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Abstract
This study aimed to compare the dimensions of sexual satisfaction in subjects with and without cancer. Independent variables were: different types of cancer, time elapsed since diagnosis, types of treatment and changes in body image. The dependent variable was level of satisfaction with sexual relations. The sample consisted of 184 participants, of whom 95 belonged to the cancer group (ages between 26 and 84 years) and 89 to the non-cancer group (ages between 19 and 67 years). The instrument used was the Sexual Satisfaction Questionnaire (QSRS, for its Portuguese acronym). The results showed significant differences between the cancer group and the non-cancer group. Individuals with a history of cancer disease had lower values (17.93 ± 9.67) at the level of sexual function compared to individuals with no history of the disease (30.19 ± 4.2). Individuals with cancer who had higher values of self-esteem were those with urological cancer (16.76 ± 2.85), followed by breast cancer (14.83 ± 3.34) and "other cancers" (14.41 ± 5.5), whereas those with digestive cancer presented the lowest values (5.68 ± 13.63). In sexual functioning, the group of "other cancers" showed the highest levels of satisfaction (23.53 ± 10.12), while people with breast cancer (19.54 ± 9.36), digestive cancer (18.50 ± 12.57), and urological cancer (29.12 ± 7.22) presented the lowest levels of satisfaction. Within the group of people with cancer, those who had less than one year and between three to five years of having been diagnosed reflected less satisfactory sexual performance values. On the other hand, radiation treatments, surgery and "other treatments" showed negative effects on sexual functioning, as well as changes in body image. All independent variables had a negative impact on sexual satisfaction and performance, with the exception of weight loss, vomiting, and hair loss.
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References
American Cancer Society (2016). Cancer Facts & Figures
Atlanta: American Cancer Society.
Araújo, A., Barata, F., Barroso, S., Cortes, P, Damasceno, M., Parreira, A. et al. (2009). Custo do tratamento do cancro em Portugal. Acta Medica Portuguesa, 22(5), 525-536.
Barbaric, M., Brooks, E., Moore, L. & Cheifetz, O. (2010). Ef- fects of Physical Activity on Cancer Survival: A Systematic Revision. Phisiotherapy Canada, 62(1), 25-34.
Barbosa, J. (2008). A sexualidade nas mulheres mastectomiza- das. Porto: Universidade Fernando Pessoa.
Battaglini, C., Bottaro, M., Dennehy, C., Borfoot, D., Shields, E., Kirk, D. et al. (2006). The Effects of Resistance Training on Muscular Stretch and Fatigue Levels in Breast Cancer Patients. Revista Brasileira de Medicina do Esporte, 12(3), 139-144.
Cantinelli, F., Camacho, R., Smaletz, O., Gonsales, B., Braguittoni, E. & Rennó Jr, J. (2006). A oncopsiquiatria no câncer de mama ? considerações a respeito de questões do feminino. Revista Psiquiatria Clínica, 33(3), 124-133.
Cappelleri, J. C., Althof, S. E., Siegel, R. L., Shpilsky, A., Bell, S. S. & Duttagupta, S. (2004). Development and validation of the Self-Esteem and Relationship (Sear) questionnaire in erectile dysfunction. International Journal of Impotence Research 16, 30-38. doi:10.1038/sj.ijir.3901095
Cesnik, V., Vieira, E., Giami, A., Almeida, A., Santos, D. & Santos, M. (2013). The Sexual Life of Women with Breast Cancer: Meanings Attributed to the Diagnosis and its Impact on Sexuality. Estudos de Psicologia, 30(2), 187-197.
Diettrich, S., Miranda, C., Honer, M., Furtado, E. & Correa-
Filho, R. (2006). Efeitos de um programa de caminhada sobre os níveis de fadiga em pacientes com câncer de mama. Revista Brasileira de Ciência e Movimento, 14(1), 7-12.
Elsner, V., Trentin, R. & Horn, C. (2009). Efeito da hidroterapia na qualidade de vida de mulheres mastectomizadas. Arqui- vos de Ciências da Saúde, 16(2), 67-71.
Fleury, H., Pantaroto, H. & Abdo, C. (2011). Sexualidade em oncologia. Revista Diagnóstico Tratamento, 16(2), 86-90.
Flynn, K., Jeffery, D., Keefe, F., Porter, L., Shelby, R., Fawzy, M. et al. (2011). Sexual Functioning Along the Cancer Con- tinuum: Focus Group Results from the Patient-Reported Outcomes Measurement Information System (PROMISTM). Psychooncology, 20(4), 378-386. doi:10.1002/pon.1738
Fortune-Greeley, A., Flynn, K., Jeffery, D., Williams, M., Keefe, F., Reeve, B. et al. (2009). Using Cognitive Interviews to Evaluate Items for Measuring Sexual Functioning Across Cancer Populations: Improvements and Remaining Challenges. Quality of Life Research, 18(8), 1 085-1 093. doi:10.1007/s11136-009-9523-x
Freitas, H., Oliveira, M., Saccol, A. & Moscarola, J. (2000). O método de pesquisa survey. Revista Adm., 35(3), 105-112.
Gianini, M. (2004). Câncer e gênero: enfrentamento da doença. São Paulo: Universidade Católica de São Paulo.
Goldfarb, S., Abramsohn, E., Andersen, B., Baron, S., Carter, J., Dickler, M. et al. (2013). A National Network to Advance the Field of Cancer and Female Sexuality. Journal of Sexual Medicine, 10(2), 319-325. doi:10.1111/jsm.12061
Greenfield, D., Walters, S., Coleman, R., Hancock, B., Snowden, J., Shalet, S. et al. (2010). Quality of Life, Self- Esteem, Fatigue, and Sexual Function in Young Men af- ter Cancer: A Controlled Cross-Sectional Study. Cancer, 116(6), 1 592-1 601.
Harden, J., Northouse, L., Cimprich, B., Pohl, J., Liang, J. & Kershaw, T. (2008). The Influence of Developmental Life Stage on Quality of Life in Survivors of Prostate Cancer and Their Partners. Journal of Cancer Survivorship, 2(2), 84-94. doi:10.1007/s11764-008-0048-z
Hill, E., Sandbo, S., Abramsohn, E., Makelarski, J., Wroblewski, K., Wenrich, E. et al. (2011). Assessing Gynecologic and Breast Cancer Survivors? Sexual Health Care Needs (Sex- ual Care Needs of Cancer Survivors). Cancer, 117(12), 2 643-2 651. doi:10.1002/cncr.25832
Ishikawa, N., Derchain, S. & Thuler, L. (2005). Fadiga em pa- cientes com câncer de mama em tratamento adjuvante. Re- vista Brasileira de Cancerologia, 51(4), 313-318.
Jemal, A., Siegel, R., Ward, E., Hao, Y., Xu, J. & Thun, M. (2009). Cancer Statistics, 2009. CA: Cancer Journal for Clinicians, 59(4), 225-249. doi: 10.3322/caac.20006
Lindau, S., Surawska, H., Paice, J. & Baron, S. (2011). Com- munication about Sexuality and Intimacy in Couples Af- fected by Lung Cancer and their Clinical Care Providers. Psychooncology, 20(2), 179-185. doi:10.1002/pon.1787
Marcon, S., Radovanovic, C., Waidman, M., Oliveira, M. & Sales, C. (2015). Vivência e reflexões de um grupo de es- tudos junto às famílias que enfrentam a situação crônica de saúde. Revista Texto & Contexto Enfermagem, 14(esp.), 116-124.
McAuley, E., White, S., Rogers, L., Motl, R. & Courneya, K. (2010). Physical Activity and Fatigue in Breast Cancer and Multiple Sclerosis: Psychosocial Mechanisms. Psychosomatic Medicine; 72(1), 88-96.
Melisko, M., Goldman, M. & Rugo, H. (2010). Amelioration of Sexual Adverse Effects in the Early Breast Cancer Patient. Journal of Cance Survivorship, 4: 247-255. doi: 10.1007/ s11764-010-0130-1
Pais-Ribeiro, J. & Raimundo, A. (2005). Estudo de adaptação do Questionário de Satisfação com o Relacionamento Se- xual (QSRS) em mulheres com incontinência urinária. Psi- cologia: saúde e doenças, 6(2), 191-202.
Pais-Ribeiro, J. (2007). Avaliação em psicologia da saúde. Coimbra: Editora Quarteto.
Paula, M., Takahashi, R. & Paula, P. (2009). Os significados da sexualidade para a pessoa com estoma intestinal definitivo. Revista Brasileira de Coloproctologia, 29(1), 77-82.
Pérez, M., Liu, Y., Schootman, M., Aft, R., Schechtman, K., Gillanders, W., et al. (2010). Changes in Sexual Prob- lems over time in Women with and without Early-Stage Breast Cancer. Menopause, 17(5), 924-937. doi:10.1097/ gme.0b013e3181d5dd26
Ramírez, M., McMullen, C., Grant, M., Altschuler, A., Hornbrook, M. & Krouse, R. (2009). Figuring Out Sex in a Reconfigured Body: Experiences of Female Colorectal Cancer Survivors with Ostomies. Women Health, 49(8), 608-624. doi:10.1080/03630240903496093
Remondes-Costa, S., Jiménez, F. & Pais-Ribeiro, J. (2012). Imagem corporal, sexualidade e qualidade de vida no cancro da mama. Psicologia: saúde e doenças, 13(2), 327-339.
Sacerdoti, R., Lagana, L. & Koopman, C. (2010). Altered Sexuality and Body Image after Gynecological Cancer Treatment: How Can Psychologists Help? Professional Psychology: Research and Practice, 41(6), 533-540. doi:10.1037/ a0021428
Santos, E. (2011). Vivências sexuais do doente prostectomizado radical. Porto: Universidade Fernando Pessoa.
Serrano, S. (2005). Os técnicos de saúde e a sexualidade dos doentes oncológicos: atitudes, crenças e intenções comportamentais. Análise psicológica, 2(23), 137-150.
Siegel, R., DeSantis, C., Virgo, K., Stein, K., Mariotto, A., Smith, T. et al. (2012). Cancer Treatment and Survivorship
Statistics, 2012. CA: Cancer Journal for Clinicians, 62(4), 220-241. doi: 10.3322/caac.21149
Tran, N. (2011). Scrotal and Perineal Reconstruction. Seminars in Plastic Surgery, 25(3), 213-221.
Valdivieso, M., Kujawa, A., Jones, T. & Baker, L. (2012). Cancer Survivors in the United States: A Review of the Literature and a Call to Action. International Journal of Medical Sciences, 9(2), 163-173. doi: 10.7150/ijms.3827
Valério, E. (2007). Alteração do padrão da sexualidade no doente com doença oncológica. Porto: Universidade do Porto ? Instituto de Ciências Biomédicas Abel Salazar.
World Health Organization (2013). Cancer. Recuperado de http://www.who.int/mediacentre/factsheets/fs297/en/
Zebrack, B., Foley, S., Wittmann, D. & Leonard, D. (2010). SexualFunctioninginYoungAdultSurvivorsofChildhood Cancer. Psychooncology, 19(8), 814-822. doi:10.1002/ pon.1641