"LET’S TALK ABOUT MORE THAN SEX: INTIMACY, MENTAL HEALTH, AND PSYCHOLOGICAL FLEXIBILITY AFTER CANCER"
Bibliographic record
Abstract
Cancer survivors report disruptions to their relationships, including decreased sex drive and fear of initiating sex with their partner.Although research indicates that sexual functioning is not directly related to subjective well-being, higher intimacy is positively associated with higher life satisfaction.Psychological flexibility, the ability to make practical, values-based choices among many competing options, is the measurable outcome of Acceptance and Commitment Therapy (ACT).Inflexible individuals tend to ruminate and hold grudges leading to relational strain.Although previous research indicates relationships between psychological flexibility, anxiety, and depression, little research connects the specific pillars of psychological flexibility (Openness to Experience, Behavioural Awareness, Valued Action) to these outcomes.Thus, we investigated the relationships between intimacy, psychological flexibility, and mental health.In this study, we examined: (1) the connections between intimacy and mental wellness (e.g., anxiety, depression) in cancer survivors and (2) which pillars of psychological flexibility are most closely related to intimacy in psychological outcomes of cancer.Participants who reported being in a relationship and had a previous cancer diagnosis were recruited to complete questionnaires measuring factors associated with sexual activity and intimacy, psychological flexibility, satisfaction with life, as well as symptoms of anxiety and depression.All components of intimacy (emotional, sexual, social, intellectual, recreational) were inversely correlated with depression and anxiety.Mediation analysis indicated that psychological flexibility was a significant mediator in the relationship between emotional intimacy, anxiety, and depression.This research adds to the body of research supporting acceptance and commitment therapy to improve intimacy and relationship satisfaction levels, focusing on the most salient components of this population.
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How this classification was reachedexpand
Full frame machine prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.001 | 0.004 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.000 | 0.000 |
| Bibliometrics | 0.000 | 0.000 |
| Science and technology studies | 0.001 | 0.001 |
| Scholarly communication | 0.001 | 0.001 |
| Open science | 0.000 | 0.001 |
| Research integrity | 0.001 | 0.002 |
| Insufficient payload (model declined to judge) | 0.002 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".