Treatment-induced symptoms, depression and age as predictors of sexual problems in premenopausal women with early breast cancer receiving adjuvant endocrine therapy
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Luo, Weixiu
Walley, Barbara A
Burstein, Harold J
Chirgwin, Jacquie
Ansari, Rafat H
Salim, Muhammed
van der Westhuizen, Andre
Abdi, Ehtesham
Francis, Prudence A
Chia, Stephen
Harvey, Vernon J
Giobbie-Hurder, Anita
Fleming, Gini F
et al.
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Abstract
PURPOSE: Sexual dysfunction is an important concern of premenopausal women with early breast cancer. We investigated predictors of sexual problems in two randomized controlled trials. METHODS: A subset of patients enrolled in TEXT and SOFT completed global and symptom-specific quality-of-life indicators, CES-Depression and MOS-Sexual Problems measures at baseline, six, 12 and 24 months. Mixed models tested the association of changes in treatment-induced symptoms (baseline to 6 months), depression at 6 months, and age at randomization with changes in sexual problems over 2 years. RESULTS: Sexual problems increased by 6 months and persisted at this level. Overall, patients with more severe worsening of vaginal dryness, sleep disturbances and bone or joint pain at 6 months reported a greater increase in sexual problems at all time-points. Depression scores were significantly associated with sexual problems in the short-term. All other symptoms had a smaller impact on sexual problems. Age was not associated with sexual problems at any time-point. CONCLUSION: Among several key symptoms, vaginal dryness, sleep disturbance, and bone and joint pain significantly predicted sexual problems during the first 2 years. Early identification of these symptoms may contribute to timely and tailored interventions.
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Breast Cancer Research and Treatment
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181
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2
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Clinical sciences
Oncology and carcinogenesis
Science & Technology
Life Sciences & Biomedicine
Sexual problems
Breast cancer
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Ribi, K; Luo, W; Walley, BA; Burstein, HJ; Chirgwin, J; Ansari, RH; Salim, M; van der Westhuizen, A; Abdi, E; Francis, PA; Chia, S; Harvey, VJ; Giobbie-Hurder, A; Fleming, GF; et al., Treatment-induced symptoms, depression and age as predictors of sexual problems in premenopausal women with early breast cancer receiving adjuvant endocrine therapy, Breast Cancer Research and Treatment, 2020, 181 (2), pp. 347-359