癌症患者的心理困擾和性功能障礙：需要心理干預

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

——《性心理健康雜誌》2025年2月14日首次在線發表 ——

First published online: February 14, 2025

【摘要】大量的研究表明，在心血管疾病、糖尿病、神經肌肉疾病和退行性疾病等各種慢性健康狀況下，性功能對生殖健康和性生活質量產生不利影響。性是人類體驗的基本和必要領域，在與癌症抗爭的過程中可能會受到損害。性功能障礙可能是由於癌症的全身影響而出現的，如器官損傷、荷爾蒙變化、心理困擾或癌症治療的嚴重副作用。癌症的生物醫學病因眾所周知，人們越來越有興趣探索加劇痛苦和性功能障礙的心理因素，這些因素會對癌症患者的健康產生不利影響。本文提出了更深層次的擔憂，如心理困擾和性功能障礙，並討論了在日益壯大的癌症倖存者群體中保持性和心理健康的各種決定因素。本文通過使用Google Scholar、Pub Med、Scopus和Web of Science等搜索網站進行廣泛的文獻調查，匯編了癌症患者痛苦和性功能障礙的事實、數據和敘述。本文旨在分析癌症患者痛苦和性功能障礙的心理社會因素，討論性健康模式的相關性以及以改善癌症患者健康為重點的循證心理干預。

【關鍵詞】癌症/腫瘤學、癌症與性、癌症的心理困擾、癌症的性問題、癌症的心理干預、健康心理學、心理腫瘤學、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

論文原文：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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