Henkelman Megan S, Toivonen Kirsti I, Tay Jason, Beattie Sara, Walker Lauren M
Department of Psychology, University of Calgary, Calgary, AB, Canada.
Department of Psychology, Queens University, Kingston, Canada.
Support Care Cancer. 2025 Jan 9;33(2):85. doi: 10.1007/s00520-024-09038-5.
Existing studies documenting cancer-related sexual concerns among hematological cancer patients tend to group all types of hematological cancer together, overlooking potentially unique concerns associated with multiple myeloma (MM). This study is the first to characterize sexuality in MM and to examine predictors of sexual satisfaction for MM, comparatively with participants with other hematological cancer types.
We conducted a cross-sectional self-report survey-based study. Adult participants were eligible to participate, provided they were sexually active (alone or with a partner) and had a diagnosis of hematological cancer.
Men and women with MM (N = 44) and other hematological cancers (N = 37) participated. MM survivors exhibited poor sexual function but low sexual distress and endorsed mid-high scores on measures of sexual flexibility, sexual communication, and sexual satisfaction. No group differences were observed on sexuality variables. Results indicate that for MM and other hematological cancer survivors, lower sexual distress (b = -.72, p < .001) and higher sexual communication (b = .45, p < .001) were associated with higher sexual satisfaction, while sexual flexibility and sexual function were not significantly associated with sexual satisfaction.
Despite experiencing poor sexual function, many MM patients have low levels of sexual distress. Similar interventions to improve distress and communication may be appropriate for both groups of patients and may be valuable for efforts to improve sexual satisfaction.
现有记录血液系统癌症患者癌症相关性性问题的研究往往将所有类型的血液系统癌症归为一类，忽视了与多发性骨髓瘤（MM）相关的潜在独特问题。本研究首次对MM患者的性行为特征进行描述，并与其他血液系统癌症类型的参与者进行比较，以研究MM患者性满意度的预测因素。
我们开展了一项基于横断面自我报告调查的研究。成年参与者若有性活动（独自或与伴侣）且被诊断患有血液系统癌症，则有资格参与。
MM患者（N = 44）和其他血液系统癌症患者（N = 37）参与了研究。MM幸存者性功能较差，但性困扰程度较低，在性灵活性、性沟通和性满意度测量中得分中等偏高。在性相关变量上未观察到组间差异。结果表明，对于MM患者和其他血液系统癌症幸存者，较低的性困扰（b = -0.72，p < 0.001）和较高的性沟通（b = 0.45，p < 0.001）与较高的性满意度相关，而性灵活性和性功能与性满意度无显著关联。
尽管性功能较差，但许多MM患者的性困扰程度较低。针对两组患者，采取类似的干预措施来改善困扰和沟通可能是合适的，这对于提高性满意度的努力可能具有重要价值。
