Quantity vs. Quality: An Exploration of the Predictors of Posttreatment Sexual Adjustment for Women Affected by Early Stage Cervical and Endometrial Cancer
| Autor: | Carissa Bonner, Louise Sharpe, Ilona Juraskova, Melanie L. Bell, Rosalind Robertson, Phyllis Butow |
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| Rok vydání: | 2012 |
| Předmět: |
Adult
medicine.medical_specialty Sexual Behavior Urology Endocrinology Diabetes and Metabolism Uterine Cervical Neoplasms Personal Satisfaction Hospital Anxiety and Depression Scale Endocrinology Quality of life Surveys and Questionnaires medicine Humans Prospective Studies Marriage Prospective cohort study Neoplasm Staging Drive Gynecology Cervical cancer Depressive Disorder business.industry Endometrial cancer Confounding Middle Aged medicine.disease Anxiety Disorders Combined Modality Therapy Endometrial Neoplasms Sexual Dysfunction Physiological Psychiatry and Mental health Reproductive Medicine Linear Models Quality of Life Anxiety Female New South Wales medicine.symptom business Sexual function Follow-Up Studies Clinical psychology |
| Zdroj: | The Journal of Sexual Medicine. 9:2952-2960 |
| ISSN: | 1743-6095 |
| DOI: | 10.1111/j.1743-6109.2012.02860.x |
| Popis: | Introduction Women with early stage cervical and endometrial cancer may experience complex posttreatment changes to their sexual function, but clinical practice and past research have focused more on the quantity than the perceived quality of sexual life. Aim The aims of this prospective study were to explore the following: (i) the relative importance of quantity vs. quality of sexual life over the first year posttreatment; (ii) the psychological and sexual predictors of overall sexual function; and (iii) the relationship between sexual function and quality of life (QoL). Methods Fifty‐three cancer patients completed standardized measures at baseline, with follow‐up at 6 and 12 months posttreatment. Analyses were based on prespecified linear mixed models with overall sexual function and QoL as outcomes, and quality and quantity of sexual life, anxiety, and depression as the main predictors of interest. Radiotherapy, age, and relationship satisfaction were controlled for as potential confounders. Main Outcome Measures Derogatis Sexual Functioning Inventory subscales to assess quantity ( Drive ) and quality ( Satisfaction ) of sexual life, and overall sexual function ( Global Sexual Satisfaction Index ); Functional Assessment of Cancer Therapy—General to assess QoL; Hospital Anxiety and Depression Scale to assess psychological distress; and Relationship Satisfaction Interaction Scale to assess relationship satisfaction. Results The models demonstrated that: (i) overall sexual function was predicted more strongly by the perceived quality than the quantity of sexual interactions, (ii) a small change in perceived quality had a large impact on overall sexual function, and (iii) overall sexual function was a predictor of QoL. Conclusion This study found that quality rather than quantity of sexual life is the best predictor of overall sexual function among women treated for early stage cervical and endometrial cancer, indicating the importance of including quality indices in posttreatment sexual assessment in clinical practice and research studies. Juraskova I, Bonner C, Bell ML, Sharpe L, Robertson R, and Butow P. Quantity vs. quality: An exploration of the predictors of posttreatment sexual adjustment for women affected by early stage cervical and endometrial cancer. J Sex Med 2012;9:2952–2960. |
| Databáze: | OpenAIRE |
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