The effects of psychosexual counseling on sexual quality of life and function in Iranian breast cancer survivors: a randomized controlled trial
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Considering different dimensions of life, special sex life for survivors of breast cancer (BC) is important because their life expectancy has increased.
We designed this study to improve the sexual function, satisfaction and quality of sexual life.
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.
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).
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.
KeywordsBreast cancer Sexual quality of life Psychosexual counseling Iran
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.
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.
Compliance with ethical standards
Conflict of interest
No authors on this manuscript declare a conflict of interest.
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).
- 1.Muhamad M, Afshari M, Kazilan F (2011) Family support in cancer survivorship. Asian Pac J Cancer Prev 12(6):1389–1397Google Scholar
- 4.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):17–24Google Scholar
- 5.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):35–41Google Scholar
- 6.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):113–120Google Scholar
- 9.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):72–83Google Scholar
- 15.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):50–58Google Scholar
- 16.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):26–34Google Scholar
- 24.Schover LR, Jensen SB (1988) Sexuality and chronic illness: A comprehensive approach. Guilford Press, New YorkGoogle Scholar
- 25.Masters WH, Johnson VE (1966) Human Sexual Response. Toronto. Bantam Books, New YorkGoogle Scholar
- 26.Stefan-Dabson K, Mohammadkhani P, Massah-Choulabi O (2007) Psychometrics characteristic of Beck Depression Inventory-II in patients with magor depressive disorder. Arch Rehabil 8:82–80Google Scholar
- 33.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):281–288Google Scholar
- 38.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):4845Google Scholar
- 39.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 25:66–76Google Scholar
- 44.Chang SB, Kang HS, Kim SN (1998) The sexual satisfaction in married women. Korean Acad Nurs 28(1):201Y209Google Scholar
- 45.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 KoreaGoogle Scholar