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Publication
Vivência da sexualidade em mulheres e casais após cancro da mama na mulher
Advisor(s)
Abstract(s)
Introdução: Há uma elevada prevalência de problemas relacionados com a sexualidade
em mulheres com cancro da mama, que têm impacto na mulher e no casal. Pretendeu-se
avaliar a vivência da sexualidade após cancro da mama na perspectiva da mulher e do
casal.
Método: A presente investigação utilizou um método misto. Para o método quantitativo,
a amostra foi constituída por 125 mulheres (M = 46,45; DP = 9,68) com o diagnóstico de
cancro da mama que responderam a questionários através da plataforma Qualtrics. Para o
estudo qualitativo, 3 casais que também vivenciaram o cancro da mama na mulher (M =
50,67; DP = 4,72) participaram de entrevistas semi-estruturadas em casal.
Resultados: Verificou-se uma correlação significativa entre a satisfação sexual e a
comunicação da doença entre os casais, o ajustamento diádico, e a intimidade na relação.
Verificou-se, também, uma correlação entre a intimidade na relação e o ajustamento
diádico e o funcionamento sexual feminino. Da análise qualitativa das entrevistas com os
casais constatou-se que houve forte impacto da doença na vivência da intimidade e da
sexualidade; que o apoio e o suporte dos companheiros foram fundamentais para uma
melhor gestão dos sintomas e para um melhor ajustamento da mulher à doença e, que a
falta de suporte por parte dos profissionais de saúde causou insatisfação nos casais.
Conclusão: Este estudo contribui para uma melhor compreensão da vivência da
sexualidade em mulheres e casais e para reiterar a importância do suporte dos
profissionais de saúde acerca das limitações do cancro na vivência da sexualidade.
ABSTRACT:Introduction: There is a high prevalence of problems related to sexuality in women with breast cancer, which impact the woman and the couple. It was intended to evaluate the experience of sexuality after breast cancer from the perspective of the woman and the couple. Method: The present investigation used a mixed method. For the quantitative method, the sample consisted of 125 women (M = 46.45, SD = 9.68) diagnosed with breast cancer who answered questionnaires through the Qualtrics platform. For the qualitative study, 3 couples who also experienced breast cancer in women (M = 50.67, SD = 4.72) participated in semistructured interviews with a couple. Results: There was a significant correlation between sexual satisfaction and disease communication between couples, dyadic adjustment, and intimacy in the relationship. There was also a correlation between intimacy in the relationship and dyadic adjustment and female sexual functioning. From the qualitative analysis of the interviews with the couples, it was found that there was a strong impact of the disease on the experience of intimacy and sexuality; that the support and support of the partners were fundamental for a better management of the symptoms and for a better adjustment of the woman to the disease and, that the lack of support from the health professionals caused dissatisfaction in the couples. Conclusion: This study contributes to a better understanding of the experience of sexuality in women and couples and to reiterate the importance of the support of health professionals about the limitations of cancer in the experience of sexuality.
ABSTRACT:Introduction: There is a high prevalence of problems related to sexuality in women with breast cancer, which impact the woman and the couple. It was intended to evaluate the experience of sexuality after breast cancer from the perspective of the woman and the couple. Method: The present investigation used a mixed method. For the quantitative method, the sample consisted of 125 women (M = 46.45, SD = 9.68) diagnosed with breast cancer who answered questionnaires through the Qualtrics platform. For the qualitative study, 3 couples who also experienced breast cancer in women (M = 50.67, SD = 4.72) participated in semistructured interviews with a couple. Results: There was a significant correlation between sexual satisfaction and disease communication between couples, dyadic adjustment, and intimacy in the relationship. There was also a correlation between intimacy in the relationship and dyadic adjustment and female sexual functioning. From the qualitative analysis of the interviews with the couples, it was found that there was a strong impact of the disease on the experience of intimacy and sexuality; that the support and support of the partners were fundamental for a better management of the symptoms and for a better adjustment of the woman to the disease and, that the lack of support from the health professionals caused dissatisfaction in the couples. Conclusion: This study contributes to a better understanding of the experience of sexuality in women and couples and to reiterate the importance of the support of health professionals about the limitations of cancer in the experience of sexuality.
Description
Dissertação de Mestrado apresentada no Ispa – Instituto Universitário para obtenção de
grau de Mestre na especialidade de Psicologia Clínica
Keywords
Cancro da mama Comunicação sobre a doença Ajustamento diádico Intimidade Satisfação sexual Funcionamento sexual Impacto do cancro no casal Breast cancer Communication about the disease Dyadic adjustment Intimacy Sexual satisfaction Sexual functioning Impact of cancer on the couple