Sexuality and intimacy after gynecological cancer

Ratner, Elena; Foran, Kelly A.; Schwartz, Peter E.; Minkin, Mary Jane

doi:10.1016/j.maturitas.2010.01.015

Cited by 119 publications

(72 citation statements)

References 12 publications

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“…4 Surgical interventions, radiotherapy, chemotherapy and hormonal replacement treatments applied in gynecological cancers have impact on sexual health of women. [5][6][7][8] In the patients diagnosed with gynecological cancer, specifically four elements of sexual health are affected negatively, body image, role of sexuality, sexual functions and reproduction ability, because women reproduction organs are the determiners of female identity. [9][10] Thus, ailment or absence of these organs could be interpreted as the loss of womanhood, loss of fertility, end of sexual life and may make a woman feel herself as faulty or deficient.…”

Section: Introductionmentioning

confidence: 99%

“…6,7,[9][10][11] Researches show that most of the women diagnosed with gynecological cancer experience sexual problems such as orgasmic dysfunction, dyspareunia, loss of sexual desire and decrease in sexual intercourse frequency. 5,6,[11][12][13] In our country, due to social, cultural factors and the influence on religion, sexuality is a subject that is not avoided to talk about openly and it is still regarded as a taboo. For this reason, health providers don't regard sexuality as a part of treatment and care due to their feeling of embarrassment.…”

Section: Introductionmentioning

confidence: 99%

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Problematic Areas Related to Sexual Life of Individuals with Gynecological Cancer: A qualitative Study in Turkey

Pınar¹

2015

UHOD

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This study was conducted to examine problematic areas related to sexual life of individuals with gynecological cancer. Qualitative phenomenological research design was used in the study. The data were collected through "Semistructured In-depth Interview Form" and "Individual Information Form" with 30 women diagnosed with gynecological cancer. In-depth interview technique was used for obtaining data related to sexual problem areas of women. The data obtained were evaluated by content analysis. Average age of women who participated in the study was 46.70±10.66 (min=30, max=67), and women who were followed for the diagnosis of endometrium cancer (53.3%), ovarian cancer (36.7%), cervical cancer (10%). It was determined that there were significant changes in sexual lives of the individuals following the illness, and that body image, role of sexuality, sexual functions and reproduction ability, which are the four important components of sexual health, were affected unfavorably to a great extent. It was determined in this study that individuals with gynecological cancer face multidimensional problems regarding sexual life. Adoption of holistic approach by health professionals in the evaluation of sexual problems of women and attempting to solve the problem are of significance. Keywords: Gynecological cancer, Sexual health, Qualitative study, Turkey ÖZET Jinekolojik Kanserli Bireylerin Cinsel Yaşama İlişkin Sorun Alanları: Türkiye'den Kalitatif Bir ÇalışmaBu çalışma jinekolojik kanserli bireylerin cinsel yaşama ilişkin sorun alanlarını incelemek amacıyla yapılmıştır. Çalışmada, niteliksel fenomenolojik bir araştırma tasarımı kullanılmıştır. Çalışmaya 30 jinekolojik kanser tanısı alan kadın katılmıştır. Verilerin toplanmasında; Hasta Bilgi Formu ve Yarı Yapılandırılmış Derinlemesine Görüşme Formu kullanılmıştır. Soruların çözümlemesi içerik analizi yöntemiyle yapılmıştır. Çalışmaya katılan kadınların yaş ortalaması 46.70±10.66'dır (min=30, max=67). Kadınların %53.3'ünün tanısı endometrium kanseri, %36.7'sinin over kanseri ve %10'unun ise serviks kanseridir. Bireylerin hastalık sonrası cinsel yaşamlarında önemli değişikler olduğu, cinsel sağlığın dört önemli öğesi olan beden imajı, cinsiyet rolü, cinsel fonksiyonlar ve üreme yeteneğinin büyük ölçüde olumsuz etkilendiği belirlenmiştir. Çalışmamızda jinekolojik kanserli bireylerin cinsel yaşama ilişkin çok boyutlu sorunlarla karşılaştıkları belirlenmiştir. Sağlık profesyonellerinin kadınların cinsel sorunlarının değerlendirilmesinde holistik yaklaşımı benimsemeleri ve sorunun çözümü için girişimde bulunmaları önem taşımaktadır.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Problematic Areas Related to Sexual Life of Individuals with Gynecological Cancer: A qualitative Study in Turkey

Pınar¹

2015

UHOD

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“…A mulher pode apresentar infertilidade, dor pélvica crônica, estenose vaginal e menopausa precoce (GONÇALVES; CANELLA; JURBERG, 2007;RATNER et al, 2010). Bernardo et al (2007) conduziram um estudo descritivo, do tipo corte transversal, objetivando identificar as disfunções sexuais em pacientes com câncer de colo uterino submetidas à radioterapia exclusiva há pelo menos um ano, no Hospital do Câncer de Pernambuco.…”

Section: Introductionunclassified

“…As mudanças ocorridas na aparência física, na função sexual, no bem-estar e na autoestima são motivos de grande sofrimento para a mulher (RATNER et al, 2010). A perda da fertilidade, as mudanças na imagem corporal, os sintomas de menopausa e a perda da energia física acarretam preocupações quanto ao relacionamento com o parceiro após a histerectomia (BAYRAM; BEIJI, 2010).…”

Section: Introductionunclassified

“…Existe a necessidade de educação para essas mulheres, por meio de informações escritas, incluindo orientações sobre ajustamentos psicossexuais (HUBER; RAMNARACE; McCAFFREY, 2006;RATNER et al, 2010). Os profissionais, também, precisam ser encorajados a questionar as mulheres, dando a elas a oportunidade de tratamento, além de apoio psicológico quando detectados problemas sexuais (CIDÓN, 2010).…”

Section: Introductionunclassified

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A sexualidade no cuidado de enfermagem de mulheres com câncer ginecológico e mamário

Ferreira¹

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Confirmatory factor analysis of the Sexual Adjustment and Body Image Scale in women with gynecologic cancer

Ferguson

Urowitz

Massey

et al. 2011

Cancer

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BACKGROUND: There is evidence that treatment of gynecologic cancer (GC) negatively affects body image and sexuality. The Sexual Adjustment and Body Image Scale (SABIS-G) was developed to assess disturbances after diagnosis of GC. The objective of this study was to confirm the factor structure using a confirmatory factor analysis (CFA). METHODS: Women with a history of GC completed the SABIS-G, a 9-item self-report measure. Ninety randomly selected participants were used for the exploratory factor analysis (EFA). CFA was performed on the remaining participants (n ¼ 204) to confirm the factor structure developed in the EFA against a one-factor model. Test-retest reliability between baseline and follow-up scores was assessed using the intraclass correlation coefficient. RESULTS: A total of 614 eligible patients were approached to participate: 398 (65%) consented to the study and 294 (74%) completed the SABIS-G. The median age was 53 years (range, 27-80 years) and the primary site of disease was: 120 (41%) uterine, 85 (29%) ovary, 82 (28%) cervix, and 7 (2%) other. A 2-factor structure was favored in the EFA, and the CFA fit indices indicated an excellent fit for the 2-factor measurement model (standardized root-mean-square residual ¼ 0.05, non-normed fit index ¼ 0.97, comparative fit index ¼ 0.98). Internal consistency reliability was high for the Body Image (0.88) and Sexual Adjustment (0.91) subscales, as was test-retest reliability (0.89). CONCLUSIONS: These results confirm the 2-factor structure of the SABIS-G and provide evidence that this is a valid and reliable instrument to measure changes in body image and sexuality in women after a diagnosis of GC. Cancer 2012;118:3095-

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Sexuality and intimacy after gynecological cancer

Cited by 119 publications

References 12 publications

Problematic Areas Related to Sexual Life of Individuals with Gynecological Cancer: A qualitative Study in Turkey

Problematic Areas Related to Sexual Life of Individuals with Gynecological Cancer: A qualitative Study in Turkey

A sexualidade no cuidado de enfermagem de mulheres com câncer ginecológico e mamário

Confirmatory factor analysis of the Sexual Adjustment and Body Image Scale in women with gynecologic cancer

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Sexuality and intimacy after gynecological cancer

Cited by 119 publications

References 12 publications

Problematic Areas Related to Sexual Life of Individuals with Gynecological Cancer: A qualitative Study in Turkey

Problematic Areas Related to Sexual Life of Individuals with Gynecological Cancer: A qualitative Study in Turkey

A sexualidade no cuidado de enfermagem de mulheres com câncer ginecológico e mamário

Confirmatory factor analysis of the Sexual Adjustment and Body Image Scale in women with gynecologic cancer

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Problematic Areas Related to Sexual Life of Individuals with Gynecological Cancer: A qualitative Study in Turkey

Problematic Areas Related to Sexual Life of Individuals with Gynecological Cancer: A qualitative Study in Turkey