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A Qualitative Study of an Internet-Based Support Group for Women with Sexual Distress Due to Gynecologic Cancer

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Abstract

Internet-based support groups for cancer patients have been studied extensively; very few have focused on gynecologic cancer. We pilot-tested a web-based support group for gynecologic cancer patients and assessed women’s perceptions of the intervention. Twenty-seven gynecologic cancer patients were randomized to an immediate intervention or a waitlist control group. Women participated in a 12-week, web-based support group focusing on sexuality-related topics. Semi-structured interviews were conducted to investigate the feasibility and efficacy of the intervention. Women reported benefits to participating in the intervention, including receiving support from group members and moderators, increased emotional well-being, improved feelings of body image and sexuality, and comfort in discussing sexuality online. Web-based support groups are both feasible and accepted by gynecologic cancer patients with psychosexual distress. The online format provided women with easy access to the support group and anonymity in discussing psychosexual concerns. Women with gynecologic cancer may benefit from participating in online support groups which provide an environment of relative anonymity to discuss psychosexual concerns.

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References

  1. Hoskins W, UN, Trimble EC (2001) Report of the gynecologic cancers progress review group. National Cancer Institute Publications, Bethesda

    Google Scholar 

  2. Canadian Cancer Society/National Cancer Institute of Canada: Canadian Cancer Statistics 2007, Toronto, Canada, 2007.

  3. Evans DL et al (1986) Depression in women treated for gynecological cancer: clinical and neuroendocrine assessment. Am J Psychiatry 143(4):447–452

    PubMed  CAS  Google Scholar 

  4. Corney RH et al (1992) Psychosocial adjustment following major gynaecological surgery for carcinoma of the cervix and vulva. J Psychosom Res 36(6):561–568

    Article  PubMed  CAS  Google Scholar 

  5. Lagana L, McGarvey E, Classen C, Koopman C (2001) Psychosexual dysfunction among gynecological cancer survivors. J Clin Psychol Med Settings 8(2):73–84

    Article  Google Scholar 

  6. Andersen BL, Anderson B, deProsse C (1989) Controlled prospective longitudinal study of women with cancer: I. Sexual functioning outcomes. J Consult Clin Psychol 57(6):683–691

    Article  PubMed  CAS  Google Scholar 

  7. Weijmar Schultz WCM, Bransfield DD, Van de Wiel HBM, Bouma J (1992) Sexual outcome following female genital cancer treatment: a critical review of methods of investigation and results. Sex Marital Ther 7(1):29–64

    Google Scholar 

  8. Stead ML (2003) Sexual dysfunction after treatment for gynaecologic and breast malignancies. Curr Opin Obstet Gynecol 15(1):57–61

    Article  PubMed  Google Scholar 

  9. Andersen BL, Anderson B, deProsse C (1989) Controlled prospective longitudinal study of women with cancer: II. Psychological outcomes. J Consult Clin Psychol 57(6):692–697

    Article  PubMed  CAS  Google Scholar 

  10. Capone MA et al (1980) Psychosocial rehabilitation of gynecologic oncology patients. Arch Phys Med Rehabil 61(3):128–132

    PubMed  CAS  Google Scholar 

  11. Houts PS et al (1986) Former cancer patients as counselors of newly diagnosed cancer patients. J Natl Cancer Inst 76(5):793–796

    PubMed  CAS  Google Scholar 

  12. Schover LR, Evans RB, von Eschenbach AC (1987) Sexual rehabilitation in a cancer center: diagnosis and outcome in 384 consultations. Arch Sex Behav 16(6):445–461

    Article  PubMed  CAS  Google Scholar 

  13. Cain EN et al (1986) Psychosocial benefits of a cancer support group. Cancer 57(1):183–189

    Article  PubMed  CAS  Google Scholar 

  14. Wenzel LB, Robinson SE, Blake DD (1995) J Ment Health Couns 17(1):81–93

    Google Scholar 

  15. Bos-Branolte G et al (1988) Psychotherapy in patients cured of gynecological cancers. Recent Results Cancer Res 108:277–288

    PubMed  CAS  Google Scholar 

  16. Brotto LA et al (2007) A psychoeducational intervention for sexual dysfunction in women with gynecologic cancer. Arch Sex Behav 37(2):317–329

    Article  PubMed  Google Scholar 

  17. Caldwell R, Classen C, Lagana L et al (2003) Changes in sexual functioning and mood among women treated for gynecological cancer who receive group therapy: a pilot study. J Clin Psychol Med Settings 10(3):149–156

    Article  Google Scholar 

  18. Davison KP, Pennebaker JW, Dickerson SS (2000) Who talks? The social psychology of illness support groups. Am Psychol 55(2):205–217

    Article  PubMed  CAS  Google Scholar 

  19. Lieberman MA et al (2003) Electronic support groups for breast carcinoma: a clinical trial of effectiveness. Cancer 97(4):920–925

    Article  PubMed  Google Scholar 

  20. Winzelberg AJ et al (2003) Evaluation of an internet support group for women with primary breast cancer. Cancer 97(5):1164–1173

    Article  PubMed  Google Scholar 

  21. Klemm P, Hardie T (2002) Depression in internet and face-to-face cancer support groups: a pilot study. Oncol Nurs Forum 29(4):E45–E51

    Article  PubMed  Google Scholar 

  22. Walther JB et al (2005) Attributes of interactive online health information systems. J Med Internet Res 7(3):e33

    Article  PubMed  Google Scholar 

  23. Spiegel D, Classen C (2000) Group therapy for cancer patients: a research-based handbook of psychosocial care. Basic Books, New York

    Google Scholar 

  24. Schover LR (1997) Sexuality and fertility after cancer. Wiley, New York

    Google Scholar 

  25. Gottlieb BH, Wachala ED (2007) Cancer support groups: a critical review of empirical studies. Psychooncology 16(5):379–400

    Article  PubMed  Google Scholar 

  26. Klemm P et al (2003) Online cancer support groups: a review of the research literature. Comput Inform Nurs 21(3):136–142

    Article  PubMed  Google Scholar 

  27. Preece J, Nonnecke B, Andrews D (2004) The top five reasons for lurking: improving community experiences for everyone. Comput Hum Behav 20(2):201–223

    Article  Google Scholar 

  28. IM EO et al (2007) Patients’ attitudes toward internet cancer support groups. Oncol Nurs Forum 34(3):705–712

    Article  PubMed  Google Scholar 

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Acknowledgements

We would like to thank the National Cancer Institute of Canada and Princess Margaret Hospital for funding this study. We would like to thank our web writer, Colleen Young; our sexuality and cancer consultant, Leslie Schover; and web designer, John Herr. In addition, we would like to thank all of the participants who generously contributed their time and energy to making this project possible.

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Correspondence to David Wiljer.

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Wiljer, D., Urowitz, S., Barbera, L. et al. A Qualitative Study of an Internet-Based Support Group for Women with Sexual Distress Due to Gynecologic Cancer. J Canc Educ 26, 451–458 (2011). https://doi.org/10.1007/s13187-011-0215-1

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