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Influences of Mastery, Spousal Support, and Adaptive Coping on Sexual Drive and Satisfaction Among Chinese Gynecologic Cancer Survivors

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Abstract

This study investigated sexual drive and satisfaction of Chinese gynecologic cancer survivors. It also examined the extent to which personal mastery, adaptive coping, and perceived spousal support would exert direct and/or indirect influences on sexual outcomes. The cancer survivor group included 134 Chinese women who had received treatment for gynecologic cancer, while the healthy control group included 105 Chinese women who did not have a known history or current diagnosis of cancer. Compared to healthy women, cancer survivors reported lower levels of sexual drive and sexual satisfaction. Among sexually active participants, cancer survivors relative to healthy women engaged in less masturbation, less kissing and caressing, and less sexual fantasy in the past month. Hierarchical multiple regression analyses showed that mastery and spousal support, but not adaptive coping, had a direct influence on sexual outcomes in cancer survivors. Contrary to moderation hypotheses, the three psychological factors did not interact with each other to influence sexual drive and satisfaction. Mediation analyses showed that spousal support fully mediated the influence of mastery on sexual satisfaction. Routine assessment of sexual functioning prior to and following treatment of gynecologic cancer is suggested. Sexual rehabilitation should also aim to enhance personal mastery and spousal support.

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References

  • Bergmark, K., Avall-Lundqvist, E., Dickman, P. W., Henningsohn, L., & Steineck, G. (1999). Vaginal changes and sexuality in women with a history of cervical cancer. New England Journal of Medicine, 340, 1382–1389.

    Article  Google Scholar 

  • Bodurka, D., & Sun, C. (2006). Sexual function after gynecologic cancer. Obstetrics and Gynecology Clinics of North America, 33, 621–630.

    Article  PubMed  Google Scholar 

  • Carmack Taylor, C. L., Basen-Engquist, K., Shin, E. H., & Bodurka, D. (2004). Predictors of sexual functioning in ovarian cancer patients. Journal of Clinical Oncology, 22, 881–889.

    Article  PubMed  Google Scholar 

  • Carver, C. S., Pozo, C., & Harris, S. D. (1993). How coping mediates the effect of optimism on distress: A study of women with early stage breast cancer. Journal of Personality and Social Psychology, 65, 375–390.

    Article  PubMed  Google Scholar 

  • Champion, V., Williams, S., Miller, A., Reuille, K., Wagler-Ziner, K., Monahan, P., et al. (2007). Quality of life in long-term survivors of ovarian germ cell tumors: A gynecologic oncology group study. Gynecologic Oncology, 105, 687–694.

    Article  PubMed  Google Scholar 

  • Cheng, P., & Tang, C. (1995). Coping and psychological distress of Chinese parents of children with Down syndrome. Mental Retardation, 33, 10–20.

    PubMed  Google Scholar 

  • Cohen, S., & Willis, T. A. (1985). Stress, social support and the buffering hypothesis. Psychological Bulletin, 98, 310–357.

    Article  PubMed  Google Scholar 

  • Corney, R. H., Everett, H., Howells, A., & Crofter, M. E. (1992). Psychosocial adjustment following major gynecologic surgery for carcinoma of the cervix and vulva. Journal of Psychosomatic Research, 36, 561–568.

    Article  PubMed  Google Scholar 

  • Cull, A., Cowie, V. J., Farquharson, D., Livingstone, J., Smart, G., & Elton, R. (1993). Early stage cervical cancer: Psychosocial and sexual outcomes of treatment. British Journal of Cancer, 68, 1216–1220.

    PubMed  Google Scholar 

  • Derogatis, L. R., & Melisaratos, N. (1979). The DSFI: A multidimensional measure of sexual functioning. Journal of Sex and Marital Therapy, 5, 244–281.

    PubMed  Google Scholar 

  • Frumovitz, M., Sun, C. C., Schover, L. R., Munsell, M. F., Jhingran, A., Wharton, J. T., et al. (2005). Quality of life and sexual functioning in cervical cancer survivors. Journal of Clinical Oncology, 30, 7428–7436.

    Article  Google Scholar 

  • Grumann, M., Robertson, R., Hacker, N. F., & Sommer, G. (2001). Sexual functioning in patients following radical hysterectomy for stage IB cancer of the cervix. International Journal of Gynecologic Cancer, 11, 372–380.

    Article  Google Scholar 

  • Hagedoorn, M., Kuijer, R., Buunk, B., deJong, G., Wobbes, T., & Sanderman, R. (2000). Marital satisfaction in patients with cancer: Does support form intimate partners benefit those who need it most? Health Psychology, 19, 274–282.

    Article  PubMed  Google Scholar 

  • Helgeson, V. S., & Cohen, S. (1996). Social support and adjustment to cancer: Reconciling description, correlational, and interventional research. Health Psychology, 15, 135–148.

    Article  PubMed  Google Scholar 

  • Jensen, P. T., Groenvold, M., Klee, M. C., Thranov, I., Petersen, M. A., & Machin, D. (2003). Early-stage cervical carcinoma, radical hysterectomy, and sexual function: A longitudinal study. Cancer, 100, 97–106.

    Article  Google Scholar 

  • Juraskova, I., Butow, P., Robertson, R., Sharpe, L., McLeod, C., & Hacker, N. (2003). Post-treatment sexual adjustment following cervical and endometrial cancer: A qualitative insight. Psycho-Oncology, 12, 267–279.

    Article  PubMed  Google Scholar 

  • Kershaw, T., Northhouse, L., Kritpracha, C., Schafenacker, A., & Mood, D. (2004). Coping strategies and quality of life in women with advanced breast cancer and their family caregivers. Psychology & Health, 19, 139–155.

    Article  Google Scholar 

  • Krumm, S., & Lamberti, J. (1993). Changes in sexual behavior following radiation therapy for cervical cancer. Journal of Psychosomatic Obstetrics and Gynecology, 14, 381–390.

    Article  Google Scholar 

  • Kylstra, W. A., Leenhouts, G. H., Everaerd, W., Panneman, M., Hahn, D., Weijmar Schultz, W., et al. (1999). Sexual outcomes following treatment for early stage gynecologic cancer: A prospective multicenter study. International Journal of Gynecologic Cancer, 9, 387–395.

    Article  Google Scholar 

  • Lagana, L., McGarvey, E., Classen, C., & Koopman, C. (2001). Psychosexual dysfunction among gynecologic cancer survivors. Journal of Clinical Psychology in Medical Settings, 8, 73–84.

    Article  Google Scholar 

  • Lazarus, R. S., & Folkman, S. (1984). Stress, appraisal, and coping. New York: Springer.

    Google Scholar 

  • Lepore, S. J. (2001). A social-cognitive processing model of emotional adjustment to cancer. In A. Baum & B. L. Andersen (Eds.), Psychosocial interventions for cancer (pp. 99–116). Washington, DC: American Psychological Association.

    Chapter  Google Scholar 

  • Luszczynska, A., Mohamed, N., & Schwarzer, R. (2005). Self-efficacy and social support predict benefit finding 12 months after cancer surgery: The mediating role of coping strategies. Psychology, Health, & Medicine, 10, 365–375.

    Article  Google Scholar 

  • Matthews, A. K., Aikens, J. E., Helmrich, S. P., Anderson, D. D., Herbst, A. L., & Waggoner, S. E. (1999). Sexual functioning and mood among long-term survivors of clear-cell adenocarcinoma of the vagina or cervix. Journal of Psychosocial Oncology, 17, 27–45.

    Article  Google Scholar 

  • Mishel, M. H., Padilla, G., Grant, M., & Sorenson, D. (1991). Uncertainty in illness theory: A replication of the mediating effects of mastery and coping. Nursing Research, 40, 236–240.

    PubMed  Google Scholar 

  • Pearlin, L., Menaghan, E., Lieberman, M., & Mullan, J. (1981). The stress process. Journal of Health and Social Behavior, 22, 337–356.

    Article  PubMed  Google Scholar 

  • Preacher, K. J., & Hayes, A. (2004). SPSS and SAS procedures for estimating indirect effects in simple mediation models. Behavior Research Methods, Instruments, & Computers, 36, 717–731.

    Google Scholar 

  • Schulz, U., & Schwarzer, R. (2004). Long term effects of spousal support on coping with cancer after surgery. Journal of Social and Clinical Psychology, 23, 716–732.

    Article  Google Scholar 

  • Schwarzer, R., & Knoll, N. (2007). Functional roles of social support within the stress and coping process: A theoretical and empirical overview. International Journal of Psychology, 42, 243–252.

    Article  Google Scholar 

  • Scott, J., Halford, K., & Ward, B. (2004). United we stand? The effects of a couple-coping intervention on adjustment to early stage breast or gynecologic cancer. Journal of Consulting and Clinical Psychology, 72, 1122–1135.

    Article  PubMed  Google Scholar 

  • Sinclair, V. G., & Wallston, K. A. (2004). The development and psychometric evaluation of the Brief Resilience Coping Scale. Assessment, 11, 94–101.

    Article  PubMed  Google Scholar 

  • So, H. W., & Cheung, F. (2005). Review of Chinese sex attitudes and applicability of sex therapy for Chinese with sexual dysfunction. Journal of Sex Research, 42, 93–101.

    Article  PubMed  Google Scholar 

  • Tang, C. (2006). Positive and negative post-disaster psychological adjustment among adult survivors of the Southeast Asia earthquake-tsunami. Journal of Psychosomatic Research, 61, 699–705.

    Article  PubMed  Google Scholar 

  • Tang, C. (2008). The influence of gender-related factors on HIV prevention among Chinese women with disrupted marital relationship. Sex Roles, 59, 119–126.

    Article  Google Scholar 

  • Tang, C., Lai, F., & Chung, T. (1997). Assessment of sexual functioning for Chinese college students. Archives of Sexual Behavior, 26, 79–90.

    Article  PubMed  Google Scholar 

  • Tang, C., Siu, B. N., Lai, F., & Chung, T. (1996). Heterosexual Chinese women’s sexual adjustment after gynecologic cancer. Journal of Sex Research, 33, 189–195.

    Article  Google Scholar 

  • Weijmar Schultz, W., van de Wiel, H., & Bouma, J. (1991). Psychosexual functioning after treatment of cancer of the cervix: A comparative and longitudinal study. International Journal of Gynecological Cancer, 1, 37–46.

    Article  Google Scholar 

  • Wills, T. A. (1985). Supportive functions of interpersonal relationship. In S. Cohen & S. L. Syme (Eds.), Social support and health (pp. 61–82). Orlando, FL: Academic Press.

    Google Scholar 

  • Yan, E., & Tang, C. (2003). The role of individual, interpersonal, and organizational factors in mitigating burnout among elderly Chinese volunteers. International Journal of Geriatric Psychiatry, 18, 795–802.

    Article  PubMed  Google Scholar 

  • Yang, H. C., Brothers, B. M., & Andersen, B. L. (2008). Stress and quality of life in breast cancer recurrence: Moderation or mediation of coping? Annuals of Behavior Medicine, 35, 188–197.

    Article  Google Scholar 

  • Yip, S. K., Chan, A., Pang, S., Leung, P., Tang, C., Shek, D., et al. (2003). The impact of urodynamic stress incontinence and detrusor overactivity on marital relationship and sexual functioning. American Journal of Obstetrics and Gynecology, 188, 1244–1248.

    Article  PubMed  Google Scholar 

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Correspondence to Catherine So-kum Tang.

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Tang, C.Sk., Lai, B.P.Y. & Chung, T.K.H. Influences of Mastery, Spousal Support, and Adaptive Coping on Sexual Drive and Satisfaction Among Chinese Gynecologic Cancer Survivors. Arch Sex Behav 39, 1191–1200 (2010). https://doi.org/10.1007/s10508-009-9528-0

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  • DOI: https://doi.org/10.1007/s10508-009-9528-0

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