Efficacy of Internet-Based Cognitive Behavioral Therapy in Improving Sexual Functioning of Breast Cancer Survivors: Results of a Randomized Controlled Trial

Autor: Jacobien M. Kieffer, Herman Rijna, Susanna B Hummel, Marianne A. Kuenen, Nina Bijker, Peter W. Plaisier, Eva Broomans, B. C. Vrouenraets, Hester S. A. Oldenburg, Neil K. Aaronson, Miranda A Gerritsma, Daniela E E Hahn, Paul J Borgstein, Alexander M F Lopes Cardozo, Jacques van Lankveld, Eric J van Dulken, Suzan van der Meij, Gijsbert Heuff
Přispěvatelé: Psychology Other Research (FMG), FMG, Klinische Psychologie (Psychologie, FMG), Department Clinical Psychology, RS-Research Line Clinical psychology (part of IIESB program), CCA - Cancer Treatment and Quality of Life, Radiotherapy
Jazyk: angličtina
Rok vydání: 2017
Předmět:
Cancer Research
medicine.biofluid
Waiting Lists
Sexual arousal
medicine.medical_treatment
Sexual Behavior
Breast Neoplasms
HOSPITAL ANXIETY
TREATMENT PROGRAM
law.invention
BODY-IMAGE
03 medical and health sciences
0302 clinical medicine
PROGNOSTIC-FACTORS
Randomized controlled trial
law
QUALITY-OF-LIFE
medicine
Humans
030212 general & internal medicine
Survivors
Internet
Cognitive Behavioral Therapy
business.industry
Vaginal lubrication
PSYCHOLOGICAL TREATMENT
Middle Aged
Cognitive behavioral therapy
DEPRESSION SCALE
Sexual desire
Distress
Sexual Dysfunction
Physiological
Sexual dysfunction
PSYCHOMETRIC PROPERTIES
Oncology
030220 oncology & carcinogenesis
DISTRESS SCALE FSDS
INDEX FSFI
Therapy
Computer-Assisted
Cognitive therapy
Female
Self Report
medicine.symptom
business
Clinical psychology
Zdroj: Journal of Clinical Oncology, 35(12), 1328-1340. American Society of Clinical Oncology
Journal of Clinical Oncology, 35(12), 1328-+. AMER SOC CLINICAL ONCOLOGY
Hummel, S B, van Lankveld, J J D M, Oldenburg, H S A, Hahn, D E E, Kieffer, J M, Gerritsma, M A, Kuenen, M A, Bijker, N, Borgstein, P J, Heuff, G, Cardozo, A M F L, Plaisier, P W, Rijna, H, van der Meij, S, van Dulken, E J, Vrouenraets, B C, Broomans, E & Aaronson, N K 2017, ' Efficacy of Internet-Based Cognitive Behavioral Therapy in Improving Sexual Functioning of Breast Cancer Survivors : Results of a Randomized Controlled Trial ', Journal of Clinical Oncology, vol. 35, no. 12, pp. 1328-+ . https://doi.org/10.1200/JCO.2016.69.6021
Journal of clinical oncology, 35(12), 1328-+. American Society of Clinical Oncology
ISSN: 0732-183X
Popis: Purpose We evaluated the effect of Internet-based cognitive behavioral therapy (CBT) on sexual functioning and relationship intimacy (primary outcomes) and body image, menopausal symptoms, marital functioning, psychological distress, and health-related quality of life (secondary outcomes) in breast cancer survivors (BCSs) with a DSM-IV diagnosis of a sexual dysfunction. Patients and Methods We randomly assigned 169 BCSs to either Internet-based CBT or a waiting-list control group. The CBT consisted of weekly therapist-guided sessions, with a maximum duration of 24 weeks. Self-report questionnaires were completed by the intervention group at baseline (T0), midtherapy (T1), and post-therapy (T2) and at equivalent times by the control group. We used a mixed-effect modeling approach to compare the groups over time. Results Compared with the control group, the intervention group showed a significant improvement over time in overall sexual functioning (effect size for T2 [EST2] = .43; P = .031), which was reflected in an increase in sexual desire (EST1 = .48 and EST2 = .72; P < .001), sexual arousal (EST2 = .50; P = .008), and vaginal lubrication (EST2 = .46; P = .013). The intervention group reported more improvement over time in sexual pleasure (EST1 = .32 and EST2 = .62; P = .001), less discomfort during sex (EST1 = .49 and EST2 = .66; P = .001), and less sexual distress (EST2 = .59; P = .002) compared with the control group. The intervention group reported greater improvement in body image (EST2 = .45; P = .009) and fewer menopausal symptoms (EST1 = .39; P = .007) than the control group. No significant effects were observed for orgasmic function, sexual satisfaction, intercourse frequency, relationship intimacy, marital functioning, psychological distress, or health-related quality of life. Conclusion Internet-based CBT has salutary effects on sexual functioning, body image, and menopausal symptoms in BCSs with a sexual dysfunction.
Databáze: OpenAIRE
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