Exploring how attachment insecurities mediate the link between sexual and partnership satisfaction in adolescents and young adults with cancer
Background and purpose: Comprehensive data on factors affecting partnership satisfaction among adolescents and young adult (AYA) cancer survivors are limited. Our study examines partnership satisfaction, sexual satisfaction, and attachment insecurities, exploring how attachment-related anxiety and a...
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| Format: | Article |
| Language: | English |
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Medical Journals Sweden
2025-01-01
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| Series: | Acta Oncologica |
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| Online Access: | https://medicaljournalssweden.se/actaoncologica/article/view/42110 |
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| author | Svenja Heyne Hannah Brock Diana Richter Annekathrin Sender Jenny Rosendahl Michael Friedrich Kristina Geue Anja Mehnert-Theuerkauf |
| author_facet | Svenja Heyne Hannah Brock Diana Richter Annekathrin Sender Jenny Rosendahl Michael Friedrich Kristina Geue Anja Mehnert-Theuerkauf |
| author_sort | Svenja Heyne |
| collection | DOAJ |
| description | Background and purpose: Comprehensive data on factors affecting partnership satisfaction among adolescents and young adult (AYA) cancer survivors are limited. Our study examines partnership satisfaction, sexual satisfaction, and attachment insecurities, exploring how attachment-related anxiety and avoidance influence the relationship between sexual and partnership satisfaction across major tumor entities in this population.
Patients and methods: We utilized data from two measurement time points (t1 and t6) of the AYA-LE study, a prospective longitudinal investigation examining the temporal course and associated factors of life satisfaction and psychological distress among AYA cancer survivors. We examined the mediating effect of attachment insecurities (ECR-RD) on the relationship between sexual satisfaction (FLZ-Sex) and partnership satisfaction (PFB), while controlling for sociodemographic and clinical characteristics, in a sample of N = 275 participants.
Results: Higher sexual satisfaction was correlated with lower attachment-related anxiety (r = -0.51, p < 0.001) and lower attachment-related avoidance (r = -0.49, p < 0.001). Both lower attachment-related anxiety and attachment-related avoidance were correlated with higher partnership satisfaction (r = -0.64, p < 0.001 and r = -0.72, p < 0.001, respectively). Sexual satisfaction partially predicted partnership satisfaction of AYA cancer survivors through attachment-related anxiety and attachment-related avoidance while the mediating effect accounted for 75% of the total effect.
Interpretation: The associations between sexual satisfaction, partnership satisfaction, and attachment highlight the need to address emotional and relational aspects in supportive care for AYA cancer survivors. There is a clear need for more targeted studies on attachment patterns, sexual satisfaction, and partnership satisfaction in this specific population to further refine and validate these approaches.
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| format | Article |
| id | doaj-art-8d24358379274c03bb9d2c84b8dd632f |
| institution | Kabale University |
| issn | 1651-226X |
| language | English |
| publishDate | 2025-01-01 |
| publisher | Medical Journals Sweden |
| record_format | Article |
| series | Acta Oncologica |
| spelling | doaj-art-8d24358379274c03bb9d2c84b8dd632f2025-01-22T06:40:54ZengMedical Journals SwedenActa Oncologica1651-226X2025-01-016410.2340/1651-226X.2025.42110Exploring how attachment insecurities mediate the link between sexual and partnership satisfaction in adolescents and young adults with cancerSvenja Heyne0Hannah Brock1https://orcid.org/0000-0002-9905-9488Diana Richter2https://orcid.org/0000-0003-3977-2801Annekathrin Sender3https://orcid.org/0000-0002-5457-4021Jenny Rosendahl4https://orcid.org/0000-0001-7535-7571Michael Friedrich5https://orcid.org/0000-0002-0528-1564Kristina Geue6https://orcid.org/0000-0001-6590-5650Anja Mehnert-Theuerkauf7https://orcid.org/0000-0002-6872-9805Department of Medical Psychology and Medical Sociology, Comprehensive Cancer Center Central Germany (CCCG), University Medical Center, Leipzig, GermanyDepartment of Medical Psychology and Medical Sociology, Comprehensive Cancer Center Central Germany (CCCG), University Medical Center, Leipzig, GermanyDepartment of Medical Psychology and Medical Sociology, Comprehensive Cancer Center Central Germany (CCCG), University Medical Center, Leipzig, GermanyDepartment of Medical Psychology and Medical Sociology, Comprehensive Cancer Center Central Germany (CCCG), University Medical Center, Leipzig, GermanyInstitute of Psychosocial Medicine, Psychotherapy and Psychooncology, Jena University Hospital, Jena, GermanyDepartment of Medical Psychology and Medical Sociology, Comprehensive Cancer Center Central Germany (CCCG), University Medical Center, Leipzig, GermanyUniversity Clinic for Psychosomatic Medicine and Psychotherapy, University Medical Center Magdeburg, Magdeburg, GermanyDepartment of Medical Psychology and Medical Sociology, Comprehensive Cancer Center Central Germany (CCCG), University Medical Center, Leipzig, GermanyBackground and purpose: Comprehensive data on factors affecting partnership satisfaction among adolescents and young adult (AYA) cancer survivors are limited. Our study examines partnership satisfaction, sexual satisfaction, and attachment insecurities, exploring how attachment-related anxiety and avoidance influence the relationship between sexual and partnership satisfaction across major tumor entities in this population. Patients and methods: We utilized data from two measurement time points (t1 and t6) of the AYA-LE study, a prospective longitudinal investigation examining the temporal course and associated factors of life satisfaction and psychological distress among AYA cancer survivors. We examined the mediating effect of attachment insecurities (ECR-RD) on the relationship between sexual satisfaction (FLZ-Sex) and partnership satisfaction (PFB), while controlling for sociodemographic and clinical characteristics, in a sample of N = 275 participants. Results: Higher sexual satisfaction was correlated with lower attachment-related anxiety (r = -0.51, p < 0.001) and lower attachment-related avoidance (r = -0.49, p < 0.001). Both lower attachment-related anxiety and attachment-related avoidance were correlated with higher partnership satisfaction (r = -0.64, p < 0.001 and r = -0.72, p < 0.001, respectively). Sexual satisfaction partially predicted partnership satisfaction of AYA cancer survivors through attachment-related anxiety and attachment-related avoidance while the mediating effect accounted for 75% of the total effect. Interpretation: The associations between sexual satisfaction, partnership satisfaction, and attachment highlight the need to address emotional and relational aspects in supportive care for AYA cancer survivors. There is a clear need for more targeted studies on attachment patterns, sexual satisfaction, and partnership satisfaction in this specific population to further refine and validate these approaches. https://medicaljournalssweden.se/actaoncologica/article/view/42110Sexual healthattachment-related anxietyattachment-related avoidanceAYA cancer survivorsoncologysupportive care |
| spellingShingle | Svenja Heyne Hannah Brock Diana Richter Annekathrin Sender Jenny Rosendahl Michael Friedrich Kristina Geue Anja Mehnert-Theuerkauf Exploring how attachment insecurities mediate the link between sexual and partnership satisfaction in adolescents and young adults with cancer Acta Oncologica Sexual health attachment-related anxiety attachment-related avoidance AYA cancer survivors oncology supportive care |
| title | Exploring how attachment insecurities mediate the link between sexual and partnership satisfaction in adolescents and young adults with cancer |
| title_full | Exploring how attachment insecurities mediate the link between sexual and partnership satisfaction in adolescents and young adults with cancer |
| title_fullStr | Exploring how attachment insecurities mediate the link between sexual and partnership satisfaction in adolescents and young adults with cancer |
| title_full_unstemmed | Exploring how attachment insecurities mediate the link between sexual and partnership satisfaction in adolescents and young adults with cancer |
| title_short | Exploring how attachment insecurities mediate the link between sexual and partnership satisfaction in adolescents and young adults with cancer |
| title_sort | exploring how attachment insecurities mediate the link between sexual and partnership satisfaction in adolescents and young adults with cancer |
| topic | Sexual health attachment-related anxiety attachment-related avoidance AYA cancer survivors oncology supportive care |
| url | https://medicaljournalssweden.se/actaoncologica/article/view/42110 |
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