Psychological Treatment of Individual Sexual Dysfunction

2020 ◽  
pp. 115-138
Author(s):  
Daniela Wittmann
Keyword(s):  
Side Effects ◽  
Cancer Treatment ◽  
Intimate Relationships ◽  
Psychological Treatment ◽  
Sexual Relationships ◽  
Sexual Side Effects ◽  
After Cancer ◽  
Biopsychosocial Assessment ◽  
Physical Changes ◽  
Biomedical Interventions

Cancer patients struggle with sexual problems after cancer treatment. They often discover the sexual side effects after treatment and must learn how to manage their bodies, which now function differently, and work to continue to be sexually active with their partners. Recovering confidence in their ability to function in their sexual relationships means that they must grieve for their sexual losses, understand their new sensitivities, manage altered body capacities, and develop an expanded sexual repertoire. In their relationships, they must learn to communicate about their needs. If they are single, anxiety about starting a new relationship must be managed through the development of confidence that they can still be good lovers despite their altered sexual function. A thorough biopsychosocial assessment helps identify physical changes, psychological vulnerabilities, and relationship areas that will have to be addressed to maintain sexual viability and satisfaction. Psychosocial as well as biomedical interventions are needed in guiding patients toward recovering an ability to function well sexually. Reliance on multiple relevant disciplines and addressing couple issues can lead to patients’ renewed confidence and satisfactory functioning in their intimate relationships after cancer treatment.

scholarly journals Development, Implementation, and Patient Perspectives of the Women’s Integrative Sexual Health Program: A Program Designed to Address the Sexual Side Effects of Cancer Treatment

2021 ◽  
Vol 12 (1) ◽  
Author(s):  
Lori A. Seaborne, MPAS, PA-C ◽  
Megan Peterson, DNP ◽  
David M. Kuschner, MD ◽  
Janelle Sobecki, MD, MA ◽  
Joanne K. Rash, MPAS, PA-C
Keyword(s):  
Side Effects ◽  
Sexual Health ◽  
Cancer Treatment ◽  
Patient Perspectives ◽  
Comprehensive Cancer Center ◽  
Cancer Center ◽  
Survivorship Care ◽  
Cancer Treatments ◽  
Sexual Side Effects ◽  
After Cancer

Background: Advanced practitioners (APs) are a growing demographic in survivorship care. One goal of survivorship care is to manage consequences of cancer treatments. Sexual dysfunction from prior therapies can impact quality of life. Advanced practitioners are perfectly poised to provide care for sexual problems. This article will describe the development and implementation of the Women’s Integrative Sexual Health (WISH) program by APs within a comprehensive cancer center and describe patient perspectives of care provided. Methods: Two physician assistants working in gynecologic oncology at the University of Wisconsin Carbone Cancer Center implemented a program to address sexual side effects of cancer treatment. An online survey was sent out to all patients seen in the WISH program since inception. Results: Between November 2013 and July 2019, 228 patients were seen in the WISH program. A total of 113 women responded (median age: 53 years, range: 31–77; 68% postmenopausal; response rate: 53.8%). Most had breast (57%) or gynecologic (32%) cancers. When asked how helpful the WISH program was, 88% reported that it was at least somewhat helpful. Almost all (95%) reported they would recommend the WISH program to other women. Conclusion: The WISH program enhances comprehensive survivorship care of female cancer survivors. Women report they benefit from care for sexual issues after cancer treatments. Advanced practitioners working in oncology are uniquely positioned to educate themselves, take leadership roles in the development and implementation of programs, and provide care to women affected by sexual side effects after cancer.

Exercise and side effects among 417 older patients with cancer during and after cancer treatment: A URCC CCOP study.

2011 ◽  
Vol 29 (15_suppl) ◽  
pp. 9036-9036
Author(s):  
L. Sprod ◽  
S. G. Mohile ◽  
K. Devine ◽  
M. C. Janelsins ◽  
L. J. Peppone ◽  
...  
Keyword(s):  
Side Effects ◽  
Cancer Treatment ◽  
Older Patients ◽  
Patients With Cancer ◽  
After Cancer

scholarly journals Effectiveness of Physical and Psychological Treatment for Cancer-Related Fatigue: Systematic Review

2021 ◽  
Vol 14 (2) ◽  
pp. 195-211
Author(s):  
Dian Hudiyawati ◽  
Wulan Syafitry
Keyword(s):  
Systematic Review ◽  
Cancer Treatment ◽  
Psychological Treatment ◽  
Total Sample ◽  
Pharmacological Intervention ◽  
Physical Treatment ◽  
Cancer Related Fatigue ◽  
Fatigue Management ◽  
Before And After ◽  
After Cancer

Cancer is the second leading cause of death worldwide. Fatigue is one of the most common side effects of people with cancer. The range of people with cancer who experience fatigue is 70-80%, when undergoing cancer treatment and during the phase before and after treatment. This systematic review aims to identify fatigue management with non-pharmacological intervention. The journals selected from 2015 to 2020 in an international database: Pubmed, SAGE journals, Microsoft Academic, and Science Direct. The database searched using the keywords "exercise treatment" OR "psychological treatment," AND "fatigue" OR "cancer-related fatigue," AND "during cancer treatment" OR "after cancer treatment." Assessment of Critical quality appraisal uses tools from the JBI (Joanna Briggs Institute) critical assessment checklist. The method of analysis used the descriptive method. The results of the Systematic review found 13 journals that met the inclusion criteria, the total sample was 1365 respondents with an average age of 56.85, and the consequences of female respondents were 857 respondents, and male respondents were 464 respondents. Physical treatment and psychological treatment can reduce cancer fatigue before and after treatment. The interventions given both physical treatment and psychological treatment have their benefits and vary in their effectiveness.

scholarly journals Patient experienced side effects and adverse events after cancer treatment - Patient initiated research

2011 ◽  
Vol 1 (1) ◽  
pp. 5-8 ◽  
Author(s):  
Sune Høirup Petersen ◽  
Bodil Feldinger ◽  
Niels Jessen ◽  
Helle Kaufmann ◽  
Bolette Pedersen ◽  
...  
Keyword(s):  
Side Effects ◽  
Adverse Events ◽  
Cancer Treatment ◽  
Treatment Patient ◽  
After Cancer

162 Coping with the Sexual Side-effects of Prostate Cancer Treatment: it's a Couple Affair

2020 ◽  
Vol 17 (1) ◽  
pp. S50-S51
Author(s):  
D. Wittmann ◽  
T. Braun ◽  
A. Mehta ◽  
C.E. Pollack ◽  
R.L. Dunn ◽  
...  
Keyword(s):  
Prostate Cancer ◽  
Side Effects ◽  
Cancer Treatment ◽  
Prostate Cancer Treatment ◽  
Sexual Side Effects

scholarly journals Establishing Consensus on a Screening Tool for the Neglected Sexual SIde Effects after Prostate Cancer Treatment: A Modified E-Delphi Study.

2021 ◽  
Author(s):  
Pierre Roscher ◽  
Kimesh Naidoo ◽  
Joanne Milios ◽  
Jacqueline van Wyk
Keyword(s):  
Prostate Cancer ◽  
Side Effects ◽  
Cancer Treatment ◽  
Delphi Study ◽  
Screening Tool ◽  
Penile Curvature ◽  
Prostate Cancer Treatment ◽  
Modified Delphi ◽  
Sexual Side Effects ◽  
Strongly Agree

Abstract BackgroundNeglected sexual side effects are a group of less common sexual side effects after Prostate that may present after Prostate Cancer treatment. There is currently no valid and reliable tool to identify these side effects. A modified Delphi study is an effective way of developing and validating such a screening tool.MethodsA modified Delphi study was used to obtain consensus from a multi-disciplinary group of experts over three rounds. Ten statements were presented containing 8 close ended statements on individual NSSEs, and 2 open ended statements on Psychosocial impact related to NSSE. Consensus was defined as a 75% strongly agree achievement on each statement, or the final statement evolution at the end of 3 rounds. Statement support in each round was determined by mean, standard deviation and range, after a numerical value was allocated to each statement during specific rounds. All three rounds were structured and suggestions and additions were incorporated in the statement evolution of the three rounds.ResultsThirty five participants were invited, and 27 completed Round 1(RD 1), 23 participants completed RD2, and 20 participants completed RD3. All 3 rounds were completed in 12 weeks. Statement 1(sexual arousal incontinence), statement 2(climacturia) and statement 3 (orgasm intensity) reached consensus after RD2, and statement 9 (sexual dysfunction impact) and statement 10 (experiences) were removed after RD3. Statement 4 (orgasmic pain), statement 5 (anejaculation), statement 6(sensory disturbances), statement 7 (penile length shortening) and statement 8 (penile curvature) were finalised after the conclusion of RD3. Statement 1-3 were the most stable statements with the most support and least amount of disagreement. Statements 4-8 were less stable, but support for them improved over the 3 rounds. Statement 9-10 both had good stability, but the support indicated that they needed to be removed from the set of statements. Statement 5 had the poorest range due to an outlier opinion.ConclusionsConsensus was reached on the statements making up the NSSE screening tool. Health care practitioners will be able to use this tool to identify NSSE after prostate cancer treatment. Further reliability testing on this tool is needed.

Sign in / Sign up

Export Citation Format

Share Document