Document Detail


Sexual self schema as a moderator of sexual and psychological outcomes for gynecologic cancer survivors.
MedLine Citation:
PMID:  18418707     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Gynecologic cancer patients are at high risk for emotional distress and sexual dysfunction. The present study tested sexual self schema as an individual difference variable that might be useful in identifying those at risk for unfavorable outcomes. First, we tested schema as a predictor of sexual outcomes, including body change stress. Second, we examined schema as a contributor to broader quality of life outcomes, specifically as a moderator of the relationship between sexual satisfaction and psychological statue (depressive symptoms and quality of life). A cross-sectional design was used. Gynecologic cancer survivors (N = 175) 2-10 years post treatment were assessed during routine follow up. In regression analyses controlling for sociodemographic variables, patients' physical symptoms/signs as evaluated by nurses, health status, and extent of partner sexual difficulties, sexual self schema accounted for significant variance in the prediction of current sexual behavior, responsiveness, and satisfaction. Moreover, schema moderated the relationship between sexual satisfaction and psychological outcomes, suggesting that a positive sexual self schema might "buffer" patients from depressive symptoms when their sexual satisfaction is low. Furthermore, the combination of a negative sexual self schema and low sexual satisfaction might heighten survivors' risk for psychological distress, including depressive symptomatology. These data support the consideration of sexual self schema as a predictor of sexual morbidity among gynecologic cancer survivors.
Authors:
Kristen M Carpenter; Barbara L Andersen; Jeffrey M Fowler; G Larry Maxwell
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Publication Detail:
Type:  Journal Article; Research Support, N.I.H., Extramural; Research Support, Non-U.S. Gov't; Research Support, U.S. Gov't, Non-P.H.S.     Date:  2008-04-17
Journal Detail:
Title:  Archives of sexual behavior     Volume:  38     ISSN:  1573-2800     ISO Abbreviation:  Arch Sex Behav     Publication Date:  2009 Oct 
Date Detail:
Created Date:  2009-09-16     Completed Date:  2009-12-07     Revised Date:  2013-06-05    
Medline Journal Info:
Nlm Unique ID:  1273516     Medline TA:  Arch Sex Behav     Country:  United States    
Other Details:
Languages:  eng     Pagination:  828-41     Citation Subset:  IM    
Affiliation:
Division of Cancer Prevention and Control Research, University of California, Los Angeles, 650 Charles Young Drive South, A2-125, Box 956900, Los Angeles, CA 90095-6900, USA. kcarpenter@ucla.edu
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Aged, 80 and over
Cross-Sectional Studies
Depression / psychology
Female
Follow-Up Studies
Genital Neoplasms, Female / psychology*,  therapy
Humans
Middle Aged
Quality of Life / psychology
Self Concept*
Sexual Behavior / psychology*
Stress, Psychological
Survivors / psychology*
Treatment Outcome
Young Adult
Grant Support
ID/Acronym/Agency:
K05 CA098133/CA/NCI NIH HHS; K05 CA098133-04/CA/NCI NIH HHS; K05 CA098133-05/CA/NCI NIH HHS; R01 CA092704-08/CA/NCI NIH HHS; R01CA92704/CA/NCI NIH HHS
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