Attachment style and body image as mediators between marital adjustment and sexual satisfaction in women with cervical cancer
Autor(a) principal: | |
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Data de Publicação: | 2020 |
Outros Autores: | , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
Texto Completo: | http://hdl.handle.net/1822/69767 |
Resumo: | The majority of cervical cancer survivors face persisting sexual debilitating problems over time. The impairment in sexual function and satisfaction are not limited to physical dimensions. The goals of this study were to assess if marital adjustment and body image mediated the relationship between attachment style, sexual functioning, and sexual satisfaction. Methods This study used a cross-sectional design. The sample included 113 sexually active women that completed the EORTC QLQ C30 and EORTC QLQ CX24, the Index of Sexual Satisfaction, the Experiences in Close Relationships Scale, and the Revised Dyadic Adjustment Scale. Results Using structural equation modeling to describe the relationship between variables, an excellent fitted model was found: X2 (5) = 6.309 (p = 0.277); X2/df = 1262; GFI = 0.982; CFI = 0.986; SRMR = 0.0475; RMSEA = 0.048; P (RMSEA<0.05) = 0.429. Sexual/vaginal functioning and avoidance had a direct effect on sexual satisfaction. Marital adjustment was a partial mediator in the relation between avoidance and sexual satisfaction. Avoidance and anxious attachment had an indirect effect on sexual satisfaction mediated by marital adjustment. Body image was a partial mediator in the relationship between marital adjustment and sexual satisfaction. Conclusions The results showed that vaginal/sexual functioning, attachment style, marital adjustment, and body image were important predictors of sexual satisfaction. Psychoeducational programs to help patients deal with the impairment of sexual/vaginal functioning, as well as emotional support programs for couples to strengthen their marital relationship, need to be implemented, i.e., the couple’s intimacy and women’s body image, that have a clear impact on sexual satisfaction. |
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Attachment style and body image as mediators between marital adjustment and sexual satisfaction in women with cervical cancerAdultAgedBody ImageCancer SurvivorsCross-Sectional StudiesFemaleHumansMarriageMiddle AgedOrgasmSexual BehaviorSexual Dysfunction, PhysiologicalSexual PartnersSurveys and QuestionnairesUterine Cervical NeoplasmsYoung AdultOncologyCancerCervicalSexualSatisfactionAttachmentMarital satisfactionBody imageCiências Sociais::PsicologiaScience & TechnologySaúde de qualidadeThe majority of cervical cancer survivors face persisting sexual debilitating problems over time. The impairment in sexual function and satisfaction are not limited to physical dimensions. The goals of this study were to assess if marital adjustment and body image mediated the relationship between attachment style, sexual functioning, and sexual satisfaction. Methods This study used a cross-sectional design. The sample included 113 sexually active women that completed the EORTC QLQ C30 and EORTC QLQ CX24, the Index of Sexual Satisfaction, the Experiences in Close Relationships Scale, and the Revised Dyadic Adjustment Scale. Results Using structural equation modeling to describe the relationship between variables, an excellent fitted model was found: X2 (5) = 6.309 (p = 0.277); X2/df = 1262; GFI = 0.982; CFI = 0.986; SRMR = 0.0475; RMSEA = 0.048; P (RMSEA<0.05) = 0.429. Sexual/vaginal functioning and avoidance had a direct effect on sexual satisfaction. Marital adjustment was a partial mediator in the relation between avoidance and sexual satisfaction. Avoidance and anxious attachment had an indirect effect on sexual satisfaction mediated by marital adjustment. Body image was a partial mediator in the relationship between marital adjustment and sexual satisfaction. Conclusions The results showed that vaginal/sexual functioning, attachment style, marital adjustment, and body image were important predictors of sexual satisfaction. Psychoeducational programs to help patients deal with the impairment of sexual/vaginal functioning, as well as emotional support programs for couples to strengthen their marital relationship, need to be implemented, i.e., the couple’s intimacy and women’s body image, that have a clear impact on sexual satisfaction.SpringerUniversidade do MinhoBacalhau, MariaPedras, Carla Susana AbreuPereira, M. Graça2020-042020-04-01T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttp://hdl.handle.net/1822/69767engBacalhau, M. D. R. R. N., Pedras, S., & Alves, M. D. G. P. (2020). Attachment style and body image as mediators between marital adjustment and sexual satisfaction in women with cervical cancer. Supportive Care in Cancer, 28(12), 5813-58190941-43551433-733910.1007/s00520-020-05423-y32236767https://link.springer.com/article/10.1007/s00520-020-05423-yinfo:eu-repo/semantics/embargoedAccessreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAP2023-07-21T12:27:02ZPortal AgregadorONG |
dc.title.none.fl_str_mv |
Attachment style and body image as mediators between marital adjustment and sexual satisfaction in women with cervical cancer |
title |
Attachment style and body image as mediators between marital adjustment and sexual satisfaction in women with cervical cancer |
spellingShingle |
Attachment style and body image as mediators between marital adjustment and sexual satisfaction in women with cervical cancer Bacalhau, Maria Adult Aged Body Image Cancer Survivors Cross-Sectional Studies Female Humans Marriage Middle Aged Orgasm Sexual Behavior Sexual Dysfunction, Physiological Sexual Partners Surveys and Questionnaires Uterine Cervical Neoplasms Young Adult Oncology Cancer Cervical Sexual Satisfaction Attachment Marital satisfaction Body image Ciências Sociais::Psicologia Science & Technology Saúde de qualidade |
title_short |
Attachment style and body image as mediators between marital adjustment and sexual satisfaction in women with cervical cancer |
title_full |
Attachment style and body image as mediators between marital adjustment and sexual satisfaction in women with cervical cancer |
title_fullStr |
Attachment style and body image as mediators between marital adjustment and sexual satisfaction in women with cervical cancer |
title_full_unstemmed |
Attachment style and body image as mediators between marital adjustment and sexual satisfaction in women with cervical cancer |
title_sort |
Attachment style and body image as mediators between marital adjustment and sexual satisfaction in women with cervical cancer |
author |
Bacalhau, Maria |
author_facet |
Bacalhau, Maria Pedras, Carla Susana Abreu Pereira, M. Graça |
author_role |
author |
author2 |
Pedras, Carla Susana Abreu Pereira, M. Graça |
author2_role |
author author |
dc.contributor.none.fl_str_mv |
Universidade do Minho |
dc.contributor.author.fl_str_mv |
Bacalhau, Maria Pedras, Carla Susana Abreu Pereira, M. Graça |
dc.subject.por.fl_str_mv |
Adult Aged Body Image Cancer Survivors Cross-Sectional Studies Female Humans Marriage Middle Aged Orgasm Sexual Behavior Sexual Dysfunction, Physiological Sexual Partners Surveys and Questionnaires Uterine Cervical Neoplasms Young Adult Oncology Cancer Cervical Sexual Satisfaction Attachment Marital satisfaction Body image Ciências Sociais::Psicologia Science & Technology Saúde de qualidade |
topic |
Adult Aged Body Image Cancer Survivors Cross-Sectional Studies Female Humans Marriage Middle Aged Orgasm Sexual Behavior Sexual Dysfunction, Physiological Sexual Partners Surveys and Questionnaires Uterine Cervical Neoplasms Young Adult Oncology Cancer Cervical Sexual Satisfaction Attachment Marital satisfaction Body image Ciências Sociais::Psicologia Science & Technology Saúde de qualidade |
description |
The majority of cervical cancer survivors face persisting sexual debilitating problems over time. The impairment in sexual function and satisfaction are not limited to physical dimensions. The goals of this study were to assess if marital adjustment and body image mediated the relationship between attachment style, sexual functioning, and sexual satisfaction. Methods This study used a cross-sectional design. The sample included 113 sexually active women that completed the EORTC QLQ C30 and EORTC QLQ CX24, the Index of Sexual Satisfaction, the Experiences in Close Relationships Scale, and the Revised Dyadic Adjustment Scale. Results Using structural equation modeling to describe the relationship between variables, an excellent fitted model was found: X2 (5) = 6.309 (p = 0.277); X2/df = 1262; GFI = 0.982; CFI = 0.986; SRMR = 0.0475; RMSEA = 0.048; P (RMSEA<0.05) = 0.429. Sexual/vaginal functioning and avoidance had a direct effect on sexual satisfaction. Marital adjustment was a partial mediator in the relation between avoidance and sexual satisfaction. Avoidance and anxious attachment had an indirect effect on sexual satisfaction mediated by marital adjustment. Body image was a partial mediator in the relationship between marital adjustment and sexual satisfaction. Conclusions The results showed that vaginal/sexual functioning, attachment style, marital adjustment, and body image were important predictors of sexual satisfaction. Psychoeducational programs to help patients deal with the impairment of sexual/vaginal functioning, as well as emotional support programs for couples to strengthen their marital relationship, need to be implemented, i.e., the couple’s intimacy and women’s body image, that have a clear impact on sexual satisfaction. |
publishDate |
2020 |
dc.date.none.fl_str_mv |
2020-04 2020-04-01T00:00:00Z |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://hdl.handle.net/1822/69767 |
url |
http://hdl.handle.net/1822/69767 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
Bacalhau, M. D. R. R. N., Pedras, S., & Alves, M. D. G. P. (2020). Attachment style and body image as mediators between marital adjustment and sexual satisfaction in women with cervical cancer. Supportive Care in Cancer, 28(12), 5813-5819 0941-4355 1433-7339 10.1007/s00520-020-05423-y 32236767 https://link.springer.com/article/10.1007/s00520-020-05423-y |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/embargoedAccess |
eu_rights_str_mv |
embargoedAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
Springer |
publisher.none.fl_str_mv |
Springer |
dc.source.none.fl_str_mv |
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Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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