Sexual distress and associated factors among cervical cancer survivors: A cross‐sectional multicenter observational study

Bakker, Rinske M.; Kenter, Gemma G.; Creutzberg, Carien L.; Stiggelbout, Anne M.; Derks, Marloes; Mingelen, W.; Kroon, Cor D. de; Vermeer, Willemijn M.; Kuile, Moniek M. ter

doi:10.1002/pon.4317

Cited by 38 publications

(38 citation statements)

References 40 publications

(61 reference statements)

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“…Results indicated that both psychological variables, body image disruption and self‐compassion, were significant predictors of sexual distress, but not sexual satisfaction, confirming other findings linking body image concerns with sexual distress 22 . The results contrasts with research suggesting body image disruption predicts sexual satisfaction 19–21 .…”

Section: Discussionmentioning

confidence: 46%

“…In cancer survivors, body image disruption has been related to decreased sexual satisfaction, 19–21 although not consistently 5 . Additionally, Bakker, Kenter 22 showed higher body image disruption was associated with higher sexual distress in cervical cancer survivors. Other studies have shown these issues are independent of disease stage and the physical effects of cancer treatments 23 …”

Section: Introductionmentioning

confidence: 96%

“…Nonetheless, the EORTC recently concluded sexual pain was a unique and important determinants of survivors' sexual health 3 . Sexual pain has been associated with greater sexual distress in cervical cancer survivors, 22 and with greater sexual distress and lower sexual satisfaction in a non‐clinical sample 14 …”

Section: Introductionmentioning

confidence: 99%

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Sexual satisfaction and sexual distress after cancer: The role of body image disruption, self‐compassion, sexual pain and relationship satisfaction

2021

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Objective To identify variables that correlate with sexual satisfaction and sexual distress among adult cancer survivors, and how these differ, providing a basis from which approaches to intervention may be identified. This study examined four key variables: body image disruption, self‐compassion, relationship satisfaction and sexual pain, previously all linked to sexual quality of life. Methods A cross‐sectional survey was conducted online, with participants (n = 113) recruited via cancer charities, support groups and sexual counsellors' networks. A multivariate multiple regression analysis was conducted to analyse relationships among variables. Results In a regression adjusted for age, sex and time since diagnosis, higher sexual distress was significantly associated with higher body image disruption (β = 0.23; p = 0.024), lower self‐compassion (β = −0.29; p = 0.009) and higher sexual pain (β = 0.39; p < 0.001); but not relationship satisfaction (β = −0.08; p = 0.434). Higher sexual satisfaction was significantly associated with higher relationship satisfaction (β = 0.35; p = 0.002) and lower sexual pain (β = −0.29; p = 0.005), but not body image disruption (β = −0.19; p = 0.089), or self‐compassion (β = 0.06; p = 0.614). Sexual pain had a significantly stronger association with sexual distress than sexual satisfaction; F (1, 84) = 18.29, p < 0.001. Conclusions Sexual distress and sexual satisfaction are associated with different psycho‐social correlates even though both are used as indicators of sexual health. Research should seek to further understand the differences in these two critical markers of sexual health, with these differences likely to highlight the need to match interventions to the nature of the sexual difficulties experienced following cancer treatment.

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Section: Discussionmentioning

confidence: 46%

Section: Introductionmentioning

confidence: 96%

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Sexual satisfaction and sexual distress after cancer: The role of body image disruption, self‐compassion, sexual pain and relationship satisfaction

2021

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“…The use of vaginal dilators (recommended after vaginal or pelvic radiotherapy to prevent vaginal stenosis) combined with the early start of topical estrogen is also an alternative that may help to minimize the side effects of cervical cancer treatments (7) . In addition, appropriate rehabilitation programs can be developed for cervical cancer survivors with the aim to prevent and reduce vaginal sexual symptoms and concerns about sexual pain, dissatisfaction in the relationship and about body image for the reduction of sexual suffering (29) .…”

Section: Discussionmentioning

confidence: 99%

Disfunção sexual após tratamento para o câncer do colo do útero

Correia

Bonfim

Feitosa

et al. 2020

Rev. esc. enferm. USP

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RESUMO Objetivo Descrever as características sociodemográficas, clínicas e relacionadas à vida sexual e identificar a disfunção sexual em mulheres após o tratamento do câncer do colo do útero. Método Estudo transversal que incluiu mulheres com idade ≥18 anos e conclusão do tratamento de três meses. Foram utilizados dois instrumentos: formulário com informações sociodemográficas, clínicas e relacionadas à vida sexual; e o Índice da Função Sexual Feminina para avaliar a função sexual das participantes sexualmente ativas, sendo valores do escore ≤26 classificados como disfunção sexual. A estatística descritiva foi utilizada para verificar associações através do teste de Mann-Whitney e qui-quadrado de Pearson ou exato de Fisher. Resultados Do total de 46 mulheres, 15 (32,61%) mantiveram relações sexuais após o tratamento e oito tiveram indicativo de disfunção sexual (escore de 21,66; desvio padrão=7,06). Os tipos de tratamento (p=0,03) e de radioterapia (p=0,01), e o estadiamento da doença (p=0,02) interferiram na função sexual. Os domínios do Índice da Função Sexual Feminina mais afetados foram lubrificação (p=0,03) e dor (p=0,04). Conclusão A disfunção sexual esteve presente nas mulheres estudadas com impacto negativo na qualidade de vida.

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“…Cancer-related sexual dysfunction is one of the most prevalent and distressing consequences of treatment for younger women [66]. Untreated sexual problems after cancer typically persist or worsen over time with the majority of young women treated for breast cancer [67] reporting long-term changes in sexual function and gynecological cancer survivors reporting sexual problems for years after treatment ends [68]. Disruption in sexual function may be physical, but it also often includes negative changes in sexual response, perceived body integrity, body image satisfaction and sexual self-esteem [69].…”

Section: Sexuality and Cancer In Young Adult Womenmentioning

confidence: 99%

Fertility, sexuality and cancer in young adult women

Condorelli

Lambertini

Mastro

et al. 2019

Current Opinion in Oncology

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Purpose of review To provide an up-to-date overview on indications, efficacy and safety of the existing fertility preservation strategies as well as on the features and management of sexual dysfunction in young adult women with newly diagnosed cancer. Recent findings Because of the improved life expectancy of cancer survivors, a growing attention should be given to the side effects of anticancer treatments. Among young cancer patients, risk of infertility and sexual dysfunction are of great concern.

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Sexual distress and associated factors among cervical cancer survivors: A cross‐sectional multicenter observational study

Abstract: Appropriate rehabilitation programs should be developed for CC survivors to prevent and reduce not only vaginal sexual symptoms but also sexual pain worry, relationship dissatisfaction, and body image concerns to reduce sexual distress.

Cited by 38 publications

References 40 publications

Sexual satisfaction and sexual distress after cancer: The role of body image disruption, self‐compassion, sexual pain and relationship satisfaction

Sexual satisfaction and sexual distress after cancer: The role of body image disruption, self‐compassion, sexual pain and relationship satisfaction

Disfunção sexual após tratamento para o câncer do colo do útero

Fertility, sexuality and cancer in young adult women

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