{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,12]],"date-time":"2026-10-12T23:11:41Z","timestamp":1791846701593,"version":"4.3.4"},"reference-count":38,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2016,12,6]],"date-time":"2016-12-06T00:00:00Z","timestamp":1480982400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Psycho-Oncology"],"published-print":{"date-parts":[[2017,10]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>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.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A cross\u2010sectional study was conducted among 194 sexually active partnered CC survivors aged 25 to 69\u00a0years. 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\u2010administrated questionnaires.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>In total, 33% (<jats:italic>n<\/jats:italic>\u00a0=\u00a064) of the survivors scored above the cut\u2010off 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.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>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.<\/jats:p><\/jats:sec>","DOI":"10.1002\/pon.4317","type":"journal-article","created":{"date-parts":[[2016,11,16]],"date-time":"2016-11-16T19:15:30Z","timestamp":1479323730000},"page":"1470-1477","source":"Crossref","is-referenced-by-count":42,"title":["Sexual distress and associated factors among cervical cancer survivors: A cross\u2010sectional multicenter observational study"],"prefix":"10.1002","volume":"26","author":[{"given":"R.M.","family":"Bakker","sequence":"first","affiliation":[{"name":"Department of Gynecology Leiden University Medical Center  Leiden The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"G.G.","family":"Kenter","sequence":"additional","affiliation":[{"name":"Center of Gynecological Oncology Amsterdam  Amsterdam The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"C.L.","family":"Creutzberg","sequence":"additional","affiliation":[{"name":"Department of Clinical Oncology Leiden University Medical Center  Leiden The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"A.M.","family":"Stiggelbout","sequence":"additional","affiliation":[{"name":"Department of Medical Decision Making Leiden University Medical Center  Leiden The 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