Profiles of medical services use and health status in sex therapy clients: Associations with therapeutic alliance, attachment and trauma.
Adults with sexual difficulties tend to report poorer health and higher health services utilization than individuals from community samples. Several correlates are related to greater use of health services, such as childhood interpersonal traumas, insecure attachment and level of therapeutic allianc...
| Publicado en: | Canadian Journal of Human Sexuality Vol. 29; no. 3; pp. 263 - 275 |
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| Autores principales: | , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
University of Toronto Press
12/1/2020
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=147598348&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 147598348 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 11884517 1QX jtl: Canadian Journal of Human Sexuality issn: 11884517 maglogo: N pubinfo: dt: 12/1/2020 vid: 29 iid: 3 pid: 678 pub: University of Toronto Press place: North York, Ontario artinfo: ui: 147598348 147598348 147598348 10.3138/cjhs.2019-0045 147598348 ppf: 263 ppct: 12 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Profiles of medical services use and health status in sex therapy clients: Associations with therapeutic alliance, attachment and trauma. aug: au: Lafrenaye-Dugas, Anne-Julie Hébert, Martine Godbout, Natacha affil: Faculté des sciences humaines, Université du Québec à Montréal, Montreal, QC sug: subj: Sexual Dysfunction, Female Therapy Health Services Utilization Sexual Health Health Status Sexual Dysfunction, Female Risk Factors Therapeutic Alliance Attachment Behavior Sexual Trauma Sexual Dysfunction, Male Risk Factors Sexual Dysfunction, Male Therapy Sex Therapy Human Reactive Attachment Disorder Risk Assessment Interpersonal Relations Empirical Research Self Report Questionnaires Sexual Satisfaction Referral and Consultation Emergency Service Office Visits Drugs, Prescription Administration and Dosage Chronic Disease Treatment Duration Self Assessment Cluster Analysis Comparative Studies Sexual Dysfunction, Female Drug Therapy Sexual Dysfunction, Male Drug Therapy ab: Adults with sexual difficulties tend to report poorer health and higher health services utilization than individuals from community samples. Several correlates are related to greater use of health services, such as childhood interpersonal traumas, insecure attachment and level of therapeutic alliance. Although it is documented that clients presenting sexual difficulties and seeking sex therapy are likely to present these risk factors, health status and medical services use have not yet been empirically examined in this population. A total of 220 clients seeking sex therapy completed self-report questionnaires assessing childhood interpersonal traumas, attachment representations, therapeutic alliance, and sexual satisfaction. Five variables were used to identify their health status and medical services use: 1) annual number of medical consultations; 2) annual number of emergency room visits; 3) presence of chronic health problems; 4) frequency of medication intake; and 5) health status self-assessment. Hierarchical clustering analyses were conducted and three distinct profiles were identified according to the clients' health status and medical services use. The first profile (n = 106) was characterized by a good health and low use of medication and medical services. Compared to the other profiles, these clients report more secure attachment, stronger therapeutic alliance, and fewer traumas. The second profile (n = 73) showed the highest frequency of medical and emergency room consultations. These clients all reported a chronic health problem and a high rate of trauma. The third profile (n = 41) included clients using the most medication, but reporting a globally good health. These clients reported low levels of therapeutic alliance. Results provide a better understanding of the associations between sexual difficulties and health problems. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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