Cited by 278Sexual function and dysfunction studiesCancer survivorship and careWomen's cancer prevention and management

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A psychoeducational intervention for sexual dysfunction in women with gynecologic cancer.

Brotto, Lori A., Heiman, Julia R., Goff, Barbara, Greer, Benjamin, Lentz, Gretchen M., Swisher, Elizabeth, Tamimi, Hisham, Van Blaricom, Amy·2008·Archives of Sexual Behavior

DOI 10.1007/s10508-007-9196-x

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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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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.
ORCID: Brotto, Lori A.
Goff, Barbara
Swisher, Elizabeth
Venue: Archives of Sexual Behavior
Publisher: Springer Science and Business Media LLC
Published: 2007-08-07
Volume: 37
Issue: 2
Pages: 317-329
ISSN: 0004-0002 (ISSN-L)
1573-2800
DOI: 10.1007/s10508-007-9196-x
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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A psychoeducational intervention for sexual dysfunction in women with gynecologic cancer.

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