Sociodemographic and clinical factors affecting body image, sexual function and sexual satisfaction in women with breast cancer

Morais, Fernanda Dorneles de; Freitas‐Junior, Ruffo; Rahal, Rosemar Macedo Sousa; Gonzaga, Carolina Maciel Reis

doi:10.1111/jocn.13125

Cited by 21 publications

(22 citation statements)

References 26 publications

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“…After cancer, the majority of women in this study (70.2%) confirmed that they continued to have sexual activity, with is consistent with the literature [14, 15, 16]. Although the frequency of sexual relations is lower after cancer, 60.7% reported that they have sexual relationships 1–2 times per month [5, 9, 12, 16].…”

Section: Discussionsupporting

confidence: 90%

“…After breast cancer, 91.2% reported that they had some type of sexual difficulty. This incidence is higher than other studies, where it was found to vary from 40 to 80% [5, 6, 9, 13, 14]. This could be because women participating in this study were young; the average age was 46.34-years-old.…”

Section: Discussioncontrasting

confidence: 57%

“…However, these results are different from other studies reporting that chemotherapy is not associated with sexual dysfunction [6, 14]. Our data agree with Malinovszky et al [23], in which premenopausal women with breast cancer who had received chemotherapy declared that they suffered decreased sexual pleasure and increased discomfort [23].…”

Section: Discussioncontrasting

confidence: 57%

“…The main sexuality problems are decreased sexual desire [6, 9,11, 14, 17, 18, 19], lubrication [5, 6, 11, 18, 19], excitation or arousal [10, 11, 16, 18, 19, 20], and penetration pain [12, 19]. …”

Section: Discussionmentioning

confidence: 99%

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Sexual dysfunction in Spanish women with breast cancer

et al. 2018

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PurposeTo determine whether there are changes in sexuality after breast cancer, to better understand the sexual function of women with breast cancer, and to investigate the potential relationship between sexual dysfunction and socio-demographic and clinical variables.MethodsA cross-sectional study. This study included 514 women with breast cancer between 21- and 66-years-old. The cases were gathered between June 2016 and January 2017. The instruments used were the questionnaire on Women’s Sexual Function and a questionnaire to collect socio-demographic and clinical data.ResultsThe average age (± standard deviation, SD) of participants was 46.34 ± 8.28 years. Their average age at date of diagnosis was 42.26 ± 8.56 years, and the average time suffering from cancer was 4.05 ± 5.23 years. There were significant differences (p = 0.002) in the presence of sexual dysfunction before (32.1%) and after (91.2%) cancer. The primary sexual dysfunctions were due to penetration pain (50.6%), lubrication (50.6%), dysfunctional desire (44.6%), and dysfunctional excitement (44.6%). Two-thirds of participants were satisfied with their sexual relations. The women who presented most sexual dysfunction were those that had a bilateral mastectomy (p = 0.009) and those who received chemotherapy, radiotherapy and hormonal-therapy (p < 0.001).ConclusionSexual function was changed in women with breast cancer. The main problems included penetration pain, desire, lubrication, and dysfunctional excitement. It is important that Health professionals recognize which circumstances influence the sexual function of women with breast cancer and to make interventions that facilitate sexual adjustment.

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Section: Discussionsupporting

confidence: 90%

Section: Discussioncontrasting

confidence: 57%

Section: Discussioncontrasting

confidence: 57%

Section: Discussionmentioning

confidence: 99%

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Sexual dysfunction in Spanish women with breast cancer

et al. 2018

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“…However, the incidence rate is expected to grow rapidly in the next few years simply due to the aging of the population and the greater adoption of a Western lifestyle by the Turkish population [4]. Along with their function in feeding infants, female breasts permanently impact a woman's perception of her body image [5]. Mastectomy, as a breast removal, is commonly associated with loss of this worthy image because it involves the removal of an organ that women consider symbolic of their femininity and sexuality [6].…”

Section: Introductionmentioning

confidence: 99%

Breast Reconstruction Awareness Among Turkish University Students: A Cross-Sectional Study

2016

Ann Clin Anal Med

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ÖzetAmaç: Son yıllarda meme kanseri tedavisinde yaşanan gelişmelerin sonucu olarak hastalarda hayat beklentisi uzamış ve buna bağlı olarak mastektominin olumsuz fiziksel ve psikolojik etkileri daha dikkat çekici bir hal almıştır. Bu kapsamda mastektomi sonrası meme onarımının önemi artmıştır. Yalnız onarım cerrahilerinin yaygınlaşması ancak hastalarda farkındalık yaratarak mümkün olacaktadır. Buradan yola çıkarak, çalışmamızda üniversite öğrenci-lerinde meme onarımı farkındalık düzeylerini tayin etmeyi amaçladık. Gereç ve Yöntem: Çalışmanın evrenini sağlık bilimleri ile ilişkisi olmayan Türk kadın üniversite öğrencileri oluşturmaktadır. Tüm katılımcılardan meme kanseri ve onarımı ile ilgili farkındalık durumunu değerlendirmeyi amaçlayan anketleri doldurmaları istenmiştir. Bulgular: Çalışmaya ortalama yaşları 20.5 olan 462 kadın öğrenci dahil olmuştur. Meme kanseri ile ilgili uyarıcı bulgular, erken tanı yöntemleri ve tedavi seçenekleri ile ilgili değerlendirmede farkında-lık seviyeleri oldukça yüksek saptanmıştır. Diğer taraftan, katılımcıların sadece %35.9'u meme onarımı seçeneğinin varlığı ile ilgili bilgiye sahipti. Bu grupta onarım ameliyatları ile ilgili temel bilgi kaynağının televizyon olduğu tespit edildi. Bu öğrencilerin %74.1'i protez ile meme onarımı hakkında bilgiye sahipken, öz doku ile meme onarımı hakkında katılımcıların sadece %31.3'ü bilgi sahibiydi. Öğrencilerin sadece üçte biri meme onarımı ameliyatlarının genel sağlık sigortası kapsamında olduğunu bilmekteydi. Katılımcıların %62.6'sı meme onarımı ameliyatlarının hastanın fiziksel ve psikolojik iyilik durumu için önemli olduğunu düşünmekteydi. Tartışma: Katılımcıların meme kanseri ile ilgili yüksek farkındalık düzeyleri ile karşılaştırıldığında, meme onarımı ile ilgili farkındalık düzeylerinin göreceli olarak düşük olduğunu söyleyebiliriz. Bu durum Türkiye'de düşük meme onarımı oranlarını açıklamaya yardımcı olmaktadır. Bu nedenle, meme onarımı ile ilgili farkındalığı arttırmaya yönelik çalış-ma ve planlamalara ağırlık verilmesi oldukça önemlidir. Anahtar KelimelerMeme; Meme Kanseri; Meme Onarımı; Farkındalık; Protez; Meme Rekonstrük-siyonu Abstract Aim: Because advances in breast cancer treatment methods have resulted in dramatic increases in survival rates, the consequences of mastectomy on physical and psychological well-being of breast cancer patients have gained in importance. In this context, breast reconstruction is a viable option nowadays. However, public awareness is a prerequisite for the utilization of this option. This study has attempted to assess awareness among Turkish female university students about breast reconstruction. Material and Method: The participants of this cross-sectional study were Turkish female university students. We evaluated awareness of breast cancer and reconstruction using a set of questionnaires designed for the study. Results: 462 students with an average age of 20.5 agreed to participate in the study. High knowledge rates of warning signs, detection methods, and treatment options for breast cancer were ...

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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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Sociodemographic and clinical factors affecting body image, sexual function and sexual satisfaction in women with breast cancer

Abstract: A well-trained multidisciplinary team should be available to evaluate women's need for support and to provide information on the disease, its treatment and its impact on their lives and on their sexuality.

Cited by 21 publications

References 26 publications

Sexual dysfunction in Spanish women with breast cancer

Sexual dysfunction in Spanish women with breast cancer

Breast Reconstruction Awareness Among Turkish University Students: A Cross-Sectional Study

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

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