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Erschienen in: Breast Cancer 3/2019

25.10.2018 | Original Article

Intimacy and sexuality in women with breast cancer: professional guidance needed

verfasst von: Marjolein E. M. Den Ouden, Myrna N. Pelgrum-Keurhorst, Madeleen J. Uitdehaag, Hilde M. De Vocht

Erschienen in: Breast Cancer | Ausgabe 3/2019

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Abstract

Background

Approximately 60–70% of breast cancer survivors experience sexuality problems resulting from treatment. This study investigated information and communication preferences with professionals on the topic intimacy and sexuality of women diagnosed with breast cancer.

Methods

Members of the Dutch Breast Cancer Patient Association were surveyed regarding their experiences and preferences about information on intimacy and sexuality. An online questionnaire was developed that included five close-ended and one open-ended question regarding: information received; type of professional preferred; method and timing of communication on the topics of intimacy and sexuality. Quantitative data were analysed using descriptive statistics. A deductive framework analysis was performed on the open-ended answers to enrich the data of the close-ended questions.

Results

In total, 667 female breast cancer (ex-)patients participated. In 46% of the women, the information received matched their needs. Most women preferred to receive information about the impact on intimacy and sexuality from a nurse (66.4%) or primary doctor (27.9%). The preferred method of communication was a conversation with a professional together with their partner (51.6%) or a personal conversation with a professional. Respondents emphasized the importance of appropriate timing of information, preferably at least shortly after the treatment started (45.1%).

Conclusions

This study shows that intimacy and sexuality should be repeatedly included in consultations, at every stage of the disease but especially shortly after treatment started. Women with breast cancer expect that professionals (preferably nurse or primary doctor) initiate this subject via a personal conversation (alone or with their partner).
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Literatur
1.
Zurück zum Zitat Ferlay J, et al. Cancer incidence and mortality worldwide: sources, methods and major patterns in GLOBOCAN 2012. Int J Cancer. 2015;136(5):E359–86.CrossRef Ferlay J, et al. Cancer incidence and mortality worldwide: sources, methods and major patterns in GLOBOCAN 2012. Int J Cancer. 2015;136(5):E359–86.CrossRef
3.
Zurück zum Zitat Renard F, Van Eycken L, Arbyn M. High burden of breast cancer in Belgium: recent trends in incidence (1999–2006) and historical trends in mortality (1954–2006). Arch Public Health. 2011;69(1):2.CrossRefPubMedPubMedCentral Renard F, Van Eycken L, Arbyn M. High burden of breast cancer in Belgium: recent trends in incidence (1999–2006) and historical trends in mortality (1954–2006). Arch Public Health. 2011;69(1):2.CrossRefPubMedPubMedCentral
5.
Zurück zum Zitat Schultz PN, et al. Breast cancer: relationship between menopausal symptoms, physiologic health effects of cancer treatment and physical constraints on quality of life in long-term survivors. J Clin Nurs. 2005;14(2):204–11.CrossRefPubMed Schultz PN, et al. Breast cancer: relationship between menopausal symptoms, physiologic health effects of cancer treatment and physical constraints on quality of life in long-term survivors. J Clin Nurs. 2005;14(2):204–11.CrossRefPubMed
6.
Zurück zum Zitat Malinovszky KM, et al. Quality of life and sexual function after high-dose or conventional chemotherapy for high-risk breast cancer. Br J Cancer. 2006;95(12):1626–31.CrossRefPubMedPubMedCentral Malinovszky KM, et al. Quality of life and sexual function after high-dose or conventional chemotherapy for high-risk breast cancer. Br J Cancer. 2006;95(12):1626–31.CrossRefPubMedPubMedCentral
7.
Zurück zum Zitat Panjari M, Bell RJ, Davis SR. Sexual function after breast cancer. J Sex Med. 2011;8(1):294–302.CrossRefPubMed Panjari M, Bell RJ, Davis SR. Sexual function after breast cancer. J Sex Med. 2011;8(1):294–302.CrossRefPubMed
8.
Zurück zum Zitat Kedde H, et al. Sexual dysfunction in young women with breast cancer. Support Care Cancer. 2013;21(1):271–80.CrossRefPubMed Kedde H, et al. Sexual dysfunction in young women with breast cancer. Support Care Cancer. 2013;21(1):271–80.CrossRefPubMed
9.
Zurück zum Zitat Ussher JM, Perz J, Gilbert E. Changes to sexual well-being and intimacy after breast cancer. Cancer Nurs. 2012;35(6):456–65.CrossRefPubMed Ussher JM, Perz J, Gilbert E. Changes to sexual well-being and intimacy after breast cancer. Cancer Nurs. 2012;35(6):456–65.CrossRefPubMed
10.
Zurück zum Zitat Gilbert E, Ussher JM, Perz J. Sexuality after breast cancer: a review. Maturitas. 2010;66(4):397–407.CrossRefPubMed Gilbert E, Ussher JM, Perz J. Sexuality after breast cancer: a review. Maturitas. 2010;66(4):397–407.CrossRefPubMed
11.
Zurück zum Zitat Taylor S, et al. Breast cancer, sexuality, and intimacy: addressing the unmet need. Breast J. 2016;22(4):478–9.CrossRefPubMed Taylor S, et al. Breast cancer, sexuality, and intimacy: addressing the unmet need. Breast J. 2016;22(4):478–9.CrossRefPubMed
12.
Zurück zum Zitat Loaring JM, et al. Renegotiating sexual intimacy in the context of altered embodiment: the experiences of women with breast cancer and their male partners following mastectomy and reconstruction. Health Psychol. 2015;34(4):426–36.CrossRefPubMed Loaring JM, et al. Renegotiating sexual intimacy in the context of altered embodiment: the experiences of women with breast cancer and their male partners following mastectomy and reconstruction. Health Psychol. 2015;34(4):426–36.CrossRefPubMed
13.
Zurück zum Zitat Manne SL, et al. Cancer-specific relationship awareness, relationship communication, and intimacy among couples coping with early stage breast cancer. J Soc Pers Relat. 2014;31(3):314–34.CrossRefPubMed Manne SL, et al. Cancer-specific relationship awareness, relationship communication, and intimacy among couples coping with early stage breast cancer. J Soc Pers Relat. 2014;31(3):314–34.CrossRefPubMed
14.
Zurück zum Zitat Milbury K, Badr H. Sexual problems, communication patterns, and depressive symptoms in couples coping with metastatic breast cancer. Psychooncology. 2013;22(4):814–22.CrossRefPubMed Milbury K, Badr H. Sexual problems, communication patterns, and depressive symptoms in couples coping with metastatic breast cancer. Psychooncology. 2013;22(4):814–22.CrossRefPubMed
15.
Zurück zum Zitat Ussher JM, Perz J, Gilbert E. Perceived causes and consequences of sexual changes after cancer for women and men: a mixed method study. BMC Cancer. 2015;15:268.CrossRefPubMedPubMedCentral Ussher JM, Perz J, Gilbert E. Perceived causes and consequences of sexual changes after cancer for women and men: a mixed method study. BMC Cancer. 2015;15:268.CrossRefPubMedPubMedCentral
17.
Zurück zum Zitat Burnard P, et al. Analysing and presenting qualitative data. Br Dent J. 2008;204(8):429–32.CrossRefPubMed Burnard P, et al. Analysing and presenting qualitative data. Br Dent J. 2008;204(8):429–32.CrossRefPubMed
18.
Zurück zum Zitat Johnson JK, Barach P, Vernooij-Dassen M. Conducting a multicentre and multinational qualitative study on patient transitions. BMJ Qual Saf. 2012;21(Suppl 1):i22-8.PubMed Johnson JK, Barach P, Vernooij-Dassen M. Conducting a multicentre and multinational qualitative study on patient transitions. BMJ Qual Saf. 2012;21(Suppl 1):i22-8.PubMed
19.
Zurück zum Zitat Kedde H, et al. Subjective sexual well-being and sexual behavior in young women with breast cancer. Support Care Cancer. 2013;21(7):1993–2005.CrossRefPubMed Kedde H, et al. Subjective sexual well-being and sexual behavior in young women with breast cancer. Support Care Cancer. 2013;21(7):1993–2005.CrossRefPubMed
20.
Zurück zum Zitat Ussher JM, Perz J, Gilbert E. Information needs associated with changes to sexual well-being after breast cancer. J Adv Nurs. 2013;69(2):327–37.CrossRefPubMed Ussher JM, Perz J, Gilbert E. Information needs associated with changes to sexual well-being after breast cancer. J Adv Nurs. 2013;69(2):327–37.CrossRefPubMed
21.
Zurück zum Zitat Cleary V, Hegarty J. Understanding sexuality in women with gynaecological cancer. Eur J Oncol Nurs. 2011;15(1):38–45.CrossRefPubMed Cleary V, Hegarty J. Understanding sexuality in women with gynaecological cancer. Eur J Oncol Nurs. 2011;15(1):38–45.CrossRefPubMed
22.
Zurück zum Zitat Leung MW, Goldfarb S, Dizon DS. Communication about sexuality in advanced illness aligns with a palliative care approach to patient-centered care. Curr Oncol Rep. 2016;18(2):11.CrossRefPubMed Leung MW, Goldfarb S, Dizon DS. Communication about sexuality in advanced illness aligns with a palliative care approach to patient-centered care. Curr Oncol Rep. 2016;18(2):11.CrossRefPubMed
23.
Zurück zum Zitat Seidler ZE, et al. Let’s talk about sex after cancer: exploring barriers and facilitators to sexual communication in male cancer survivors. Psychooncology. 2016;25:670–6.CrossRefPubMed Seidler ZE, et al. Let’s talk about sex after cancer: exploring barriers and facilitators to sexual communication in male cancer survivors. Psychooncology. 2016;25:670–6.CrossRefPubMed
24.
Zurück zum Zitat O’Brien R, et al. “I wish I’d told them”: a qualitative study examining the unmet psychosexual needs of prostate cancer patients during follow-up after treatment. Patient Educ Couns. 2011;84(2):200–7.CrossRefPubMed O’Brien R, et al. “I wish I’d told them”: a qualitative study examining the unmet psychosexual needs of prostate cancer patients during follow-up after treatment. Patient Educ Couns. 2011;84(2):200–7.CrossRefPubMed
25.
Zurück zum Zitat Zhou ES, Nekhlyudov L, Bober SL. The primary health care physician and the cancer patient: tips and strategies for managing sexual health. Transl Androl Urol. 2015;4(2):218–31.PubMedPubMedCentral Zhou ES, Nekhlyudov L, Bober SL. The primary health care physician and the cancer patient: tips and strategies for managing sexual health. Transl Androl Urol. 2015;4(2):218–31.PubMedPubMedCentral
26.
Zurück zum Zitat Jonsdottir JI, et al. Changes in attitudes, practices and barriers among oncology health care professionals regarding sexual health care: Outcomes from a 2-year educational intervention at a University Hospital. Eur J Oncol Nurs. 2016;21:24–30.CrossRefPubMed Jonsdottir JI, et al. Changes in attitudes, practices and barriers among oncology health care professionals regarding sexual health care: Outcomes from a 2-year educational intervention at a University Hospital. Eur J Oncol Nurs. 2016;21:24–30.CrossRefPubMed
27.
Zurück zum Zitat de Vocht HM, et al. Stepped Skills: a team approach towards communication about sexuality and intimacy in cancer and palliative care. Australas Med J. 2011;4(11):610–9.CrossRefPubMedPubMedCentral de Vocht HM, et al. Stepped Skills: a team approach towards communication about sexuality and intimacy in cancer and palliative care. Australas Med J. 2011;4(11):610–9.CrossRefPubMedPubMedCentral
28.
Zurück zum Zitat Canzona MR, et al. Communication about sexual health with breast cancer survivors: variation among patient and provider perspectives. Patient Educ Couns. 2016;99(11):1814–20.CrossRefPubMed Canzona MR, et al. Communication about sexual health with breast cancer survivors: variation among patient and provider perspectives. Patient Educ Couns. 2016;99(11):1814–20.CrossRefPubMed
29.
Zurück zum Zitat Reese JB, et al. Effective patient-provider communication about sexual concerns in breast cancer: a qualitative study. Support Care Cancer. 2017;25:3199–207.CrossRefPubMedPubMedCentral Reese JB, et al. Effective patient-provider communication about sexual concerns in breast cancer: a qualitative study. Support Care Cancer. 2017;25:3199–207.CrossRefPubMedPubMedCentral
30.
Zurück zum Zitat Tennant B, et al. eHealth literacy and Web 2.0 health information seeking behaviors among baby boomers and older adults. J Med Internet Res. 2015;17(3):e70.CrossRefPubMedPubMedCentral Tennant B, et al. eHealth literacy and Web 2.0 health information seeking behaviors among baby boomers and older adults. J Med Internet Res. 2015;17(3):e70.CrossRefPubMedPubMedCentral
32.
Zurück zum Zitat Guetterman TC, Fetters MD, Creswell JW. Integrating quantitative and qualitative results in health science mixed methods research through joint displays. Ann Fam Med. 2015;13(6):554–61.CrossRefPubMedPubMedCentral Guetterman TC, Fetters MD, Creswell JW. Integrating quantitative and qualitative results in health science mixed methods research through joint displays. Ann Fam Med. 2015;13(6):554–61.CrossRefPubMedPubMedCentral
Metadaten
Titel
Intimacy and sexuality in women with breast cancer: professional guidance needed
verfasst von
Marjolein E. M. Den Ouden
Myrna N. Pelgrum-Keurhorst
Madeleen J. Uitdehaag
Hilde M. De Vocht
Publikationsdatum
25.10.2018
Verlag
Springer Japan
Erschienen in
Breast Cancer / Ausgabe 3/2019
Print ISSN: 1340-6868
Elektronische ISSN: 1880-4233
DOI
https://doi.org/10.1007/s12282-018-0927-8

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