Published online Feb 28, 2010.
https://doi.org/10.4040/jkan.2010.40.1.24
Predictors of Sexual Desire, Arousal, Lubrication, Orgasm, Satisfaction, and Pain in Women with Gynecologic Cancer
Abstract
Purpose
This study was done to identify psychosocial factors that might be predictive of sexual desire, arousal, lubrication, orgasm, satisfaction, and pain in women with gynecologic cancer.
Methods
Two hundred and twelve women with cervical, ovarian, or endometrial cancer completed questionnaires on the Female Sexual Function Index including sexual desire, arousal, lubrication, orgasm, satisfaction, and pain, and data on their psychosocial factors including body image, sexual attitude, sexual information, depression, and marital intimacy. Stepwise multivariable regression analysis was performed to explore psychosocial predictors of women's sexual function domains.
Results
Predictors were identified as sexual attitude, depression, sexual information, and body image for sexual desire; sexual information, depression, and sexual attitude for sexual arousal; sexual information, marital intimacy, and depression for lubrication; sexual information, marital intimacy, depression, and body image for orgasm; marital intimacy, sexual information, sexual attitude, and depression for satisfaction; sexual information, depression, and marital intimacy for pain.
Conclusion
The results indicate that women's sexual function needs to be approached to domains of female sexual function psychosocially as well as to general sexual function. These factors should be considered in future interventions to positively promote sexual function in women with gynecologic cancer.
Table 1
Subscales of FSFI and their Reliabilities (Cronbach's α)
Table 2
Characteristics of Participants (N=212)
Table 3
Means of Scores for Domains & Psychosocial Variables
Table 4
Psychosocial Predictors of FSFI Domains: Stepwise Multiple Regression
This work was supported by Sungshin Women's University research grant.
References
-
Chang SB. An analytic study on influencing factors for sexual satisfaction in women who have had a hysterectomy. Journal of Korean Academy of Nursing 1989;19:160–172.
-
-
Chon KK, Rhee MK. Preliminary development of Korean version of CES-D. Korean Journal of Clinical Psychology 1992;11:65–76.
-
-
Chun N. In: Structural equation modeling on sexual function in women with gynecologic cancer. Seoul: Seoul National University; 2007.Unpublished doctoral dissertation.
-
-
Chun N, Park YS. Sexual function in women with gynecologic cancer. Korean Journal of Women Health Nursing 2006;12:308–315.
-
-
Doo JK. Sexual dysfunction in women. Korean Society of Obstetrics and Gynecology. Continuing Education 2000;30:80–90.
-
-
Jensen PT, Groenvold M, Klee MC, Thranov I, Petersen MA, Machin D. Early-stage cervical carcinoma, radical hysterectomy, and sexual function. A longitudinal study. Cancer 2003;100:97–106.
-
-
Kadri N, McHichi Alami KH, McHakra Tahiri S. Sexual dysfunction in women: Population based epidemiological study. Archives of Women's Mental Health 2002;5:59–63.
-
-
Kim JK, Koh HJ, Lim KH. A study on sexual knowledge, attitude and activity according to sexual satisfaction of wife and husband after hysterectomy. Journal of the Korean Society of Maternal and Child Health 2002;6:71–82.
-
-
Kim SN. A structural model for quality of life in women having hysterectomies. Journal of Korean Academy of Nursing 1999;29:161–173.
-
-
Laumann EO, Paik A, Rosen RC. Sexual dysfunction in the United States: Prevalence and predictors. Journal of American Medical Association 1999;281:537–544.
-
-
Polit DF, Beck CT. In: Nursing research -principles and methods. 7th ed. Philadelphia, PA: Lippincott Williams & Wilkins; 2004.
-
-
Radloff LS. The CES-D scale: A self-report depression scale for research in the general population. Applied Psychological Measurement 1977;1:385–401.
-
-
Rodes JC, Kjerulff KH, Lengenberg PW, Guzinski GM. Hysterectomy and sexual functioning. Journal of American Medical Association 1999;282:1934–1941.
-
-
Rosen R, Brown C, Heiman J, Leiblum S, Meston C, Shabsigh R, et al. The female sexual function index (FSFI): A multidimensional self-report instrument for the assessment of female sexual function. Journal of Sex & Marital Therapy 2000;26:191–208.
-
-
Shokrollahi P, Mirmohamadi M, Mehrabi F, Babaei G. Prevalence of sexual dysfunction in women seeking services at family planning center in Tehran. Journal of Sex & Marital Therapy 1999;25:211–215.
-
-
West LW, Vinikoor LC, Zolnoun DA. Systemic review of the literature on female sexual dysfunction prevalence and predictors. Annual Review of Sex Research 2004;15:40–172.
-
-
World Health Organization. Defining sexual health, Report of technical consultation on sexual health. 28-31. January 2002, Geneva. 2006.
-
-
Yu HS. In: Predictors of female sexual dysfunction. Seoul: Seoul National University; 2003.Unpublished master's thesis.
-