Changes in sexual problems over time in women with and without early-stage breast cancer
Identifieur interne : 005990 ( Main/Exploration ); précédent : 005989; suivant : 005991Changes in sexual problems over time in women with and without early-stage breast cancer
Auteurs : Maria Pérez [États-Unis] ; Ying Liu [États-Unis] ; Mario Schootman [États-Unis] ; Rebecca L. Aft [États-Unis] ; Kenneth B. Schechtman [États-Unis] ; William E. Gillanders [États-Unis] ; Donna B. Jeffe [États-Unis]Source :
- Menopause (New York, N.Y.) [ 1072-3714 ] ; 2010.
Abstract
We aimed to evaluate whether age-matched women with and without early-stage breast cancer differentially experience sexual problems over time and whether changes in patients’ problems differ by surgery type.
We conducted four interviews (4–6 weeks, 6 months, 1 year and 2 years) after surgery (patients) or a negative/benign screening mammogram (controls). Mixed-effects models with repeated ordinal measurements tested effects of time and diagnostic group (stages 0, I, IIA vs. controls) and, for patients, effects of time and type of surgery (mastectomy vs. lumpectomy), on a newly developed 9-item sexual-problems measure. Two-sided
Using data from 1033 women (17.3% stage 0, 33.4% stage I/IIA, 49.3% controls; mean age 57.1; 23.1% non-white; 64.7% married), two factors measuring problems with sexual attractiveness and sexual interest/enjoyment emerged in exploratory factor analysis (alpha ≥ .74 for each subscale and the 9-item measure). Patients and controls reported few sexual problems on average, but compared with baseline, controls were more likely to report sexual problems on the 9-item measure over time, and stage I patients were less likely to report problems with sexual attractiveness over time (each
Patients and controls experienced few sexual problems over time and, in fact, controls were more likely to report sexual problems at subsequent interviews, whereas patients did not.
Url:
DOI: 10.1097/gme.0b013e3181d5dd26
PubMed: 20461020
PubMed Central: 2939280
Affiliations:
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<author><name sortKey="Schechtman, Kenneth B" sort="Schechtman, Kenneth B" uniqKey="Schechtman K" first="Kenneth B." last="Schechtman">Kenneth B. Schechtman</name>
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<author><name sortKey="Gillanders, William E" sort="Gillanders, William E" uniqKey="Gillanders W" first="William E." last="Gillanders">William E. Gillanders</name>
<affiliation wicri:level="2"><nlm:aff id="A2"> Alvin J. Siteman Cancer Center at Barnes-Jewish Hospital and Washington University School of Medicine, St. Louis, MO</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<placeName><region type="state">Missouri (État)</region>
</placeName>
<wicri:cityArea> Alvin J. Siteman Cancer Center at Barnes-Jewish Hospital and Washington University School of Medicine, St. Louis</wicri:cityArea>
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<author><name sortKey="Jeffe, Donna B" sort="Jeffe, Donna B" uniqKey="Jeffe D" first="Donna B." last="Jeffe">Donna B. Jeffe</name>
<affiliation wicri:level="2"><nlm:aff id="A1"> Division of Health Behavior Research, Department of Internal Medicine, Washington University School of Medicine, St. Louis, MO</nlm:aff>
<country xml:lang="fr">États-Unis</country>
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<wicri:cityArea> Division of Health Behavior Research, Department of Internal Medicine, Washington University School of Medicine, St. Louis</wicri:cityArea>
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<placeName><region type="state">Missouri (État)</region>
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<front><div type="abstract" xml:lang="en"><sec id="S1"><title>Objectives</title>
<p id="P1">We aimed to evaluate whether age-matched women with and without early-stage breast cancer differentially experience sexual problems over time and whether changes in patients’ problems differ by surgery type.</p>
</sec>
<sec sec-type="methods" id="S2"><title>Methods</title>
<p id="P2">We conducted four interviews (4–6 weeks, 6 months, 1 year and 2 years) after surgery (patients) or a negative/benign screening mammogram (controls). Mixed-effects models with repeated ordinal measurements tested effects of time and diagnostic group (stages 0, I, IIA vs. controls) and, for patients, effects of time and type of surgery (mastectomy vs. lumpectomy), on a newly developed 9-item sexual-problems measure. Two-sided <italic>P</italic>
-values < 0.05 were considered significant.</p>
</sec>
<sec id="S3"><title>Results</title>
<p id="P3">Using data from 1033 women (17.3% stage 0, 33.4% stage I/IIA, 49.3% controls; mean age 57.1; 23.1% non-white; 64.7% married), two factors measuring problems with sexual attractiveness and sexual interest/enjoyment emerged in exploratory factor analysis (alpha ≥ .74 for each subscale and the 9-item measure). Patients and controls reported few sexual problems on average, but compared with baseline, controls were more likely to report sexual problems on the 9-item measure over time, and stage I patients were less likely to report problems with sexual attractiveness over time (each <italic>P</italic>
< 0.05). Patients with mastectomy (35.7%) were 2.7 times more likely to report sexual problems on the 9-item measure at 2-year follow-up compared with baseline (<italic>P</italic>
= 0.0339).</p>
</sec>
<sec id="S4"><title>Conclusions</title>
<p id="P4">Patients and controls experienced few sexual problems over time and, in fact, controls were more likely to report sexual problems at subsequent interviews, whereas patients did not.</p>
</sec>
</div>
</front>
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<affiliations><list><country><li>États-Unis</li>
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<region><li>Missouri (État)</li>
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<name sortKey="Aft, Rebecca L" sort="Aft, Rebecca L" uniqKey="Aft R" first="Rebecca L." last="Aft">Rebecca L. Aft</name>
<name sortKey="Aft, Rebecca L" sort="Aft, Rebecca L" uniqKey="Aft R" first="Rebecca L." last="Aft">Rebecca L. Aft</name>
<name sortKey="Aft, Rebecca L" sort="Aft, Rebecca L" uniqKey="Aft R" first="Rebecca L." last="Aft">Rebecca L. Aft</name>
<name sortKey="Gillanders, William E" sort="Gillanders, William E" uniqKey="Gillanders W" first="William E." last="Gillanders">William E. Gillanders</name>
<name sortKey="Gillanders, William E" sort="Gillanders, William E" uniqKey="Gillanders W" first="William E." last="Gillanders">William E. Gillanders</name>
<name sortKey="Jeffe, Donna B" sort="Jeffe, Donna B" uniqKey="Jeffe D" first="Donna B." last="Jeffe">Donna B. Jeffe</name>
<name sortKey="Jeffe, Donna B" sort="Jeffe, Donna B" uniqKey="Jeffe D" first="Donna B." last="Jeffe">Donna B. Jeffe</name>
<name sortKey="Liu, Ying" sort="Liu, Ying" uniqKey="Liu Y" first="Ying" last="Liu">Ying Liu</name>
<name sortKey="Schechtman, Kenneth B" sort="Schechtman, Kenneth B" uniqKey="Schechtman K" first="Kenneth B." last="Schechtman">Kenneth B. Schechtman</name>
<name sortKey="Schechtman, Kenneth B" sort="Schechtman, Kenneth B" uniqKey="Schechtman K" first="Kenneth B." last="Schechtman">Kenneth B. Schechtman</name>
<name sortKey="Schootman, Mario" sort="Schootman, Mario" uniqKey="Schootman M" first="Mario" last="Schootman">Mario Schootman</name>
<name sortKey="Schootman, Mario" sort="Schootman, Mario" uniqKey="Schootman M" first="Mario" last="Schootman">Mario Schootman</name>
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