Psychosexual development, sexual functioning and sexual satisfaction in long-term childhood cancer survivors : DCCSS-LATER 2 sexuality substudy
© 2023 Prinses Maxima Centrum voor Kinderoncologie. Psycho-Oncology published by John Wiley & Sons Ltd..
OBJECTIVES: Childhood cancer may negatively impact childhood cancer survivors' (CCS) sexuality. However, this is an understudied research area. We aimed to describe the psychosexual development, sexual functioning and sexual satisfaction of CCS, and identify determinants for these outcomes. Secondarily, we compared the outcomes of a subsample of emerging adult CCS to the Dutch general population.
METHODS: From the Dutch Childhood Cancer Survivor Study LATER cohort (diagnosed 1963-2001), 1912 CCS (18-71 years, 50.8% male) completed questions on sexuality, psychosocial development, body perception, mental and physical health. Multivariable linear regressions were used to identify determinants. Sexuality of CCS age 18-24 (N = 243) was compared to same-aged references using binomial tests and t-tests.
RESULTS: One third of all CCS reported hindered sexuality due to childhood cancer, with insecure body the most often reported reason (44.8%). Older age at study, lower education, surviving central nervous system cancer, poorer mental health and negative body perception were identified as determinants for later sexual debut, worse sexual functioning and/or sexual satisfaction. CCS age 18-24 showed significantly less experience with kissing (p = 0.014), petting under clothes (p = 0.002), oral (p = 0.016) and anal sex (p = 0.032) when compared to references. No significant differences with references were found for sexual functioning and sexual satisfaction, neither among female CCS nor male CCS age 18-24.
CONCLUSIONS: Emerging adult CCS reported less experience with psychosexual development, but similar sexual functioning and sexual satisfaction compared to references. We identified determinants for sexuality, which could be integrated in clinical interventions for CCS at risk for reduced sexuality.
| Medienart: |
E-Artikel |
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| Erscheinungsjahr: |
2023 |
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| Erschienen: |
2023 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:32 |
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| Enthalten in: |
Psycho-oncology - 32(2023), 8 vom: 26. Aug., Seite 1279-1288 |
| Sprache: |
Englisch |
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| Beteiligte Personen: |
Priboi, Cristina [VerfasserIn] |
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| Links: |
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| Themen: |
Childhood cancer |
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| Anmerkungen: |
Date Completed 09.08.2023 Date Revised 09.08.2023 published: Print-Electronic Citation Status MEDLINE |
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| doi: |
10.1002/pon.6181 |
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| funding: |
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| Förderinstitution / Projekttitel: |
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| PPN (Katalog-ID): |
NLM358671000 |
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| 100 | 1 | |a Priboi, Cristina |e verfasserin |4 aut | |
| 245 | 1 | 0 | |a Psychosexual development, sexual functioning and sexual satisfaction in long-term childhood cancer survivors |b DCCSS-LATER 2 sexuality substudy |
| 264 | 1 | |c 2023 | |
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| 500 | |a Date Completed 09.08.2023 | ||
| 500 | |a Date Revised 09.08.2023 | ||
| 500 | |a published: Print-Electronic | ||
| 500 | |a Citation Status MEDLINE | ||
| 520 | |a © 2023 Prinses Maxima Centrum voor Kinderoncologie. Psycho-Oncology published by John Wiley & Sons Ltd. | ||
| 520 | |a OBJECTIVES: Childhood cancer may negatively impact childhood cancer survivors' (CCS) sexuality. However, this is an understudied research area. We aimed to describe the psychosexual development, sexual functioning and sexual satisfaction of CCS, and identify determinants for these outcomes. Secondarily, we compared the outcomes of a subsample of emerging adult CCS to the Dutch general population | ||
| 520 | |a METHODS: From the Dutch Childhood Cancer Survivor Study LATER cohort (diagnosed 1963-2001), 1912 CCS (18-71 years, 50.8% male) completed questions on sexuality, psychosocial development, body perception, mental and physical health. Multivariable linear regressions were used to identify determinants. Sexuality of CCS age 18-24 (N = 243) was compared to same-aged references using binomial tests and t-tests | ||
| 520 | |a RESULTS: One third of all CCS reported hindered sexuality due to childhood cancer, with insecure body the most often reported reason (44.8%). Older age at study, lower education, surviving central nervous system cancer, poorer mental health and negative body perception were identified as determinants for later sexual debut, worse sexual functioning and/or sexual satisfaction. CCS age 18-24 showed significantly less experience with kissing (p = 0.014), petting under clothes (p = 0.002), oral (p = 0.016) and anal sex (p = 0.032) when compared to references. No significant differences with references were found for sexual functioning and sexual satisfaction, neither among female CCS nor male CCS age 18-24 | ||
| 520 | |a CONCLUSIONS: Emerging adult CCS reported less experience with psychosexual development, but similar sexual functioning and sexual satisfaction compared to references. We identified determinants for sexuality, which could be integrated in clinical interventions for CCS at risk for reduced sexuality | ||
| 650 | 4 | |a Journal Article | |
| 650 | 4 | |a Research Support, Non-U.S. Gov't | |
| 650 | 4 | |a childhood cancer | |
| 650 | 4 | |a pediatric oncology | |
| 650 | 4 | |a psychosexual development | |
| 650 | 4 | |a sexual functioning | |
| 650 | 4 | |a sexual satisfaction | |
| 700 | 1 | |a van Gorp, Marloes |e verfasserin |4 aut | |
| 700 | 1 | |a Maurice-Stam, Heleen |e verfasserin |4 aut | |
| 700 | 1 | |a Michel, Gisela |e verfasserin |4 aut | |
| 700 | 1 | |a Kremer, Leontien C M |e verfasserin |4 aut | |
| 700 | 1 | |a Tissing, Wim J E |e verfasserin |4 aut | |
| 700 | 1 | |a Loonen, Jacqueline J |e verfasserin |4 aut | |
| 700 | 1 | |a van der Pal, Helena J H |e verfasserin |4 aut | |
| 700 | 1 | |a de Vries, Andrica C H |e verfasserin |4 aut | |
| 700 | 1 | |a van den Heuvel-Eibrink, Marry M |e verfasserin |4 aut | |
| 700 | 1 | |a Ronckers, Cécile M |e verfasserin |4 aut | |
| 700 | 1 | |a Bresters, Dorine |e verfasserin |4 aut | |
| 700 | 1 | |a Louwerens, Marloes |e verfasserin |4 aut | |
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| 700 | 1 | |a van der Heiden-van der Loo, Margriet |e verfasserin |4 aut | |
| 700 | 1 | |a van Dulmen-den Broeder, Eline |e verfasserin |4 aut | |
| 700 | 1 | |a Grootenhuis, Martha |e verfasserin |4 aut | |
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