Prevalence and associated factors of sexual problems after early‐stage breast cancer treatment: results of a French exploratory survey
Identifieur interne : 000296 ( France/Analysis ); précédent : 000295; suivant : 000297Prevalence and associated factors of sexual problems after early‐stage breast cancer treatment: results of a French exploratory survey
Auteurs : Anne Brédart [France] ; S. Dolbeault [France] ; A. Savignoni [France] ; C. Besancenet [France] ; P. This [France] ; A. Giami [France] ; S. Michaels [États-Unis] ; C. Flahault [France] ; M. Falcou [France] ; B. Asselain [France] ; L. Copel [France]Source :
- Psycho‐Oncology [ 1057-9249 ] ; 2011-08.
Abstract
Objective: The objective of this study was to assess the prevalence and associated factors of sexual activity, sexual problems or sexual satisfaction in French early‐stage breast cancer survivors (BCS). Methods: Eight hundred and fifty eligible, post‐treatment (6 months–5 years) female patients, aged 18–70 years, randomly selected from a consultation list, were invited to fill in questionnaires exploring quality of life (EORTC QLQ‐C30 and QLQ‐BR23), body image scale, and sexuality (Sexual Activity Questionnaire–SAQ; Relationship and Sexuality Scale; French Sexual Behaviour Survey—CSF). Results: Fifty‐three percent of BCS agreed to participate. Participating women (n=378) were younger, more often premenopausal at diagnosis and with a more recent diagnosis than non‐respondents. The prevalence of sexual problems was significantly higher in BCS compared with adjusted data from a French female representative sample (p<0.0001). In logistic regression, no sexual activity (R2=0.37) or sexual dissatisfaction (R2=0.28) were associated with the feeling of emotional separation in the couple or of partner's fear of sexual intercourse, lower emotional functioning, poorer body image, or co‐morbidities. In sexually active women (71% of respondents), lower frequency of sexual activity (R2=0.26), lower sexual pleasure (R2=0.22), or higher sexual discomfort (R2=0.22) were associated with the feeling of emotional separation in the couple or of partner's fear of sexual intercourse, lower emotional functioning, age (>50 years), nausea, or insomnia (all Hosmer–Lemeshow tests: p=NS). Conclusions: Psychological factors including the perception of the couple relationship appeared prominent in BCS women's experience of sexual problems. Copyright © 2010 John Wiley & Sons, Ltd.
Url:
DOI: 10.1002/pon.1789
Affiliations:
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Copel</name><affiliation wicri:level="3"><country xml:lang="fr">France</country><wicri:regionArea>Palliative Care Unit, Supportive Care Department, Institut Curie, Paris</wicri:regionArea><placeName><region type="region">Île-de-France</region><region type="old region">Île-de-France</region><settlement type="city">Paris</settlement></placeName></affiliation></author></analytic><monogr></monogr><series><title level="j" type="main">Psycho‐Oncology</title><title level="j" type="alt">PSYCHO-ONCOLOGY</title><idno type="ISSN">1057-9249</idno><idno type="eISSN">1099-1611</idno><imprint><biblScope unit="vol">20</biblScope><biblScope unit="issue">8</biblScope><biblScope unit="page" from="841">841</biblScope><biblScope unit="page" to="850">850</biblScope><biblScope unit="page-count">10</biblScope><publisher>John Wiley & Sons, Ltd.</publisher><pubPlace>Chichester, UK</pubPlace><date type="published" when="2011-08">2011-08</date></imprint><idno type="ISSN">1057-9249</idno></series></biblStruct></sourceDesc><seriesStmt><idno type="ISSN">1057-9249</idno></seriesStmt></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Objective: The objective of this study was to assess the prevalence and associated factors of sexual activity, sexual problems or sexual satisfaction in French early‐stage breast cancer survivors (BCS). Methods: Eight hundred and fifty eligible, post‐treatment (6 months–5 years) female patients, aged 18–70 years, randomly selected from a consultation list, were invited to fill in questionnaires exploring quality of life (EORTC QLQ‐C30 and QLQ‐BR23), body image scale, and sexuality (Sexual Activity Questionnaire–SAQ; Relationship and Sexuality Scale; French Sexual Behaviour Survey—CSF). Results: Fifty‐three percent of BCS agreed to participate. Participating women (n=378) were younger, more often premenopausal at diagnosis and with a more recent diagnosis than non‐respondents. The prevalence of sexual problems was significantly higher in BCS compared with adjusted data from a French female representative sample (p<0.0001). In logistic regression, no sexual activity (R2=0.37) or sexual dissatisfaction (R2=0.28) were associated with the feeling of emotional separation in the couple or of partner's fear of sexual intercourse, lower emotional functioning, poorer body image, or co‐morbidities. In sexually active women (71% of respondents), lower frequency of sexual activity (R2=0.26), lower sexual pleasure (R2=0.22), or higher sexual discomfort (R2=0.22) were associated with the feeling of emotional separation in the couple or of partner's fear of sexual intercourse, lower emotional functioning, age (>50 years), nausea, or insomnia (all Hosmer–Lemeshow tests: p=NS). Conclusions: Psychological factors including the perception of the couple relationship appeared prominent in BCS women's experience of sexual problems. Copyright © 2010 John Wiley & Sons, Ltd.</div></front></TEI><affiliations><list><country><li>France</li><li>États-Unis</li></country><region><li>Illinois</li><li>Île-de-France</li></region><settlement><li>Paris</li></settlement><orgName><li>Université Paris-Descartes</li></orgName></list><tree><country name="France"><region name="Île-de-France"><name sortKey="Bredart, Anne" sort="Bredart, Anne" uniqKey="Bredart A" first="Anne" last="Brédart">Anne Brédart</name></region><name sortKey="Asselain, B" sort="Asselain, B" uniqKey="Asselain B" first="B." last="Asselain">B. Asselain</name><name sortKey="Besancenet, C" sort="Besancenet, C" uniqKey="Besancenet C" first="C." last="Besancenet">C. Besancenet</name><name sortKey="Bredart, Anne" sort="Bredart, Anne" uniqKey="Bredart A" first="Anne" last="Brédart">Anne Brédart</name><name sortKey="Bredart, Anne" sort="Bredart, Anne" uniqKey="Bredart A" first="Anne" last="Brédart">Anne Brédart</name><name sortKey="Copel, L" sort="Copel, L" uniqKey="Copel L" first="L." last="Copel">L. Copel</name><name sortKey="Dolbeault, S" sort="Dolbeault, S" uniqKey="Dolbeault S" first="S." last="Dolbeault">S. Dolbeault</name><name sortKey="Dolbeault, S" sort="Dolbeault, S" uniqKey="Dolbeault S" first="S." last="Dolbeault">S. Dolbeault</name><name sortKey="Dolbeault, S" sort="Dolbeault, S" uniqKey="Dolbeault S" first="S." last="Dolbeault">S. Dolbeault</name><name sortKey="Falcou, M" sort="Falcou, M" uniqKey="Falcou M" first="M." last="Falcou">M. Falcou</name><name sortKey="Flahault, C" sort="Flahault, C" uniqKey="Flahault C" first="C." last="Flahault">C. Flahault</name><name sortKey="Giami, A" sort="Giami, A" uniqKey="Giami A" first="A." last="Giami">A. Giami</name><name sortKey="Savignoni, A" sort="Savignoni, A" uniqKey="Savignoni A" first="A." last="Savignoni">A. Savignoni</name><name sortKey="This, P" sort="This, P" uniqKey="This P" first="P." last="This">P. This</name></country><country name="États-Unis"><region name="Illinois"><name sortKey="Michaels, S" sort="Michaels, S" uniqKey="Michaels S" first="S." last="Michaels">S. Michaels</name></region></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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