A psychoeducational intervention for sexual dysfunction in women with gynecologic cancer
A psychoeducational intervention for sexual dysfunction in women with gynecologic cancer
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DOI：
10.1007/s10508-007-9196-x
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发表时间：
2008-04-01
影响因子：
3.8
通讯作者：
Van Blaricom, Amy
中科院分区：
文献类型：
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作者：
Brotto, Lori A.;Heiman, Julia R.;Van Blaricom, Amy
早期宫颈癌和子宫内膜癌的治疗与至少一半的子宫切除术后妇女的性生活困难有关。尽管事实上，女性报告这种性副作用是他们癌症治疗中最令人痛苦的方面，但女性性唤起障碍（FSAD）的循证治疗，这一群体中最常见的性症状，并不存在。我们在22名早期妇科癌症患者中开发并初步测试了一种针对FSAD的简短的三次心理教育干预（PED）。PED包括三个1小时的课程，将认知和行为治疗的元素与教育和正念训练相结合。妇女完成了问卷调查，并在前和后的PED（第1和第4节）的生殖器唤起的生理测量，并参加了半结构化的采访（第4节），在此期间，他们的反馈PED引起。PED对性欲、性唤起、性高潮、满意度、性痛苦、抑郁和整体幸福感有显著的积极影响，并且有明显改善生理生殖器唤起和感知生殖器唤起的趋势。定性反馈表明，PED材料非常方便用户，清晰，有帮助。特别是，女性报告说正念成分最有帮助。这些研究结果表明，简短的3次PED可以显着改善妇科癌症患者的性反应，情绪和生活质量，并对建立FSAD心理治疗计划的组成部分具有影响。
Treatment of early-stage cervical and endometrial cancer has been associated with significant sexual difficulties in at least half of women following hysterectomy. Despite the fact that women report such sexual side effects to be the most distressing aspect of their cancer treatment, evidence-based treatments for Female Sexual Arousal Disorder (FSAD), the most common sexual symptom in this group, do not exist. We developed and pilot tested a brief, three session psychoeducational intervention (PED) targeting FSAD in 22 women with early-stage gynecologic cancer. The PED consisted of three, 1-h sessions that combined elements of cognitive and behavioral therapy with education and mindfulness training. Women completed questionnaires and had a physiological measurement of genital arousal at pre- and post-PED (sessions 1 and 4) and participated in a semi-structured interview (session 4) during which their feedback on the PED was elicited. There was a significant positive effect of the PED on sexual desire, arousal, orgasm, satisfaction, sexual distress, depression, and overall well-being, and a trend towards significantly improved physiological genital arousal and perceived genital arousal. Qualitative feedback indicated that the PED materials were very user-friendly, clear, and helpful. In particular, women reported the mindfulness component to be most helpful. These findings suggest that a brief 3-session PED can significantly improve aspects of sexual response, mood, and quality of life in gynecologic cancer patients, and has implications for establishing the components of a psychological treatment program for FSAD.