Biomedical subjects

J P D'Attilio

Publications and source records attributed to J P D'Attilio.

6 recordsLinked to original sources

PubMed1993

Patient-reported erectile dysfunction: a cross-validation study.

Previous work highlighting a significant correspondence between patient-reported sex history information and physiological indices of erectile functioning was cross-validated. The matched sample comprised of 46 older male veterans presenting with erectile dysfunction, with many experiencing chronic physical illnesses. All subjects underwent a comprehensive medical and psychological evaluation, followed by 2 consecutive nights of in-hospital Rigiscan diagnostic monitoring, to evaluate penile rigidity, tumescence, and duration of erectile episodes. Stringent criteria were employed to control for confounding of Rigiscan results, with elimination from the study for affective, thought, or sleep disorders. Results from the multiple regression analyses showed that patient reports of AM erections and erectile quality accounted for significant proportions of the variance in the Rigiscan criterion measures, with 3 of the 4 R2 values falling within the Herzberg criterion for cross-validation. Results confirm the diagnostic significance of patient self-report for the population of older, chronically ill men who present with impaired erectile functioning.

Adult↗

PubMed1992

Social support and suicide potential: preliminary findings for adolescent populations.

The relationship between both the quantity and perceived quality of social support and suicidal risk was examined in a sample of 50 adolescents whose ages ranged from 16 to 20 years. A multiple regression analysis was performed, using scores from Cull and Gill's 1983 Suicide Probability Scale as the criterion measure along with the predictor variables of quantity and quality of experienced social support as measured by the 1983 Social Support Questionnaire of Sarason, Levine, Basham, and Sarason. Analysis showed the social support variables accounted for over 52% of the variance in suicide potential. The greatest proportion of the variance in suicide risk was attributable to the quality of the perceived social support. Adolescents at greater risk for suicide were significantly less satisfied with the quality of their social support.

Adolescent↗

PubMed1991

Patient-reported sexual symptomatology in predicting functional and insufficient erectile capacity.

We evaluated the clinical utility of patient-reported erectile functioning information in discriminating Rigiscan-determined functional (greater than or equal to 70% penile tip and base rigidity and greater than or equal to 10 minutes' duration) from insufficient (less than 40% penile tip and base rigidity and less than or equal to 6 minutes' duration) erectile capacity, in a population of chronically ill men presenting with erectile dysfunction. Forty-three male veterans completed an extensive medical and psychologic evaluation, including a detailed assessment of sexual functioning, and then underwent two consecutive nights of supervised in-hospital Rigiscan sleep evaluations. Results of discriminant function analysis indicated that patient reports of morning erections and ejaculatory ability accurately predicted group membership for functional (96.7%) and insufficient (100%) categories. Careful attention to patient self-report is suggested for the urologist's initial appraisal of erectile dysfunction in populations of older, chronically ill men.

Erectile Dysfunction↗

PubMed1991

The predictive significance of patient-reported sexual functioning in RigiScan sleep evaluations.

We evaluated the relevance of patient reported sex history information in predicting erectile functioning as measured by the RigiScan monitor. A total of 46 male veterans who presented with erectile dysfunction completed an extensive medical and psychological evaluation including a sexual history, and then underwent 2 consecutive nights of inhospital RigiScan sleep evaluation performed under supervision. Multivariate analyses indicated a significant relationship among patient reported sex history information, and RigiScan measurements of tip and base duration, and rigidity. The sex history item with the greatest predictive power was the question regarding early morning erections. The results of this study highlight the importance of patient reported information, and the significance of obtaining a detailed sex history in the evaluation of older, primarily chronically ill patients who present with erectile dysfunction.

Adult↗

PubMed1991

Assessment of erectile dysfunction in diabetic men: the clinical relevance of self-reported sexual functioning.

Diabetes mellitus is commonly associated with erectile dysfunction (ED). Fifty-three diabetic male veterans presenting with ED underwent an extensive medical examination, psychological evaluation, and a detailed assessment of sexual functioning. They then underwent two consecutive nights of inhospital Rigiscan monitoring to assess erectile capacity. Multivariate analyses indicated that patient reports of a.m. erections and erectile quality were highly predictive of Rigiscan measures of penile tip and base rigidity and duration of erectile episodes. These results highlight the importance of attending to patient reports of specific sexual symptomatology in the evaluation of diabetic patients presenting with ED.

Adult↗

PubMed1990

Relationship between death anxiety and suicide potential in an adolescent population.

The relationship between death anxiety and suicide potential was examined in a sample of 62 male and female adolescents whose ages ranged from 16 to 20 yr. A Pearson product-moment correlation between scores on Templer's Death Anxiety Scale and Cull and Gill's Suicide Probability Scale was significant for death anxiety and suicide potential, with higher death anxiety associated with greater suicidal risk. The implications of this association with respect to adolescent suicidal behaviors is discussed.

Adolescent↗