Het Tijdschrift voor Seksuologie is een onafhankelijke uitgave gelieerd aan de Nederlandse Wetenschappelijke Vereniging voor Seksuologie (NVVS) en de Vlaamse Vereniging voor Seksuologie (VVS). Dit wetenschappelijk kwartaalblad over onderzoek en ontwikkelingen op het gebied van de seksuologie staat open voor Nederlandstalige wetenschappelijke bijdragen over hulpverlening, onderzoek, opleiding en onderwijs, voorlichting en preventie. We zien graag uw bijdrage tegemoet.
Purpose: To provide an overview of the sexual problems and care needs of adolescents and young adults diagnosed with cancer between 15 and 39 years old (AYA’s).
Method: Databases Pubmed (1946-2017) and PsychINFO (1806-2017) were used in June 2017 to search articles. Relevant articles were selected.
Results: Results of 14 studies, 11 quantitative and 3 qualitative, indicate the negative impact of cancer on sexuality of AYA’s. The female AYA’s experience problems with sexual arousal and interest, relaxation and enjoy during sexual contact, reaching an orgasm, vaginal lubrication, and dyspareunia. Men experience problems with arousal, erection, and ejaculation. Feelings of physical attractiveness and a decrease of sexual activity were seen as problems for men and women. AYAs who experience unmet sexual needs, indicate that they miss practical help, information and/or counseling.
Conclusion: AYA’s can experience sexual problems caused by and/or maintained by physical, psychological and social factors and thereby they can experience unmet needs.
Implication: Despite the increase in AYA care initiatives, more attention should be paid to the sexual problems and needs of this group. Age-specific interventions should be developed.
Background: In the Netherlands the most prevalent types of cancer are prostate cancer (19.5% in men), breast cancer (28.1% in women), colon cancer (15.5% in men, 12.8% in women), and lung cancer (12.0% in men, 10.4% in women). The five-year survival rate has increased in recent year, underscoring the importance of taking long term consequences into account in the decision making process of treatment options. Cancer
(treatment) can affect quality of life in various ways, including the impact on intimacy and sexuality. The aim of the present review is to give an overview of the impact of breast cancer, prostate cancer, colon cancer and lung cancer on intimacy and sexuality.
Methods: The electronic databases of PubMed (MEDLINE), Cinahl and Web of Science were systematically searched for studies describing the impact of cancer (i.e. breast cancer, prostate cancer, colon cancer, lung cancer) on intimacy and sexuality. Domains of interest were sexual function, sexual identity and sexual relation.
Results: The search strategy resulted in 80 studies, of which 45 on breast cancer, 20 on prostate cancer, 5 on colon cancer and 10 on lung cancer. Most studies were focussed on the negative impact of cancer (treatment)
on sexual function. Conclusion: Breast cancer, prostate cancer, colon cancer and lung cancer (treatment) impact all domains of sexual functioning (sexual function, sexual identity and sexual relation). Both patients and partners should be informed about the impact of cancer on intimacy and sexuality. Patients and partners expect that professionals initiate the conversation about this topic.
The aim of this research was to investigate the association of intimacy with sexual desire and sexual thought content in the daily life of heterosexual men and women, including the moderation of the association of intimacy and sexual functioning by factors such as gender, attachment orientation and relational dissatisfaction. The Experience Sampling Method (ESM) was used for data collection. Due to the hierarchical nature of the data, with beep observations nested within days and within persons, multilevel linear regression analyses were used to investigate both cross-sectional (data recorded at the same beep) and temporal associations using time-lag analyses of data on consecutive beeps.
Higher feelings of intimacy with the partner were cross-sectionally associated with higher sexual desire and more sexual thoughts. Based on the observed temporal association in women, a relationship may be assumed between feelings of intimacy with the partner followed by the emergence of sexual thoughts. In men, however, higher intimacy was followed by lower sexual desire. In individuals with avoidant attachment orientation higher intimacy was also associated with lower sexual desire. In individuals with high relational dissatisfaction, intimacy with the partner was followed by a decrease in sexual thoughts at the next beep.
The results from the present study demonstrate an association between feelings of intimacy for the partner, sexual desire and sexual thoughts. There are also indications that intimacy in women can lead to increased sexual thoughts. In addition, the results show that in men perceived intimacy and characteristics of the relationship can decrease sexual desire and sexual thoughts. Insecure attachment also plays a role in the examined associations. The present findings might add to the rationale for relationship-focused interventions in clinical practice. They make clear how sexual desire and thoughts are connected to intimacy and where the process can be disrupted.
The article discusses some trends that took place over the past decades in the research field of young people and sexuality. Thereby reference is made to four articles that have been published in the Tijdschrift voor Seksuologie (TvS) between 1984 and 1989. These articles deal with the following topics: framing sexual problems of young people from a development perspective, questions about relations and sexuality for which young people seek help, young people’s concerns about masturbation, and the link between sexual norms and sexual behavior among young people and young adults. Concretely, the article discusses three trends that took place since the publication of these articles, thereby making use of the national and international research literature. Firstly, becoming sexually active is increasingly considered a normative development task rather than an avoidable risk. Secondly, changes in sexual behavior of young people can be linked to changing sexual norms. Thirdly, the article discusses possible shifts in the needs of young people regarding their sexual development.