Partner relationships after mastectomy in women not offered breast reconstruction

Andrzejczak, Ewa; Markocka−Mączka, Krystyna; Lewandowski, Andrzej

doi:10.1002/pon.3197

Cited by 42 publications

(30 citation statements)

References 24 publications

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“…16 BAI and BDI are both 21-item instruments on which each item is scored from 0 to 3, higher scores indicating greater severity. The severity of anxiety (BAI score) is categorized as follows: minimal (0-7); mild (8)(9)(10)(11)(12)(13)(14)(15); moderate (16)(17)(18)(19)(20)(21)(22)(23)(24)(25); and severe . The severity of depression (BDI score) is categorized as follows: minimal (0-9); mild (10-18); moderate (19)(20)(21)(22)(23)(24)(25)(26)(27)(28)(29); and severe (30-63).…”

Section: Instrumentsmentioning

confidence: 99%

Sexual function, anxiety and depression in women with benign breast disease. A case-control study

Fairbanks

Andres

Caldeira

et al. 2017

Rev. Assoc. Med. Bras.

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Summary Introduction: Sexual dysfunction is highly prevalent, affecting 40% of the female population. The incidence of such dysfunction is known to be higher among women with malignant breast disease and in patients with depression or anxiety. However, there are few data regarding the prevalence of sexual dysfunction among women with benign breast disease (BBD). Objective: To evaluate the incidence of sexual dysfunction, depression and anxiety among women with BBD, in comparison with that observed for healthy women. Method: We evaluated the incidence of sexual dysfunction in 60 patients with benign breast disease (fibroadenomas, breast cysts, breast pain and phyllodes tumor) and 69 healthy women (control group). Participants completed the Sexual Quotient Questionnaire for Females (SQQ-F), the Beck Depression Inventory and the Beck Anxiety Inventory. Statistical analysis revealed that depression and anxiety were comparable between BBD and control groups (10.3 vs. 20.3% and 38.7 vs. 34.3%, respectively, p>0.05). The mean SQQ-F score (65.6±22.7 vs. 70.1±16.8; p>0.05) and sexual dysfunction (33.3 vs. 25.4%; p=0.324) were similar between BBD and control groups. Conclusion: We found no differences between women with BBD and healthy women in terms of the incidence of sexual dysfunction, anxiety and depression. Nevertheless, given the high prevalence of this condition, it is important to assess sexual quality of life, as well as overall quality of life, in women with BBD.

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Section: Instrumentsmentioning

confidence: 99%

Sexual function, anxiety and depression in women with benign breast disease. A case-control study

Fairbanks

Andres

Caldeira

et al. 2017

Rev. Assoc. Med. Bras.

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“…Los estudios E2, E4, E7, E10, E12, E13, E14, E16, E18, E20, E21 presentan nivel de evidencia 3 con grado de recomendación B (14)(15)(16)(17)(18)(19)(20)(21)(22)(23)(24) . Y los estudios E1, E3, E5, E6, E8, E9, E11, E15, E17, E19 presentaron nivel de evidencia 4 con grado de recomendación C (25)(26)(27)(28)(29)(30)(31)(32)(33)(34) .…”

Section: Nº 43 Julio 2016unclassified

“…Las mujeres que utilizan inhibidores da aromatasa y con síntomas vasomotores presentaron más posibilidades de presentar problemas con la función sexual, pero las mujeres que utilizan el tamoxifeno no presentan esta propensión (18) . Mujeres que se sometieron al tratamiento quirúrgico de cáncer de mama y con relaciones estables muestran puntuaciones mejores que las que no tienen relación en cuanto a la intimidad y atractivo sexual (14) , incluso así refieren que la mastectomía impactó negativamente en sus relaciones conyugales, principalmente en relación a la frecuencia de las actividades, atracción, satisfacció y placer sexual (34) . Las mujeres cuadrandectomizadas o mastectomizadas y sometidas a reconstrucción mamaria presentan mejor sexualidad que las mastectomizadas sin reconstrucción (14)(15)(16) .…”

Section: Nº 43 Julio 2016unclassified

“…Las mujeres cuadrandectomizadas o mastectomizadas y sometidas a reconstrucción mamaria presentan mejor sexualidad que las mastectomizadas sin reconstrucción (14)(15)(16) . Sin embargo, independientemente de la edad, las mujeres relatan cubrir su cuerpo durante el contacto íntimo tras la cirugía (34) . La mastectomía genera problemas en los dominios de deseo sexual, excitación y capacidad de alcanzar el orgasmo que pueden durar de seis meses a un año tras la cirugía, las mujeres que se sometieron a cirugía conservadora de la mama refieren más problemas con la excitación sexual cuando comparado con la situación antes de la cirugía (20) .…”

Section: Nº 43 Julio 2016unclassified

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A sexualidade de mulheres em tratamento para o câncer de mama

Lopes

Costa²,

Guimarães

et al. 2016

eglobal

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Nº 43 Julio 2016Página 350 REVISIONES La sexualidad de las mujeres sometidas a tratamiento de cáncer de mamaA sexualidade de mulheres em tratamento para o câncer de mama The sexuality of women undergoing treatment for breast cancer *Lopes, Juliane da Silveira Ortiz de Camargo **Costa, Lucimar Lopes de Andrade ***Guimarães, Janaina Valadares ****Vieira, Flaviana RESUMENEl cáncer de mama es uno de los principales problemas relacionados con la salud de la mujer, y las diversas formas de tratamiento pueden dar lugar a cambios en el cuerpo y alterar significativamente la sexualidad de las mujeres. Los factores que intervienen en la sexualidad de estas mujeres requieren un enfoque específico, ya que el tratamiento de las mujeres se basa en el diagnóstico y tratamiento de problemas de salud y no cubre necesariamente toda la complejidad que exige el tema.Objetivo: Evaluar la evidencia científica del tratamiento interferencia de cáncer de mama en la sexualidad de la mujer.Método: Revisión Integral realizada en MEDLINE, PubMed, LILACS y SciELO. Encontramos veintiuna publicaciones que cumplieron los criterios de inclusión.Resultados: Los resultados mostraron que las mujeres con cáncer de mama pueden disminuir o

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“…First is 'B-a: Difficulty accepting change due to mastectomy (me/partner)', which is also a characteristic problem for breast cancer patients in previous studies. [29] Effective support, in particular counseling support, is necessary for patients and partners to accept the breast loss or disfigurement. Next, 'B-b: My poor physi-…”

Section: Changes In Sexual Life During Hormone Therapy Following Surgerymentioning

confidence: 99%

The sexual lives of breast cancer patients: Coping with changes associated with treatment

Yoshikawa

2017

CNS

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Objective: To clarify how breast cancer patients undergoing post-surgical hormone therapy cope with changes in their sexual lives and support themselves and their partners during these changes. Methods: Participants were 37 breast cancer patients undergoing post-surgical hormone therapy and attending mammary outpatient clinics. In-depth interviews and grounded theory were used to collect and analyze data, respectively. Results: First, sexual life was divided into four groups: "No complaint" regarding sexual activity, "Slight discord", "Handicapped in meeting a life partner" and "Uninterested" in sexual activity. Sexual life during surgical-hormone therapy did not change significantly from sexual life before breast cancer. Second, meanings of sexual activity for breast cancer patients were divided into five, "Regaining femininity", "Confirming love", "Sharing pleasure", "Response to partner's higher desire" and "Procreation". They differed by group. Third, coping strategies were divided into six, "Virtuous cycle to confirm love and regain lost femininity", "Struggle to avoid relationship crisis", "Reconfirmation of partner's affection by his abstinence", "Attempt to recover the sexual activity they hope for", "Pursuing children or assuaging partner's desire by other means" and "Difficulty making a partner continue to have sexual activity". Conclusions: Nurses should screen breast cancer patients for changes in their sexual lives and to ascertain what sexual activity means to patients, and support them in selecting appropriate coping methods.

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Partner relationships after mastectomy in women not offered breast reconstruction

Abstract: Breast excision due to cancer negatively impacted the quality of sexual life for 71% of participants. Partnership relations after surgery remained unchanged for 67% of them. There was significant impact of surgery on the perception of one's own body.

Cited by 42 publications

References 24 publications

Sexual function, anxiety and depression in women with benign breast disease. A case-control study

Sexual function, anxiety and depression in women with benign breast disease. A case-control study

A sexualidade de mulheres em tratamento para o câncer de mama

The sexual lives of breast cancer patients: Coping with changes associated with treatment

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