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Intimacy and sexual functioning after cancer: The intersection with psychological flexibility.

Cecile J Proctor1, Anthony J Reiman2,3,4, Caroline Brunelle1

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Psychological flexibility (PF) enhances cancer survivors' satisfaction with life by promoting value-aligned actions. This approach improves relationship and sexual satisfaction, crucial for overall well-being after cancer.

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Area of Science:

  • Oncology
  • Psychology
  • Sexual Health

Background:

  • Cancer significantly impacts survivors' overall life satisfaction.
  • Psychological flexibility (PF) aids in managing cancer-related distress by promoting adaptive coping strategies.
  • Limited research exists on PF's influence on relationship and sexual satisfaction in cancer survivors.

Purpose of the Study:

  • To investigate the relationship between psychological flexibility pillars and psychological wellness.
  • To explore how psychological flexibility mediates the association between relationship/sexual satisfaction and overall life satisfaction in cancer survivors.

Main Methods:

  • 113 males and 106 females completed validated questionnaires on sexual function, intimacy, relationship/sexual satisfaction, PF, life satisfaction, anxiety, and depression.
  • Mediation analyses were conducted to examine the role of PF pillars (Valued Action, Behavioural Awareness, Openness to Experience) in linking satisfaction outcomes to life satisfaction.

Main Results:

  • 57.5% of both males and females reported sexual dysfunction, with sex-specific relationship patterns observed.
  • Significant positive relationships were found between overall life satisfaction and both relationship and sexual satisfaction.
  • Valued Action and Openness to Experience partially mediated the relationship between relationship satisfaction and overall life satisfaction.

Conclusions:

  • Value-aligned behaviors (Valued Action) are significant mediators for both relationship and sexual satisfaction concerning overall life satisfaction.
  • Valued Action emerged as the sole partial mediator between sexual satisfaction and overall life satisfaction.
  • Interventions focusing on value-aligned behaviors may be beneficial for improving the well-being of cancer survivors.