Sexual satisfaction and its predictors in patients with advanced cancer and their family caregivers in six European countries: Baseline data from the DIAdIC study

TY - JOUR

T1 - Sexual satisfaction and its predictors in patients with advanced cancer and their family caregivers in six European countries

T2 - Baseline data from the DIAdIC study

AU - DIAdIC team

AU - Matthys, Orphé

AU - Dierickx, Sigrid

AU - Van Goethem, Vincent

AU - Deliens, Luc

AU - Lapeire, Lore

AU - De Pauw, Aglaja

AU - Hudson, Peter

AU - Vulsteke, Christof

AU - Geboes, Karen

AU - De Waele, Stefanie

AU - Spoormans, Isabelle

AU - Di Leo, Silvia

AU - Guberti, Monica

AU - Schmidt, Ulrik Sørensen

AU - Scott, David

AU - Harding, Richard

AU - Witkamp, Erica

AU - Connolly, Michael

AU - De Vleminck, Aline

AU - Cohen, Joachim

N1 - Publisher Copyright: © 2024 John Wiley & Sons Ltd.

PY - 2024/5/28

Y1 - 2024/5/28

N2 - Objective: To identify predictors of sexual satisfaction in patients with advanced cancer and their family caregivers. Methods: Cross-sectional study using baseline survey data from a randomized controlled trial in six European countries. Patients with advanced cancer and their family caregiver completed measures on sexual satisfaction (one item from Functional Assessment of Cancer Therapy - General questionnaire for patients and Caregiver Quality of Life Index-Cancer scale for family caregivers) and health-related characteristics. Multivariable linear regressions were performed for all predictors (identified based on literature) with sexual satisfaction as dependent variable.  Results: The sample comprised 431 patient-family caregiver dyads. Patients with prostate or gynecological cancer reported lower sexual satisfaction (respectively B = −0.267 95% CI: −1.674, −0.594 and B = −0.196, 95% CI −2.103, −0.452). Higher emotional (B = 0.278, 95% CI 0.024, 0.057) physical (B = 0.305, 95% CI 0.012, 0.025) and social functioning (B = 0.151, 95% CI 0.001, 0.013), global health (B = 0.356, 95% CI 0.007, 0.013) and social wellbeing (B = 0.161, 95% CI 0.013, 0.082) among patients were associated with higher sexual satisfaction. Among family caregivers, sexual satisfaction was lower with increased age (B = −0.142, 95% CI −0.022, −0.004). Higher emotional functioning (B = 0.027, 95% CI 0.011, 0.043) and quality of life (B = 0.165, 95% CI −0.165, 0.716) were associated with higher sexual satisfaction in family caregivers. Conclusions: The results underscore that sexual wellbeing of patients and family caregivers is related to health related factors in physical, emotional, and social domains. Patients and family caregivers could benefit from a dyadic approach to address sexual wellbeing. 

AB - Objective: To identify predictors of sexual satisfaction in patients with advanced cancer and their family caregivers. Methods: Cross-sectional study using baseline survey data from a randomized controlled trial in six European countries. Patients with advanced cancer and their family caregiver completed measures on sexual satisfaction (one item from Functional Assessment of Cancer Therapy - General questionnaire for patients and Caregiver Quality of Life Index-Cancer scale for family caregivers) and health-related characteristics. Multivariable linear regressions were performed for all predictors (identified based on literature) with sexual satisfaction as dependent variable.  Results: The sample comprised 431 patient-family caregiver dyads. Patients with prostate or gynecological cancer reported lower sexual satisfaction (respectively B = −0.267 95% CI: −1.674, −0.594 and B = −0.196, 95% CI −2.103, −0.452). Higher emotional (B = 0.278, 95% CI 0.024, 0.057) physical (B = 0.305, 95% CI 0.012, 0.025) and social functioning (B = 0.151, 95% CI 0.001, 0.013), global health (B = 0.356, 95% CI 0.007, 0.013) and social wellbeing (B = 0.161, 95% CI 0.013, 0.082) among patients were associated with higher sexual satisfaction. Among family caregivers, sexual satisfaction was lower with increased age (B = −0.142, 95% CI −0.022, −0.004). Higher emotional functioning (B = 0.027, 95% CI 0.011, 0.043) and quality of life (B = 0.165, 95% CI −0.165, 0.716) were associated with higher sexual satisfaction in family caregivers. Conclusions: The results underscore that sexual wellbeing of patients and family caregivers is related to health related factors in physical, emotional, and social domains. Patients and family caregivers could benefit from a dyadic approach to address sexual wellbeing. 

KW - Humans

KW - Caregivers/psychology

KW - Male

KW - Female

KW - Middle Aged

KW - Cross-Sectional Studies

KW - Europe

KW - Neoplasms/psychology

KW - Quality of Life/psychology

KW - Aged

KW - Adult

KW - Surveys and Questionnaires

KW - Personal Satisfaction

KW - Orgasm

KW - Sexual Behavior/psychology

UR - http://www.scopus.com/inward/record.url?scp=85194523342&partnerID=8YFLogxK

U2 - 10.1002/pon.6347

DO - 10.1002/pon.6347

M3 - Article

C2 - 38804579

SN - 1057-9249

VL - 33

JO - Psycho-Oncology

JF - Psycho-Oncology

IS - 6

M1 - e6347

ER -