Escola de Psicologia, Universidade do Minho, 4710-057, Braga, Portugal.
Instituto Português de Oncologia de Lisboa, R. Prof. Lima Basto, 1099-023, Lisbon, Portugal.
Support Care Cancer. 2020 Dec;28(12):5813-5819. doi: 10.1007/s00520-020-05423-y. Epub 2020 Apr 1.
The majority of cervical cancer survivors face persisting sexual debilitating problems over time. The impairment in sexual function and satisfaction are not limited to physical dimensions. The goals of this study were to assess if marital adjustment and body image mediated the relationship between attachment style, sexual functioning, and sexual satisfaction.
This study used a cross-sectional design. The sample included 113 sexually active women that completed the EORTC QLQ C30 and EORTC QLQ CX24, the Index of Sexual Satisfaction, the Experiences in Close Relationships Scale, and the Revised Dyadic Adjustment Scale.
Using structural equation modeling to describe the relationship between variables, an excellent fitted model was found: X = 6.309 (p = 0.277); X/df = 1262; GFI = 0.982; CFI = 0.986; SRMR = 0.0475; RMSEA = 0.048; P (RMSEA< 0.05) = 0.429. Sexual/vaginal functioning and avoidance had a direct effect on sexual satisfaction. Marital adjustment was a partial mediator in the relation between avoidance and sexual satisfaction. Avoidance and anxious attachment had an indirect effect on sexual satisfaction mediated by marital adjustment. Body image was a partial mediator in the relationship between marital adjustment and sexual satisfaction.
The results showed that vaginal/sexual functioning, attachment style, marital adjustment, and body image were important predictors of sexual satisfaction. Psychoeducational programs to help patients deal with the impairment of sexual/vaginal functioning, as well as emotional support programs for couples to strengthen their marital relationship, need to be implemented, i.e., the couple's intimacy and women's body image, that have a clear impact on sexual satisfaction.
大多数宫颈癌幸存者随着时间的推移会持续面临性方面的功能障碍问题。性功能和性满意度的损害不仅限于身体方面。本研究的目的是评估婚姻调整和身体意象是否在依恋风格、性功能和性满意度之间的关系中起中介作用。
本研究采用横断面设计。样本包括 113 名有性行为的女性，她们完成了 EORTC QLQ C30 和 EORTC QLQ CX24、性满意度指数、亲密关系体验量表和修订后的对偶调整量表。
使用结构方程模型来描述变量之间的关系，发现了一个非常拟合的模型：X=6.309（p=0.277）；X/df=1262；GFI=0.982；CFI=0.986；SRMR=0.0475；RMSEA=0.048；P（RMSEA<0.05）=0.429。性/阴道功能和回避对性满意度有直接影响。婚姻调整是回避和性满意度之间关系的部分中介。回避和焦虑依恋通过婚姻调整对性满意度有间接影响。身体意象是婚姻调整与性满意度之间关系的部分中介。
研究结果表明，阴道/性功能、依恋风格、婚姻调整和身体意象是性满意度的重要预测因素。需要实施帮助患者应对性功能障碍的心理教育计划，以及为夫妻提供情感支持以加强婚姻关系的计划，即夫妻的亲密关系和女性的身体意象，这对性满意度有明显影响。
