Logomarca do periódico: Sao Paulo Medical Journal

Open-access Sao Paulo Medical Journal

Publicación de: Associação Paulista de Medicina - APM
Área: Ciências Da Saúde
Versión impresa ISSN: 1516-3180
Versión on-line ISSN: 1806-9460
Titulo anterior Revista da Associação Paulista de Medicina
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Sao Paulo Medical Journal, Volumen: 144, Numero: 5, Publicado: 2026

Sao Paulo Medical Journal, Volumen: 144, Numero: 5, Publicado: 2026

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Documents
Original Article
Association of mandibular functional impairment and orofacial pain with subtypes of male sexual dysfunction: a cross-sectional study Erkut, Ümit Yildiz, Abdurrahim Mustafaoglu, Rüstem

Resumen en Inglés:

ABSTRACT BACKGROUND: Temporomandibular disorder (TMD) are among the most common causes of orofacial pain and have been associated with several systemic conditions. However, their relationship with male sexual dysfunctions (MSDs) remains largely unexplored. OBJECTIVES: To investigate the association between TMD symptoms and different subtypes of MSDs. METHODS: A cross-sectional study was conducted with 91 men aged 18 to 50, classified as having premature ejaculation (n = 33), delayed ejaculation (n = 10), or erectile dysfunction (n = 22), or being control participants (n = 26). TMD symptoms were assessed using the Mandibular Function Impairment Questionnaire (MFIQ), and sexual function was evaluated using the International Index of Erectile Function (IIEF), Premature Ejaculation Diagnostic Tool (PEDT), and intravaginal ejaculatory latency time (IELT). RESULTS: Significant group differences were found in the IELT and all IIEF subdomain (p < 0.001) values. Participants with delayed ejaculation had the longest IELTs, whereas those with erectile dysfunction had the shortest. PEDT scores were significantly higher in the premature-ejaculation and erectile-dysfunction groups than in the control group, with no significant difference observed between the delayed-ejaculation and control groups. Orofacial pain (cheek–temple–jaw) was more frequent in all MSD groups (p = 0.001), whereas temporomandibular joint pain (ear area) was particularly more prevalent in the delayed-ejaculation group. MFIQ scores indicated greater mandibular impairment primarily in the erectile-dysfunction group. Multinomial regression analysis results showed that orofacial pain independently predicted all MSD subtypes, but temporomandibular joint pain was specifically associated with delayed ejaculation. CONCLUSION: The results indicate a potential association between TMD-related symptoms and MSDs, suggesting that orofacial pain and functional jaw impairment may be related to male sexual health. These findings highlight the potential importance of using a multidisciplinary approach involving collaboration between dentists, urologists, and physical therapists to improve both jaw and sexual health outcomes.
ORIGINAL ARTICLE
The relationship between information overload, adjustment to cancer, and level of health perception in patients with cancer: a descriptive cross-sectional study Tanriverdi, Ömer Ayik, Derya Biçak

Resumen en Inglés:

ABSTRACT BACKGROUND: Patients with cancer are frequently exposed to excessive, fragmented, and inconsistent health information; this may contribute to cognitive overload and hinder their psychological adjustment to the illness. Understanding how information overload influences coping mechanisms and perceived health status is essential for designing effective psychosocial and nursing interventions. OBJECTIVE: This study aimed to examine the relationship between information overload, psychosocial adjustment to cancer, and health perception among patients undergoing chemotherapy. METHODS: A descriptive, cross-sectional design was used. The study involved 152 patients undergoing chemotherapy at the Oncology Unit of Mardin Training and Research Hospital between June and September 2025. Data were collected using a Personal Information Form, and the Cancer Information Overload Scale, Mental Adjustment to Cancer Scale, and Health Perception Scale. Descriptive statistics, Pearson correlation analyses, and multiple linear regression were conducted, with statistical significance set at p < 0.05. RESULTS: The mean health perception score was 51.02 ± 7.44, indicating a moderate to high level of perceived health. Pearson correlation analysis revealed a positive and statistically significant relationship between information overload and health perception (r = .183; p = .024). CONCLUSION: Information overload and coping style played influential roles in shaping health perception among patients with cancer. Although excessive information can overwhelm individuals, access to accurate, comprehensible, and well-structured information appears to enhance awareness and support adaptive coping. Healthcare professionals-particularly nurses-are crucial in guiding patients through effective information management and provision of psychosocial support, ultimately improving patients’ perceived health and overall well-being.
Original Article
Does vascular involvement affect erectile dysfunction in patients with Behçet's disease?: a single-center cross-sectional study Polat, Bünyamin Erden, Abdulsamet Ünal, Selman Apaydin, Hakan Armağan, Berkan Güven, Serdar Can Okulu, Emrah Omma, Ahmet Kucuksahin, Orhan Kayigil, Önder

Resumen en Inglés:

ABSTRACT BACKGROUND: Behçet's disease (BD) can affect the urogenital system in men, leading to conditions such as epididymitis, urethritis, cystitis, and dorsal penile vein thrombosis. A high incidence of erectile dysfunction (ED) in BD patients has been previously reported; however, the role of vascular involvement in ED is unclear. OBJECTIVES: To investigate the effect of vascular involvement on ED in male patients with BD. METHODS: Ninety-seven patients diagnosed with BD (mean age, 40.4 ± 10.7 years; disease duration, 12.5 ± 9.6 years) were included in the study and divided into the vascular and non-vascular groups. The presence and severity of ED were assessed using the International Index of Erectile Function-5 (IIEF-5), with a score of ≤21 indicating the presence of ED. Patients with ED underwent corpus cavernosum electromyography and penile color Doppler ultrasonography to diagnose ED. RESULTS: Half of all patients with BD (n = 49, 50.5%) were found to have ED. No significant difference in the presence of ED was observed between the two groups (vascular group: n = 24, 49% vs. non-vascular group: n = 25, 52.1%; p = 0.76). The proportion of patients with peak systolic velocities of less than 30 cm/s was significantly higher in the vascular group than in the non-vascular group (n = 12, 80% vs. n = 2, 22.2%; p = 0.01). No significant between-group difference was found in corpus cavernosum electromyography results (p > 0.05). CONCLUSIONS: ED is common in patients with BD, and arterial ED is more prevalent among those with vascular involvement. Sexual dysfunction, which is less frequently screened for in patients with BD, should be thoroughly monitored; early intervention is recommended.
ORIGINAL ARTICLE
Spiritual well-being, surgical fear, and quality of recovery in patients undergoing abdominal surgery: a descriptive and correlational study Sözen, Kezban Koraş Birim, Özge Havva

Resumen en Inglés:

ABSTRACT BACKGROUND: Despite the increasing emphasis placed on holistic care in healthcare, the impact of spiritual well-being on postoperative outcomes is unclear, particularly in patients who have undergone abdominal surgery. The postoperative period is characterized by significant physical and psychological stress. OBJECTIVE: To examine the relationship between spiritual well-being, surgical fear, and the quality of postoperative recovery in patients undergoing abdominal surgery. DESIGN AND SETTING: Descriptive and correlational study. METHODS: A total of 116 patients participated in the study. Data were collected using the Descriptive Characteristics Form, Three-Factor Spiritual Well-Being Scale, Surgical Fear Questionnaire, and Quality of Recovery-40 Questionnaire. We evaluated the relationships between patients’ levels of spiritual well-being, their fear of surgery, and the quality of postoperative recovery. RESULTS: Patients reported high spiritual well-being and low levels of surgical fear; the mean Quality of Recovery-40 Questionnaire score was 109.36 ± 8.52, below the theoretical midpoint of the scale. Correlation analysis revealed no statistically significant relationship between spiritual well-being and surgical fear (ρ = 0.02, p = 0.83) or postoperative quality of recovery (ρ = 0.12, p = 0.2). No significant relationship was found between surgical fear and quality of recovery (ρ = 0.11, p = 0.23). CONCLUSION: Spiritual well-being was not significantly associated with surgical fear or postoperative quality of recovery among patients undergoing abdominal surgery. These findings suggest that, although spirituality may contribute to patients’ internal coping processes, it may not directly influence immediate postoperative outcomes. Further studies involving diverse patient populations and longitudinal designs are needed to better understand the relationship between spirituality, psychological responses, and recovery outcomes in surgical care.
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