The impact of treatment for genital cancer on quality of life and body image—results of a prospective longitudinal 10-year study

Hawighorst-Knapstein, S; Fusshoeller, Claudia; Franz, Claudia; Trautmann, K; Schmidt, Marcus; Pilch, Hendryk; Schoenefuss, Goetz; Knapstein, P.; Koelbl, Heinz; Kelleher, Debra K.; Vaupel, Peter

doi:10.1016/j.ygyno.2004.04.025

Cited by 172 publications

(95 citation statements)

References 9 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…While many cancer patients experience some degree of sexual difficulty (Andersen, 1985), prevalence studies have demonstrated that gynecologic cancer patients, much like men treated for prostate cancer (Bertero, 2001;Jenkins et al, 2004;Schover et al, 2002a, b), undergo early reductions in sexual activity and disrupted responsiveness that can be permanent (Gershenson et al, 2007;Hawighorst-Knapstein et al, 2004;Lindau, Gavrilova, & Anderson, 2007). Studies comparing gynecologic cancer patients to healthy controls/norms have shown that women with gynecologic cancer may resume intercourse, but report diminished sexual responsiveness (Weijmar Schultz, van De Wiel, & Bouma, 1991) and lower sexual satisfaction (Gershenson et al, 2007;Lindau et al, 2007), and are found to have higher rates of sexual dysfunction than healthy women or women with benign gynecologic disease (Andersen, Anderson, & deProsse, 1989a).…”

Section: Introductionmentioning

confidence: 99%

Sexual Self Schema as a Moderator of Sexual and Psychological Outcomes for Gynecologic Cancer Survivors

et al. 2008

View full text Add to dashboard Cite

Gynecologic cancer patients are at high risk for emotional distress and sexual dysfunction. The present study tested sexual self schema as an individual difference variable that might be useful in identifying those at risk for unfavorable outcomes. First, we tested schema as a predictor of sexual outcomes,including bodychangestress. Second,we examined schema as a contributor to broader quality of life outcomes, specifically as a moderator of the relationship between sexual satisfaction and psychological statue (depressive symptoms and quality of life). A cross-sectional design was used. Gynecologic cancer survivors (N = 175) 2−10 years post treatment were assessed during routine follow up. In regression analyses controlling for sociodemographic variables, patients' physical symptoms/signs as evaluated by nurses, health status, and extent of partner sexual difficulties, sexual self schema accounted for significant variance in the prediction of current sexual behavior, responsiveness, and satisfaction. Moreover, schema moderated the relationship between sexual satisfaction and psychological outcomes, suggesting that a positive sexual self schema might "buffer" patients from depressive symptoms when their sexual satisfaction is low. Furthermore, the combination of a negative sexual self schema and low sexual satisfaction might heighten survivors' risk for psychological distress, including depressive symptomatology. These data support the consideration of sexual self schema as a predictor of sexual morbidity among gynecologic cancer survivors.

show abstract

Section: Introductionmentioning

confidence: 99%

Sexual Self Schema as a Moderator of Sexual and Psychological Outcomes for Gynecologic Cancer Survivors

et al. 2008

View full text Add to dashboard Cite

show abstract

“…Other studies have shown that fear of recurrence and worries regarding family welfare persist over time for CCSs. 3,5,6 The findings of these CCSs studies are difficult to compare because they use different methods of assessment and include survivor groups with different stages of disease and various treatment modalities. Furthermore, most studies have examined the outcome of survivors with FIGO stages Ia-Ib1 CC; 3,9,10 and research-based knowledge concerning women with more advanced, locoregional CC of FIGO stages Ib2-IVa is limited.…”

Section: Introductionmentioning

confidence: 99%

Chronic fatigue and its correlates in long‐term survivors of cervical cancer treated with radiotherapy

Vistad

Fosså

Kristensen

et al. 2007

BJOG

View full text Add to dashboard Cite

Objective To describe the prevalence of chronic fatigue (CF) and associated variables in locoregional cervical cancer survivors (CCSs) surveyed >5 years after radiotherapy. Demographic, clinical and psychological characteristics of the CCSs were compared with normative data.Design Cross-sectional study.Setting Department of Gynaecologic Oncology at RikshospitaletRadiumhospitalet Medical Center, Oslo, Norway.Population Seventy-nine CCSs aged £79 years, treated between 1994 and 1999, representing 62% of those invited. Normative data were based on various population studies of Norwegian women.Methods Data were collected by means of a mailed questionnaire, which included demographic variables and instruments covering fatigue, mental distress, sexual functioning, somatic impairments and quality of life (QOL).Main outcome measures Self-reported fatigue score and caseness of CF based on the fatigue questionnaire.Results CCSs showed 30% CF versus 13% reported in the general population (P = 0.001). CCSs with CF had a significantly lower QOL, higher levels of anxiety and depression and more physical impairments than those without CF. In a multivariable regression model, depression was the only variable significantly associated with CF in CCSs.Conclusions More CCSs have CF than age-matched women in the general population. CF should be of clinical concern since these women also frequently have treatable mental and physical problems.

show abstract

“…Furthermore, side effects of gynecological cancer treatments such as nausea, vomiting, hair loss, scars and weight changes can cause unfavorable body image in women. 6,8,20,21 In an investigation conducted in Germany by Hawighorst-Knapstein et al 22 it was determined that there was decrease in body image scores and initiative and self-confidence of women following surgery. In a qualitative study conducted on women with gynecological cancer by Stead et al 23 women expressed that they experience apprehension about not to look attractive to their spouses as they were before the illness following medical and surgical treatments, and they would become less attractive as a sexual partner and their sexual life would suffer.…”

Section: Discussionmentioning

confidence: 99%

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

Pınar¹

2015

UHOD

View full text Add to dashboard Cite

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.

show abstract

The impact of treatment for genital cancer on quality of life and body image—results of a prospective longitudinal 10-year study

Cited by 172 publications

References 9 publications

Sexual Self Schema as a Moderator of Sexual and Psychological Outcomes for Gynecologic Cancer Survivors

Sexual Self Schema as a Moderator of Sexual and Psychological Outcomes for Gynecologic Cancer Survivors

Chronic fatigue and its correlates in long‐term survivors of cervical cancer treated with radiotherapy

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

Contact Info

Product

Resources

About

The impact of treatment for genital cancer on quality of life and body image—results of a prospective longitudinal 10-year study

Cited by 172 publications

References 9 publications

Sexual Self Schema as a Moderator of Sexual and Psychological Outcomes for Gynecologic Cancer Survivors

Sexual Self Schema as a Moderator of Sexual and Psychological Outcomes for Gynecologic Cancer Survivors

Chronic fatigue and its correlates in long‐term survivors of cervical cancer treated with radiotherapy

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

Contact Info

Product

Resources

About

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