癌症患者的心理困扰和性功能障碍：需要心理干预

Psychological Distress and Sexual Dysfunction in Cancer Patients: Need for Psychological Intervention

——《性心理健康杂志》2025年2月14日首次在线发表 ——

First published online: February 14, 2025

【摘要】大量的研究表明，在心血管疾病、糖尿病、神经肌肉疾病和退行性疾病等各种慢性健康状况下，性功能对生殖健康和性生活质量产生不利影响。性是人类体验的基本和必要领域，在与癌症抗争的过程中可能会受到损害。性功能障碍可能是由于癌症的全身影响而出现的，如器官损伤、荷尔蒙变化、心理困扰或癌症治疗的严重副作用。癌症的生物医学病因众所周知，人们越来越有兴趣探索加剧痛苦和性功能障碍的心理因素，这些因素会对癌症患者的健康产生不利影响。本文提出了更深层次的担忧，如心理困扰和性功能障碍，并讨论了在日益壮大的癌症幸存者群体中保持性和心理健康的各种决定因素。本文通过使用Google Scholar、Pub Med、Scopus和Web of Science等搜索网站进行广泛的文献调查，汇编了癌症患者痛苦和性功能障碍的事实、数据和叙述。本文旨在分析癌症患者痛苦和性功能障碍的心理社会因素，讨论性健康模式的相关性以及以改善癌症患者健康为重点的循证心理干预。

【关键词】癌症/肿瘤学、癌症与性、癌症的心理困扰、癌症的性问题、癌症的心理干预、健康心理学、心理肿瘤学、癌症的性健康

[Abstract] Extensive studies were reported about sexual functioning in various chronic health conditions like cardiovascular disease, diabetes, neuro-muscular and degenerative diseases having adverse impact on reproductive health and sexual quality of life. Sexuality is the fundamental and essential domain of human experience that could be damaged during the journey with cancer. Sexual dysfunction may appear due to systemic effects of cancer like organ damage, hormonal changes, psychological distress or severe side effects of cancer treatment. The biomedical causes of cancer are well known, and there is a growing interest in exploring the psychological factors that exacerbate distress and sexual dysfunction, adversely affecting the health of cancer patients. This article brings out deeper concerns like psychological distress and sexual dysfunction and discusses the various determinants for preserving sexual and psychological health among the growing community of cancer survivors. The article compiled facts, figures, and narratives of distress and sexual dysfunction among cancer patients through an extensive literature survey using search sites like Google Scholar, Pub Med, Scopus and Web of Science. This article aims to analyse the psycho-social factors for distress and sexual dysfunction in cancer patients, discuss the relevance of sexual health models and, the evidence-based psychological intervention focused on improving the health of cancer patients.

[Key words] Cancer/oncology, Cancer and sexuality, Psychological distress in cancer, Sexual concerns in cancer, Psychological interventions in cancer, Health psychology, Psycho-oncology, Sexual health in cancer

论文原文：Bindu Menon K and Padmaja Gadiraju (2025). Psychological Distress and Sexual Dysfunction in Cancer Patients: Need for Psychological Intervention. Journal of Psychosexual Health, First published online: February 14, 2025.

https://doi.org/10.1177/26318318241312317

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