14th International Conference of
Psychosomatic Obstetrics and Gynaecology

 16 - 19 MAY 2004,  Edinburgh, Scotland

 

 


 

FOREWORD

 

The British Society of Psychosomatic Obstetrics, Gynaecology and Andrology (BSPOGA) is honoured to be hosting the XIV International Congress of the International Society of Psychosomatic Obstetrics and Gynaecology (ISPOG). We have a long association with ISPOG through Professor Norman Morris, who became the first President of ISPOG when it was established in 1972, after the Congress held in London in 1971.
This is the first Congress to be held in Europe since Basel in 1995. The Proceedings of that Congress were also published by Monduzzi Editore and we are pleased to renew that association with this publication.
The theme of the Congress is “Women’s Health: Psyche and Soma” and draws together many aspects of the link between the psyche and physical conditions in many areas of reproductive and gynaecological health in 42 symposia, 3 workshops, 17 Free Communication sessions and poster presentations. There are presentations from 32 countries and delegates are attending from over 43 countries.
The term psychosomatic has a number of meanings and we include holistic care and integration of physical and mental health. We cross the boundaries between psychology, psychiatry and sociology with obstetrics, gynaecology, andrology, nursing, midwifery and other related fields. The Congress provides a multi-disciplinary forum for communication between health professionals, researchers and clinicians to share experiences, good practice and the findings from the latest research in the field. We think that it is timely to break down the barriers between the psyche and soma and to appreciate their interdependence.
The Congress is based on the objectives of the International Society of Psychosomatic Obstetrics and Gynaecology (ISPOG) which are:
1. to promote the study of psychobiological and psychosocial, ethical and cross-cultural problems in the fields of obstetrics and gynaecology, women’s health and reproductive health.
2. to promote education and training in the management of the problems mentioned under the previous paragraph.
3. to encourage the creation of national societies of psychosomatic obstetrics and gynaecology which will promote research, education and training on a national level.
4. to promote and facilitate the dissemination of new information in the fields mentioned before by organizing international congresses and through the official ISPOG publication, the Journal of psychosomatic Obstetrics and Gynaecology.
Finally the editors wish to express their thanks to:
• All the authors who have submitted abstracts
• The members of the Scientific Committee of the XIV Congress
• The staff at Medimond - Monduzzi Editore Proceedings Division for their assistance in the publication of these Proceedings.
 

The Editors
Dr Ian C Allen
Professor Beth Alder
Dr Michael Pawson

 

 


INDEX

 

 

Plenary Speakers


Is Fear of Childbirth Justified?
P.J. Steer

 

 

Symposium Speakers


Managing Perinatal Depression – A Health Visiting Perspective
C. Adams


Sexual Dysfunctions in Women with Chronic Pelvic Pain – A Modified Sex-therapeutic Model
P. Nijs 13

The Complexities of Women’s Sexual Arousal and Subtypes of Arousal Disorder
R. Basson


Domestic Violence: The Health-carer’s Perspective
A. Osbourne


Evaluation of a Postnatal Listening Service for Pakistani, Bangladeshi and Chinese Women in the North of England
J.M. Green, J. Hirst, K. Ashrafi and M. Khan


Abortion – A Hidden Source of Stress in Health Care Personnel
S. Forbes


Normal Birth: A Catalyst for Maternal and Societal Well-being
S. Downe


Fear of Childbirth During Pregnancy A Study of more than 8,000 Pregnant Women
V. Geissbuehler and J. Eberhard


Women with HIV Infection: How to Manage the Psychological Consequences
N. Smith


Activity and Participation – Overcoming Sexual Difficulties Associated with Physical Disability
B. Chandler


Maternity Needs of Disabled Women
J. Rotheram


Female Psychosomatic Medicine and Buddhism
T. Ushiroyama


Treatments for Menopausal Symptoms in Breast Cancer Patients
M.S. Hunter


Navigating the Menopausal Experience: A Model of Climacteric Sensitivity
J.M. Perz


Reconceptualising Reproductive Disorders: The Development of a Material-Discursive-Intrapsychic Approach
J.M. Ussher


Psychosomatic Liabilities of Contraceptive Technologies
P. Khan


Psychogenic Infertility – Nothing But a Myth?
T. Wischmann


Knowledge and Attitudes Towards Controversial Medical and Ethical Issues in Reproductive Medicine and Preimplantation Genetic Diagnosis (PGD)
Y. Stöbel-Richter, A. Borkenhagen, C. Finck, H. Kentenich and E. Brähler


Attitudes, Knowledge and Expectations of Infertile Couples Towards PGD and Embryoselection
A. Borkenhagen, C. Finck, Y. Stöbel-Richter, E. Brähler and H. Kentenich


A Study About Premenstrual Syndrome, PMS, as Part of the Southampton Women’s Survey, SWS
C. Sadler, H. Inskip, H. Smith and N. Panay


Managing Infertility in Patients with HIV
C. Gilling-Smith


Women’s Outlook on Men’s Sexual Disorder
I. Borten-Krivine


Coping Sexually with the Diagnosis of Cancer
J. Bennett and Y. Hydes


PTSD Related to Childbirth: Problems and Prevalence
S. Ayers


Perinatal Dissociation as a Predictor of Childbirth-related Posttraumatic Stress Symptoms
E. Olde, O. van der Hart and R.J. Kleber


How To Deal with Informational Lacks of Migrants in the Hospital
T. Borde, M. David and H. Kentenich


Migrants Presenting to Emergency Departments – Patients Needs and Medical Treatment
T. Braun, T. Borde and M. David


Migration and Mental Health Care
S. Priebe, T. Berhe, V. Iannibelli and D. Claassen


Turkish-Dutch Women’s Views on Childbirth. A Question of Medicalization or Empowerment?
L. Çinibulak and A. Richters


Workshops
Doctor Patient Communication – A Four Cusp Approach To Cancer Care
J.R. Smith, K. Sieunarine, M. Bower and C. Gillespie

 

 

Free Communications


Illness Representations, Coping and Psychological Morbidity in Infertility
S. Lord and N. Robertson


Biopsychosocial Predictors of Attendance for Cervical Screening
J.C. Walsh


Sexual Behaviour in Pregnancy. Preliminary Communication
R. Escudero, J. Florido, M. Cruz, A. Consuegra, A. Caño, P. Carretero and L. Banqueri


Surviving Twins at Perinatal Death – A Retrospective Study
D.D. Wretmark


Psychiatric Distress and Use of Health Services Among Women Attending Gynecology Clinics in Beirut, Lebanon
M. Chaaya


Psychological and Sexual Findings in Women with Chronic Pelvic Pain
R. Pérez- Lucas, J. Florido and L. Navarrete


Integrative Psycho-Somatic Approach to the Genesis and Therapy of Juvenile Uterine Bleeding
E. Gayvoronskaya


Autonomic Function in the Late Luteal Phase of Eumenorrheic Young Women with Mild Physical and Emotional Discomfort
T. Matsumoto, N. Tatsumi, Y. Hayashida, T. Suzuki, T. Moritani, T. Hayashi and Y. Yanagimoto


Vitex Agnus Castus and Premenstrual Syndrome
G. Regnani, A. Gasparetto and F. Facchinetti


Severe Psychological and Social Consequences of Post-caesarean Pelvic Floor Dysfunction in Primiparae
M. Lal, H. Pattison, T. Allan, R. Callender,
S. Radley and C. Mann


Clinical and Demographic Characteristics of Women that Developed Maternity Blues During the First Three Days of Puerpartum F. Gonidakis, A. Rabavilas, G. Christodoulou
and G. Kreatsas

 

 

Posters


Enabling Informed Patient Choice in Sterilisation at Caesarean Section
U. Krishnamoorthy, M.S. Zakalama
and S. Gurram


Postpartum Dyspareunia Reflects Sexual Malfunction, Pelvic Floor and Perineal Dysfunction: Caesarean vs Vaginal
M. Lal, H. Pattison, T. Allan, R. Callender, S. Radley and C. Mann


Very Early Detection of Postnatal Depression by the Edinburgh Scale
J. Florido, L. Navarrete, M.C. Chicharro, C. Chung, R. Ros and F. García-Ros


The Ongoing Silencing of Women in Families: An Analysis and Rethinking of Premenstrual Syndrome and Therapy
J.M. Ussher


Psychosomatic Change after Midnight Shift in Hospital-Working Nurses
C. Miyagi, C. Maeshiro, K. Sugimoto and S. Kono


The Sleep-Wake Behavior in Climacteric Women
K. Sugimoto, C. Maeshiro, C. Miyagi, Y. Sunagawa and S. Kono


Immunotherapy Regulates Immune Activity in Women with the History of Recurrent Spontaneous Abortion
M. Jerzak, M. Kniotek, A. Górski and W. Baranowski
 

 

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