Sexuality and Intimacy in the Context of Cancer

Ussher, Jane M.; Perz, Janette; Gilbert, Emilee; Hawkins, Yasmin; Wong, Wai-Kwan

doi:10.5772/25063

Cited by 2 publications

(4 citation statements)

References 79 publications

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“…It was encouraging that women with various types of cancer were open to receiving the CO-SOTC intervention. Studies have repeatedly recommended couple-based interventions that can be offered to women and their partners across different types of cancer 43,44 . Although no women with gynecological cancer participated in the study, the findings are nonetheless promising, because they indicate that the CO-SOTC intervention has the potential to benefit women irrespective of the type of cancer.…”

Section: Discussionmentioning

confidence: 97%

The Benefit of a Couple-Based Intervention Among Women in Active Cancer Treatment on Sexual Concerns

2021

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Background Sexuality-related problems are common in women with cancer, threatening their sexual well-being and intimate relationships. Evidence-based interventions addressing the full range of sexual concerns among women in active cancer treatment are scarce. Objective The aim of this study was to evaluate the benefits of a novel couple-based intervention focusing on sexual concerns among women undergoing cancer treatment, including a subgroup of women with breast cancer. A secondary aim was to assess changes in illness intrusiveness in daily life. Methods A quasi-experimental single-group pre-post follow-up design was used. The study was initially planned as a randomized controlled trial with waitlist control group receiving delayed intervention. However, substantial differences were observed in clinical and demographic variables between the treatment group and control group, resulting in using a single-group pre-post follow-up design. The intervention consists of 3 advanced nurse-led, face-to-face couple-based sessions supported by access to web-based information. Results Women in active cancer treatment participated in the study (n = 60) together with their partners (n = 60). The main results showed significant differences between time points in the outcome measures for concerns related to the sexual adverse effects of cancer treatment (T1 vs T2, and T2 vs T3), sexual concerns related to the women’s partners (T1 vs T2), and for concerns related to communication with healthcare providers about sexuality-related issues (T1 vs T2). No significant changes were found over time with respect to illness interference on the intimacy or instrumental subscales. Conclusions The results demonstrated that the approach of 3 couple-based therapeutic conversations is beneficial in reducing sexual concerns among women in active cancer treatment. Implications for Practice Advanced nurse practitioners can develop and offer brief psychoeducational support that is helpful in reducing sexual concerns among women in active cancer treatment.

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Section: Discussionmentioning

confidence: 97%

The Benefit of a Couple-Based Intervention Among Women in Active Cancer Treatment on Sexual Concerns

2021

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“…LATAR BELAKANG Potter & Johnston (2011) dan Ussher, Perz, et al (2012) menyarikan dari beragam sumber bahwa saat ini kemajuan ilmu dan teknologi kedokteran onkologi mengakibatkan penderita kanker hidup lebih lama, namun diagnosis dan manajemen terapi masih merupakan tantangan besar yang berpengaruh pada fisik, psikologis, dan sosiospiritual. Kanker serviks, kanker ke-2 terbanyak diderita perempuan namun yang pertama sebagai penyebab kematian di Indonesia (Ocviyanti & Handoko, 2013), adalah yang paling sering diteliti dari sudut pandang psikoseksual karena berkaitan dengan seksualitas dan reproduksi.…”

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“…Masalah fertilitas maupun menopause terutama dialami oleh pasien berusia dibawah 40 tahun atau sudah menderita gangguan psikiatri sejak sebelum pembedahan (de Marquiegui & Huish, 1999;Wong & Arumugam, 2012). Perubahan terkait aspek seksual dan relasi sering dianggap sebagai yang paling bermakna pada pasien kanker (Anderson dalam Ussher, Perz et al, 2012), namun sampai tahun 2012, penelitian tentang dampak kanker terhadap wellbeing seksual dan intimacy umumnya berfokus hanya pada perubahan fisik karena kanker.…”

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“…Mempertahankan relasi pernikahan yang sehat melalui pengalaman menderita kanker bukan tantangan kecil dan disinilah intimacy maupun penyesuaian dyadic pasangan, berperan besar. Tantangan tersebut mencakup gangguan psikologi sebagai individu maupun masalah yang harus diatasi bersama sebagai pasangan, misalnya perubahan peran dan okupasi serta perencanaan masa depan (Manne & Badr, 2008;Ussher, Perz, et al, 2012). Sebagian besar penyesuaian psikologi mereka yang didiagnosis kanker bergantung kuat pada relasi interpersonal yang dimiliki (Badr, Carmack, et al, 2013).…”

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Intimacy Dan Marital Satisfaction Pasangan Suami–Istri Pasien Kanker Serviks Yang Belum Histerektomi : Suatu Studi Kualitatif

Adam¹,

Mahajudin²,

Suhatno³

2017

JPS

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Objektif : Penelitian ini mengamati intimacy dan kepuasan pernikahan pasien kanker serviks beserta suaminya untuk menekankan pentingnya perspektif psikososial pada pasien kanker. Metode : Observasional kualitatif, serial kasus, total dan purposive sampling pada pasien kanker serviks stadium 0 sampai 3 berusia 20-50 tahun dan belum diterapi. Dilakukan wawancara mendalam, penilaian dengan kuesioner skala Personal Assessment of Intimacy, adaptasi Revised Dyadic Adjustment Scale dan follow up 3-6 bulan. Sample dari Klinik Onkologi Kandungan RSUD Dr. Soetomo tahun 2016. Analisis data kualitatif disajikan dalam narasi dan tabel. Hasil : 5 pasangan subyek, usia 39 – 58 tahun. Satu pasien stadium 3B menyalahkan kanker sebagai penyebab ketidakpuasan pernikahannya. Disrupsi intimacy ditemukan pada 4 pasangan terutama aspek seksual dan rekreasional. Satu pasangan mampu mempertahankan wellbeing sebagai individu maupun pasangan meskipun aktivitas intim aspek tertentu berubah. Faktor-faktor lain yang didiskusikan mencakup aspek budaya, lingkungan, kepribadian, stigma serta persepsi akan kanker dan pernikahan.Simpulan : Intimacy yang dimaknai sebagai kedekatan, dalam perkembangannya selama menikah dapat makin memperkuat komitmen, mempengaruhi kepuasan serta pertahanan relasi terutama selama masa sulit,termasuk adanya kanker. Kualitas intimacy berperan pada manajemen stres diantaranya membantu kenyamanan pasien selama adaptasi. Kanker mempengaruhi pasien dan pasangan sehingga lebih baik dikelola sebagai "penyakit pasangan".

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Sexuality and Intimacy in the Context of Cancer

Cited by 2 publications

References 79 publications

The Benefit of a Couple-Based Intervention Among Women in Active Cancer Treatment on Sexual Concerns

The Benefit of a Couple-Based Intervention Among Women in Active Cancer Treatment on Sexual Concerns

Intimacy Dan Marital Satisfaction Pasangan Suami–Istri Pasien Kanker Serviks Yang Belum Histerektomi : Suatu Studi Kualitatif

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