"You're naked, you're vulnerable": Sexual well-being and body image of women with lower limb lymphedema.
Identifieur interne : 001565 ( Main/Exploration ); précédent : 001564; suivant : 001566"You're naked, you're vulnerable": Sexual well-being and body image of women with lower limb lymphedema.
Auteurs : Caleb J. Winch [Australie] ; Kerry A. Sherman [Australie] ; Katriona M. Smith [Australie] ; Louise A. Koelmeyer [Australie] ; Helen Mackie [Australie] ; John Boyages [Australie]Source :
- Body image [ 1873-6807 ] ; 2016.
Descripteurs français
- KwdFr :
- MESH :
- psychologie : Comportement sexuel, Image du corps, Lymphoedème, Partenaire sexuel.
- étiologie : Lymphoedème.
- Adaptation psychologique, Adulte, Adulte d'âge moyen, Concept du soi, Entretien psychologique, Femelle, Humains, Jambe, Soutien social, Sujet âgé.
English descriptors
- KwdEn :
- MESH :
- etiology : Lymphedema.
- psychology : Body Image, Lymphedema, Sexual Behavior, Sexual Partners.
- Adaptation, Psychological, Adult, Aged, Female, Humans, Interview, Psychological, Leg, Middle Aged, Self Concept, Social Support.
Abstract
Lower-limb lymphedema is an incurable illness manifesting as visible swelling enlarging the leg(s) and/or feet, buttocks, and genitals. This study used semi-structured interviews and thematic analysis to explore sexual well-being among women with primary (congenital) lymphedema (n=11) or secondary lymphedema associated with gynecological cancer (n=8). Five themes (subthemes) summarized women's responses, with Attractiveness and Confidence (Publicly Unattractive, Privately Unconfident, Lymphedema or Aging?) describing women's central concern. These body image-related concerns accounted for sexual well-being in association with Partner Support (Availability of Support, Languages of Support, Fears About Support) and the degree of Functional Interruptions (Lymphedema in Context, Enduring Impacts, Overcoming Interruptions). Successful Lymphedema Coping (Control, Acceptance) and self-perceived ability to fulfill a valued Sexual Role also affected sexual well-being. Few differences between women with primary versus secondary lymphedema were evident. Lymphedema clinicians should screen for sexual concerns and have referral options available.
DOI: 10.1016/j.bodyim.2016.06.002
PubMed: 27434105
Affiliations:
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Winch</name><affiliation wicri:level="1"><nlm:affiliation>Department of Clinical Medicine, Faculty of Medicine and Health Sciences, Macquarie University, Sydney, New South Wales, Australia.</nlm:affiliation><country xml:lang="fr">Australie</country><wicri:regionArea>Department of Clinical Medicine, Faculty of Medicine and Health Sciences, Macquarie University, Sydney, New South Wales</wicri:regionArea><wicri:noRegion>New South Wales</wicri:noRegion></affiliation></author><author><name sortKey="Sherman, Kerry A" sort="Sherman, Kerry A" uniqKey="Sherman K" first="Kerry A" last="Sherman">Kerry A. Sherman</name><affiliation wicri:level="1"><nlm:affiliation>Centre for Emotional Health, Department of Psychology, Faculty of Human Sciences, Macquarie University, Sydney, New South Wales, Australia. 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Wilga Private Hospital, Sydney, New South Wales</wicri:regionArea><wicri:noRegion>New South Wales</wicri:noRegion></affiliation></author><author><name sortKey="Boyages, John" sort="Boyages, John" uniqKey="Boyages J" first="John" last="Boyages">John Boyages</name><affiliation wicri:level="1"><nlm:affiliation>Department of Clinical Medicine, Faculty of Medicine and Health Sciences, Macquarie University, Sydney, New South Wales, Australia.</nlm:affiliation><country xml:lang="fr">Australie</country><wicri:regionArea>Department of Clinical Medicine, Faculty of Medicine and Health Sciences, Macquarie University, Sydney, New South Wales</wicri:regionArea><wicri:noRegion>New South Wales</wicri:noRegion></affiliation></author></analytic><series><title level="j">Body image</title><idno type="eISSN">1873-6807</idno><imprint><date when="2016" type="published">2016</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adaptation, Psychological</term><term>Adult</term><term>Aged</term><term>Body Image (psychology)</term><term>Female</term><term>Humans</term><term>Interview, Psychological</term><term>Leg</term><term>Lymphedema (etiology)</term><term>Lymphedema (psychology)</term><term>Middle Aged</term><term>Self Concept</term><term>Sexual Behavior (psychology)</term><term>Sexual Partners (psychology)</term><term>Social Support</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adaptation psychologique</term><term>Adulte</term><term>Adulte d'âge moyen</term><term>Comportement sexuel (psychologie)</term><term>Concept du soi</term><term>Entretien psychologique</term><term>Femelle</term><term>Humains</term><term>Image du corps (psychologie)</term><term>Jambe</term><term>Lymphoedème (psychologie)</term><term>Lymphoedème (étiologie)</term><term>Partenaire sexuel (psychologie)</term><term>Soutien social</term><term>Sujet âgé</term></keywords><keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Lymphedema</term></keywords><keywords scheme="MESH" qualifier="psychologie" xml:lang="fr"><term>Comportement sexuel</term><term>Image du corps</term><term>Lymphoedème</term><term>Partenaire sexuel</term></keywords><keywords scheme="MESH" qualifier="psychology" xml:lang="en"><term>Body Image</term><term>Lymphedema</term><term>Sexual Behavior</term><term>Sexual Partners</term></keywords><keywords scheme="MESH" qualifier="étiologie" xml:lang="fr"><term>Lymphoedème</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adaptation, Psychological</term><term>Adult</term><term>Aged</term><term>Female</term><term>Humans</term><term>Interview, Psychological</term><term>Leg</term><term>Middle Aged</term><term>Self Concept</term><term>Social Support</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adaptation psychologique</term><term>Adulte</term><term>Adulte d'âge moyen</term><term>Concept du soi</term><term>Entretien psychologique</term><term>Femelle</term><term>Humains</term><term>Jambe</term><term>Soutien social</term><term>Sujet âgé</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Lower-limb lymphedema is an incurable illness manifesting as visible swelling enlarging the leg(s) and/or feet, buttocks, and genitals. This study used semi-structured interviews and thematic analysis to explore sexual well-being among women with primary (congenital) lymphedema (n=11) or secondary lymphedema associated with gynecological cancer (n=8). Five themes (subthemes) summarized women's responses, with Attractiveness and Confidence (Publicly Unattractive, Privately Unconfident, Lymphedema or Aging?) describing women's central concern. These body image-related concerns accounted for sexual well-being in association with Partner Support (Availability of Support, Languages of Support, Fears About Support) and the degree of Functional Interruptions (Lymphedema in Context, Enduring Impacts, Overcoming Interruptions). Successful Lymphedema Coping (Control, Acceptance) and self-perceived ability to fulfill a valued Sexual Role also affected sexual well-being. Few differences between women with primary versus secondary lymphedema were evident. Lymphedema clinicians should screen for sexual concerns and have referral options available.</div></front></TEI><affiliations><list><country><li>Australie</li></country></list><tree><country name="Australie"><noRegion><name sortKey="Winch, Caleb J" sort="Winch, Caleb J" uniqKey="Winch C" first="Caleb J" last="Winch">Caleb J. Winch</name></noRegion><name sortKey="Boyages, John" sort="Boyages, John" uniqKey="Boyages J" first="John" last="Boyages">John Boyages</name><name sortKey="Koelmeyer, Louise A" sort="Koelmeyer, Louise A" uniqKey="Koelmeyer L" first="Louise A" last="Koelmeyer">Louise A. Koelmeyer</name><name sortKey="Mackie, Helen" sort="Mackie, Helen" uniqKey="Mackie H" first="Helen" last="Mackie">Helen Mackie</name><name sortKey="Sherman, Kerry A" sort="Sherman, Kerry A" uniqKey="Sherman K" first="Kerry A" last="Sherman">Kerry A. Sherman</name><name sortKey="Smith, Katriona M" sort="Smith, Katriona M" uniqKey="Smith K" first="Katriona M" last="Smith">Katriona M. 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