Barriers to Sexual Health Communication in Breast Cancer Survivors: A Qualitative Study

Masjoudi, Marzieh; Keshavarz, Zohreh; Akbari, Mohammad Esmaeil; Kashani, Farah Lotfi; Nasiri, Malihe

doi:10.7860/jcdr/2019/40073.12825

Cited by 9 publications

(20 citation statements)

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“…Cancer survivors often report a decline in the quality of their sexual relationships, which are mainly attributed to the side effects of cancer and its treatment. Consistent with many studies, concerns on changes in sexual activities were raised by almost all participants in this study irrespective of cancer type, age, and gender [13][14]. Although it is conceivable that reproductive cancers such as prostate and gynaecological cancers are more likely to be associated with sexual dysfunction due to hormonal imbalances [15][16], our study ndings suggest that psychosexual care should not only be limited to a selected subgroup of patients but also extended to all patients with cancers.…”

Section: Discussionsupporting

confidence: 85%

Sexual Wellbeing and Supportive Care Needs After Cancer in a Multiethnic Asian Setting: A Qualitative Study

et al. 2022

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Purpose: The physical and emotional impact of cancer and its treatment may be detrimental to the sexual well-being of patients. We aimed to gain an in-depth insight on the impact of cancer on the sexual wellbeing of cancer patients living in a middle-income setting with limited supportive care services.Methods: Twenty focus group discussions, strati ed by gender, were conducted among 102 patients with breast, cervical, colorectal, or prostate cancer. Participants were recruited from ve hospitals in Klang Valley, Malaysia. Discussions were audio recorded and transcribed verbatim. Thematic analysis was performed using NVivo.Results: Three major themes emerged: loss, adjustments, and unmet supportive care needs. Under the main theme of loss, changes in physical appearances and childbearing abilities negatively impacted participants' self-con dence and body image, particularly in the females. Changes in quality of sexual activity were commonly raised, which often brought about con icts and marital strains. Various methods to cope with the changes were described, including reprioritization of sex, using sexual aids, employing other forms of intimacy, and reframing sex as an obligation. Participants further voiced the unmet need for professional counselling services to enable honest communication between patients and their partners, and also sexual healthcare services, which were all deemed as paramount to address their sexual issues. Conclusion:In the low-and middle-income countries, provision of sexual healthcare services including counselling and clinical management of sexual dysfunction should not be overlooked as an important component of supportive cancer care.

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Section: Discussionsupporting

confidence: 85%

Sexual Wellbeing and Supportive Care Needs After Cancer in a Multiethnic Asian Setting: A Qualitative Study

et al. 2022

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“…Scores lower than 18, 9, 9, 24, 12, and 15 were interpreted as sexual dysfunction (requiring treatment) in the subscales of “changes after cancer”, “desire/arousal”, “lubrication”, orgasm, pain, and distress, respectively. Masjoodi et al ( 23 ) assessed the validity and reliability of the Persian version of this scale. The scale had high internal stability and acceptable test-retest reliability, as Cronbach’s alpha of 0.81 and 0.74 were calculated for the sexually active and non-active groups, respectively.…”

Section: Methodsmentioning

confidence: 99%

“…Item correlation between 0.81 and 0.97 was also obtained for sexually active and non-active groups, respectively. The content validity index (CVI) and content validity ratio (CVR) were 0.80 and 0.60, respectively ( 23 ).…”

Section: Methodsmentioning

confidence: 99%

Overcoming Reproductive and Psychological Concerns of Breast Cancer Survivors: A Randomized Controlled Trial

Barjasteh¹,

Farnam²,

Elsous³

et al. 2022

JFRH

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Objective: After developing breast cancer, women experience changes in their sexuality, femininity, and fertility. These changes lead to poor mental health and increased psychological stress. Therefore, this study aimed to investigate the effects of Good Enough Sex (GES)-based, couple-centered group counseling on reproductive and sexual concerns of breast cancer survivors. Materials and methods: This was a quantitative randomized controlled clinical trial (RCT) conducted at Omid Hospital, West Azerbaijan, Urmia, Iran from March 2018 to October 2020. After completing the informed consent forms, 100 women were assigned to the intervention and control groups (50 individuals per group) using a randomized block design. The intervention included four 90-120-minute sexual counseling sessions with 2 and 3 month follow-ups. The data were collected using the socio-demographic and clinical characteristics, the Persian version of Depression, Anxiety and Stress Scale (DASS-21), Reproductive Concerns after Cancer (RCAC) scale, and Female Sexual Function Index adaptation for Breast Cancer patients (FSFI-BC). Data were collected, from control and intervention groups, at three intervals; before, besides two months and three months post intervention, then were analyzed in SPSS 20 using descriptive and repeated measures analysis of variance (ANOVA) test. Results: Significant reduction in the mean score of DASS-21, RCAC and improvement of FSFI-BC is reported between the intervention and control groups in favor of intervention group (P<0.001). However, no significant differences are observed within intervention group over two- and three-months post intervention (P > 0.05). Conclusion: The designed Good Enough Sex (GES)-based, couple-centered group counseling effectively reduced reproductive and sexual concerns of females’ breast cancer survivors. Therefore, these training and counseling programs can be organized by relevant service centers to promote the reproductive health of women with breast cancer.

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“…Breast cancer survivors are often not comfortable to talk about their sexual problems. Health care providers also have di culty to enter their patients sexuality worlds [21,22]. In a study by Masjoudi et al, neglecting the sexual concerns of the survivors and the lack of teamwork among the service providers were the most important obstacles to talk about the sexual concerns of patients from the patientprovider communication perspective [23].…”

Section: Introductionmentioning

confidence: 99%

“…Health care providers also have di culty to enter their patients sexuality worlds [21,22]. In a study by Masjoudi et al, neglecting the sexual concerns of the survivors and the lack of teamwork among the service providers were the most important obstacles to talk about the sexual concerns of patients from the patientprovider communication perspective [23]. Given the barriers in this area, it is essential to use a reliable and easy-to-use tool to diagnose patients' sexual problems.…”

Section: Introductionmentioning

confidence: 99%

Sexual function index adaptation for breast cancer patients (FSFI-BC)- Translation and Psychometric properties of Iranian version

Masjoudi

Keshavarz

Akbari

et al. 2022

Preprint

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Background- Effective interventions to improve sexual dysfunction in breast cancer survivors need screening of these dysfunctions with a suitable instrument. The aim of present study was translation and identifying psychometric properties of FSFI-BC which has been specifically developed for breast cancer survivors. Method-Forward and backward method was used for translating of the scale from English into Persian. 200 breast cancer survivors in stage 1 or 2 completed the questionnaire. Reliability was assessed by Cronbach’s alfa and test re-test analysis and construct validity with confirmatory and exploratory factor analysis.Results-The mean age of participants was 48.91(SD=9.758). Most women were housewives (74%) and mastectomy had been performed for 58% of them. Reliability evaluation indicated high internal consistency and good test re-test reliability. Confirmatory factor analysis showed an acceptable fitness for seven factor of FSFI-BC questionnaire (NFI= 0.9 for both groups, CFI= 0.93 and 0.92 , χ2/df= 1.68 and 1.71 for SA(Sexually Active) and NSA(No Sexually Active) individuals respectively) .Conclusion-Study findings suggest that Iranian version of FSFI-BC is a suitable instrument for sexual dysfunction screening in breast cancer survivors.

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Barriers to Sexual Health Communication in Breast Cancer Survivors: A Qualitative Study

Cited by 9 publications

References 0 publications

Sexual Wellbeing and Supportive Care Needs After Cancer in a Multiethnic Asian Setting: A Qualitative Study

Sexual Wellbeing and Supportive Care Needs After Cancer in a Multiethnic Asian Setting: A Qualitative Study

Overcoming Reproductive and Psychological Concerns of Breast Cancer Survivors: A Randomized Controlled Trial

Sexual function index adaptation for breast cancer patients (FSFI-BC)- Translation and Psychometric properties of Iranian version

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