Potential risk factors for post-treatment body image problems are not well understood and implications for sexual recovery have received cursory attention, particularly in a female-only sample. However, limited attention has focused on ARCa survivors specifically. Common difficulties include incontinence accidents, worrying about leakage, feeling less attractive, embarrassment and interference during sexual activity, and limitations in social and physical activities. The final sample included 70 ARCa survivors. Higher scores indicate better sexual function in all FSFI domains and the total score ranges from 2 to The body image subscale asks participants to rate if they have been feeling physically less attractive, less feminine, and dissatisfied with their bodies as a result of cancer 3 items. The global health status subscale and diarrhea and constipation single items were used. Ninety-four women completed an informed consent; however, 24 were deemed ineligible or dropped out prior to completing the baseline assessment. Body image problems are distressing and may further exacerbate sexual difficulties, particularly for women.
Inclusion criteria also required participants to be at least 21 years old, proficient in English, and with no significant cognitive or psychiatric disturbance. Conclusion These preliminary findings suggest the importance of assessing body image as a potentially modifiable target to address sexual difficulties in this understudied group. We previously reported that body image was the strongest correlate of sexual function based on bivariate analysis of clinical and psychosocial characteristics of women enrolled in a sexual health intervention study. This study used data from the baseline assessment pre-intervention. Common difficulties include incontinence accidents, worrying about leakage, feeling less attractive, embarrassment and interference during sexual activity, and limitations in social and physical activities. The final sample included 70 ARCa survivors. As persistent sexual side effects may be distressing for survivors, even if general quality of life QOL is preserved,[ 4 , 20 ] it is worthwhile to examine modifiable risk factors that lead to or exacerbate sexual difficulties. Analyses used the QLQ-CR38 body image and five symptom subscales micturition problems, gastrointestinal tract symptoms, chemotherapy side effects, problems with defecation, and stoma-related problems. Regression models examined the extent to which body image related to different domains of sexual function, controlling for age and global health status chosen a priori based on findings from Milbury et al. Potential risk factors for post-treatment body image problems are not well understood and implications for sexual recovery have received cursory attention, particularly in a female-only sample. Higher scores indicate better sexual function in all FSFI domains and the total score ranges from 2 to Abstract Objective Treatment for anal and rectal cancer ARCa often results in side effects that directly impact sexual functioning; however, ARCa survivors are an understudied group and factors contributing to the sexual sequelae are not well understood. This addresses a significant gap in the literature as ARCa is an understudied disease group. Although effective sexual health interventions exist, accrual and compliance rates are notoriously low [ 21 ] and both survivors and couples often have difficulty navigating sexual rehabilitation on their own. Treatments for ARCa result in different sequelae of symptoms from other cancers that affect sexual functioning e. We hypothesized that women would report body image problems, particularly if they experienced worse treatment side effects and among stoma patients. Items refer to the past four weeks and responses are on 5- or 6-point Likert scales. Higher scores represent better outcomes with respect to body image and global health status, but indicate greater symptomatology worse outcomes for the symptom subscales and diarrhea and constipation items. Measures Socio-Demographic and Medical Information Socio-demographic information was collected using standard questionnaires. Body image problems are distressing and may further exacerbate sexual difficulties, particularly for women. Further longitudinal research is needed to inform the development and implementation of effective interventions to improve the sexual health and well-being of female ARCa survivors. The global health status subscale and diarrhea and constipation single items were used. See other articles in PMC that cite the published article. However, limited attention has focused on ARCa survivors specifically. Age, global heath status, and body image were entered as predictors and sexual function domains were specified as outcomes. Ninety-four women completed an informed consent; however, 24 were deemed ineligible or dropped out prior to completing the baseline assessment.
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