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      The impact of the COVID-19 quarantine on sexual life in Italy

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          Abstract

          Objective

          The aim of the study is to evaluate how individual and couple's sexuality had changed during the COVID-19 pandemic related quarantine.

          Methods

          A quantitative correlational research study was conducted, using a web-based survey.

          Results

          1576 participants were involved: 1018 women (64.6%) and 558 men (35.4%). A significant decline in the mean wellbeing scores during the quarantine, compared to before, was reported. A positive correlation between the wellbeing scores and the number of sexual intercourse (SI) before and during the quarantine was found. The mean number of SI decreased significantly during the quarantine. The main reasons were: poor privacy (43.2%) and lack of psychological stimuli (40.9%). 1124 respondents (71.3%) did not report sexual desire (SD) reduction. A positive association between SD and SI during the quarantine was found. 61.2% did not report autoerotism reduction. In those who reported decreased masturbation activity, the main causes were poor privacy (46.4%) and lack of desire (34.7%). We found that men presented lower SD during the quarantine, than women ( p<0.01).

          Conclusion

          Potentially, the more time available might lead couples to reconnect at an intimate level and to improve their sexuality. However, the majority of quarantined participants experienced reduced number of SI per week, with poor household privacy and lack of psychological stimuli as cited causes, even as a majority did not report reduced autoeroticism.

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          Most cited references11

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          Is Open Access

          Factors Associated With Mental Health Outcomes Among Health Care Workers Exposed to Coronavirus Disease 2019

          Key Points Question What factors are associated with mental health outcomes among health care workers in China who are treating patients with coronavirus disease 2019 (COVID-19)? Findings In this cross-sectional study of 1257 health care workers in 34 hospitals equipped with fever clinics or wards for patients with COVID-19 in multiple regions of China, a considerable proportion of health care workers reported experiencing symptoms of depression, anxiety, insomnia, and distress, especially women, nurses, those in Wuhan, and front-line health care workers directly engaged in diagnosing, treating, or providing nursing care to patients with suspected or confirmed COVID-19. Meaning These findings suggest that, among Chinese health care workers exposed to COVID-19, women, nurses, those in Wuhan, and front-line health care workers have a high risk of developing unfavorable mental health outcomes and may need psychological support or interventions.
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            Recommended psychological crisis intervention response to the 2019 novel coronavirus pneumonia outbreak in China: a model of West China Hospital

            Abstract The novel coronavirus pneumonia (COVID-19) epidemic has brought serious social psychological impact to the Chinese people, especially those quarantined and thus with limited access to face-to-face communication and traditional social psychological interventions. To better deal with the urgent psychological problems of people involved in the COVID-19 epidemic, we developed a new psychological crisis intervention model by utilizing internet technology. This new model, one of West China Hospital, integrates physicians, psychiatrists, psychologists and social workers into Internet platforms to carry out psychological intervention to patients, their families and medical staff. We hope this model will make a sound basis for developing a more comprehensive psychological crisis intervention response system that is applicable for urgent social and psychological problems.
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              Sexual dysfunction before antidepressant therapy in major depression.

              Decreased sexual interest and function both occur as a consequence of antidepressant medication use, and are especially associated with serotonin reuptake inhibitors (SRIs). However, few investigators have reported the base rate for disturbances in sexual desire, arousal and orgasm or ejaculation in patients with major depression (MD) prior to antidepressant treatment. The purpose of this report is to define the frequency of sexual dysfunction (SD) in 134 patients with MD and examine the relationship between SD and demographic, clinical and personality variables. A consecutive series of 55 male and 79 female MD patients diagnosed by SCID-DSM IV assessment completed a series of psychometric measures including a Sexual Function Questionnaire, which asked about change in sexual interest and function as well as sexual activity during the preceding month. Only 50% of women and 75% of men reported sexual activity during the preceding month. Over 40% of men and 50% of women reported decreased sexual interest. Reduced levels of arousal were more common in both men and women (40-50%) than ejaculatory or orgasm difficulties (15-20%). In women, problems with arousal and orgasm correlated with higher neuroticism and lower extraversion. There was no relationship between SD and personality measures in men. While age at onset of depression and number of prior episodes showed a modest correlation with SD measures, there were no correlations with severity of depression or specific symptoms clusters. Although limited by a relatively small sample of drug free patients with MD, and by the absence of a non-depressed comparison sample, these results emphasize the importance of factors beyond specific drug effects in the assessment of antidepressant related sexual dysfunction.
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                Author and article information

                Journal
                Urology
                Urology
                Urology
                Published by Elsevier Inc.
                0090-4295
                1527-9995
                1 September 2020
                1 September 2020
                Affiliations
                [1 ]Department of Urology, Careggi Hospital, University of Florence, Largo Brambilla 3, 50134, Florence, Italy
                [2 ]Assisted Reproductive Technology Centre, Careggi Hospital, University of Florence, Largo Brambilla 3, 50134, Florence, Italy
                [3 ]Department of Experimental and Clinical Medicine, Division of Obstetrics and Gynecology, University of Pisa, Via Roma 67, 56126, Pisa, Italy
                [4 ]Clinical Psychology and Clinical Sexology, Cognitive Therapy Centre, Via Ruscono, 10, 22100, Como, Italy
                [5 ]Department of Urology, University of Catania, Via Plebiscito, 628, 95124, Catania, Italy
                Author notes
                [** ]Corresponding author: Gianmartin Cito, Department of Urology, Careggi Hospital, University of Florence, Largo Brambilla, 3, 50134 Florence, Italy. Phone: +39 0557949203
                [⁎]

                These authors contributed equally to this work

                Article
                S0090-4295(20)31038-4
                10.1016/j.urology.2020.06.101
                7462585
                32888982
                0f9733f5-ecb4-4cf0-91bb-d52547c8ee4c
                © 2020 Published by Elsevier Inc.

                Since January 2020 Elsevier has created a COVID-19 resource centre with free information in English and Mandarin on the novel coronavirus COVID-19. The COVID-19 resource centre is hosted on Elsevier Connect, the company's public news and information website. Elsevier hereby grants permission to make all its COVID-19-related research that is available on the COVID-19 resource centre - including this research content - immediately available in PubMed Central and other publicly funded repositories, such as the WHO COVID database with rights for unrestricted research re-use and analyses in any form or by any means with acknowledgement of the original source. These permissions are granted for free by Elsevier for as long as the COVID-19 resource centre remains active.

                History
                : 21 May 2020
                : 25 June 2020
                Categories
                Article

                Urology
                covid-19,pandemic,sexual health,sexual life,sexuality
                Urology
                covid-19, pandemic, sexual health, sexual life, sexuality

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