Predicting and Treating the Sexual Difficulties of Gynecologic Cancer Survivors

Bl, Anderson

doi:10.1177/107327489600300203

Cited by 7 publications

(7 citation statements)

References 24 publications

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“…The level of sexual functioning before cancer diagnosis, sexual self‐schema, and women's relationship to their partner in previous studies showed to have influence in their sexual adjustment postsurgery [26–28]. Helstrom et al.…”

Section: Discussionmentioning

confidence: 85%

Sexual Functioning and Vaginal Changes after Radical Vaginal Trachelectomy in Early Stage Cervical Cancer Patients: A Longitudinal Study

Froeding

Ottosen

Rung-Hansen

et al. 2014

The Journal of Sexual Medicine

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Introduction Radical vaginal trachelectomy (RVT) offers low complication rate, good survival, and possibility for future childbearing for young women with early stage cervical cancer. However, the literature on quality of life (QOL) and sexual functioning in patients undergoing RVT is scarce. Aim The aims of this study were to prospectively assess sexual function after RVT and to compare scores of sexual function in patients operated by RVT and radical abdominal hysterectomy (RAH) with those of age-matched control women from the general population. Methods Eighteen patients with early stage cervical cancer operated with RVT were prospectively included and assessed preoperatively, and 3, 6, and 12 months postoperatively using validated questionnaires. RAH patients were included consecutively and assessed once at 12 months postsurgery, while an age-matched control group of 30 healthy women was assessed once. Main Outcome Measure Sexual dysfunction total score as measured by the Female Sexual Function Index (FSFI) was the main outcome measure. Results During the 12 months posttreatment, RVT patients tended to have persistent sexual dysfunction as measured by FSFI (mean overall score <26.55 at each assessment) and Female Sexual Distress Scale (mean overall score > 11). Sexual worry (P < 0.001) and lack of sexual desire (P = 0.038) were more frequently reported among patients in both treatment groups compared with control women. Sexual activity increased significantly during the observation time for the RVT group (P = 0.023) and reached that of healthy women. Global Health Status score improved over time for the RVT group but never reached that of healthy control women (P = 0.029). Conclusions Our data suggest that patients treated with RVT for early stage cervical cancer experience persistent sexual dysfunction up to one year post surgery influencing negatively on their QOL.

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Section: Discussionmentioning

confidence: 85%

Sexual Functioning and Vaginal Changes after Radical Vaginal Trachelectomy in Early Stage Cervical Cancer Patients: A Longitudinal Study

Froeding

Ottosen

Rung-Hansen

et al. 2014

The Journal of Sexual Medicine

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“…Whether a patient will experience distress due to these changes depends on both physical as well as psychosocial factors. The level of sexual functioning before cancer diagnosis, sexual self‐schema, current history of depression and anxiety, and whether a patient has a supportive partner all may affect a patient's ability to adapt to these changes 5, 9, 10…”

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confidence: 99%

“…Disturbances in sexuality and body image have been well documented in various patient populations with different types of GC and may be one of the most important factors impacting the quality of life for these women. [4][5][6][7] Up to 50% of women diagnosed with a gynecologic malignancy will have some aspect of sexual dysfunction after initial diagnosis, with more than 30% having long-term sexual dysfunction. 8 Whether a patient will experience distress due to these changes depends on both physical as well as psychosocial factors.…”

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confidence: 99%

“…The level of sexual functioning before cancer diagnosis, sexual self-schema, current history of depression and anxiety, and whether a patient has a supportive partner all may affect a patient's ability to adapt to these changes. 5,9,10 There is growing recognition among health care professionals of the impact of GC and its treatment on a woman's sexuality and body image. 11,12 Although the majority of health care providers believe sexuality is an important issue for women, fewer than half discuss these issues with their patients for multiple reasons, including lack of time and expertise.…”

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confidence: 99%

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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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“…Many nonpharmacologic interventions address the cognitive etiology of libido. Counseling can be useful to evaluate and enhance an individual's perception of body image, self-image, and view of self as an attractive, sexual person (Andersen, 1996;Feldman, 1989;Gallo-Silver, 2000;Schover, Evans, & von Eschenbach, 1987). The psychotherapist's role is to help create a nonthreatening environment in which a patient and significant other can understand changes and current responses to various sexual stimuli.…”

Section: Interventions For Libido Nonpharmacologicmentioning

confidence: 99%