R M Bakker1, G G Kenter2, C L Creutzberg3, A M Stiggelbout4, M Derks2, W Mingelen1, C D Kroon1, W M Vermeer1, M M Ter Kuile1. 1. Department of Gynecology, Leiden University Medical Center, Leiden, The Netherlands. 2. Center of Gynecological Oncology Amsterdam, Amsterdam, The Netherlands. 3. Department of Clinical Oncology, Leiden University Medical Center, Leiden, The Netherlands. 4. Department of Medical Decision Making, Leiden University Medical Center, Leiden, The Netherlands.
Abstract
BACKGROUND: To assess whether sexual distress among cervical cancer (CC) survivors is associated with frequently reported vaginal sexual symptoms, other proposed biopsychosocial factors and whether worries about painful intercourse mediate the relation between vaginal sexual symptoms and sexual distress. METHODS: A cross-sectional study was conducted among 194 sexually active partnered CC survivors aged 25 to 69 years. Sexual distress, vaginal sexual symptoms, sexual pain worry, anxiety, depression, body image concerns, and relationship dissatisfaction and the sociodemographic variables age, time since treatment, and relationship duration were assessed by using validated self-administrated questionnaires. RESULTS: In total, 33% (n = 64) of the survivors scored above the cut-off score for sexual distress. Higher levels of sexual distress were shown to be associated with higher levels of vaginal sexual symptoms, sexual pain worry, relationship dissatisfaction, and body image concerns. Furthermore, the results showed that sexual pain worry partly mediated the association between vaginal sexual symptoms and sexual distress, when controlling for relationship dissatisfaction and body image concerns. CONCLUSIONS: Appropriate rehabilitation programs should be developed for CC survivors to prevent and reduce not only vaginal sexual symptoms but also sexual pain worry, relationship dissatisfaction, and body image concerns to reduce sexual distress.
BACKGROUND: To assess whether sexual distress among cervical cancer (CC) survivors is associated with frequently reported vaginal sexual symptoms, other proposed biopsychosocial factors and whether worries about painful intercourse mediate the relation between vaginal sexual symptoms and sexual distress. METHODS: A cross-sectional study was conducted among 194 sexually active partnered CC survivors aged 25 to 69 years. Sexual distress, vaginal sexual symptoms, sexual pain worry, anxiety, depression, body image concerns, and relationship dissatisfaction and the sociodemographic variables age, time since treatment, and relationship duration were assessed by using validated self-administrated questionnaires. RESULTS: In total, 33% (n = 64) of the survivors scored above the cut-off score for sexual distress. Higher levels of sexual distress were shown to be associated with higher levels of vaginal sexual symptoms, sexual pain worry, relationship dissatisfaction, and body image concerns. Furthermore, the results showed that sexual pain worry partly mediated the association between vaginal sexual symptoms and sexual distress, when controlling for relationship dissatisfaction and body image concerns. CONCLUSIONS: Appropriate rehabilitation programs should be developed for CC survivors to prevent and reduce not only vaginal sexual symptoms but also sexual pain worry, relationship dissatisfaction, and body image concerns to reduce sexual distress.
Authors: R M Bakker; J W M Mens; H E de Groot; C C Tuijnman-Raasveld; C Braat; W C P Hompus; J G M Poelman; M S Laman; L A Velema; C D de Kroon; H C van Doorn; C L Creutzberg; M M Ter Kuile Journal: Support Care Cancer Date: 2016-10-27 Impact factor: 3.603
Authors: Isabelle Suvaal; Susanna B Hummel; Jan-Willem M Mens; Helena C van Doorn; Wilbert B van den Hout; Carien L Creutzberg; Moniek M Ter Kuile Journal: BMC Cancer Date: 2021-12-04 Impact factor: 4.430
Authors: Christina M Wilson; Deborah B McGuire; Beth L Rodgers; R K Elswick; Sarah M Temkin Journal: Cancer Nurs Date: 2021 Sep-Oct 01 Impact factor: 2.592