The prevalence and risk factors of sexual dysfunction in gynaecological cancer patients.

Sexual dysfunction is highly prevalent in gynaecological cancer patients. Most of the time, sexual dysfunction in gynaecological cancer is underdiagnosed as there is overlapping of symptoms with other psychological morbidities, interplaying of multiple risks, patients’ reluctance to complain or inco...

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Main Authors: Tee, BC, Ahmad Rasidi MS, Mohd Rushdan MN, Ismail A, Sidi H
Format: Article
Language:English
Published: Penerbit UKM 2014
Online Access:http://journalarticle.ukm.my/8109/
http://journalarticle.ukm.my/8109/1/06-MS183-_Proof_%2853-61%29.pdf
_version_ 1848811699083149312
author Tee, BC
Ahmad Rasidi MS,
Mohd Rushdan MN,
Ismail A,
Sidi H,
author_facet Tee, BC
Ahmad Rasidi MS,
Mohd Rushdan MN,
Ismail A,
Sidi H,
author_sort Tee, BC
building UKM Institutional Repository
collection Online Access
description Sexual dysfunction is highly prevalent in gynaecological cancer patients. Most of the time, sexual dysfunction in gynaecological cancer is underdiagnosed as there is overlapping of symptoms with other psychological morbidities, interplaying of multiple risks, patients’ reluctance to complain or incompetence of health care provider to assess. Determining the risk factors of sexual dysfunction in cancer patients enables us to pay more attention to those who are vulnerable and to device strategies for early detection, prevention and treatment of sexual dysfunction in them. The main aim of the study was to determine the prevalence of sexual dysfunction and its risk factors in gynaecological cancer patients in Hospital Sultanah Bahiyah, Alor Star, Malaysia. Sexual function of eighty-three gynaecological cancer patients who were married were assessed with self-rated MVFSFI (Malay version Female Sexual Function Index). Self-rated WHOQOL-BREF (World Health Organization- Quality of Life- 26) which assessed the domains of quality of life was used while MINI (Mini International Neuropsychiatry Interview) was used for diagnosis of major depressive disorder. The prevalence of sexual dysfunction among the married gynaecological cancer patients was 65% (54/83). Sexual dysfunction was significantly associated with low education level (OR 3.055, CI 1.009-9.250), shorter duration of cancer (OR 0.966, CI 0.966- 0.998), ongoing chemotherapy (OR 3.045, CI 1.149-8.067), pain perception (OR 3.230, CI 1.257-8.303), absence of sexual intercourse for more than one month (OR 1.862) and three domains of quality of life such as physical health, psychological health and social relationship (OR 0.942, CI 0.908-0.978; OR 0.955, CI 0.916-0.995; OR 0.933, CI 0.894-0.973, respectively). However, sexual dysfunction was not associated with major depressive disorder (χ2² = 1.224, p = 0.268). The prevalence of sexual dysfunction in gynaecological cancer patients was comparable to other studies of similar population. Since, the risk factors of sexual dysfunction in gynaecological cancer patients are multidimensional, the process of assessment and management need to be holistic and patient-oriented.
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spelling oai:generic.eprints.org:81092016-12-14T06:46:14Z http://journalarticle.ukm.my/8109/ The prevalence and risk factors of sexual dysfunction in gynaecological cancer patients. Tee, BC Ahmad Rasidi MS, Mohd Rushdan MN, Ismail A, Sidi H, Sexual dysfunction is highly prevalent in gynaecological cancer patients. Most of the time, sexual dysfunction in gynaecological cancer is underdiagnosed as there is overlapping of symptoms with other psychological morbidities, interplaying of multiple risks, patients’ reluctance to complain or incompetence of health care provider to assess. Determining the risk factors of sexual dysfunction in cancer patients enables us to pay more attention to those who are vulnerable and to device strategies for early detection, prevention and treatment of sexual dysfunction in them. The main aim of the study was to determine the prevalence of sexual dysfunction and its risk factors in gynaecological cancer patients in Hospital Sultanah Bahiyah, Alor Star, Malaysia. Sexual function of eighty-three gynaecological cancer patients who were married were assessed with self-rated MVFSFI (Malay version Female Sexual Function Index). Self-rated WHOQOL-BREF (World Health Organization- Quality of Life- 26) which assessed the domains of quality of life was used while MINI (Mini International Neuropsychiatry Interview) was used for diagnosis of major depressive disorder. The prevalence of sexual dysfunction among the married gynaecological cancer patients was 65% (54/83). Sexual dysfunction was significantly associated with low education level (OR 3.055, CI 1.009-9.250), shorter duration of cancer (OR 0.966, CI 0.966- 0.998), ongoing chemotherapy (OR 3.045, CI 1.149-8.067), pain perception (OR 3.230, CI 1.257-8.303), absence of sexual intercourse for more than one month (OR 1.862) and three domains of quality of life such as physical health, psychological health and social relationship (OR 0.942, CI 0.908-0.978; OR 0.955, CI 0.916-0.995; OR 0.933, CI 0.894-0.973, respectively). However, sexual dysfunction was not associated with major depressive disorder (χ2² = 1.224, p = 0.268). The prevalence of sexual dysfunction in gynaecological cancer patients was comparable to other studies of similar population. Since, the risk factors of sexual dysfunction in gynaecological cancer patients are multidimensional, the process of assessment and management need to be holistic and patient-oriented. Penerbit UKM 2014-01-01 Article PeerReviewed application/pdf en http://journalarticle.ukm.my/8109/1/06-MS183-_Proof_%2853-61%29.pdf Tee, BC and Ahmad Rasidi MS, and Mohd Rushdan MN, and Ismail A, and Sidi H, (2014) The prevalence and risk factors of sexual dysfunction in gynaecological cancer patients. Medicine & Health, 9 (1). pp. 53-61. ISSN 1823-2140 http://www.ppukm.ukm.my/ukmmcjournal/index.php
spellingShingle Tee, BC
Ahmad Rasidi MS,
Mohd Rushdan MN,
Ismail A,
Sidi H,
The prevalence and risk factors of sexual dysfunction in gynaecological cancer patients.
title The prevalence and risk factors of sexual dysfunction in gynaecological cancer patients.
title_full The prevalence and risk factors of sexual dysfunction in gynaecological cancer patients.
title_fullStr The prevalence and risk factors of sexual dysfunction in gynaecological cancer patients.
title_full_unstemmed The prevalence and risk factors of sexual dysfunction in gynaecological cancer patients.
title_short The prevalence and risk factors of sexual dysfunction in gynaecological cancer patients.
title_sort prevalence and risk factors of sexual dysfunction in gynaecological cancer patients.
url http://journalarticle.ukm.my/8109/
http://journalarticle.ukm.my/8109/
http://journalarticle.ukm.my/8109/1/06-MS183-_Proof_%2853-61%29.pdf