Sexual distress and associated factors among cervical cancer survivors: A cross-sectional multicenter observational study

R M Bakker, G G Kenter, C L Creutzberg, A M Stiggelbout, M Derks, W Mingelen, C D Kroon, W M Vermeer, M M Ter Kuile

Research output: Contribution to journalArticle*Academicpeer-review


BACKGROUND: To assess whether sexual distress among cervical cancer (CC) survivors is associated with frequently reported vaginal sexual symptoms, other proposed biopsychosocial factors and whether worries about painful intercourse mediate the relation between vaginal sexual symptoms and sexual distress.

METHODS: A cross-sectional study was conducted among 194 sexually active partnered CC survivors aged 25 to 69 years. Sexual distress, vaginal sexual symptoms, sexual pain worry, anxiety, depression, body image concerns, and relationship dissatisfaction and the sociodemographic variables age, time since treatment, and relationship duration were assessed by using validated self-administrated questionnaires.

RESULTS: In total, 33% (n = 64) of the survivors scored above the cut-off score for sexual distress. Higher levels of sexual distress were shown to be associated with higher levels of vaginal sexual symptoms, sexual pain worry, relationship dissatisfaction, and body image concerns. Furthermore, the results showed that sexual pain worry partly mediated the association between vaginal sexual symptoms and sexual distress, when controlling for relationship dissatisfaction and body image concerns.

CONCLUSIONS: Appropriate rehabilitation programs should be developed for CC survivors to prevent and reduce not only vaginal sexual symptoms but also sexual pain worry, relationship dissatisfaction, and body image concerns to reduce sexual distress.

Original languageEnglish
Pages (from-to)1470-1477
Number of pages8
Issue number10
Publication statusPublished - Oct 2017


  • Adult
  • Aged
  • Anxiety
  • Body Image
  • Cancer Survivors
  • Cross-Sectional Studies
  • Depression
  • Dyspareunia
  • Female
  • Humans
  • Journal Article
  • Middle Aged
  • Multicenter Study
  • Observational Study
  • Pain
  • Sexual Behavior
  • Sexual Partners
  • Surveys and Questionnaires
  • Uterine Cervical Neoplasms

Cite this