Filling in the gaps: Sociodemographic and medical predictors of sexual health and other supportive care needs, and desire for help in gynecological cancer survivors
Purpose: The goal of the present study was to evaluate predictors of unmet supportive care needs and readiness for help among gyneco- logical cancer patients.
Methods: A sample of 113 gynecological cancer survivors completed a measure of needs and desire for help. Regression analyses identi- ed sociodemographic and medical predictors of patient needs and desire for help.
Results: Younger age and shorter time since treatment were the stron- gest predictors of many unmet needs. Younger age and chemotherapy predicted greater unmet sexual health needs. Shorter time since treat- ment predicted readiness for help with informational needs.
Conclusions: Post-treatment unmet needs are diverse and may be greater in younger and recently treated survivors. Chemotherapy treatment may contribute to greater sexual health needs.
Andersen, B.L., Anderson, B., & deProsse, C. (1989a). Controlled prospective longitudinal study of women with cancer: II. Psychological outcomes. Journal of Consulting and Clinical Psychology, 57, 692–7.
Andersen, B.L., Anderson, B., & deProsse, C. (1989b). Controlled prospective longitudinal study of women with cancer: I. Sexual functioning outcomes. Journal of Consulting & Clinical Psychology, 57, 683–91.
Auchincloss, S.S. (1995). After treatment: Psychosocial issues in gynecologic cancer survivorship. Cancer, 76, 2117–24.
Barbera, L., Zwaal, C., Elterman, D., McPherson, K., Wolfman, W., Katz, A., Matthew, A., et al. (2016, April 28). Interventions to address sexual problems in people with cancer. Toronto, ON: Cancer Care Ontario. Program in Evidence-Based Care Guideline, No.: 19-6.
Beesley, V., Eakin, E., Steginga, S., Aitken, J., Dunn, J., & Battistutta, D. (2008). Unmet needs of gynaecological cancer survivors: Implications for developing community support services. Journal of Psychosocial Oncology, 17, 392–400.
Bergmark, K., Avall-Lundqvist, E., Dickman, P.W., Henningsohn, L., & Steineck, G. (2002). Patient-rating of distressful symptoms after treatment for early cervical cancer. Acta Obstetricia et Gynecologica Scandinavica, 81, 443–50.
Bonevski, B., Sanson-Fisher, R., Girgis, A., Burton, L., Cook, P., & Boyes, A. (2000). The supportive care review group. Evaluation of an instrument to assess the needs of patients with cancer. Cancer, 88, 217–25.
Bruner, D., Lanciano, R., Keegan, M., Corn, B., Martin, E., & Hanks, G. (1993). Vaginal stenosis and sexual function following intracavitary radiation for the treatment of cervical and endometrial carcinoma. International Journal of Radiation Oncology, Biology, Physics, 27, 825–830.
Burns, M., Costello, J., Ryan-Woolley, B., & Davidson, S. (2007). Assessing the impact of late treatment e ects in cervical cancer: An exploratory study of women’s sexuality. European Journal of Cancer Care, 16, 364–372.
Brotto, L.A., Yule, M., & Breckon, E. (2010). Psychological interventions for the sexual sequelae of cancer: A review of the literature. Journal of Cancer Survivorship, 4, 346–60.
Carmack Taylor, C. L., Basen-Engquist, K., Shinn, E.H., & Bodurka, D.C. (2004). Predictors of sexual functioning in ovarian cancer patients. Journal of Clinical Oncology, 22, 881–9.
Carpenter, K.M., Andersen, B.L., Fowler, J.M., & Maxwell, G.L. (2009). Sexual self-schema as a moderator of sexual and psychological outcomes for gynecologic cancer survivors. Archives of Sexual Behavior, 38, 828–41.
Donovan, K.A., Taliaferro, L.A., Alvarez, E.M., Jacobsen, P.B., Roetzheim, R.G., & Wenham, R.M. (2007). Sexual health in women treated for cervical cancer: Characteristics and correlates. Gynecologic Oncology, 104, 428–34.
Fitch, M.I. (2008). Supportive care framework. Canadian Oncology Nursing Journal, 18, 6–24.
Fitch, M.I., Gray, R.E., & Franssen, E. (2000). Perspectives on living with ovarian cancer: Young women’s views. Canadian Oncology Nursing Journal, 10, 101–108.
Gamel, C., Grypdonck, M., Hengeveld, M., & Davis, B. (2001). A method to develop a nursing intervention: The contribution of qualitative studies to the process. Journal of Advanced Nursing, 33, 806–19.
Gilbert, E., Ussher, J.M., & Perz, J. (2011). Sexuality after gynaecological cancer: A review of the material, intrapsychic, and discursive aspects of treatment on women’s sexual well-being. Maturitas, 70, 42–57.
Girgis, A., Stojanovski, E., Boyes, A., King, M., & Lecathelinais, C. (2012). The next generation of the supportive care needs survey: a brief screening tool for administration in the clinical oncology setting. Psycho-Oncology, 21(8), 827–35.
Hodgkinson, K., Butow, P., Funchs, A., Hunt, G.E., Stenlake, A., Hobbs, K.M., ... Wain, G. (2007). Long-term survival from gynaecologic cancer: Psychosocial outcomes, supportive care needs and positive outcomes. Gynaecologic Oncology, 104, 381–389.
Jensen, P.T., Groenvold, M., Klee, M.C., Thranov, I., Petersen, M.A., & Machin, D. (2004a). Longitudinal study of sexual function and vaginal changes after radiotherapy for cervical cancer. International Journal of Radiation Oncology, Biology, Physics, 56, 937–49.
Jensen, P.T., Klee, M.C., Thranov, I., & Groenvold, M. (2004b). Validation of a questionnaire for self-assessment of sexual function and vaginal changes after gynaecological cancer. Psycho- Oncology, 13, 577–92.
Lagana, L., Classen, C., Caldwell, R., McGarvey, E.L., Baum, L.D., Cheasty, E., & Koopman, C. (2005). Sexual di culties of patients with gynecological cancer. Professional Psychology: Research and Practice, 36, 391–9.
Lutgendorf, S., Anderson, B., Rothrock, N., Buller, R., Sood, A., & Sorosky, J. (2000). Quality of life and mood in women receiving extensive chemotherapy for gynecologic cancer. Cancer, 89, 1402–1411.
McCallum, M., Lefebvre, M., Jolicoeur, L., Maheu, C., & Lebel, S. (2012). Sexual health and gynecological cancer: Conceptualizing patient needs and overcoming barriers to seeking and accessing services. Journal of Psychosomatic Obstetrics and Gynecology, 33, 135–142.
McCallum, M., Jolicoeur, L., Lefebvre, M., Babchishin, L., Robert- Chaurest, S., Le, T., & Lebel, S. (2014). Supportive care needs after gynecological cancer: Where does sexual health t in? Evaluating unmet needs and desire for help. Oncology Nursing Forum, 41, 297–306.
Powell, C.B., Kneier, A., Chen, L.M., Rubin, M., Kronewetter, C., & Levine, E. (2008) A randomized study of the e ectiveness of a brief psychosocial intervention for women attending a gynecologic cancer clinic. Gynecologic Oncology, 111, 137–43.
Schover, L.R. (1994). Sexuality and body image in younger women with breast cancer. Journal of the National Cancer Institute, 16, 177–182.
Schover, L R. (2012). Premature ovarian failure and its consequences: Vasomotor symptoms, sexuality, and fertility. Journal of Clinical Oncology, 26, 753–8.
Simonelli, L.E., & Pasipanodya, E. (2014). Health disparities in inmet support needs of women with gynecologic cancer: An exploratory study. Journal of Psychosocial Oncology, 32, 727–34.
Stead, M.L. (2004). Sexual function after treatment for gynecological malignancy. Current Opinion in Oncology, 16, 492–5.
Stead, M.L., Brown, J.M., Fallow eld, L., & Selby, P. (2003). Lack of communication between healthcare professionals and women with ovarian cancer about sexual issues. British Journal of Cancer, 88, 666–671.
Steele, R., & Fitch, M.I. (2008). Supportive care needs of women with gynecologic cancer. Cancer Nursing, 31, 284–91.
Stewart, D.J., Wong, M.B.B.S., & Du , S. (2001). What doesn’t kill you makes you stronger: An ovarian cancer survivor survey. Gynecologic Oncology, 83, 537–42.
Tabachnick, B.G., & Fidell, L.S. (2007). Using Multivariate Statistics. 5th ed. Montréal: Pearson Education Inc.
Tangjitgamol, S., Manusirivithaya, S., Hanprasertpong, J., Kasemsarn, P., Soonthornthum, T., Leelahakorn, S., ... Lapcharoen, O. (2007). Sexual dysfunction in Thai women with early-stage cervical cancer after radical hysterectomy. International Journal of Gynecological Cancer, 17, 1104–1112.
Zebrack, B. (2011). Psychological, social, and behavioral issues for young adults with cancer. Cancer, 117(S10), 2289–2294.
- There are currently no refbacks.