Abstract
Background
Considering different dimensions of life, special sex life for survivors of breast cancer (BC) is important because their life expectancy has increased.
Objective
We designed this study to improve the sexual function, satisfaction and quality of sexual life.
Methods
In a randomized controlled clinical trial study, from a total 286 breast cancer survivors (BCS), 118 women enrolled to the study. After providing informed consent, the participants were randomly assigned either to the intervention group or to the waitlist control group. The intervention consisted of six weekly psychosexual counseling sessions that lasted from 90 to 120 min. Data were collected by the demographic and clinical forms, Beck Depression Inventory, Female Sexual Function Index (FSFI), Larson Sexual Satisfaction Questionnaire and sexual quality of life-female (SQOL-F) questionnaire.
Results
Mean age of patients in control and intervention groups were 43.8 ± 6.6 and 44.84 ± 6.7, respectively. More than 65% of the patients in the both groups were either normal or showed a low level of depression. Sexual function (FSFI) scores and sexual quality of life (SQOL-F), showed a significant statistic differences after intervention (P < 0.001 in both tools). Sexual satisfaction (Larson) has showed improvement in some subclasses, however, change in total score was not statistically significant (P = 0.073).
Conclusions
The psychosexual intervention program was effective in improving sexual function and quality of sexual life among BCS. This intervention has clinical significance as it provided an opportunity for the women to discuss their sexual issues.
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References
Muhamad M, Afshari M, Kazilan F (2011) Family support in cancer survivorship. Asian Pac J Cancer Prev 12(6):1389–1397
Jassim GA, Whitford DL (2013) Quality of life of Bahraini women with breast cancer: a cross sectional study. BMC Cancer 13(1):1
Brook A, Homaie F, Tavakkol Afshari J, Ganjali R, Afzalaghaee M, Mousavi SM, Montazeri A, Mohagheghi MA, Jarrahi AM, Harirchi I, Najafi M et al (2007) Breast cancer in Iran: an epidemiological review. Breast J 13(4):383–391. Armaghane Danesh. 2011;15(4):316–324
Molavi veredenjani A, Hekmat K, Afshari P, Hoseini M (2015) Evaluation of couples sexual function satisfaction after mastectomy. Iran J Obstet Gynecol Infertil 17(134):17–24
Zare M, Zakiani S, Rezaie A, Najari A (2011) Designing and Establishment of information and treatment management system of breast cancer in Iran. Iran J Breast Dis 4(1):35–41
Naghibi S, Shojaizadeh D, Montazeri A, Yazdani Cherati J (2013) Epidemiology of Breast Cancer in Mazandaran Province, 2009–2010. J Mazandaran Univ Med Sci 23(102):113–120
Harandy TF, Ghofranipour F, Montazeri A, Anoosheh M, Mohammadi E, Ahmadi F et al (2010) Health-related quality of life in Iranian breast cancer survivors: a qualitative study. Appl Res Qual Life 5(2):121–132
Bakht S, Najafi S (2010) Body image and sexual dysfunctions: comparison between breast cancer patients and healthy women. Proc Soc Behav Sci 5:1493–1497
Izadi-Ajirlo A, Bahmani B, Ghanbari-Motlagh A (2013) Effectiveness of cognitive behavioral group intervention on body image improving and increasing self-esteem in women with breast cancer after mastectomy. J Rehabil 13(4):72–83
Sbitti Y, Kadiri H, Essaidi I, Fadoukhair Z, Kharmoun S, Slimani K et al (2011) Breast cancer treatment and sexual dysfunction: Moroccan women’s perception. BMC Women’s Health 11(1):1
Woertman L, van den Brink F (2012) Body image and female sexual functioning and behavior: a review. J Sex Res 49(2–3):184–211
Kashani FL, Vaziri S, Akbari ME, Far ZJ, Far NS (2014) Sexual skills, sexual satisfaction and body image in women with breast cancer. Proc Soc Behav Sci 159:206–213
Speck RM, Gross CR, Hormes JM, Ahmed RL, Lytle LA, Hwang WT et al (2010) Changes in the Body Image and Relationship Scale following a one-year strength training trial for breast cancer survivors with or at risk for lymphedema. Breast Cancer Res Treat 121(2):421–430
Emilee G, Ussher J, Perz J (2010) Sexuality after breast cancer: a review. Maturitas 66(4):397–407
Khajehaminian F, Ebrahimi M, Kamali M, Dolatshahi B, Younesi SJ (2014) Sexual functioning after mastectomy surgery—a qualitative study. Iran J Breast Dis 7(3):50–58
Mikaili P (2014) Evaluation of the effect of chemotherapy on functional scales of quality of life of patient with breast cancer. Iran J Breast Dis 6(4):26–34
Wilmoth MC, Spinelli A (2000) Sexual implications of gynecologic cancer treatments. J Obstet Gynecol Neonatal Nurs 29(4):413–421
Stead M, Brown J, Fallowfield L, Selby P (2003) Lack of communication between healthcare professionals and women with ovarian cancer about sexual issues. Br J Cancer 88(5):666–671
Molassiotis A, Chan C, Chan S (2000) Quality of life in Chinese women with gynaecological cancers. Support Care Cancer 8(5):414–422
Meneses K, McNees P, Azuero A, Loerzel VW, Su X, Hassey LA (2009) Preliminary evaluation of psychoeducational support interventions on quality of life in rural breast cancer survivors post-primary treatment. Cancer Nurs 32(5):385
Chow KM, Chan CW, Chan JC (2012) Effects of psychoeducational interventions on sexual functioning, quality of life and psychological outcomes in patients with gynaecological cancer: a systematic review. JBI Database Syst Rev Implement Rep 10(58):4077–4164
Jankowska M (2013) Sexual functioning in young women in the context of breast cancer treatment. Rep Pract Oncol Radiother 18(4):193–200
Ganz PA, Desmond KA, Belin TR et al (1999) Predictors of sexual health in womenafter a breast cancer diagnosis. J Clin Oncol 17(8):2371Y2380
Schover LR, Jensen SB (1988) Sexuality and chronic illness: A comprehensive approach. Guilford Press, New York
Masters WH, Johnson VE (1966) Human Sexual Response. Toronto. Bantam Books, New York
Stefan-Dabson K, Mohammadkhani P, Massah-Choulabi O (2007) Psychometrics characteristic of Beck Depression Inventory-II in patients with magor depressive disorder. Arch Rehabil 8:82–80
Ghassemzadeh H, Mojtabai R, Karamghadiri N, Ebrahimkhani N (2005) Psychometric properties of a Persian-language version of the Beck Depression Inventory–Second edition: BDI-II-PERSIAN. Depress Anxiety 21(4):185–192
Wiegel M, Meston C, Rosen R (2005) The female sexual function index (FSFI): cross-validation and development of clinical cutoff scores. J Sex Marital Ther 31(1):1–20
Baser RE, Li Y, Carter J (2012) Psychometric validation of the Female Sexual Function Index (FSFI) in cancer survivors. Cancer 118:4606–4618. https://doi.org/10.1002/cncr.26739
Wiegel M, Meston C, Rosen R (2005) The female sexual function index (FSFI): cross-validation and development of clinical cutoff scores. J Sex Marital Ther 31:1–20
Symonds T, Boolell M, Quirk F (2005) Development of a questionnaire on sexual quality of life in women. J Sex Marital Ther 31(5):385–397
Maasoumi R, Lamyian M, Montazeri A, Azin SA, Aguilar-Vafaie ME, Hajizadeh E (2013) The sexual quality of life-female (SQOL-F) questionnaire: translation and psychometric properties of the Iranian version. Reprod Health 10(1):1
Gheshlaghi F, Dorvashi G, Aran F, Shafiei F, Najafabadi GM (2014) The study of sexual satisfaction in iranian women applying for divorce. Int J Fertil Steril 8(3):281–288
Basson R (2006) Sexual desire and arousal disorders in women. N Engl J Med 354(14):1497–1506
Tait A (1996) Psychological aspects of breast cancer. Breast cancer nursing. Springer, New York p. 15–45
Sheppard LA, Ely S (2008) Breast cancer and sexuality. Breast J 14(2):176–181
Jun E-Y, Kim S, Chang S-B, Oh K, Kang HS, Kang SS (2011) The effect of a sexual life reframing program on marital intimacy, body image, and sexual function among BCS. Cancer Nurs 34(2):142–149
Faghani S, Ghaffari F (2016) Effects of sexual rehabilitation using the PLISSIT model on quality of sexual life and sexual functioning in post-mastectomy breast cancer survivors. Asian Pac J Cancer Prevent 17(11):4845
Virginia M, Boquiren MJ, Esplen J, Wong B, Toner, Warner E, Malik N (2015) Sexual functioning in breast cancer survivors experiencing body image disturbance. Psycho Oncol 25:66–76
Jun E-Y, Kim S, Chang S-B, Oh K, Kang HS, Kang SS (2011) The effect of a sexual life reframing program on marital intimacy, body image, and sexual function among Breast Cancer survivors. Cancer Nurs 34(2):142–149
Julia H, Rowland BE, Meyerowitz CM, Crespi B, Leedham K, Desmond TR, Belin PA, Ganz (2009) Addressing intimacy and partner communication after breast cancer: a randomized controlled group intervention. Breast Cancer Res Treat 118:99–111
Hersch J, Juraskova I, Price M, Mullan B (2009) Psychosocial interventions and quality of life in gynaecological cancer patients: a systematic review. Psycho Oncol 18(8):795–810
Leo`n-Pizarro C, Gich I, Barthe E et al (2007) A randomized trial of the effect of training in relaxation and guided imagery techniques in improving psychological and quality-of-life indices for gynecologic and breast brachytherapy patients. Psycho Oncol 16:971–979
Chang SB, Kang HS, Kim SN (1998) The sexual satisfaction in married women. Korean Acad Nurs 28(1):201Y209
Moon SM (2002) Pre-post changes among sexual satisfaction, marital intimacy and spouse’s support of women received a hysterectomy, Dissertation. Gwangju, Chonnam National University, South Korea
Acknowledgements
The assistance of the research deputy of Shahrood University, the staff in Imam Khomeini hospital and Tooba clinic is greatly appreciated. We also thank the patients who participated in our sessions with patience.
Funding
This work was supported by Shahroud University of Medical Sciences and granted approval by Mazandaran University of Medical Sciences. This study was supported by Grant no. 940167 from Shahroud University of Medical Sciences and granted approval by Mazandaran University of Medical Sciences.
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All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional research committee and with the 1964 Helsinki Declaration and its later amendments or comparable ethical standards. This study approved by ethics committee of the Shahroud University of Medical Sciences and received an ethics code (IR.SHMU.REC.1394.115).
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Fatehi, S., Maasoumi, R., Atashsokhan, G. et al. The effects of psychosexual counseling on sexual quality of life and function in Iranian breast cancer survivors: a randomized controlled trial. Breast Cancer Res Treat 175, 171–179 (2019). https://doi.org/10.1007/s10549-019-05140-z
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DOI: https://doi.org/10.1007/s10549-019-05140-z