Quality of life and sexual functioning in young women with early-stage breast cancer 1 year after lumpectomy
Abstract
BACKGROUND: The breast cancer (BC) and its treatment (mastectomy, radiotherapy, and chemotherapy) have considerable psychosexual impacts on women's life. This study evaluated sexual functioning, quality of life, and self-esteem in young women with early-stage BC. METHODS: A total of 186 women with stage I or II BC and 204 age-matched controls aged 25-45 years were recruited. To be eligible, patients had to be disease-free and sexually active. They also had to have undergone lumpectomy at least 1 year previously and have completed chemotherapy and/or radiotherapy. Subjects completed Female Sexual Function Index, Short Form-36 Health Survey, and Rosenberg Self-Esteem questionnaire. Serum sex hormones were also measured in all subjects. RESULTS: Of BC patients, 57% experienced lubrication disorder followed by satisfaction disorder in 53.8%, desire disorder in 42.5%, and arousal disorder in 37.0% (all patients vs. healthy controls <0.01). Hormone-treated patients were more likely to report sexual dysfunctions (p = 0.006). The radiotherapy + chemotherapy + hormone therapy was associated with an about sixfold increased risk of lubrication and satisfaction disorders (adjusted odds ratios = 6.4, 95%CI = 4.6-12.6, and adjusted odds ratios = 5.7, 95%CI = 3.4-11.4, respectively). Cancer patients had lower scores for all components of the Short Form-36 Health Survey, except for pain. Levels of self-esteem did not differ significantly between the two groups. CONCLUSIONS: Young lumpectomized BC women reported a marked impairment in sexual functioning and quality of life.
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Sexual dysfunction prevalence rates in breast cancer survivors range from 45% to 83%, are higher than in the general female population, and persist for several years after treatment completion, compromising survivors' HRQoL.
“Sexual dysfunction prevalence rates vary in the literature, ranging from 45% to 83% (Boquiren et al., 2016; Panjari et al., 2011; Safarinejad et al., 2013) being higher than in the general female population and persisting for several years after treatment completion (Raggio et al., 2014) compromising survivors' HRQoL (Safarinejad et al., 2013).”
From A guided internet-delivered individually-tailored ACT-influenced cognitive behavioural intervention to improve psychosocial outcomes in breast cancer survivors (iNNOVBC): Study protocol (2019) · cites this paper as Safarinejad et al., 2013
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- Authors
- Safarinejad, M. R., Shafiei, N., & Safarinejad, S.
- Affiliations
- Clinical Centre for Urological and Gynecological Disease Diagnosis and Private Clinic Specialized in Urological and Andrological Genetics Tehran Iran
- Corresponding author
- Safarinejad, Mohammad Reza
- Venue
- Psycho-Oncology
- Publisher
- Wiley
- Published
- 2012-07-09
- Volume
- 22
- Issue
- 6
- Pages
- 1242-1248
- ISSN
- 1057-9249 (ISSN-L)
- 1099-1611
- OpenAlex
- W1519649748
- Cited by
- 98
- References
- 27
- Citations by year
- 2026: 5 · 2025: 1 · 2024: 8 · 2023: 7 · 2022: 4 · 2021: 6 · 2020: 7 · 2019: 9 · 2018: 5 · 2017: 9 · 2016: 13 · 2015: 16 · 2014: 4 · 2013: 4
- FWCI
- 3.80
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Psycho-Oncology (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Oncology › Cancer survivorship and care
- Health Sciences › Medicine › Psychiatry and Mental health › Sexual function and dysfunction studies
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Women's cancer prevention and management
- Keywords
- breast cancer, sexual dysfunction, quality of life, young women, breast-conserving surgery, sexual self-esteem, sexual desire, hormone therapy, radiotherapy, chemotherapy, sex hormones, Female Sexual Function Index
- MeSH terms
- Adult, Body Image, Breast Neoplasms, Female, Follow-Up Studies, Health Surveys, Humans, Iran, Middle Aged, Quality of Life, Surveys and Questionnaires, Self Concept, Sexual Behavior, Sexual Dysfunction, Physiological, Socioeconomic Factors, Mastectomy, Segmental, Prevalence, Sexual Dysfunctions, Psychological
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