Michael A Hoyt1,2, Connor McCann3, Mirko Savone4, Christopher S Saigal5,6, Annette L Stanton7,8,9. 1. Department of Psychology, Hunter College, City University of New York, 695 Park Avenue, Room 611-HN, New York, NY, 10065, USA. michael.hoyt@hunter.cuny.edu. 2. Department of Psychology, Graduate Center, City University of New York, New York, NY, USA. michael.hoyt@hunter.cuny.edu. 3. Department of Psychology, Hunter College, City University of New York, 695 Park Avenue, Room 611-HN, New York, NY, 10065, USA. cmccan@hunter.cuny.edu. 4. Department of Psychology, Hunter College, City University of New York, 695 Park Avenue, Room 611-HN, New York, NY, 10065, USA. msavone@hunter.cuny.edu. 5. Department of Urology, David Geffen School of Medicine, University of California, Los Angeles, Los Angeles, CA, USA. csaigal@mednet.ucla.edu. 6. Jonsson Comprehensive Cancer Center, University of California, Los Angeles, Los Angeles, CA, USA. csaigal@mednet.ucla.edu. 7. Jonsson Comprehensive Cancer Center, University of California, Los Angeles, Los Angeles, CA, USA. astanton@ucla.edu. 8. Department of Psychology, University of California, Los Angeles, Los Angeles, CA, USA. astanton@ucla.edu. 9. Cousins Center for Psychoneuroimmunology, Semel Institute, University of California, Los Angeles, Los Angeles, CA, USA. astanton@ucla.edu.
Abstract
BACKGROUND: Interpersonal sensitivity is characterized by the predisposition to perceive and elicit criticism, rejection, and negative social evaluation. It may be linked to poorer physical or functional health outcomes, particularly in the interpersonal context (cancer-related sexual dysfunction). PURPOSE: This study tested the association of interpersonal sensitivity with sexual functioning following testicular cancer in young men and whether this association is moderated by coping processes. METHOD: Men ages 18 to 29 (N = 171; M age = 25.2, SD = 3.32) with a history of testicular cancer were recruited via the California State Cancer Registry and completed questionnaire measures including assessments of interpersonal sensitivity, sexual functioning, and approach and avoidance coping. RESULTS: Regression analysis controlling for education, age, partner status, ethnic status, and time since diagnosis revealed that higher interpersonal sensitivity was significantly related to lower sexual functioning (β = -0.18, p < 0.05). Cancer-related approach-oriented coping was associated with better sexual functioning (β = 0.19, p < 0.05). No significant association was observed for avoidance coping (β = -0.08, ns). Approach-oriented coping, but not avoidance, moderated the relationship with sexual functioning (β = 0.19, p < 0.05), such that higher interpersonal sensitivity was more strongly associated with lower functioning among men with relatively low use of approach coping. CONCLUSION: Interpersonal sensitivity may be an important individual difference in vulnerability to sexual dysfunction after testicular cancer. Enhancement of coping skills may be a useful direction for intervention development for interpersonally sensitive young men with cancer.
BACKGROUND: Interpersonal sensitivity is characterized by the predisposition to perceive and elicit criticism, rejection, and negative social evaluation. It may be linked to poorer physical or functional health outcomes, particularly in the interpersonal context (cancer-related sexual dysfunction). PURPOSE: This study tested the association of interpersonal sensitivity with sexual functioning following testicular cancer in young men and whether this association is moderated by coping processes. METHOD:Men ages 18 to 29 (N = 171; M age = 25.2, SD = 3.32) with a history of testicular cancer were recruited via the California State Cancer Registry and completed questionnaire measures including assessments of interpersonal sensitivity, sexual functioning, and approach and avoidance coping. RESULTS: Regression analysis controlling for education, age, partner status, ethnic status, and time since diagnosis revealed that higher interpersonal sensitivity was significantly related to lower sexual functioning (β = -0.18, p < 0.05). Cancer-related approach-oriented coping was associated with better sexual functioning (β = 0.19, p < 0.05). No significant association was observed for avoidance coping (β = -0.08, ns). Approach-oriented coping, but not avoidance, moderated the relationship with sexual functioning (β = 0.19, p < 0.05), such that higher interpersonal sensitivity was more strongly associated with lower functioning among men with relatively low use of approach coping. CONCLUSION: Interpersonal sensitivity may be an important individual difference in vulnerability to sexual dysfunction after testicular cancer. Enhancement of coping skills may be a useful direction for intervention development for interpersonally sensitive young men with cancer.
Entities:
Keywords:
Approach coping; Avoidance; Interpersonal sensitivity; Sexual function; Testicular cancer
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