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Body image and sexual function in women after treatment for anal and rectal cancer
Open accessAbstract
Objective: 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. Methods: For the baseline assessment of a larger study, 70 women completed the European Organization for Research and Treatment of Cancer Core Quality of Life Questionnaire and Colorectal Cancer‐specific Module, including the Body Image subscale, and Female Sexual Function Index. 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. Results: Women were on average 55 years old (standard deviation = 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 < 0.05). Poor body image was inversely related to all aspects of sexual function ( β range 0.50–0.70, p 's < 0.05), except pain. The strongest association was with Female Sexual Function Index Sexual/Relationship Satisfaction. Conclusion: 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. Copyright © 2015 John Wiley & Sons, Ltd.
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Cancer-related impairments often go along with disturbances in bodily well-being.
“Cancer-related impairments often go along with disturbances in bodily well-being [9–14].”
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References 41 · Cited by 126
Research works printed but not linked: 1
- Derogatis LR, 1992, Brief Symptom Inventory (BSI): Administration, Scoring, and Procedures Manual (3rd ed.)
Metadata
- Authors
- Benedict, C., Philip, E. J., Baser, R. E., Carter, J., Schuler, T. A., Jandorf, L., DuHamel, K., & Nelson, C.
- Affiliations
- Memorial Sloan Kettering Cancer Center (US)
- Icahn School of Medicine at Mount Sinai (US)
- Corresponding author
- Benedict, Catherine
- ORCID
- Venue
- Psycho-Oncology
- Publisher
- Wiley
- Published
- 2015-05-14
- Volume
- 25
- Issue
- 3
- Pages
- 316-323
- ISSN
- 1057-9249 (ISSN-L)
- 1099-1611
- PMC
- PMC4961045
- OpenAlex
- W2163098691
- Cited by
- 126
- References
- 41
- Citations by year
- 2026: 4 · 2025: 8 · 2024: 8 · 2023: 11 · 2022: 8 · 2021: 6 · 2020: 56 · 2019: 8 · 2018: 7 · 2017: 5 · 2016: 3 · 2015: 2
- FWCI
- 2.48
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Psycho-Oncology (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Cancer Institute (R21 CA129195-01, T32 CA009461)
- 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
- body image, sexual function, anal cancer, rectal cancer, female cancer survivors, sexual health, sexual satisfaction, relationship satisfaction, quality of life, treatment side effects
- MeSH terms
- Aged, Anus Neoplasms, Body Image, Depression, Female, Health Status, Humans, Marriage, Middle Aged, Personal Satisfaction, Postoperative Complications, Quality of Life, Surveys and Questionnaires, Rectal Neoplasms, Sexual Behavior, Multivariate Analysis, Survivors, Sexual Dysfunctions, Psychological
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