLE were non-adherent to treatment. The results showed that a low educational level, being unemployed, living with a partner and alcohol abuse were associated with low treatment adherence. There were significant mean differences between groups in psychopathological subscales of somatisation, obsession-compulsion and general psychopathological indices. There were also mean differences between groups for the level of perceived stress. The use of non-steroidal anti-inflammatory drugs, suffering arthrosis and scoring higher in dimensions of psychopathology were significant predictors of treatment adherence, explaining between 35% and 47% of its variability. ConclusionsIncluding the clinical and psychopathological manifestations as important aspects in the clinical reasoning of health professionals could improve the adherence to treatment of patients with SLE.

Inglés

Introduction: Fibromyalgia (Fm) is a chronic musculoskeletal pain condition of unknown etiology, often accompanied by fatigue, sleep disturbance and depressed mood. It is a complex syndrome involving biological, psychological and social factors which causes a negative impact in the patient s quality of life. Biopsychosocial models of pain hypothesize that patient attitudes and beliefs about pain play a key role in the adjustment to chronic pain. For that reason, a number of self-report instruments have been developed to assess those constructs. The Survey of Pain Attitudes (soPa) is one of the most commonly used measures of pain beliefs having shown good psychometric properties. For this study, we used the soPa-B (brief version) to preliminary test its validity in a sample of Spanish women diagnosed with Fm. aim: To develop a Spanish adaptation of the soPa-B and examine its factor structure preliminarily methods: 258 female patients with Fm (acR, 1990) were administered the soPa-B. Results: Factor analyses supported a six-factor structure: Solicitude, Emotion, Disability, Harm, Control and Medical Procedures, consisting of 28 items. The Spanish-soPa-B showed to be a reliable measure as demonstrated by the scales Cronbach’s alpha (ranging from 0.83 to 0.60). Conclusions: The adaptation and translation process of the soPa, led to the confirmation of five of the original scales of this questionnaire in a different cultural group. These findings are promising and indicate that the Spanish-soPa-B has good reliability and validity properties. Further studies are needed to confirm these preliminary findings.

Spanish Women'S Perceptions of Mammography Screening

ABSTRACT Aim: Participants in breast cancer screening programmes may benefit from early detection but may also be exposed to the risks of overdiagnosis and false positives. Women usually accept the invitation to participate in screening programmes, yet receive little information, with most women deciding to participate on the basis of convenience, gratitude or trust in the welfare state, rather than on the basis of a benefit-risk assessment. We surveyed a sample of Spanish women to assess knowledge, information sources, attitudes and psychosocial impact. Methods: 434 breast cancer screening programme participants aged 45-69 years were administered questionnaires regarding knowledge, information sources, attitudes and psychosocial impact. Scores of 5 or more (out of 10) and 12 or more (out of 24) were established as indicating adequate knowledge and a positive attitude, respectively. Psychosocial impact was measured using the Hospital Anxiety and Depression Scale and the Cancer Worry Scale. Results: Only 42 women (9.7%) had adequate knowledge. The mean knowledge score was 2.97 (1.16). Women with compared to women without experience of false positives were less knowledgeable (RR, 0.21 (0.05-0.90); P = 0.03). Better educated compared to minimally educated women were more knowledgeable (RR, 3.33 (1.68-6.62); P = 0.001). Employed, unemployed and retired women were more knowledgeable than homemakers (RR, 2.15 (1.05-4.41); P = 0.03). Only previous false positives and education level were significant in the multivariate model. The main sources of information were television, press, Andalusian Health Service documentation and family and friends. Most participants (99.1%) had a positive attitude, with a mean score of 3.21 (2.66). Mean anxiety, depression and cancer worry scores were 1.86 (3.26), 0.72 (1.99) and 9.4 (3.04). Conclusions: Spanish women have a very positive attitude to breast cancer screening, but are poorly informed and use television as their main information source. They experience no negative psychosocial impact from participation in breast cancer screening programmes. Improving the information provided to women in the interest of informed decision making should be prioritized. Disclosure: J. Nieto-Vera: JNV worked as epidemiologist in the Screening Program in the previous 3 years; there are no other relationships or activities that could appear to have influenced the submitted work. All other authors have declared no conflicts of interest.

Differences in contraceptive use between Spanish female healthcare providers and Spanish women in the general population aged 23 to 49 years: the HABITS Study

Objective To compare the contraceptive modalities used in the general female population with those of female healthcare providers (HCPs) in Spain.Methods A nationwide survey of a representative sample of Spanish women and female Spanish HCPs aged 23 to 49 years (total sample size: 3200).Results The condom was the most widely used contraceptive method in both groups (30% and 23% in the general population and among HCPs, respectively). The reasons cited for relying on this method were ease of use (19% and 13%, respectively; p = 0.2), effectiveness (16% and 22%, respectively; p = 0.2), absence of side effects (14% and 22%, respectively; p = 0.1), and fear of side effects associated with oral contraception (13% and 2%, respectively; p < 0.0001). After the condom, oral contraceptives, the intrauterine device and the vaginal ring were the most widely used methods among HCPs (13% each).Conclusions The spectrum of contraceptive methods used by female HCPs differs from that of women in the general Spanish population. HCPs opt more often for long-acting reversible contraceptives because of their effectiveness and safety whereas women in the general population rely more frequently on the condom and surgical methods.

Validation of the Dutch Eating Behavior Questionnaire (DEBQ) in a sample of Spanish women

The Dutch Eating Behavior Questionnaire (DEBQ) was developed to measure eating styles that may contribute to or attenuate the development of overweight. It comprises three scales that measure emotional, external and restrained eating. The main goal of this study is to evaluate the internal structure of the Spanish version of the DEBQ using updated psychometric techniques in a sample of women. A sample of 647 Spanish females answered the questionnaire. Both exploratory structural equation modeling and confirmatory factor analysis were used to evaluate the factor structure of the DEBQ. Reliabilities were estimated with Cronbach’s alpha. The relations between the subscales of the DEBQ and age, BMI, and scores on the Eating Attitude Test-26 (EAT) and the Restrained Scale-Revised (RS) were computed with Pearson correlations. Results showed that the internal structure was similar to the theoretical proposal, although items associated with boredom and idleness presented cross-loading problems. The reliability estimates were satisfactory. The Emotional and External Eating factors correlated with the BMI, and External Eating was negatively correlated with age. The Restraint factor of the DEBQ showed significant relationships with scales of the EAT-26 and RS. The dimensional validity of the DEBQ is reproduced in a Spanish sample, and the DEBQ seems to be an effective instrument for research in Spanish females. Minor modifications to the DEBQ are recommended.

A study on Spanish female labour supply with job offer restrictions

This paper analyses female working time taking into account restrictions on hours. Moreover, we compare two different specifications of employment opportunities. The first one assumes that the probabilities of receiving different job offers are constant whereas in the second one we incorporate the hypothesis that these probabilities depend on individual characteristics. The model is estimated using a sample of Spanish women from the “Encuesta Piloto sobre Ganancias y Subempleo” (1990). The results suggest that incorporating job restrictions is a valuable extension and that individual variables affect the availability of job offers.

Work Role and Health in a Sample of Spanish Women

In this study, the relationship between work role and health was analysed in a sample of 712 women from the Canary Islands. The women, who ranged in age from 18 to 65 years old (mean = 37.5; SD = 19.5), came from different socio-cultural and work backgrounds. The results of the study show that the most relevant variable in the well-being of these women was their work role satisfaction. The most satisfied women showed less anxiety and depression, and had higher self-esteem and a higher overall level of satisfaction. After adjusting for differences in age, no significant health differences remained among women with a different number of roles and different occupational status. We have concluded that a woman's well-being fundamentally rests in her opportunity to perform the work role she desires, without having to restrict herself to the traditional role of homemaker or being forced to become a high-achieving professional.

Work Role and Health in a Sample of Spanish Women

In this study, the relationship between work role and health was analysed in a sample of 712 women from the Canary Islands. The women, who ranged in age from 18 to 65 years old (mean = 37.5; SD = 19.5), came from different socio-cultural and work backgrounds. The results of the study show that the most relevant variable in the well-being of these women was their work role satisfaction. The most satisfied women showed less anxiety and depression, and had higher self-esteem and a higher overall level of satisfaction. After adjusting for differences in age, no significant health differences remained among women with a different number of roles and different occupational status. We have concluded that a woman's well-being fundamentally rests in her opportunity to perform the work role she desires, without having to restrict herself to the traditional role of homemaker or being forced to become a high-achieving professional.

Secular trend and intrapopulational variation in age at menopause in Spanish women.

Menopause is associated with the general ageing process and marks the end of follicular depletion, a process that begins in the intrauterine stage and lasts throughout the lifetime of women until their reproductive senescence. Controversy persists about whether the age at menopause is sensitive to the ecological determinants prevailing during the lifecycle or whether it has a predominantly genetic component that would allow groups of women to be characterized with respect to particular menstrual characteristics manifested throughout their fertile life. By contrast, there is a definite secular trend in age at menarche in populations that have registered improvements in their environment: sexual maturation is closely associated with the general processes of growth and development. These aspects were analysed in a sample of Spanish women, mothers and daughters, born between 1883 and 1941. The results show (a) indications--although not conclusive--of a secular trend in the age at menopause, (b) a possible association between the age at menopause of mothers and their daughters, and (c) an association at the individual level between age at menarche, particular characteristics of ovarian function (fetal loss) and age at menopause. The reproductive ageing process therefore seems to result from the expression of the influence of ecological conditions in which the lifecycle of the women develops and of a degree of heritability that affects not only the age at menopause but also a range of characteristics of ovarian function.