Sexual Rehabilitation of the Gynecologic Cancer Patient: An Effective Counseling Model1

Capone, Mary Ann; Westie, K. S.; Good, Raphael S.

doi:10.1159/000383873

Cited by 18 publications

(7 citation statements)

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“…Efforts were made to encourage early return to habitual familial and social roles and functions. For sexually active patients, a sexual rehabilitation component was added to the counseling [4]. For symptom control, behavioral techniques and hypnosis were employed to overcome anxiety, pain and vomiting attributable to medical procedures [2].…”

Section: Interventionsmentioning

confidence: 99%

Difference in patient's acceptance of early versus late initiation of psychosocial support in breast cancer

Scholten

Weinländer

Krainer

et al. 2001

Support Care Cancer

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The present study was performed to assess the difference in acceptance of psychosocial counseling and resulting benefits between patients with breast cancer with early or late onset. In a prospective randomized controlled study conducted over 6 months, 41 women with a new diagnosis of early breast cancer (group 1) and 43 patients with advanced breast cancer (group 2) received individually tailored psychosocial support and were compared against controls. This therapy was free of charge, and the duration of support was determined by the patients' wishes and needs. Among the patients with new onset of disease acceptance of the psychosocial counseling was high, and these patients experienced significant improvements in their quality of life. In contrast, acceptance of psychosocial counseling was low in the advanced breast cancer group and the therapy did not improve quality of life over the observation period of 6 months. Early psychosocial support in patients with breast cancer meets with a high acceptance rate and improves quality of life.

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Section: Interventionsmentioning

confidence: 99%

Difference in patient's acceptance of early versus late initiation of psychosocial support in breast cancer

Scholten

Weinländer

Krainer

et al. 2001

Support Care Cancer

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“…A study of 143 women with ovarian cancer found that although 55% of participants had experienced some depressive symptoms, very few had been offered counselling [3]. Further, a search of the literature from 1980 to 2005 revealed only five psychological intervention studies for patients with gynaecologic cancers [6][7][8][9][10]. To further this research, it is necessary to identify correlates of psychological distress.…”

Section: Introductionmentioning

confidence: 99%

Psychological distress and its correlates in ovarian cancer: a systematic review

2008

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Objective: Ovarian cancer is often diagnosed at an advanced stage, and consequently high levels of distress are often experienced. It is necessary to understand the factors associated with psychological distress in order to guide interventions to target those factors. The purpose of this systematic review was therefore to identify correlates of psychological distress in ovarian cancer.Methods: Included studies had to be quantitative and empirical, with standardized measures of psychological distress (anxiety or depression), and to present results for ovarian cancer patients specifically. Standard systematic search methods were used. Information about design, ovarian cancer sample size, disease stage, time since diagnosis, measures of distress used and findings was extracted from each study. The studies were quality assessed using experimenterdefined criteria as good, average and poor quality. Strength of the evidence (strong, some, inconclusive) was based on the quality and consistency of findings.Results: Eighteen studies meeting the inclusion criteria were identified. There was strong evidence for a relationship between younger age, being diagnosed with more advanced disease, more physical symptoms and shorter time since diagnosis with increased levels of anxiety and/ or depression. Additional factors (e.g. immune) tested in a few studies also emerged as correlates of distress.Conclusions: Demographic, disease and quality of life factors correlated with distress. However, too few studies assessed possible psychological and immunological correlates, which could be potentially modified and should be assessed in future studies.

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“…No significant correlation was observed between these complaints and the length of time since reconstruction. Other studies reported a better return to frequency of preoperative intercourse in patients who received pre-operative sexual counseling [21]. Office consultation with both the oncologic and reconstructive surgeons appears essential if one is to afford the patient the best chance of resuming preoperative sexual function.…”

Section: Post-reconstruction Adjustmentmentioning

confidence: 97%

Reconstructive surgery of the pelvis after surgery for rectal cancer

Small

Friedman

Sultan

2000

Semin. Surg. Oncol.

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The role of the reconstructive surgeon has increased with an increasingly aggressive surgical approach to locally advanced rectal carcinoma. Multiple options exist for pelvic floor reconstruction. Muscle and myocutaneous flaps for pelvic‐floor reconstruction provide well vascularized tissues which may also serve as a biologic spacer. Flaps help to prevent post‐radiation fistulae, small bowel obstruction, and pelvic sidewall adherence; flaps also may serve as a barrier to radiation injury. Often a more stable perineal wound closure is achieved. In cases that involve vaginal resection, flaps make neo‐vaginal reconstruction possible. Pre‐operative consultation with the reconstructive surgeon allows planning of complex, multi‐disciplinary procedures, and facilitates patient understanding of the proposed procedure. Semin. Surg. Oncol. 18:259–264, 2000. © 2000 Wiley‐Liss, Inc.

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Sexual Rehabilitation of the Gynecologic Cancer Patient: An Effective Counseling Model1

Cited by 18 publications

References 0 publications

Difference in patient's acceptance of early versus late initiation of psychosocial support in breast cancer

Difference in patient's acceptance of early versus late initiation of psychosocial support in breast cancer

Psychological distress and its correlates in ovarian cancer: a systematic review

Reconstructive surgery of the pelvis after surgery for rectal cancer

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