Authors

Department of Midwifery, School of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran

Abstract

INTRODUCTION: The concept of sexual dysfunction is dysfunction in desire and emotional – social
that it is Impact on the sexual response cycle and can cause stress and interpersonal difficulties.
Quality of marital relationship is one of the important factors predicting sexual function disorders,
which varies among different cancers. The purpose of this study is to determine the relationship
between sexual dysfunction and quality of marital relationship in genital and breast cancers in women.
METHODS: This correlational study was conducted on 150 breast and genital cancers in women
referred to Sayedoshohada and Milad hospitals in Isfahan city through a two‑stage sampling
method. Participants completed questionnaires about demographic/disease and sexual function
questionnaire (44 questions) and quality of marital relationship (11 questions). Collected data were
analyzed using SPSS version 14 software, statistical test such as, Pearson correlation coefficient
tests independent t‑ student, one way ANOVA.
RESULTS: The results showed that 70.7% of women had breast cancer and 29.3% had gynaecological
cancer. 60% of patient had good quality of marital relationship and 19.3% sexual dysfunction. There
was a significant correlation between sexual function and quality of marital relationship (P = <0.001).
CONCLUSION: There was a significant correlation between sexual function disorder and quality of
marital relationship. The inclusion of patients educational programs and couple therapy in cancer
disease rehabilitation program is important in order to improve the quality of marital relationship and
subsequent sexual dysfunction in cancer patients.

Keywords

1. Laurent SM , Simons AD . Sexual dysfunction in
depression and anxiety: Conceptualizing sexual dysfunction
as part of an internalizing dimension Clin Psychol Rev
2009;29:573-85.
2. Berek JS. Common psychiatric problems. Berek & Novak’s
Gynecology. 14th ed. USA: Lippincott Williams & Wilkins; 2007.
3. Jemal A, Siegel R, Xu J, Ward E. Cancer statistics, 2010. CA Cancer
J Clin 2010;60:277‑300.
4. Matulonis UA, Kornblith A, Lee H, Bryan J, Gibson C, Wells C,
et al. Long‑term adjustment of early‑stage ovarian cancer
survivors. Int J Gynecol Cancer 2008;18:1183‑93.
5. Hopkinson JB, Fenlon DR, Okamoto I, Wright DN, Scott I,
Addington‑Hall JM, et al. The deliverability, acceptability, and
perceived effect of the Macmillan approach to weight loss and
eating difficulties: A phase II, cluster‑randomized, exploratory
trial of a psychosocial intervention for weight‑ and eating‑related
distress in people with advanced cancer. J Pain Symptom Manage
2010;40:684‑95.
6. Ismail KM. Psychological challenges in obstetrics and gynecology.
Obstet Gynaecol 2008;10:206.
7. Anderson JL. Acknowledging female sexual dysfunction in
women with cancer. Clin J Oncol Nurs 2013;17:233‑5.
8. Rodin G, Olmsted MP, Rydall AC, Maharaj SI, Colton PA,
Jones JM, et al. Eating disorders in young women with type 1
diabetes mellitus. J Psychosom Res 2002;53:943‑9.
9. Pinto AC. Sexuality and breast cancer: Prime time for young
patients. J Thorac Dis 2013;5 Suppl 1:S81‑6.
10. Rodin G, Olmsted MP, Rydall AC, Maharaj SI, Colton PA,
Jones JM, et al. Eating disorders in young women with type 1
diabetes mellitus. J Psychosom Res 2002;53:943‑9.
11. Carter J, Huang H, Chase DM, Walker JL, Cella D, Wenzel L.
Sexual function of patients with endometrial cancer enrolled
in the Gynecologic Oncology Group LAP2 Study. Int J Gynecol
Cancer 2012;22:1624‑33.
12. Brotto LA, Heiman JR, Goff B, Lentz GM, Swisher E. “A
psychoeducational intervention for sexual dysfunction in
women with gynecologic cancer.” Archives of Sexual Behavior
2008;37(2):317‑29.
13. Bergmark K, Avall‑Lundqvist E, Dickman PW, Henningsohn L,
Steineck G. Patient‑rating of distressful symptoms after
treatment for early cervical cancer. Acta Obstet Gynecol Scand
2002;81:443‑50.
14. Gershenson DM, Miller AM, Champion VL, Monahan PO,
Zhao Q, Cella D, et al. Reproductive and sexual function after
platinum‑based chemotherapy in long‑term ovarian germ cell
tumor survivors: A Gynecologic Oncology Group Study. J Clin
Oncol 2007;25:2792‑7.
15. Hawkins Y, Ussher J, Gilbert E, Perz J, Sandoval M, Sundquist K.
Changes in sexuality and intimacy after the diagnosis and treatment
of cancer: The experience of partners in a sexual relationship with
a person with cancer. Cancer Nurs 2009;32:271‑80.
16. Anllo LM. Sexual life after breast cancer. J Sex Marital Ther
2000;26:241‑8.
17. Bakewell RT, Volker DL. Sexual dysfunction related to the
treatment of young women with breast cancer. Clin J Oncol Nurs
2005;9:697‑702.
18. Meradith D, Noonan AC, Sharby N, Ventura SH. Psychosocial
Aspects of Heath Care. 2nd ed. Ventura: Pearson Prentice; 2007.
19. TuinmanMA, FleerJ, SleijferDT, HoekstraHJ, Hoekstra‑WeebersJE.
Marital and sexual satisfaction in testicular cancer survivors and
their spouses. Support Care Cancer 2005;13:540‑8.
20. Hinnen C, Hagedoorn M, Ranchor AV, Sanderman R.
Relationship satisfaction in women: A longitudinal case‑control
study about the role of breast cancer, personal assertiveness,
and partners’ relationship‑focused coping. Br J Health Psychol
2008;13(Pt 4):737‑54.
21. MazinaniR, Akbari Mehr M, Kaskian A, Kashanian M. Evaluation
of prevalence of sexual dysfunctions and its related factors in
women. Razi J Med Sci 2013;19:59‑66.
22. Sarhadi M, Navidian A, Fasihi Harandy T, Ansari Moghadam AR.
Comparing quality of marital relationship of spouses of patients
with and without a history of myocardial infarction. J Health
Promot Manage 2012;2:39‑48.
23. Beigi M, Fahami F, Hassanzahraei R, Arman S. Associativefactors to sexual dysfunction in menopause women. Iran J Nurs
Midwifery Res 2007;13:32‑5.
24. Jensen PT, Klee MC, Thranov I, Groenvold M. Validation of
a questionnaire for self‑assessment of sexual function and
vaginal changes after gynaecological cancer. Psychooncology
2004;13:577‑92.
25. Mohamadirizi S, Fahami F, Savabi M, Shirani N. Relationship
between sexual dysfunction and treatment modality in patients
With Gynecologic And Breast Cancers. Iranian Journal of
Obstetrics, Gyneocology and Infertility 2014;17:15‑22.
26. Speer JJ, Hillenberg B, Sugrue DP, Blacker C, Kresge CL,
Decker VB, et al. Study of sexual functioning determinants in
breast cancer survivors. Breast J 2005;11:440‑7.
27. Alder J, Zanetti R, Wight E, Urech C, Fink N, Bitzer J. Sexual
dysfunction after premenopausal stage I and II breast cancer: Do
androgens play a role? J Sex Med 2008;5:1898‑906.
28. Lemack GE, Zimmern PE. Sexual function after vaginal surgery
for stress incontinence: Results of a mailed questionnaire. Urology
2000;56:223‑7.
29. Sarhadi M, Navidian A, Fasihi Harandy T, Ansari Moghadam AR.
Comparing quality of marital relationship of spouses of patients
with and without a history of myocardial infarction. J Health
Promot Manage 2013;2:40‑9.
30. Mehrabi T, Moeini M, Bakhtiyari S, Qaleriz P. Marital satisfaction
in patients with and without myocardial infarction. Iran J Nurs
Midwifery Res 2008;1:6‑9.