Evidence map›Paper›PMID 38185918›Full record

SynthesisSexual medicine reviews2024

Psychosocial interventions to improve sexual functioning in women with cancer: a systematic review of randomized controlled trials.

Lauren M Carney, Julie B Schnur, Orly Morgan, Christine Hyun, Zachary E Magin, Lily Martin, Guy H Montgomery

Open access · greenAbstract readSystematic Review
In one paragraph

Synthesis in Sexual medicine reviews, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
1.9field-weighted citation impact, top 15% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 5 citations in OpenAlex.

  1. Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 3 institutions in 1 country.

Lauren M CarneyCenter for Behavioral Oncology, Department of Population Health Science and Policy, Icahn School of Medicine at Mount Sinai, New York, NY 10029, United States.
Julie B SchnurCenter for Behavioral Oncology, Department of Population Health Science and Policy, Icahn School of Medicine at Mount Sinai, New York, NY 10029, United States.
Orly MorganDepartment of Medical Education, University of Miami Miller School of Medicine, Miami, FL 33101, United States.ORCID 0000-0002-9827-7897
Christine HyunCenter for Behavioral Oncology, Department of Population Health Science and Policy, Icahn School of Medicine at Mount Sinai, New York, NY 10029, United States.
Zachary E MaginDepartment of Psychological Sciences, University of Connecticut, Storrs, CT 06269, United States.
Lily MartinLevy Library, Icahn School of Medicine at Mount Sinai, New York, NY 10029, United States.
Guy H MontgomeryCenter for Behavioral Oncology, Department of Population Health Science and Policy, Icahn School of Medicine at Mount Sinai, New York, NY 10029, United States.
Icahn School of Medicine at Mount Sinai · USUniversity of Connecticut · USUniversity of Miami · US

Funding

Training Program in Cancer Prevention and Control for Priority PopulationsT32CA225617 · NCI · ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI · PI Guy H Montgomery, JUAN P WISNIVESKY · 2018 to 2026
$2.6M
Training Cancer Care Providers to Implement Sensitive Practice Guidelines When Treating Adult Survivors of Sexual Violence: A Blended Learning ApproachR25CA236636 · NCI · ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI · PI Julie B. Schnur · 2019 to 2026
$1.4M
NCI NIH HHS R25 CA236636NCI NIH HHS T32 CA225617NIH HHS T32CA225617
6 · The paper itself

Abstract

introductionMany women with cancer struggle with sexual side effects during and after treatment. Although preliminary evidence indicates that psychosocial interventions may be efficacious in improving sexual functioning for women with cancer, no systematic review has summarized the state of the science in this area.

objectivesThe primary goal of this review was to narratively synthesize the results of randomized controlled trials (RCTs) testing the efficacy of psychosocial interventions to address sexual dysfunction in women with cancer. A secondary goal was to describe the diversity of the included samples (ie, racial/ethnic and sexual minority).

methodsFollowing the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines, a systematic review was conducted examining RCTs of psychosocial interventions to improve sexual functioning for women with cancer. Articles were identified using MEDLINE, Embase, PsycINFO, and Cochrane CENTRAL. Two reviewers independently assessed each article for inclusion, with a third to resolve discrepancies.

resultsSeventeen studies were included in the review, 12 of which provided sufficient information to calculate effect sizes. Ten of the 12 studies primarily aimed to improve sexual functioning, all of which demonstrated positive effects on at least 1 outcome of sexual functioning. In the 2 RCTs of psychosocial interventions in which sexual function was a secondary aim, effects were negligible (ds = -0.04 and -0.15). Commonalities among the studies with large effect sizes were that they included education, mindfulness/acceptance, and communication/relationship skills as intervention components. Of note, there was an overall lack of sample diversity across studies, and most studies failed to report the race/ethnicity or sexual orientation of the participants.

conclusionResults support interventions targeting sexual functioning outcomes for women with cancer and suggest that multimodal interventions including education, mindfulness/acceptance, and communication/relationship skills may be most effective. Future research should also focus on examining the efficacy and potential adaptations of extant sexual functioning interventions for underrepresented groups.

Indexed as

NeoplasmsPsychosocial InterventionRandomized Controlled Trials as TopicSexual Dysfunction, PhysiologicalFemaleHumansSexual BehaviorSexual Dysfunctions, Psychologicalcancereducationmindfulnesspsychologicalpsychosocialsexual functioningsystematic review

Identifiers

PMID38185918
PMCPMC10986159
OpenAlexW4390666576

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.