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      Stress, Social Support, and Sexual Adjustment in Married Female Patients with Breast Cancer in Korea

      research-article
      , RN, ANP, PhD 1 , 2
      Asia-Pacific Journal of Oncology Nursing
      Wolters Kluwer - Medknow
      Breast cancer, sexual adjustment, social support, stress

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          Abstract

          Objective:

          This study identified the level of stress, social support, and sexual adjustment in married women with breast cancer in Korea.

          Methods:

          This study used a subgroup analysis, prospective, cross-sectional, and descriptive correlation design. Data were obtained using the perceived stress scale, multidimensional scale of perceived social support, and sexual adjustment subscale of the Korean version of the psychosocial adjustment to illness scale. From May 2015 to April 2016, 272 married female patients who had been diagnosed with breast cancer were recruited at a university hospital in Korea. Data were analyzed using SPSS Win 21.0.

          Results:

          The mean score of stress level was 17.53 ± 4.13, social support was 5.37 ± 1.07, and sexual adjustment was 6.36 ± 3.29. A significant positive correlation emerged between sexual adjustment and stress ( r = 0.161, P = 0.008). Significant negative correlations were observed among sexual adjustment and family support ( r = –0.177, P = 0.003) and friends' support ( r = –0.205, P = 0.001).

          Conclusions:

          The assessment of stress level and social support may be used in planning sexual-adjustment interventions appropriate for married female breast cancer patients in Korea.

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          Most cited references42

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          Sexuality: measures of partnerships, practices, attitudes, and problems in the National Social Life, Health, and Aging Study.

          The National Social Life, Health, and Aging Project (NSHAP) was designed to examine the relationship between sexual behavior, sexual problems, and health among older women and men. We describe measures of sexual partnerships, sexual practices, sexual problems, attitudes toward sex, and nonsexual intimacy in the first wave of NSHAP. We compare measures of sexuality for those 57-85 years old, by age, separately for men and women. We construct scales of sexual mores, sexual interest, and relationship satisfaction and discuss properties of each scale. Sexuality among older adults tends to vary with age and gender. At all ages in this study, men are more likely than women to have a partner, more likely to be sexually active with that partner, and tend to have more positive and permissive attitudes toward sex. The proportions in a sexual partnership, behavior, problems, and attitudes all differ substantially by age. And these age patterns often differ for men and women. Data obtained in the NSHAP can be used to construct key measures of sexuality among older adults; to examine sexuality itself; and to explore the link between sexuality, health, well-being, and other dimensions of the lives of older adults.
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            Physical women, emotional men: gender and sexual satisfaction in midlife.

            In late midlife, heterosexual women report markedly lower levels of sexual satisfaction than heterosexual men. This article explored the social factors contributing to this difference, using data from 1,035 sexually-active heterosexual adults, aged 40-59 years, who participated in the National Health and Social Life Survey (NHSLS). Conducted in 1992, NHSLS interviewed a nationally representative random sample of U.S. adults about diverse aspects of sexual life (Laumann et al., 1994, The social organization of sexuality: Sexual practices in the United States. Chicago: University of Chicago Press). Contrary to gender stereotypes, women's emotional satisfaction was closely associated with bodily sexual practices, whereas men's physical pleasure was linked to relational factors. Lower levels of sexual satisfaction at older ages appeared to stem from differences between the Baby Boom and older generations rather than from aging per se.
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              • Article: not found

              Talking about sex after cancer: a discourse analytic study of health care professional accounts of sexual communication with patients.

              There is consistent evidence that health care professionals (hcps) are not addressing the sexual information and support needs of people with cancer. Thirty-eight Australian hcps across a range of professions working in cancer care were interviewed, to examine constructions of sexuality post-cancer, the subject positions adopted in relation to sexual communication, and the ways in which discourses and subject positions shape information provision and communication about sexuality. Participants constructed sexual changes post-cancer in physical, psychological and relational terms, and positioned such changes as having the potential to significantly impact on patient and partner well-being. This was associated with widespread adoption of a discourse of psychosocial support, which legitimated discussion of sexual changes within a clinical consultation, to alleviate distress, dispel myths and facilitate renegotiation of sexual practices. However, this did not necessarily translate into patient-centred practice outcomes, with the majority of participants positioning personal, patient-centred and situational factors as barriers to the discussion of sex within many clinical consultations. This included: absence of knowledge, confidence and comfort; positioning sex as irrelevant or inappropriate for some people; and limitations of the clinical context. In contrast, those who did routinely discuss sexuality adopted a subject position of agency, responsibility and confidence.
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                Author and article information

                Journal
                Asia Pac J Oncol Nurs
                Asia Pac J Oncol Nurs
                APJON
                Asia-Pacific Journal of Oncology Nursing
                Wolters Kluwer - Medknow (India )
                2347-5625
                2349-6673
                Jan-Mar 2020
                04 October 2019
                : 7
                : 1
                : 28-35
                Affiliations
                [1 ]Department of Nursing, Dongeui University, Busan, Korea
                [2 ]Hallym University Sacred Heart Hospital, Gyeonggi-do, Korea
                Author notes
                Corresponding author: Jiyoung Kim, Department of Nursing, Dongeui University, Busan, Korea Tel: 82-51-890-1562; Fax: 82-505-182-6876 E-mail: jy1223kim@ 123456deu.ac.kr
                Article
                APJON-7-28
                10.4103/apjon.apjon_31_19
                6927156
                31879681
                35b1e1a5-97de-4261-a10b-56b32b230c35
                Copyright: © 2019 Ann & Joshua Medical Publishing Co. Ltd

                This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms.

                History
                : 20 March 2019
                : 13 June 2019
                Categories
                Original Article

                breast cancer,sexual adjustment,social support,stress
                breast cancer, sexual adjustment, social support, stress

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