(65) PSYCHOSEXUAL DEVELOPMENT, SEXUAL FUNCTIONING AND SEXUAL SATISFACTION IN LONG TERM CHILDHOOD CANCER SURVIVORS: DCCSS-LATER 2 SEXUALITY SUBSTUDY

The Journal of Sexual Medicine, vol. 20

Abstract

Abstract Objectives Childhood cancer may negatively impact childhood cancer survivors’ (CCS) sexuality. However, this is an understudied area of research. Our study aimed to describe the psychosexual development, sexual functioning and sexual satisfaction of CCS, compare these outcomes to the Dutch population and identify determinants for CCS’ sexuality. Methods From the Dutch Childhood Cancer Survivor Study LATER cohort (diagnosed 1963-2001), 1912 CCS (18-71 years, 50.8% male) completed questions on sexuality, psychosocial development, body perception, mental and physical health. Sexuality of CCS age 18-24 was compared to the general Dutch population using binominal tests and t-tests. Multivariable regression analysis was used to identify determinants. Results Compared to general population peers, CCS age 18-24 showed significantly less experience with masturbation (p=.045), French kissing (p=.007), petting under clothes (p=.001), oral (p=.008) and anal sex (p=.016). No significant differences were found for problems with sexual functioning and sexual satisfaction neither among female CCS nor male CCS when compared to peers age 18-24. One third of all CCS reported hindered sexuality due to childhood cancer, with body dissatisfaction most often mentioned reason (44.8%). The regression analysis identified older attained age, body perception, lower mental health and surviving central nervous system tumors as determinants for reduced sexuality. Conclusions CSS reported less psychosexual development, but similar sexual functioning and sexual satisfaction compared to the general population. We identified determinants for sexuality, which could be integrated in specific communication training for health professionals and development of clinical interventions for CSS with reduced sexuality. Conflicts of Interest No conflict of intrest.

Authors 17

1. Priboi Cristina

   University of Lucerne · Princess Máxima Center

   Affiliation as printed

   Prinses Máxima Centrum, Psycho-oncology , Utrecht, Netherlands

   University of Lucerne , Department of Health Sciences and Medicine, Lucerne, Switzerland

2. van Gorp Dr. Marloes

   Princess Máxima Center

   Affiliation as printed

   Prinses Máxima Centrum, Psycho-oncology , Utrecht, Netherlands

3. Maurice-Stam Dr. Heleen

   Princess Máxima Center

   Affiliation as printed

   Prinses Máxima Centrum, Psycho-oncology , Utrecht, Netherlands

4. Michel Prof. Gisela

   University of Lucerne

   Affiliation as printed

   University of Lucerne , Department of Health Sciences and Medicine, Lucerne, Switzerland

5. Kremer Prof. Leontien

   Princess Máxima Center · Amsterdam University Medical Centers · University of Amsterdam

   Affiliation as printed

   Amsterdam UMC, University of Amsterdam , Department of Pediatrics, Amsterdam, Netherlands

   Prinses Máxima Centrum, Psycho-oncology , Utrecht, Netherlands

   Amsterdam UMC, University of Amsterdam, Department of Pediatrics, Amsterdam, Netherlands

6. Tissing Prof. Wim

   University Medical Center Groningen · University of Groningen · Beatrix Kinderziekenhuis · Princess Máxima Center

   Affiliation as printed

   Beatrix Children’s Hospital/University of Groningen/University Medical Center Groningen , Groningen, Netherlands

   Prinses Máxima Centrum, Psycho-oncology , Utrecht, Netherlands

7. Loonen Dr. Jacqueline

   Radboud University Medical Center

   Affiliation as printed

   Radboud University Medical Center , Nijmegen, Netherlands

8. van der Pal Dr. Helena

   Princess Máxima Center

   Affiliation as printed

   Prinses Máxima Centrum, Psycho-oncology , Utrecht, Netherlands

9. de Vries Dr. Andrica

   Princess Máxima Center

   Affiliation as printed

   Prinses Máxima Centrum, Psycho-oncology , Utrecht, Netherlands

10. van den Heuvel-Eibrink Marry

    Princess Máxima Center

    Affiliation as printed

    Prinses Máxima Centrum, Psycho-oncology , Utrecht, Netherlands

11. Ronckers Dr. Cécile

    Amsterdam UMC Location University of Amsterdam · Princess Máxima Center

    Affiliation as printed

    Amsterdam UMC/location University of Amsterdam , Department of Obstetrics and Gynecology, Amsterdam, Netherlands

    Prinses Máxima Centrum, Psycho-oncology , Utrecht, Netherlands

    Amsterdam UMC/location University of Amsterdam, Department of Obstetrics and Gynecology, Amsterdam, Netherlands

12. Bresters Dr. Dorine Aachen

    Leiden University Medical Center · Princess Máxima Center · Willem-Alexander Kinderziekenhuis

    Affiliation as printed

    Prinses Máxima Centrum, Psycho-oncology , Utrecht, Netherlands

    Willem Alexander Children’s Hospital/Leiden University Medical Center , Leiden, Netherlands

13. Louwerens Marloes Aachen

    Leiden University Medical Center · Willem-Alexander Kinderziekenhuis

    Affiliation as printed

    Willem Alexander Children’s Hospital/Leiden University Medical Center , Leiden, Netherlands

14. Neggers Dr. Sebastian

    Erasmus MC - Sophia Children’s Hospital

    Affiliation as printed

    Erasmus MC Sophia Children’s Hospital/Erasmus Medical Center , Rottredam, Netherlands

15. van der Heiden-van der Loo Margriet

    Princess Máxima Center

    Affiliation as printed

    Prinses Máxima Centrum, Psycho-oncology , Utrecht, Netherlands

16. van Dulmen-den Broeder Prof. Eline

    Amsterdam UMC Location University of Amsterdam · Amsterdam Reproduction Development

    Affiliation as printed

    Amsterdam Reproduction and Development , Amsterdam, Netherlands

    Amsterdam UMC/location University of Amsterdam , Department of Obstetrics and Gynecology, Amsterdam, Netherlands

17. Grootenhuis Prof. Martha

    Princess Máxima Center

    Affiliation as printed

    Prinses Máxima Centrum, Psycho-oncology , Utrecht, Netherlands