Geue Kristina, Schmidt Ricarda, Sender Annekathrin, Sauter Siegfried, Friedrich Michael
University of Leipzig, Department of Medical Psychology and Medical Sociology, Philipp-Rosenthal-Str. 55, 04103, Leipzig, Germany.
Leipzig University Medical Center, Integrated Research and Treatment Center Adiposity Diseases, Medical Psychology and Medical Sociology, Philipp-Rosenthal-Str. 27, 04103, Leipzig, Germany.
Psychooncology. 2015 Nov;24(11):1368-76. doi: 10.1002/pon.3805. Epub 2015 Mar 31.
In recent years, psycho-oncology has focused more and more on adolescents and young adults with cancer (AYA). Many studies have concentrated on fertility issues in AYAs, but romantic relationships and sexuality have only been researched to a limited extent. This cross-sectional study examined AYAs' quality of relationships and sexuality satisfaction thereby identifying sex differences.
Ninety-nine cancer patients (N = 33 males) diagnosed between 15 and 39 years who were in a romantic relationship at the time of the survey completed questionnaires on their relationship (Partnership Questionnaire), sexuality (Life Satisfaction Questionnaire), and sexuality needs (Supportive Care Needs Survey). Test for mean differences and regression analyses to determine associated variables were performed.
Seventy-six percent of AYAs (N = 75) rated their relationship quality as high. About 64% of patients reported having less sexual intercourse since diagnosis, more women than men (72% vs. 45%; p = .011). The need for support was strongest for changes in sexual feelings (N = 38; 38.3%). Duration of relationship (β = -0.224), being on sick leave (β = 0.325), and satisfaction with sexuality (β = 0.409) were associated with satisfaction with relationship (R(2) = 0.256). Satisfaction with sexuality (R(2) = 0.344) was regressed on physical function (β = 0.419), satisfaction with relationship (β = 0.428), and male gender (β = -0.175). Sexuality need (R(2) = 0.436) was associated with fatigue (β = 0.232) and satisfaction with sexuality (β = -0.522).
Although they reported high satisfaction with their relationships, AYA patients experienced sexual problems and need support with sexual issues. As a substantial proportion of patients felt stressed because of sexual changes, communication and interventions addressing post-cancer sexuality, particularly in women, are indicated.
近年来，心理肿瘤学越来越关注患有癌症的青少年和年轻成年人（AYA）。许多研究都集中在AYA的生育问题上，但浪漫关系和性取向仅在有限的程度上得到研究。这项横断面研究调查了AYA的关系质量和性满意度，从而确定性别差异。
99名年龄在15至39岁之间被诊断患有癌症的患者（N = 33名男性）在调查时处于恋爱关系中，他们完成了关于恋爱关系（伴侣关系问卷）、性取向（生活满意度问卷）和性需求（支持性护理需求调查）的问卷。进行均值差异检验和回归分析以确定相关变量。
76%的AYA（N = 75）将他们的恋爱关系质量评为高。约64%的患者报告自确诊以来性交次数减少，女性比男性更多（72%对45%；p = 0.011）。对性感受变化的支持需求最为强烈（N = 38；38.3%）。恋爱关系持续时间（β = -0.224）、病假（β = 0.325）和性满意度（β = 0.409）与恋爱关系满意度相关（R(2) = 0.256）。性满意度（R(2) = 0.344）基于身体功能（β = 0.419）、恋爱关系满意度（β = 0.428）和男性性别（β = -0.175）进行回归分析。性需求（R(2) = 0.436）与疲劳（β = 0.232）和性满意度（β = -0.522）相关。
尽管AYA患者报告对恋爱关系高度满意，但他们仍经历性问题，并且在性问题上需要支持。由于相当一部分患者因性变化而感到压力，因此需要进行沟通并开展针对癌症后性取向问题的干预措施，尤其是针对女性。
