Body image and sexual function in women after treatment for anal and rectal cancer.
Body image and sexual function in women after treatment for anal and rectal cancer.
复制标题
DOI：
10.1002/pon.3847
复制
发表时间：
2016-03
期刊：
影响因子：
3.6
通讯作者：
Nelson C
中科院分区：
文献类型：
--
作者：
Benedict C;Philip EJ;Baser RE;Carter J;Schuler TA;Jandorf L;DuHamel K;Nelson C
肛门和直肠癌（ARCa）的治疗通常会导致直接影响性功能的副作用;然而，ARCa幸存者是一个研究不足的群体，导致性后遗症的因素还不清楚。身体形象问题令人苦恼，并可能进一步加剧性困难，特别是对妇女来说。这项初步研究试图（1）描述身体形象问题，包括社会人口统计学和疾病/治疗相关性;（2）检查身体形象和性功能之间的关系。对于一项大型研究的基线评估，70名女性完成了EORTC QLQ-C30和CR 38，包括身体形象子量表和女性性功能指数（FSFI）。皮尔森相关和多元回归分析身体意象的相关因素。在性活跃的妇女（n=41），分层回归研究身体形象和性功能域之间的关系。女性平均年龄为55岁（SD=11.6），非西班牙裔白色（79%），已婚（57%），就业（47%）。大多数（86%）报告至少有一个身体形象问题。年龄越小，总体健康状况越差，与身体形象较差相关的症状越严重（p <0.05）。除疼痛外，不良的身体形象与性功能的所有方面呈负相关（β范围为0.50至0.70，p <0.05）。最强的关联是FSFI性/关系满意度。这些初步研究结果表明，评估身体形象的重要性，作为一个潜在的可修改的目标，以解决性困难，在这个研究不足的群体。需要进一步的纵向研究，为制定和实施有效的干预措施提供信息，以改善女性ARCa幸存者的性健康和福祉。
Treatment for anal and rectal cancer (ARCa) often results in side effects that directly impact sexual functioning; however, ARCa survivors are an understudied group and factors contributing to the sexual sequelae are not well understood. Body image problems are distressing and may further exacerbate sexual difficulties, particularly for women. This preliminary study sought to (1) describe body image problems, including sociodemographic and disease/treatment correlates; and (2) examine relations between body image and sexual function. For the baseline assessment of a larger study, 70 women completed the EORTC QLQ-C30 and CR38, including the Body Image subscale, and Female Sexual Function Index (FSFI). Pearson’s correlation and multiple regression evaluated correlates of body image. Among sexually active women (n=41), hierarchical regression examined relations between body image and sexual function domains. Women were an average 55 years old (SD=11.6), Non-Hispanic White (79%), married (57%), and employed (47%). The majority (86%) reported at least one body image problem. Younger age, lower global health status, and greater severity of symptoms related to poorer body image (p’s<.05). Poor body image was inversely related to all aspects of sexual function (β range .50 to .70, p’s<.05), except pain. The strongest association was with FSFI Sexual/Relationship Satisfaction. These preliminary findings suggest the importance of assessing body image as a potentially modifiable target to address sexual difficulties in this understudied group. Further longitudinal research is needed to inform the development and implementation of effective interventions to improve the sexual health and well-being of female ARCa survivors.