Influences of Mastery, Spousal Support, and Adaptive Coping on Sexual Drive and Satisfaction Among Chinese Gynecologic Cancer Survivors
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AbstractThis study investigated sexual drive and satisfaction of Chinese gynecologic cancer survivors. It also examined the extent to which personal mastery, adaptive coping, and perceived spousal support would exert direct and/or indirect influences on sexual outcomes. The cancer survivor group included 134 Chinese women who had received treatment for gynecologic cancer, while the healthy control group included 105 Chinese women who did not have a known history or current diagnosis of cancer. Compared to healthy women, cancer survivors reported lower levels of sexual drive and sexual satisfaction. Among sexually active participants, cancer survivors relative to healthy women engaged in less masturbation, less kissing and caressing, and less sexual fantasy in the past month. Hierarchical multiple regression analyses showed that mastery and spousal support, but not adaptive coping, had a direct influence on sexual outcomes in cancer survivors. Contrary to moderation hypotheses, the three psychological factors did not interact with each other to influence sexual drive and satisfaction. Mediation analyses showed that spousal support fully mediated the influence of mastery on sexual satisfaction. Routine assessment of sexual functioning prior to and following treatment of gynecologic cancer is suggested. Sexual rehabilitation should also aim to enhance personal mastery and spousal support.
All Author(s) ListTang CSK, Lai BPY, Chung TKH
Journal nameArchives of Sexual Behavior
Volume Number39
Issue Number5
PublisherSpringer Verlag (Germany)
Pages1191 - 1200
LanguagesEnglish-United Kingdom
KeywordsCancer treatment; Chinese cancer survivors; Sexual adjustment; Sexuality and gynecologic cancer
Web of Science Subject CategoriesPsychology; Psychology, Clinical; PSYCHOLOGY, CLINICAL; Social Sciences - Other Topics; Social Sciences, Interdisciplinary; SOCIAL SCIENCES, INTERDISCIPLINARY

Last updated on 2021-25-02 at 00:51