Jessica R Gorman, Soyoung Choun, Karen S Lyons, Chiara Acquati, S Marie Harvey, John M Salsman, Lisa Flexner, Geethika Koneru, Brandon Hayes-Lattin, Jennifer B Reese
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引用次数: 0
Abstract
Background: Young adult (YA) breast and gynecologic cancer (BGC) survivors commonly experience sexual and reproductive health (SRH) distress after cancer, with far-reaching consequences for relational functioning, health outcomes, and quality of life. Despite this burden, the dyadic experience and relational patterns of SRH distress in this population have not been well characterized.
Aims: The objectives of this study were to characterize dyadic profiles of SRH distress and to examine the association with other individual and interpersonal characteristics.
Methods: This study employed dyadic Latent Profile Analysis (LPA) in STATA/SE to identify distinct SRH distress profiles across 79 survivor-partner couples, with measures of reproductive and sexual distress as LPA indicators. Following profile identification, we used ANOVA and chi-square tests to examine how these dyadic profiles differed across characteristics.
Results: Three dyadic profiles emerged: low-distress (30.4%), moderate-distress (43.0%), and high-distress (26.6%). Low-distress couples had significantly higher levels of dyadic coping, constructive communication, and open discussion of SRH concerns along with the highest rates of sexual activity. In contrast, high-distress couples demonstrated poorer coping and communication and significantly lower sexual activity. Moderate-distress dyads fell between these extremes. Comparisons across these profiles showed no significant differences in demographic or cancer characteristics.
Conclusions: Findings underscore the central role of relationship processes, including dyadic coping and communication, and their potential as modifiable intervention targets for YA BGC survivor couples experiencing SRH distress. Identifying distinct couples' profiles of SRH distress may facilitate more precise identification of high-need dyads and guide the development of tailored interventions.
期刊介绍：
Psycho-Oncology is concerned with the psychological, social, behavioral, and ethical aspects of cancer. This subspeciality addresses the two major psychological dimensions of cancer: the psychological responses of patients to cancer at all stages of the disease, and that of their families and caretakers; and the psychological, behavioral and social factors that may influence the disease process. Psycho-oncology is an area of multi-disciplinary interest and has boundaries with the major specialities in oncology: the clinical disciplines (surgery, medicine, pediatrics, radiotherapy), epidemiology, immunology, endocrinology, biology, pathology, bioethics, palliative care, rehabilitation medicine, clinical trials research and decision making, as well as psychiatry and psychology.
This international journal is published twelve times a year and will consider contributions to research of clinical and theoretical interest. Topics covered are wide-ranging and relate to the psychosocial aspects of cancer and AIDS-related tumors, including: epidemiology, quality of life, palliative and supportive care, psychiatry, psychology, sociology, social work, nursing and educational issues.
Special reviews are offered from time to time. There is a section reviewing recently published books. A society news section is available for the dissemination of information relating to meetings, conferences and other society-related topics. Summary proceedings of important national and international symposia falling within the aims of the journal are presented.
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