Sexual Function Measurement And Outcomes In Cancer Survivors And Matched Controls
Karen Syrjala, Thomas C. Schroeder, Janet R. Abrams, Tamara Z. Atkins, Wendy S. Brown, Jean E. Sanders, Mary Schubert, Julia R. Heiman
Published 2000 · Psychology
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Depending on diagnosis, gender, and treatment, as few as 10% or as many as 90% of cancer survivors have reported sexual problems. Inconsistencies and inadequacies in measurement have confounded efforts to fully understand and treat these difficulties. A Sexual Function Questionnaire (SFQ) was developed and administered to 400 cancer survivors or matched, noncancer controls. Participants were sexually active or inactive, male or female, heterosexual or homosexual. Nine subscales and two summary scores had internal reliabilities above .80, with factor loadings above .50 for all items. Test‐retest reliability, as well as content, construct, criterion, discriminant, and confirmatory validity supported the measure's psychometric strength. Cancer survivors indicated poorer function than controls, with postmenopausal women reporting the poorest sexual function. Survivors’ sexual function dropped significantly posttreatment compared to pretreatment. The SFQ provided a valid, reliable outcome measure for use in cancer research or with other medical groups and physically healthy subjects.
This paper references
Controlled prospective longitudinal study of women with cancer: I. Sexual functioning outcomes.
Barbara L. Andersen (1989)
A prospective study of the effects of high-dose chemotherapy and bone marrow transplantation on sexual function in the first year after transplant
Di Marks (1997)
Predicting sexual and psychologic morbidity and improving the quality of life for women with gynecologic cancer.
Barbara L. Andersen (1993)
How cancer affects sexual functioning.
Barbara L. Andersen (1990)
Sexual dysfunction prior to high-dose chemotherapy and bone marrow transplantation.
David I. Marks (1996)
Quality of life and treatment outcomes
C. L. Shrader-Bogen (1997)
A neglected issue: the sexual side effects of current treatments for breast cancer.
Henry Kaplan (1992)
Prevalence and predictors of sexual dysfunction in long-term survivors of marrow transplantation.
Karen Syrjala (1998)
Psychological assessment measures of female sexual functioning in clinical trials.
Leonard R. Derogatis (1998)
Sexual outcomes following gynecologic cancer
B. L. Andersen (1992)
Sexual function assessment in the male: physiological and self-report measures.
Raymond C. Rosen (1998)
Vaginal changes and sexuality in women with a history of cervical cancer.
Karin Helmersson Bergmark (1999)
Sexual functioning after treatment for testicular cancer: comparison of treatment modalities.
Grieteke Jonker-Pool (1997)
The DSFI: a multidimensional measure of sexual functioning.
Leonard R. Derogatis (1979)
Sexual dysfunction in the United States: prevalence and predictors.
Edward O. Laumann (1999)
Phase III randomized double-blind study to evaluate the efficacy of a polycarbophil-based vaginal moisturizer in women with breast cancer.
Charles Lawrence Loprinzi (1997)
The assessment of sexual function in cancer patients.
Alison Cull (1992)
Characteristics of women at risk for psychosocial distress in the year after breast cancer.
Cyndie Coscarelli Schag (1993)
Male sexual function following bone marrow transplantation.
J. Baruch (1991)
Sexual dysfunction and treatment for early stage cervical cancer.
Leslie R Schover (1989)
Manual of the functional assessment of chronic illness therapy (FACIT) scales (4th ed.) Evanston, IL: Center on Outcomes, Research and Education (CORE) and Northwestern University
D. Cella (1997)
The Derogatis Interview for Sexual Functioning (DISF/DISF-SR): an introductory report.
Leonard R. Derogatis (1997)
Ovarian function in premenopausal women treated with adjuvant chemotherapy for breast cancer.
José Bines (1996)
Partial mastectomy and breast
L. R. Schover (1995)
Quality of life of 125 adults surviving 6-18 years after bone marrow transplantation.
Nigel E Bush (1995)
Sexuality and body image in younger women with breast cancer.
Leslie R Schover (1994)
Manual of the functional assessment of chronic illness therapy (FACIT) scales
D Cella (1997)
Effects of cancer on the sexuality and fertility of women.
M A Lamb (1995)
Sexual functioning after breast cancer: a conceptual framework for future studies.
Patricia A. Ganz (1997)
Sexuality and fertility in urologic cancer patients.
Leslie R Schover (1987)
Gynecologic abnormalities following allogeneic bone marrow transplantation
M. A. Schubert (1990)
Self-report assessment of female sexual function: Psychometric evaluation of the brief index of sexual functioning for women
J. F. Taylor (1994)
Dimensions of quality of life in prostate cancer.
Arnon Krongrad (1998)
The Functional Assessment of Cancer Therapy scale: development and validation of the general measure.
David Cella (1993)
Prostatic cancer treatments and their effects on sexual functioning.
T Heinrich-Rynning (1987)
Recovery of health related quality of life in the year after radical prostatectomy: early experience.
Mark S. Litwin (1999)
Life after breast cancer: understanding women's health-related quality of life and sexual functioning.
Patricia A. Ganz (1998)
Sexual function following radical radiotherapy for bladder cancer.
F A Little (1998)
Partial mastectomy and breast reconstruction
L R Schover (1995)
Long-term psychosexual adjustment of acute leukemia survivors: impact of marrow transplantation versus conventional chemotherapy.
Gordon Mumma (1992)
Incidence and prevalence of the sexual dysfunctions: A critical review of the empirical literature
Ilana P. Spector (1990)
Vaginal atrophy in the postmenopausal woman. The importance of sexual activity and hormones.
Sandra Risa Leiblum (1983)
Effects of estrogen or estrogen/progestin regimens on heart disease risk factors in postmenopausal women. The Postmenopausal Estrogen/Progestin Interventions (PEPI) Trial. The Writing Group for the PEPI Trial.
Sexual satisfaction in survivors of bone marrow transplantation.
John R Wingard (1992)
Cancer facts and figures 1999: Basic cancer facts
Measuring Dyadic Adjustment: New Scales for Assessing the Quality of Marriage and Similar Dyads.
Graham B. Spanier (1976)
The EORTC core quality of life questionnaire: interim results of an international field study
Neil K Aaronson (1991)
This paper is referenced by
Guest Editor's Note: Ask and Tell
Mindy R. Schiffman (2001)
Sexual issues in the palliative care population.
Judith A. Shell (2008)
Stem Cell Transplant
Jean C. Yi (2011)
A brief couples' workshop for improving sexual experiences after prostate cancer treatment: a feasibility study
Amy J. D. Hampton (2013)
Sexual Desire in Women According to Reproductive Milestones
Erika L. Kelley (2018)
Sexual function and fertility quality of life in women using in vitro fertilization.
Nicole K. Smith (2015)
ORIGINAL RESEARCH—OUTCOMES ASSESSMENT The Sexual Function Questionnaire's Medical Impact Scale (SFQ-MIS): Validation Among a Sample of First-time Mothers
Sofia Jawed-Wessel (2013)
Psychosexual functioning among adult female survivors of childhood cancer: a report from the childhood cancer survivor study.
Jennifer S Ford (2014)
Changes in sexual problems over time in women with and without early-stage breast cancer
M Pérez (2010)
Functional Impairment and the Economic Consequences of Female Breast Cancer
Thomas N. Chirikos (2002)
A Psychoeducational Intervention for Sexual Dysfunction in Women with Gynecologic Cancer
Lori A Brotto (2008)
How does a single session group intervention improve sexual function in ovarian cancer survivors? A secondary analysis of effects of self-efficacy, knowledge and emotional distress
Clara Hungr (2019)
The impact of illness perceptions on sexual functioning in patients with systemic lupus erythematosus.
Gabriëlle M N Daleboudt (2013)
Challenges having conversations about sexuality in ambulatory settings: part II--health care provider perspectives.
Margaret I Fitch (2013)
Sexual Functioning in Long-Term Breast Cancer Survivors Treated with Adjuvant Chemotherapy
Jo Ann Broeckel (2002)
Changes in Sexual Functioning in Women and Men in the 5 Years After Bariatric Surgery.
Kristine J. Steffen (2019)
The Impact of Cancer and Its Treatments on the Sexual Self of Young Adult Cancer Survivors and as Compared to Their Healthy Peers
Sage Bolte (2011)
The Relationship Between Body Image, Female Genital Self-Image, and Sexual Function Among First-Time Mothers
Sofia Jawed-Wessel (2017)
Sexual Adjustment and Body Image Scale (SABIS): a new measure for breast cancer patients.
E. Jane Dalton (2009)
Rates and Correlates of DSM-IV Diagnoses in Women Newly Diagnosed with Breast Cancer
Barbara Dausch (2004)
Gastrointestinal ostomies and sexual outcomes: a comparison of colorectal cancer patients by ostomy status
J. B. Reese (2013)
A randomized pilot trial of a telephone-based couples intervention for physical intimacy and sexual concerns in colorectal cancer.
Jennifer Barsky Reese (2014)
Longitudinal trajectory of sexual functioning after hematopoietic cell transplantation: impact of chronic graft-versus-host disease and total body irradiation.
F. L. Wong (2013)
Sexual health and impact of treatments on Colombian women with breast cancer and their sex partners
Luz Stella Bueno-Robles (2019)
Intimacy after prostate cancer: A brief couples' workshop is associated with improvements in relationship satisfaction
Lauren M Walker (2017)
Sexual functioning of men and women with severe obesity before bariatric surgery.
Kristine J. Steffen (2017)
Sexuality After Hematopoietic Stem Cell Transplantation
Jean C. Yi (2009)
Women's experiences completing an online psychoeducational intervention for sexual health after cancer : a narrative inquiry
Erin Nicole Breckon (2015)
Sexual Functioning in Breast Cancer Survivors
Heidi M. King (2005)
Androgen therapy for loss of desire in women: is the benefit worth the breast cancer risk?
Leslie R Schover (2008)
Sexual quality of life, body image distress, and psychosocial outcomes in colorectal cancer: a longitudinal study
Jennifer Barsky Reese (2018)
Young Female Breast Cancer Survivors: Their Sexual Function and Interest in Sexual Enhancement Products and Services
Debra Herbenick (2008)See more