Reference Country/Journal Study design Sample Variables Aim Results Conclusion
Beckjord & Compas[@61669] USA/Journal of Psychosocial Oncology Longitudinal 191 women with breast cancer, 75% married or in a relationship, Quality of life (physical, medical, psychosocial, sexual, marital), depression, medical data (type of therapy, stage, and type of breast cancer) Explore the main and interaction effects of depressive symptoms, stages, types of therapy, and stages of breast cancer on sexual quality of life Positive connection of all domains of quality of life; Sexual quality of life impaired more than other domains; sexual quality during treatment is more impaired in women of younger age, exposed to chemotherapy, higher stage of cancer, more pronounced depressive symptoms, and total mastectomy. Sexual quality of life is a multidimensional construct to be given clinical priority immediately after diagnosis.
Blouet et al.[@61672] France/ Supportive Care in Cancer Cross-sectional 43 women with breast cancer who have a partner or have been sexually active in the last four weeks Sociodemographic data, sexual quality of life, sexual functioning of types of therapy Examine the sexual quality of life of women with breast cancer under the age of 35 after treatment and compare it with existing literature Women with breast cancer have more sexual difficulties compared to the general population Sexuality has a major impact on quality of life, and it is necessary to recognize and respond to sexual disabilities by medical staff
Borstelmann et al.[@61673] USA/Psycho‐Oncology Longitudinal 675 women with breast cancer, marriage or stable relationship (86%) Sociodemographic and medical data, social support, partner support, anxiety, tumor stage, treatment, number of children, perception of financial situation Examine the relationship between partner social support and anxiety in women with breast cancer An unscrupulous partnership, younger age, and financial uncertainty affect the higher onset of anxiety symptoms in women with breast cancer Interventions aimed at improving partner social support would reduce anxiety and help cope better with the couple's stressful situations
Canzona et al.[@61675] USA/Journal of Cancer Survivorship Sequential 305 women with breast cancer, marriage or stable relationship Sociodemographic and medical data, sexual health, willingness to communicate about sexual health Examine which factors affect patients' willingness to speak about sexual health Lower sexual quality of life compared to women without sexual difficulties; higher sexual quality is associated with more frequent communication of patients about sexual health, five factors that affect the frequency of communication Awareness of factors can encourage patients to communicate about their sexuality
Den Oudsten et al.[@61677] Netherlands/ Psycho‐Oncology: Journal of the Psychological, Social and Behavioral Dimensions of Cance Longitudinal 223 women with early breast cancer and 381 women with benign cancer Sociodemographic and medical data, sexual quality of life, body image, sexual functioning and enjoyment, personality traits, anxiety, depression, self-esteem, fatigue, exhaustion Examine determinants of sexual quality of life, sexual functioning, and satisfaction 6 and 12 months after surgical treatment Personality traits and psychological factors (body image, self-esteem, depressive symptoms, and exhaustion) affect sexuality after treatment, while medical data do not predict the quality of sex life. The study results may help medical staff understand more clearly the impact of cancer on different aspects of sexuality and recognize and provide adequate assistance to women in time.
Fahgani & Ghaffari[@61679] Iran/Asian Pacific journal of cancer prevention: APJCP Quasi-experiment Women with breast cancer who have undergone mastectomies (n=50) and their partners (n=50) Sociodemographic data, sexual problems, quality of sex life, sexual functioning, sexual rehabilitation Determine the effect of sexual rehabilitation on sexual quality of life and sexual functioning in women after mastectomy Before rehabilitation, there were no significant differences in the quality of sex life in women and their partners; after rehabilitation, women show a higher level of quality of sex life. Medical personnel can use the PLISSIT model to assess couples' sexual difficulties and needs coping with the disease and thus improve their quality of sex life and functioning.
Fobair et al.[@61681] USA/Psycho‐Oncology: Journal of the Psychological, Social and Behavioral Dimensions of Cancer Cross-sectional 549 women with breast cancer, exposed to cancer surgery before interviews, married or in a stable relationship Body image disorders, sociodemographic and medical data, self-esteem, partner understanding, sexual difficulties, and breast activity Identify problems in sexuality and body image immediately after treatment of women with breast cancer Body image disorders and sexual problems are present in most women immediately after diagnosis; body image disorders more pronounced after mastectomy and possible reconstruction, chemotherapy (hair loss and changes in body weight after), lower self-esteem levels, and partner misunderstanding Difficulties in sexuality are common occurrences after treatment of breast cancer, which should be recognized and treated to improve the quality of life of affected women
Rezaei et al.[@61693] Iran/Iranian Red Crescent Medical Journal Review article 44 articles published from 1993-2016 in online journals that meet inclusion criteria Body image, breast cancer Examine which factors affect body image in women with breast cancer Changes in body image in women with breast cancer are influenced by four categories: psycho-socioeconomic, type of surgery, duration of illness and course of treatment, sexual functioning, and physical appearance The findings may help experts carry out interventions that will improve the quality of life of women with breast cancer and recognize the treatments that least affect the distortion of the body image
Talley et al.[@61697] USA/Psychology and Health Longitudinal 163 women with breast cancer, married or in a stable relationship Sociodemographic data, partner social support, depression, the need to fulfill the role of partner Examine the impact of partner social support perception and the need to fulfill the role of partners on the expressiveness of depressive symptoms of women with breast cancer during and after radiotherapy A higher level of social support from partners is associated with slower onset of depressive symptoms Given that partners in women with breast cancer play an essential role in their treatment and recovery, psychosocial interventions should focus on improving interpersonal and marital relationships
Telli & Gurkan[@61698] Turkey/European Journal of Breast Health Longitudinal 88 women after mastectomy and 88 without breast cancer diagnosis who are married or stable relationship Sociodemographic data, sexual quality of life, dyadic adaptation Investigate the effect of mastectomy on sexual quality of life and dyadic adaptation of women with breast cancer treatments The positive association between sexual quality of life and dyadic adaptation in both groups; women with mastectomies show lower levels of sexual quality of life and poorer dyadic adjustment, while higher levels are associated with higher levels of education and higher incomes in women after mastectomy Medical personnel can use the findings to assess risk and direct couples to counseling to maintain healthy sexual relationships.