Rajkumar Divya, Veeraiah Surendran, Sudhakar Revathy, Ganeshrajah Selvaluxmy
Department of Psycho-oncology, Cancer Institute (WIA), Chennai, India.
Department of Radiation Oncology, Cancer Institute (WIA), Chennai, India.
Psychooncology. 2022 Oct;31(10):1745-1752. doi: 10.1002/pon.6021. Epub 2022 Aug 25.
Cervical cancer is the second most common cancer among women in India. Medical advancements have led to increased survival. However, sexuality and sexual concerns remain as major worries of patients after treatment. This study aims to understand the psychosexual experiences of cervical cancer survivors.
Cervical cancer survivors (n = 30) aged 35-55 years were interviewed using a semi-structured interview schedule, after obtaining consent. The audio-recorded in-depth interviews were transcribed and analysed using thematic analysis.
Three major themes in each group namely sexually active and sexually inactive evolved on analysis. Three themes were derived under sexually active group namely (i) Enablers of active sexual functioning (ii) Impediments of active sexual functioning (iii) Sexual health communication. The three themes under sexually inactive include (i) Attributes of sexual abstinence (ii) Impact of sexual abstinence (iii) Barriers of sexual health communication.
Both sexually active and inactive survivors in India experience various psychosexual concerns post cancer treatment indicating a strong need for psychosocial care and focused clinical interventions.
宫颈癌是印度女性中第二常见的癌症。医学进步使生存率提高。然而，性和性方面的担忧仍是患者治疗后主要的困扰。本研究旨在了解宫颈癌幸存者的性心理体验。
在获得同意后，使用半结构化访谈提纲对30名年龄在35至55岁之间的宫颈癌幸存者进行访谈。对录音的深度访谈进行转录，并采用主题分析法进行分析。
分析得出每组中有三个主要主题，即性活跃和性不活跃。性活跃组有三个主题，分别是（i）性活跃功能的促进因素（ii）性活跃功能的阻碍因素（iii）性健康沟通。性不活跃组的三个主题包括（i）性禁欲的特征（ii）性禁欲的影响（iii）性健康沟通的障碍。
在印度，性活跃和性不活跃的幸存者在癌症治疗后都经历了各种性心理问题，这表明对心理社会护理和针对性临床干预有强烈需求。
