Format

Send to

Choose Destination
See comment in PubMed Commons below
J Clin Oncol. 2007 Jul 20;25(21):3151-7.

Sexual well-being among partnered women with breast cancer recurrence.

Author information

1
Department of Psychology, Division of Hematology/Oncology, College of Medicine, and the Comprehensive Cancer Center, Ohio State University, Columbus, OH, USA. Andersen.1@osu.edu

Abstract

PURPOSE:

A woman's risk for sexual disruption after breast cancer recurrence has received little clinical or research attention.

PATIENTS AND METHODS:

Breast cancer patients recently diagnosed with recurrence (n = 60) were initially assessed at baseline and completed follow-ups at 4, 8, and 12 months. They were compared by age, stage, and duration and frequency of follow-up with matched patients who remained disease free (n = 120). Using linear mixed modeling, the groups were compared in their trajectories of change on measures of sexuality, relationship satisfaction, cancer-specific stress, and physical functioning. Recurrence subgroups, those with locoregional versus distant disease and those younger versus older than 52 years, were also compared.

RESULTS:

At baseline, the recurrence group had significantly lower intercourse frequency and physical functioning compared with the disease-free group and these differences were maintained. There were no significant differences in the frequencies of kissing or sexual and relationship satisfactions. For the recurrence group patients, the heightened stress of the diagnostic/early recurrence treatment period declined to the lower disease-free levels by 12 months. This effect was largely due to improvement of the patients with distant disease. Finally, sexual changes were most notable for younger patients.

CONCLUSION:

To our knowledge, this is the first longitudinal, controlled study of sexuality-sexuality in the context of other quality of life domains-for women coping with recurrence. Despite disruption, patients maintained their sexual lives. Younger and distant recurrence patients, however, may have greatest risk of sexual disruption. The factors contributing to sexual disruption remain unknown, and studies investigating strategies to help patients maintain this aspect of quality of life are needed.

PMID:
17634495
PMCID:
PMC2150748
DOI:
10.1200/JCO.2006.09.6958
[Indexed for MEDLINE]
Free PMC Article
PubMed Commons home

PubMed Commons

0 comments
How to join PubMed Commons

    Supplemental Content

    Full text links

    Icon for Atypon Icon for PubMed Central
    Loading ...
    Support Center