Sexual satisfaction and its predictors in patients with advanced cancer and their family caregivers in six European countries : baseline data from the DIAdIC study

Article

MATTHYS, Orphé | DIERICKX, Sigrid | VAN GOETHEM, Vincent | DELIENS, Luc | LAPEIRE, Lore | DE PAUW, Aglaja | HUDSON, Peter | VULSTEKE, Christof | GEBOES, Karen | DE WAELE, Stefanie | SPOORMANS, Isabelle | DI LEO, Silvia | GUBERTI, Monica | SCHMIDT, Ulrik Sørensen | SCOTT, David | HARDING, Richard | WITKAMP, Erica | CONNOLLY, Michael | DIADIC TEAM | DE VLEMINCK, Aline | COHEN, Joachim

OBJECTIVE: To identify predictors of sexual satisfaction in patients with advanced cancer and their family caregivers. METHODS: Cross-sectional study using baseline survey data from a randomized controlled trial in six European countries. Patients with advanced cancer and their family caregiver completed measures on sexual satisfaction (one item from Functional Assessment of Cancer Therapy - General questionnaire for patients and Caregiver Quality of Life Index-Cancer scale for family caregivers) and health-related characteristics. Multivariable linear regressions were performed for all predictors (identified based on literature) with sexual satisfaction as dependent variable. RESULTS: The sample comprised 431 patient-family caregiver dyads. Patients with prostate or gynecological cancer reported lower sexual satisfaction (respectively B = -0.267 95% CI: -1.674, -0.594 and B = -0.196, 95% CI -2.103, -0.452). Higher emotional (B = 0.278, 95% CI 0.024, 0.057) physical (B = 0.305, 95% CI 0.012, 0.025) and social functioning (B = 0.151, 95% CI 0.001, 0.013), global health (B = 0.356, 95% CI 0.007, 0.013) and social wellbeing (B = 0.161, 95% CI 0.013, 0.082) among patients were associated with higher sexual satisfaction. Among family caregivers, sexual satisfaction was lower with increased age (B = -0.142, 95% CI -0.022, -0.004). Higher emotional functioning (B = 0.027, 95% CI 0.011, 0.043) and quality of life (B = 0.165, 95% CI -0.165, 0.716) were associated with higher sexual satisfaction in family caregivers. CONCLUSIONS: The results underscore that sexual wellbeing of patients and family caregivers is related to health related factors in physical, emotional, and social domains. Patients and family caregivers could benefit from a dyadic approach to address sexual wellbeing.

http://dx.doi.org/10.1002/pon.6347

Voir la revue «Psycho-oncology, 33»

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