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The sexual health of female rectal and anal cancer survivors: results of a pilot randomized psycho-educational intervention trial.
- Source :
-
Journal of cancer survivorship : research and practice [J Cancer Surviv] 2016 Jun; Vol. 10 (3), pp. 553-63. Date of Electronic Publication: 2015 Dec 14. - Publication Year :
- 2016
-
Abstract
- Background: Sexual dysfunction is a frequently reported consequence of rectal/anal cancer treatment for female patients.<br />Purpose: The purpose of this study was to conduct a small randomized controlled trial to assess the efficacy of a telephone-based, four-session Cancer Survivorship Intervention-Sexual Health (CSI-SH).<br />Methods: Participants (Nā=ā70) were stratified by chemotherapy, stoma, and menopause statuses before randomization to CSI-SH or assessment only (AO). Participants were assessed at baseline, 4 months (follow-up 1), and 8 months (follow-up 2).<br />Results: The intervention had medium effect sizes from baseline to follow-up 1, which decreased by follow-up 2. Effect sizes were larger among the 41 sexually active women. Unadjusted means at the follow-ups were not significantly different between the treatment arms. Adjusting for baseline scores, demographics, and medical variables, the intervention arm had significantly better emotional functioning at follow-ups 1 and 2 and less cancer-specific stress at follow-up 1 compared to the AO arm.<br />Conclusion: The data supported the hypothesized effects on improved sexual and psychological functioning and quality of life in CSI-SH female rectal/anal cancer survivors compared to the AO condition. This pilot study (Nā=ā70) of CSI-SH supported the impact of this intervention on sexual and psychological functioning and quality of life on rectal and anal cancer survivors compared with an AO condition. However, intervention effects were stronger at follow-up 1 as compared to follow-up 2 and were stronger for sexually active women.<br />Implications for Cancer Survivors: Women may benefit from a brief, four-session, sexual health intervention after treatment from rectal and anal cancer.
- Subjects :
- Adult
Aged
Anus Neoplasms psychology
Female
Humans
Male
Middle Aged
Pilot Projects
Psychotherapy methods
Quality of Life
Rectal Neoplasms psychology
Sex Education methods
Sexual Behavior psychology
Sexual Dysfunctions, Psychological psychology
Stress, Psychological psychology
Stress, Psychological therapy
Survival Rate
Telephone
Anus Neoplasms rehabilitation
Patient Education as Topic methods
Rectal Neoplasms rehabilitation
Reproductive Health
Sexual Dysfunctions, Psychological therapy
Survivors psychology
Subjects
Details
- Language :
- English
- ISSN :
- 1932-2267
- Volume :
- 10
- Issue :
- 3
- Database :
- MEDLINE
- Journal :
- Journal of cancer survivorship : research and practice
- Publication Type :
- Academic Journal
- Accession number :
- 26667358
- Full Text :
- https://doi.org/10.1007/s11764-015-0501-8