Sexual quality of life, body image distress, and psychosocial outcomes in colorectal cancer: a longitudinal study

Reese, Jennifer Barsky; Handorf, Elizabeth A.; Haythornthwaite, Jennifer A.

doi:10.1007/s00520-018-4204-3

Cited by 67 publications

(99 citation statements)

References 45 publications

(73 reference statements)

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“…Impaired body image is common in CRC and linked to potential stoma formation and changes in bodily function following CRC surgery [52]. Studies evaluating the impact of colorectal cancer on body image tend to focus on psychosocial functioning and sexuality concerns [53]. Our findings suggest that body image concerns have widespread consequences for unmet needs and underscore the importance of attending to body image especially as the greatest impact was on patient care and support needs.…”

Section: Discussionmentioning

confidence: 77%

Supportive care needs of patients following treatment for colorectal cancer: risk factors for unmet needs and the association between unmet needs and health-related quality of life—results from the ColoREctal Wellbeing (CREW) study

et al. 2019

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PurposeTo investigate unmet needs of patients with colorectal cancer (CRC) at the end of treatment and whether unmet needs improve over time. Identify predictors of need following treatment and whether unmet need is associated with worse health-related quality of life (HRQoL).MethodsAs part of the UK ColoREctal Wellbeing (CREW) cohort study, patients treated for CRC completed the Supportive Care Needs Survey Short Form-34 (SCNS SF-34) 15 and 24 months following surgery, along with questionnaires measuring HRQoL, wellbeing, life events, social support, and confidence to manage their cancer before surgery, 3, 9, 15, and 24 months post-surgery.ResultsThe SCNS SF-34 was completed by 526 patients at 15 months and 510 patients at 24 months. About one-quarter of patients had at least one moderate or severe unmet need at both time points. Psychological and physical unmet needs were the most common and did not improve over time. Over 60% of patients who reported 5 or more moderate or severe unmet needs at 15 months experienced the same level of unmet need at 24 months. HRQoL at the beginning of treatment predicted unmet needs at the end of treatment. Unmet needs, specifically physical, psychological, and health system and information needs, were associated with poorer health and HRQoL at the end of treatment.ConclusionsUnmet needs persist over time and are associated with HRQoL. Evaluation of HRQoL at the start of treatment would help inform the identification of vulnerable patients. Assessment and care planning in response to unmet needs should be integrated into person-centred care.Implications for Cancer SurvivorsEarly identification of CRC patients at risk of unmet needs will help infrom personalised survivorship care plans. The implementation of personalised and tailored services are likely to confer HRQoL gains.Electronic supplementary materialThe online version of this article (10.1007/s11764-019-00805-6) contains supplementary material, which is available to authorized users.

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Section: Discussionmentioning

confidence: 77%

Supportive care needs of patients following treatment for colorectal cancer: risk factors for unmet needs and the association between unmet needs and health-related quality of life—results from the ColoREctal Wellbeing (CREW) study

et al. 2019

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“…One study showed that body image mediates the relationship between stigmatization and depressive symptomatology . Greater body image distress is associated with worse psychosocial outcomes over time . The above research suggests the possibility that body image mediates the effect of stoma status on psychological distress and QOL.…”

Section: Introductionmentioning

confidence: 95%

Body image mediates the effect of stoma status on psychological distress and quality of life in patients with colorectal cancer

et al. 2020

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Objective:We investigated the effect of stoma status (permanent stoma, temporary stoma, or non-stoma) on psychological distress and quality of life (QOL) in Chinese patients with colorectal cancer (CRC) in the early postoperative stage. We also investigated whether body image mediated the association between stoma status and psychological distress and QOL. Methods: A convenience sample of 282 CRC patients 1 to 2 weeks postsurgery participated in an observational, cross-sectional study. Participants completed the following self-report measures: Body Image Scale, Distress Thermometer, Hospital Anxiety and Depression Scale, and Core Quality of Life Questionnaire. Results: The temporary stoma group (TS) and the permanent stoma group (PS) reported worse body image and higher levels of anxiety and depression than the non-stoma group (P < .05). PS reported worse body image than TS (P < .01). Depression and significant body image problems were more prevalent in PS than in TS (P < .05). Stoma status was the strongest factor associated with body image, distress, and depression (P < .05). CRC patients who were younger or in later clinical stages had poorer body image. Body image fully mediated the effect of stoma status on anxiety, depression, and global QOL in PS and TS, but mediated the effect on distress only in PS. Conclusions: Body image problems are common in stoma patients in the early postoperative stage and require early assessment. This study helps to elucidate the role of body image as a mediator. Longitudinal studies are needed to further explore body image distress trajectories. K E Y W O R D S anxiety, body image, cancer, China, colorectal, depression, distress, oncology, quality of life

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“…An estimated 75% of patients with colorectal cancer experience sexual difficulties after treatment, and up to one-third refrain from sexual activity post-treatment regardless of physical dysfunction [28]. Sexual dysfunction is the impairment of one's typical pattern of intimate sexual response and can include changes in sexual desire, arousal, orgasm ability, pain, vaginal dryness or atrophy, as well as feeling a lack of femininity, sexual attractiveness, and confidence [24,[41][42][43]. Contributing factors include use of neoadjuvant or adjuvant radiation, age, tumor stage, and surgical experience and technique.…”

Section: Overview Of the Literaturementioning

confidence: 99%

Sexual Function in Women with Colorectal/Anal Cancer

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Stabile

Milli

et al. 2019

Sexual Medicine Reviews

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Introduction: Treatments for colorectal and anal cancers can have a detrimental impact on sexual function. Type of treatment, which may include surgery, radiation and/or chemotherapy, varies by disease site and severity. Treatment and long-term side effects can impact sexual function and intimacy for patients and their partners. Aim: To review the literature regarding treatment for colorectal/anal cancer and its impact on female sexual function, and to provide an assessment of medical outcomes and patient-reported outcomes (PROs) of women with a history of colon, rectal, or anal cancer seeking sexual health treatment. Methods: We performed a PubMed search to identify peer-reviewed, English-language articles, published from 2008 to 2018, using the following search terms: "colorectal cancer," or "rectal cancer," or "anal cancer" and "sexual function," or "sexual dysfunction." We also assessed the medical outcomes and PROs from our recent cross-sectional cohort study of 99 women with a history of colon, rectal, or anal cancer seeking sexual health treatment. Main Outcome Measures: Sexual function, quality of life, and PROs after colorectal/anal cancer Results: Twenty-three studies were identified. Study designs included 15 cross-sectional survey studies, 5 longitudinal studies, 2 psychoeducational interventions, and 1 pilot study. Ten studies included women and 13 included both men and women. The literature and our cohort confirmed

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Sexual quality of life, body image distress, and psychosocial outcomes in colorectal cancer: a longitudinal study

Abstract: Sexual QOL and body image are compromised after colorectal cancer and tend to remain impaired if unaddressed. Sexual concerns should be addressed early to limit broader-reaching psychosocial effects.

Cited by 67 publications

References 45 publications

Supportive care needs of patients following treatment for colorectal cancer: risk factors for unmet needs and the association between unmet needs and health-related quality of life—results from the ColoREctal Wellbeing (CREW) study

Supportive care needs of patients following treatment for colorectal cancer: risk factors for unmet needs and the association between unmet needs and health-related quality of life—results from the ColoREctal Wellbeing (CREW) study

Body image mediates the effect of stoma status on psychological distress and quality of life in patients with colorectal cancer

Sexual Function in Women with Colorectal/Anal Cancer

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