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Psychosexual development, sexual functioning and sexual satisfaction in long‐term childhood cancer survivors: DCCSS‐LATER 2 sexuality substudy.

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Title: Psychosexual development, sexual functioning and sexual satisfaction in long‐term childhood cancer survivors: DCCSS‐LATER 2 sexuality substudy.
Authors: Priboi, Cristina (AUTHOR), van Gorp, Marloes (AUTHOR), Maurice‐Stam, Heleen (AUTHOR), Michel, Gisela (AUTHOR), Kremer, Leontien C. M. (AUTHOR), Tissing, Wim J. E. (AUTHOR), Loonen, Jacqueline J. (AUTHOR), van der Pal, Helena J. H. (AUTHOR), de Vries, Andrica C. H. (AUTHOR), van den Heuvel‐Eibrink, Marry M. (AUTHOR), Ronckers, Cécile M. (AUTHOR), Bresters, Dorine (AUTHOR), Louwerens, Marloes (AUTHOR), Neggers, Sebastian J. C. C. M. (AUTHOR), van der Heiden‐van der Loo, Margriet (AUTHOR), van Dulmen‐den Broeder, Eline (AUTHOR), Grootenhuis, Martha (AUTHOR)
Source: Psycho-Oncology. Aug2023, Vol. 32 Issue 8, p1279-1288. 10p. 4 Charts.
Subjects: Sexual excitement, Psychosexual development, Childhood cancer, Central nervous system cancer, Cancer survivors
Abstract: Objectives: Childhood cancer may negatively impact childhood cancer survivors' (CCS) sexuality. However, this is an understudied research area. We aimed to describe the psychosexual development, sexual functioning and sexual satisfaction of CCS, and identify determinants for these outcomes. Secondarily, we compared the outcomes of a subsample of emerging adult CCS to the Dutch general population. Methods: From the Dutch Childhood Cancer Survivor Study LATER cohort (diagnosed 1963–2001), 1912 CCS (18–71 years, 50.8% male) completed questions on sexuality, psychosocial development, body perception, mental and physical health. Multivariable linear regressions were used to identify determinants. Sexuality of CCS age 18–24 (N = 243) was compared to same‐aged references using binomial tests and t‐tests. Results: One third of all CCS reported hindered sexuality due to childhood cancer, with insecure body the most often reported reason (44.8%). Older age at study, lower education, surviving central nervous system cancer, poorer mental health and negative body perception were identified as determinants for later sexual debut, worse sexual functioning and/or sexual satisfaction. CCS age 18–24 showed significantly less experience with kissing (p = 0.014), petting under clothes (p = 0.002), oral (p = 0.016) and anal sex (p = 0.032) when compared to references. No significant differences with references were found for sexual functioning and sexual satisfaction, neither among female CCS nor male CCS age 18–24. Conclusions: Emerging adult CCS reported less experience with psychosexual development, but similar sexual functioning and sexual satisfaction compared to references. We identified determinants for sexuality, which could be integrated in clinical interventions for CCS at risk for reduced sexuality. [ABSTRACT FROM AUTHOR]
Copyright of Psycho-Oncology is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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  Data: Psychosexual development, sexual functioning and sexual satisfaction in long‐term childhood cancer survivors: DCCSS‐LATER 2 sexuality substudy.
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  Data: <searchLink fieldCode="AR" term="%22Priboi%2C+Cristina%22">Priboi, Cristina</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22van+Gorp%2C+Marloes%22">van Gorp, Marloes</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Maurice‐Stam%2C+Heleen%22">Maurice‐Stam, Heleen</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Michel%2C+Gisela%22">Michel, Gisela</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Kremer%2C+Leontien+C%2E+M%2E%22">Kremer, Leontien C. M.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Tissing%2C+Wim+J%2E+E%2E%22">Tissing, Wim J. E.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Loonen%2C+Jacqueline+J%2E%22">Loonen, Jacqueline J.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22van+der+Pal%2C+Helena+J%2E+H%2E%22">van der Pal, Helena J. H.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22de+Vries%2C+Andrica+C%2E+H%2E%22">de Vries, Andrica C. H.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22van+den+Heuvel‐Eibrink%2C+Marry+M%2E%22">van den Heuvel‐Eibrink, Marry M.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Ronckers%2C+Cécile+M%2E%22">Ronckers, Cécile M.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Bresters%2C+Dorine%22">Bresters, Dorine</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Louwerens%2C+Marloes%22">Louwerens, Marloes</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Neggers%2C+Sebastian+J%2E+C%2E+C%2E+M%2E%22">Neggers, Sebastian J. C. C. M.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22van+der+Heiden‐van+der+Loo%2C+Margriet%22">van der Heiden‐van der Loo, Margriet</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22van+Dulmen‐den+Broeder%2C+Eline%22">van Dulmen‐den Broeder, Eline</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Grootenhuis%2C+Martha%22">Grootenhuis, Martha</searchLink> (AUTHOR)
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  Data: <searchLink fieldCode="JN" term="%22Psycho-Oncology%22">Psycho-Oncology</searchLink>. Aug2023, Vol. 32 Issue 8, p1279-1288. 10p. 4 Charts.
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  Data: <searchLink fieldCode="DE" term="%22Sexual+excitement%22">Sexual excitement</searchLink><br /><searchLink fieldCode="DE" term="%22Psychosexual+development%22">Psychosexual development</searchLink><br /><searchLink fieldCode="DE" term="%22Childhood+cancer%22">Childhood cancer</searchLink><br /><searchLink fieldCode="DE" term="%22Central+nervous+system+cancer%22">Central nervous system cancer</searchLink><br /><searchLink fieldCode="DE" term="%22Cancer+survivors%22">Cancer survivors</searchLink>
– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: Objectives: Childhood cancer may negatively impact childhood cancer survivors' (CCS) sexuality. However, this is an understudied research area. We aimed to describe the psychosexual development, sexual functioning and sexual satisfaction of CCS, and identify determinants for these outcomes. Secondarily, we compared the outcomes of a subsample of emerging adult CCS to the Dutch general population. Methods: From the Dutch Childhood Cancer Survivor Study LATER cohort (diagnosed 1963–2001), 1912 CCS (18–71 years, 50.8% male) completed questions on sexuality, psychosocial development, body perception, mental and physical health. Multivariable linear regressions were used to identify determinants. Sexuality of CCS age 18–24 (N = 243) was compared to same‐aged references using binomial tests and t‐tests. Results: One third of all CCS reported hindered sexuality due to childhood cancer, with insecure body the most often reported reason (44.8%). Older age at study, lower education, surviving central nervous system cancer, poorer mental health and negative body perception were identified as determinants for later sexual debut, worse sexual functioning and/or sexual satisfaction. CCS age 18–24 showed significantly less experience with kissing (p = 0.014), petting under clothes (p = 0.002), oral (p = 0.016) and anal sex (p = 0.032) when compared to references. No significant differences with references were found for sexual functioning and sexual satisfaction, neither among female CCS nor male CCS age 18–24. Conclusions: Emerging adult CCS reported less experience with psychosexual development, but similar sexual functioning and sexual satisfaction compared to references. We identified determinants for sexuality, which could be integrated in clinical interventions for CCS at risk for reduced sexuality. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
  Label:
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  Data: <i>Copyright of Psycho-Oncology is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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        Value: 10.1002/pon.6181
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        Text: English
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      – SubjectFull: Psychosexual development
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      – SubjectFull: Childhood cancer
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      – SubjectFull: Central nervous system cancer
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