The authors have no other funding, financial relationships, or conflicts of interest to disclose.
Head and Neck
Sexuality after treatment of head and neck cancer: Findings based on modification of sexual adjustment questionnaire†
Article first published online: 16 APR 2012
Copyright © 2012 The American Laryngological, Rhinological, and Otological Society, Inc.
Volume 122, Issue 7, pages 1526–1531, July 2012
How to Cite
Moreno, K. F., Khabbaz, E., Gaitonde, K., Meinzen-Derr, J., Wilson, K. M. and Patil, Y. J. (2012), Sexuality after treatment of head and neck cancer: Findings based on modification of sexual adjustment questionnaire. The Laryngoscope, 122: 1526–1531. doi: 10.1002/lary.23347
- Issue published online: 21 JUN 2012
- Article first published online: 16 APR 2012
- Accepted manuscript online: 11 APR 2012 02:30PM EST
- Manuscript Accepted: 5 MAR 2012
- Manuscript Received: 16 FEB 2012
- University of Cincinnati Department of Otolaryngology and Cincinnati Children's Hospital and Medical Center
- head and neck cancer;
- sexual dysfunction;
- Level of Evidence: 4
Evaluate sexual dysfunction in patients after treatment for head and neck cancer.
Single-institution cross-sectional study.
Our modified Sexual Adjustment Questionnaire was administered to 42 patients (mean age, 55.1 years) and included seven questions (total score, 7–35). Based on sexual satisfaction ratings, we categorized three groups as unsatisfied (7–16), satisfied (17–25), and very satisfied (26–35). Clinical information was obtained by reviewing medical records. Bivariate analysis tested associations between sexual satisfaction and patient-related factors (e.g., sex, age, site/cancer stage, treatment, time between treatment and survey, partner, alcohol/tobacco consumption). Pearson correlation was used to analyze two continuous variables, and multivariate logistic regression analysis was used to evaluate the independent impact of each factor.
All 42 patients rated that head and neck cancer negatively impacted their sexual relationships, including 21 (50%) rating effects as negative or extremely negative. Men reported higher satisfaction scores with sexual function (mean ± standard deviation) than women (19.9 ± 5.0 vs. 16.3 ± 6.5, respectively; P = .06). Respondents with partners reported higher scores than those without partners (19.9 ± 5.3 vs. 14.1 ± 4.4, respectively; P = .01). When the survey was administered (median, 12 months; range, 4–33 months) after the first treatment, mean score was 19; 57% of respondents were sexually satisfied, 31% were unsatisfied, and 12% were very satisfied. Instrument reliability was .82 (Cronbach alpha).
Patients who are male and ≤60 years have a higher probability of sexual satisfaction during recovery. Our sexual dysfunction questionnaire will be administered in further prospective studies in patients with head and neck cancer. Laryngoscope, 2012