A psychoeducational intervention for sexual dysfunction in women with gynecologic cancer.
Abstract
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.
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It is unclear what role, if any, mindfulness meditation plays in the positive outcomes of the multicomponent treatment program for FSAD.
“Although this multicomponent treatment has been found to yield positive outcomes related to sexual functioning distress (50,51), it is unclear what role, if any, was played by mindfulness meditation.”
From Effects of Mindfulness Training on Body Awareness to Sexual Stimuli: Implications for Female Sexual Dysfunction (2011) · cites this paper as [51]
A multicomponent psychoeducational treatment program for FSAD that includes mindfulness training, cognitive-behavioral therapy, sexual therapy, and relationship therapy yields positive outcomes related to sexual functioning distress.
“Although this multicomponent treatment has been found to yield positive outcomes related to sexual functioning distress (50,51), it is unclear what role, if any, was played by mindfulness meditation.”
From Effects of Mindfulness Training on Body Awareness to Sexual Stimuli: Implications for Female Sexual Dysfunction (2011) · cites this paper as [51]
Previous studies have found that mindfulness as part of a larger intervention can positively affect FSAD.
“Although previous studies have found that mindfulness as part of a larger intervention can positively affect FSAD (50,51)”
From Effects of Mindfulness Training on Body Awareness to Sexual Stimuli: Implications for Female Sexual Dysfunction (2011) · cites this paper as [51]
Recent advances in sexual health research support the benefits of mindfulness for women with a variety of sexual dysfunctions, including low sexual desire, genital pain, and sexual dysfunction secondary to gynecologic cancer.
“Recent advances in sexual health research support the benefits of mindfulness for women with a variety of sexual dysfunctions, including low sexual desire, genital pain, and sexual dysfunction secondary to gynecologic cancer.34,39, 40, 41”
From Preliminary Development of a Mindfulness-Based Group Therapy to Expand Couples’ Sexual Intimacy after Prostate Cancer: A Mixed Methods Approach (2021) · cites this paper as [39]
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- Authors
- Brotto, L. A., Heiman, J. R., Goff, B., Greer, B., Lentz, G. M., Swisher, E., Tamimi, H., & Van Blaricom, A.
- Affiliations
- University of British Columbia (CA)
- Indiana University Bloomington (US)
- University of Washington (US)
- Corresponding author
- Brotto, Lori A.
- Venue
- Archives of Sexual Behavior
- Published
- 2007-08-07
- Volume
- 37
- Issue
- 2
- Pages
- 317-329
- ISSN
- 0004-0002 (ISSN-L)
- 1573-2800
- OpenAlex
- W1983020915
- Cited by
- 278
- References
- 65
- Citations by year
- 2026: 4 · 2025: 6 · 2024: 9 · 2023: 14 · 2022: 12 · 2021: 14 · 2020: 11 · 2019: 13 · 2018: 16 · 2017: 22 · 2016: 25 · 2015: 18 · 2014: 16 · 2013: 20 · 2012: 15
- FWCI
- 7.84
- Type
- journal article
- Language
- en
- Open access
- closed
- Licence
- www.springer.com/tdm (tdm)
- Locations
- Archives of Sexual Behavior (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Centers for Disease Control and Prevention
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Sexual function and dysfunction studies
- Health Sciences › Medicine › Oncology › Cancer survivorship and care
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Women's cancer prevention and management
- Keywords
- female sexual arousal disorder, sexual dysfunction, gynecologic cancer, cervical cancer, endometrial cancer, hysterectomy, psychoeducational intervention, mindfulness training, cognitive behavioral therapy, sexual desire, genital arousal, sexual distress, depression, quality of life, women's sexual health
- MeSH terms
- Adult, Aged, Anxiety, Uterine Cervical Neoplasms, Depression, Female, Humans, Health Knowledge, Attitudes, Practice, Libido, Middle Aged, Pilot Projects, Quality of Life, Sexual Dysfunction, Physiological, Cognitive Behavioral Therapy, Women's Health, Endometrial Neoplasms, Treatment Outcome, Sexual Dysfunctions, Psychological
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