tailieunhanh - A Psychoeducational Intervention for Sexual Dysfunction in Women with Gynecologic Cancer

The principles and recommendations of the Kyiv Declaration on Women’s Health in Prison are important steps towards improving health systems and addressing the health needs of women involved in the criminal justice system. I hope that this report, which outlines the evidence and the expert opinions considered at the special conference held in Kyiv in November 2008, will convince all Member States to adopt and implement the Kyiv Declaration in fulfilment of their commitment to human rights and health promotion for all. . | A Psychoeducational Intervention for Sexual Dysfunction in Women with Gynecologic Cancer Lori A. Brotto . 1 4 Julia R. Heiman . 2 Barbara Goff . 3 Benjamin Greer . 3 Gretchen M. Lentz . 3 Elizabeth Swisher . 3 Hisham Tamimi . 3 and Amy Van Blaricom 1Department of Obstetrics and Gynaecology University of British Columbia Vancouver British Columbia. 2Kinsey Institute for Research in Sex Gender and Reproduction Bloomington Indiana. 3Department of Obstetrics and Gynecology University of Washington Seattle Washington. 4To whom correspondence should be addressed at Department of Obstetrics and Gynaecology University of British Columbia 2775 Laurel Street Vancouver British Columbia V5Z 1M9 Canada e-mail . RUNNING HEAD Psychoeducational Intervention Sexuality and Cancer 2 ABSTRACT Treatment of early-stage cervical and endometrial cancer has been associated with significant sexual difficulties in at least half of women following hysterectomy. Despite the fact that women report such sexual side effects to be the most distressing aspect of their cancer treatment evidence-based treatments for Female Sexual Arousal Disorder FSAD the most common sexual symptom in this group do not exist. We developed and pilot tested a brief three session psychoeducational intervention PED targeting FSAD in women with early-stage gynecologic cancer. Twenty-two women participated in four sessions. The PED consisted of three 1-hour sessions that combined elements of cognitive and behavioral therapy with education and mindfulness training. Women completed questionnaires and had a physiological measurement of genital arousal at pre- and post-PED sessions 1 and 4 and participated in a semi-structured interview session 4 during which their feedback on the PED was elicited. There was a significant positive effect of the PED on sexual desire arousal orgasm satisfaction sexual distress depression and overall well-being and a trend towards significantly .

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