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Arends SAM, van Rossum CE, Eeltink CM, Robertus JE, Schoonmade LJ, Francke AL, Jongerden IP. Feasibility and effectiveness of communication tools for addressing intimacy and sexuality in patients with cancer: a systematic review. Support Care Cancer 2024; 32:109. [PMID: 38231322 PMCID: PMC10794301 DOI: 10.1007/s00520-024-08308-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/12/2023] [Accepted: 01/05/2024] [Indexed: 01/18/2024]
Abstract
PURPOSE Patients diagnosed with cancer might experience changes in intimacy and sexuality due to the illness itself, treatment, or psychological and social factors. Healthcare professionals (HCPs) often feel reluctant to discuss these changes. This study aimed to provide an overview of the feasibility and effectiveness of communication tools that support communication regarding changes in intimacy or sexuality among patients with cancer. METHODS This is a systematic review. Databases are PubMed, Embase, CINAHL, PsycInfo, Web of Science and Cochrane Library from inception to June 2023. The Mixed Methods Appraisal Tool was used to assess included studies. Data were summarized in data charting forms. RESULTS In total 35 studies were included, published between 2001 and 2023. Most had a quantitative design and moderate methodological quality. In 11 studies, the PLISSIT model (Permission, Limited Information, Specific Suggestions, Intensive Therapy) was used. Tools were integrated in counselling sessions or training programmes for individual patients, couples, groups of patients, or HCPs. All tools were considered feasible by patients or HCPs. Twenty studies reported significant improvement in sexual functioning, quality of life, quality of care or combined outcomes. CONCLUSION Tools to support communication about changes in intimacy and sexuality among patients with cancer seem feasible and effective. The most commonly used tool, the PLISSIT model, proved to be feasible for HCPs and to have a positive effect on patients' and partners' sexual functioning and quality of life. Giving attention to changes in intimacy and sexuality seems to be important in itself, regardless of the communication tool or approach used.
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Affiliation(s)
- Susanne A M Arends
- Department of Public and Occupational Health, Amsterdam UMC, Vrije Universiteit Amsterdam, Van Der Boechorststraat 7, NL-1081 BT, Amsterdam, the Netherlands.
- Amsterdam Public Health Research Institute, Van Der Boechorststraat 7, NL-1081 BT, Amsterdam, the Netherlands.
- Center of Expertise in Palliative Care, VU University Medical Center, Amsterdam, the Netherlands.
| | - Carlijn E van Rossum
- Department of Public and Occupational Health, Amsterdam UMC, Vrije Universiteit Amsterdam, Van Der Boechorststraat 7, NL-1081 BT, Amsterdam, the Netherlands
| | - Corien M Eeltink
- Oncology Daycare Center, Dijklander Hospital, Hoorn, the Netherlands
| | - Jantien E Robertus
- Department of Public and Occupational Health, Amsterdam UMC, Vrije Universiteit Amsterdam, Van Der Boechorststraat 7, NL-1081 BT, Amsterdam, the Netherlands
| | | | - Anneke L Francke
- Department of Public and Occupational Health, Amsterdam UMC, Vrije Universiteit Amsterdam, Van Der Boechorststraat 7, NL-1081 BT, Amsterdam, the Netherlands
- Amsterdam Public Health Research Institute, Van Der Boechorststraat 7, NL-1081 BT, Amsterdam, the Netherlands
- Center of Expertise in Palliative Care, VU University Medical Center, Amsterdam, the Netherlands
- NIVEL. Netherlands Institute for Health Services Research, Utrecht, the Netherlands
| | - Irene P Jongerden
- Department of Public and Occupational Health, Amsterdam UMC, Vrije Universiteit Amsterdam, Van Der Boechorststraat 7, NL-1081 BT, Amsterdam, the Netherlands
- Amsterdam Public Health Research Institute, Van Der Boechorststraat 7, NL-1081 BT, Amsterdam, the Netherlands
- Center of Expertise in Palliative Care, VU University Medical Center, Amsterdam, the Netherlands
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Lara LADS, Scalco SCP, Rufino AC, Paula SRCD, Fernandes ES, Pereira JMDL, França SSD, Reis S, Almeida SBD, Vale FBC, Lerner T, Carvalho YMVD, Abdo CHN, Oliveira FFLD. Management of hypoactive sexual desire disorder in women in the gynecological setting. REVISTA BRASILEIRA DE GINECOLOGIA E OBSTETRÍCIA 2021; 43:417-424. [PMID: 34182585 PMCID: PMC10303879 DOI: 10.1055/s-0041-1731410] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022] Open
Affiliation(s)
| | | | | | | | | | | | | | - Sheila Reis
- Sociedade Brazileira de Estudos em Sexualidade Humana, Rio de Janeiro, RJ, Brazil
| | | | | | - Théo Lerner
- Faculdade de Medicina, Universidade de São Paulo, São Paulo, SP, Brazil
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Baati I, Frikha MT, Jedidi J, Mnif L, Sellami R, Damak J, Feki I, Masmoudi J. Internet et sexualité chez les étudiants en médecine. ANNALES MEDICO-PSYCHOLOGIQUES 2020. [DOI: 10.1016/j.amp.2019.10.010] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
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Baati I, Ellouze S, Jedidi J, Sellami R, Trigui D, Damak J, Feki I, Masmoudi J. Connaissances, attitudes et pratiques des étudiants en médecine en matière de sexualité. Pan Afr Med J 2020; 35:141. [PMID: 32655755 PMCID: PMC7335256 DOI: 10.11604/pamj.2020.35.141.12910] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/30/2017] [Accepted: 07/16/2017] [Indexed: 12/01/2022] Open
Abstract
La sexualité est un aspect central de la personne humaine qui, devant des problèmes sexuels, va fréquemment se tourner vers une source qu'elle considère compétente et bien informée, son médecin. Les objectifs de notre étude étaient d’évaluer les connaissances, les attitudes et les pratiques des étudiants en médecine en termes de sexualité et d’identifier les principaux déterminants du manque de connaissances basiques à ce sujet. Notre étude était descriptive et analytique, menée auprès des étudiants à la faculté de médecine de Sfax (Tunisie). Le questionnaire, rempli individuellement et de manière anonyme par chaque étudiant, recueillait les données sociodémographiques, les connaissances en matière de sexualité ainsi que leurs sources, les attitudes adoptées par les étudiants vis-à-vis de la sexualité et les pratiques sexuelles. La note totale moyenne relative aux questions de sexologie était de 11,05/20. Les facteurs corrélés à un score moyen élevé aux questions de sexologie étaient le sexe masculin (p=0,003), le statut de marié (p=0,012), le niveau socio-économique élevé (p=0,02), les livres comme source d’informations (p=0,041) et la présence de pratiques sexuelles (p<0,001). Ces pratiques étaient toutes significativement plus fréquentes chez les étudiants de sexe masculin (p<0,001). Des lacunes dans les connaissances en matière de sexualité existent chez les étudiants en médecine, du moins dans certains de ses aspects. Un programme d'enseignement complet et uniforme sur la sexualité humaine, surtout dans ses aspects physiologiques, peut sensiblement améliorer la capacité des futurs médecins à fournir des soins optimaux à leurs patients.
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Affiliation(s)
- Imen Baati
- Service de psychiatrie «A», CHU Hédi Chaker Sfax, Université de Sfax, Tunisie
| | - Sahar Ellouze
- Service de psychiatrie «A», CHU Hédi Chaker Sfax, Université de Sfax, Tunisie
| | - Jihen Jedidi
- Service de médecine communautaire et d'épidémiologie, CHU Hédi Chaker Sfax, Université de Sfax, Tunisie
| | - Rim Sellami
- Service de psychiatrie «A», CHU Hédi Chaker Sfax, Université de Sfax, Tunisie
| | - Dorsaf Trigui
- Service de psychiatrie «A», CHU Hédi Chaker Sfax, Université de Sfax, Tunisie
| | - Jamel Damak
- Service de médecine communautaire et d'épidémiologie, CHU Hédi Chaker Sfax, Université de Sfax, Tunisie
| | - Ines Feki
- Service de psychiatrie «A», CHU Hédi Chaker Sfax, Université de Sfax, Tunisie
| | - Jawaher Masmoudi
- Service de psychiatrie «A», CHU Hédi Chaker Sfax, Université de Sfax, Tunisie
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Ellouz F, Marrakchi N, Raies H, Masmoudi S, Mezlini A, M’rad M. Dysfonction sexuelle chez 100 femmes tunisiennes atteintes d’un cancer du sein. SEXOLOGIES 2019. [DOI: 10.1016/j.sexol.2017.12.004] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
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Fekih-Romdhane F, Ridha R, Cheour M. [Sexual violence against women in Tunisia]. Encephale 2018; 45:527-529. [PMID: 30301569 DOI: 10.1016/j.encep.2018.07.004] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/16/2018] [Revised: 07/02/2018] [Accepted: 07/04/2018] [Indexed: 10/28/2022]
Abstract
BACKGROUND Sexual violence exists everywhere in the world. It depends mainly on the cultural and religious norms conveyed in the various societies. This is a neglected area of research. Available data are insufficient, especially in Arab-Muslim context. METHODS In this paper, we comprehensively review the scientific literature in order to clarify the cultural, religious and legal aspects of the concept of sexual violence against women in Tunisia, and ask the question of the urgent need to put in place strategies to counter this problem. RESULTS The National Office for Family and Population published in 2011 the results of the national survey on violence against women in Tunisia, including data on sexual violence and its impact on women's health and well-being. According to this survey, 14.2% of women reported having been sexually abused by an intimate partner during their lifetime and 9.0% reported having experienced it during the last 12 months. One out of every six Tunisian women has been the victim of a sexual violence in a conjugal setting. More men than women legitimized violence against women in contexts where family control, especially conjugal control, is exercised over them. In a study examining the impact of culture and religion on experiences and sexual practice of women in Tunisian society, the majority of respondents thought that sexuality in women was a religious duty and that they do not have the right to refuse their husbands or to rebel. Thus, women would be doubly sanctioned having neither the right to express their desire nor not to respond to their husband's desire. A survey of a representative sample of Tunisian women found that 56.9% of the participants reported being victims of domestic violence, particularly sexual violence (10.7%) consisting mainly of rape and sodomy, at least once in their lifetime. This survey showed that those victims expressed dissatisfaction with overall quality of life. Moreover, contrary to Western literature, sexual violence was the least reported form of violence by teenage girls in Tunisian schools. Indeed, cultural values of modesty, virginity and honor are socially much more demanded for girls, in Arab countries in general, reinforcing staggering silence and inaction around violence experienced by school-aged adolescents. In Tunisian society, the cultural "solution" to rape wants the woman to marry her rapist which safeguards her family's integrity by legitimizing the union. CONCLUSION Sexual violence has detrimental effects on female victims' physical and mental health. Even if the information on this form of violence is not easy to obtain in our environment, and that rates of subjects reporting sexual violence in their lifetimes are not important, the problem of sexual violence must be considered as a public health problem requiring urgent interventions and a greater institutional will.
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Affiliation(s)
- F Fekih-Romdhane
- Service de psychiatrie Ibn-Omrane, hôpital Razi, 1, rue des orangers, 2010 La Manouba, Tunisie; Université de Tunis-El-Manar, faculté de médecine de Tunis, Tunis, Tunisie.
| | - R Ridha
- Université de Tunis-El-Manar, faculté de médecine de Tunis, Tunis, Tunisie; Service de psychiatrie Légale, hôpital Razi, 1, rue des orangers, 2010 La Manouba, Tunisie
| | - M Cheour
- Service de psychiatrie Ibn-Omrane, hôpital Razi, 1, rue des orangers, 2010 La Manouba, Tunisie; Université de Tunis-El-Manar, faculté de médecine de Tunis, Tunis, Tunisie
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Khrouf M, Braham M, Bouyahia M, Kacem-Berejeb K, Elloumi-Chaabane H, Zhioua A, Zhioua F. Perurethral transvesical route for oocytes retrieval: an old technique for a new indication in oncofertility. Future Oncol 2017; 13:2547-2553. [PMID: 29186987 DOI: 10.2217/fon-2017-0276] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022] Open
Abstract
We aimed to evaluate the safety and efficiency of the peruretheral transvesical oocyte retrieval in oncofertility. We conducted a retrospective comparative study in our assisted reproductive technologies center. STUDY GROUP 28 pubertal young women affected by malignancies, referred for fertility preservation and refusing transvaginal (TV) procedure. CONTROL GROUP 28 infertile patients, aged less than 25 years, who have undergone in vitro fertilization with TV oocyte retrieval. The ovarian stimulation was significantly longer on the study group. There was no difference between the two groups regarding mean number of collected metaphase II oocytes. One patient of the study group had a transient dysuria. These preliminary data suggest that, in oncofertility, peruretheral transvesical oocyte retrieval is an alternative when the TV route is refused or not feasible.
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Affiliation(s)
- Mohamed Khrouf
- ART Center Aziza Othmana Hospital, Faculté de Médecine de Tunis, Université de Tunis El Manar, 1008, Tunis, Tunisia
| | - Marouen Braham
- ART Center Aziza Othmana Hospital, Faculté de Médecine de Tunis, Université de Tunis El Manar, 1008, Tunis, Tunisia
| | - Maha Bouyahia
- ART Center Aziza Othmana Hospital, Faculté de Médecine de Tunis, Université de Tunis El Manar, 1008, Tunis, Tunisia
| | - Khadija Kacem-Berejeb
- ART Departement of Reproductive Biology & Cytogenetics, Faculté de Médecine de Tunis, Université de Tunis El Manar, 1008, Tunis, Tunisia
| | - Hanène Elloumi-Chaabane
- ART Departement of Reproductive Biology & Cytogenetics, Faculté de Médecine de Tunis, Université de Tunis El Manar, 1008, Tunis, Tunisia
| | - Amel Zhioua
- ART Departement of Reproductive Biology & Cytogenetics, Faculté de Médecine de Tunis, Université de Tunis El Manar, 1008, Tunis, Tunisia
| | - Fethi Zhioua
- ART Center Aziza Othmana Hospital, Faculté de Médecine de Tunis, Université de Tunis El Manar, 1008, Tunis, Tunisia
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Tsuda S, Hartini S, Hapsari ED, Takada S. Sex Education in Children and Adolescents With Disabilities in Yogyakarta, Indonesia From a Teachers’ Gender Perspective. Asia Pac J Public Health 2017; 29:328-338. [DOI: 10.1177/1010539517702716] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
Children and adolescents with disabilities (CAD) frequently engage in inappropriate sexual behaviors. In Indonesia, the need for sex education for CAD remains unclear. This study investigated teacher attitudes toward providing sex education in special schools to clarify the gender differences among teachers providing sex education. Questionnaires were sent to 180 teachers. The response rate was 72.2%. Eighty-three percent of responders were Muslim. Our findings revealed that teachers in special schools considered sex education to be important. However, the number of sex education contents was limited, and female teachers were more positive about teaching sex education than male teachers. Equally, female teachers taught a greater number of sex education contents than did male teachers. These findings were consistent with reports from developed countries although cultural and religious background differed from those of Indonesia. Sex education for CAD was accepted by teachers in Indonesia; however, materials and tools for education should be developed further.
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Affiliation(s)
- Satoko Tsuda
- Kobe University, Kobe, Hyogo, Japan
- Tezukayama Gakuin University, Sakai, Osaka, Japan
| | - Sri Hartini
- Kobe University, Kobe, Hyogo, Japan
- Universitas Gadjah Mada, Yogyakarta, Indonesia
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