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Supportive Care in Cancer
Published in: Supportive Care in Cancer 7/2010

01-07-2010 | Review Article

Coping with sexual concerns after cancer: the use of flexible coping

Authors: Jennifer Barsky Reese, Francis J. Keefe, Tamara J. Somers, Amy P. Abernethy

Published in: Supportive Care in Cancer | Issue 7/2010

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Abstract

Introduction

Although cancer treatment commonly has a negative impact on sexual functioning, sexual concerns are still largely undertreated in routine cancer care. The medical model that guides current approaches to sexual care in cancer does not adequately address key patient needs.

Methods

In this paper, we describe a broader approach to understanding and treating sexual concerns in cancer that focuses on the construct of flexibility in behavioral and cognitive coping strategies. We previously presented this model in the context of general medical conditions. We now adapt this model to the context of cancer, focusing on issues related to the benefits of flexible coping, interventions that shift perspectives following cancer, and on coping as a couple.

Results

We argue that coping flexibly with sexual concerns is likely to lead to improvements in mood and sexual and relationship satisfaction. We present clinical applications of the flexible coping model, including suggestions for assessment and sexual concerns and methods of introducing flexible coping into both the content and process of clinical interactions with patients.

Discussion

Finally, we discuss areas for future research, including the development of a validated instrument, the use of electronic methods of assessment, and intervention trials directly addressing flexibility in coping.
Footnotes
1
Please see the initial publication describing this model by Barsky, Friedman & Rosen [11] for a more detailed review of the research informing the construct of flexibility in coping with sexual challenges in the context of medical illness.
 
2
Brief sexual counseling in cancer may include: education for the patient and partner about how cancer treatment can affect sexual function; suggestions on methods of comfortably resuming sex; encouragement of more open communication about sex between partners; help in coping with physical changes that cause feelings of unattractiveness and that hinder resumption of sexual activity; and referrals or resources to patients obtain treatment for specific sexual problems.
 
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Metadata
Title
Coping with sexual concerns after cancer: the use of flexible coping
Authors
Jennifer Barsky Reese
Francis J. Keefe
Tamara J. Somers
Amy P. Abernethy
Publication date
01-07-2010
Publisher
Springer-Verlag
Published in
Supportive Care in Cancer / Issue 7/2010
Print ISSN: 0941-4355
Electronic ISSN: 1433-7339
DOI
https://doi.org/10.1007/s00520-010-0819-8

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