Sexual, psychological and dyadic qualities of the prostate cancer ‘couple’

OBJECTIVES To examine the levels of sexual, psychological and dyadic functioning of the prostate cancer ‘couple’ (as studies have shown that spouses/partners play an integral role in the patient's adjustment to prostate cancer treatment), to encourage the creation of innovative psychosexual int...

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Veröffentlicht in:BJU international 2005-04, Vol.95 (6), p.780-785
Hauptverfasser: Soloway, Cynthia T., Soloway, Mark S., Kim, Sandy S., Kava, Bruce R.
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container_end_page 785
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container_title BJU international
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creator Soloway, Cynthia T.
Soloway, Mark S.
Kim, Sandy S.
Kava, Bruce R.
description OBJECTIVES To examine the levels of sexual, psychological and dyadic functioning of the prostate cancer ‘couple’ (as studies have shown that spouses/partners play an integral role in the patient's adjustment to prostate cancer treatment), to encourage the creation of innovative psychosexual interventions to be used in the outpatient setting, and to offer insights into a novel area of prostate cancer research. PATIENTS AND METHODS In all, 103 men newly diagnosed with prostate cancer, and their partners, were assessed in an academic outpatient setting using instruments measuring sexual function, depressed mood, psychological distress and dyadic adjustment. RESULTS The partners’ mean scores on sexual function questions were 55.75, significantly higher than those of the patients (51.7, P = 0.018), showing that partners perceived their sexual performance at a better level. Partners’ mean scores on the depression and distress measures were also significantly higher. On those items that monitored the accuracy of the patients’ perceptions of their sexual function, partners rated the patients significantly lower in ability to gain erections (patient/partner means 2.67/4.52; P 
doi_str_mv 10.1111/j.1464-410X.2005.05400.x
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PATIENTS AND METHODS In all, 103 men newly diagnosed with prostate cancer, and their partners, were assessed in an academic outpatient setting using instruments measuring sexual function, depressed mood, psychological distress and dyadic adjustment. RESULTS The partners’ mean scores on sexual function questions were 55.75, significantly higher than those of the patients (51.7, P = 0.018), showing that partners perceived their sexual performance at a better level. Partners’ mean scores on the depression and distress measures were also significantly higher. On those items that monitored the accuracy of the patients’ perceptions of their sexual function, partners rated the patients significantly lower in ability to gain erections (patient/partner means 2.67/4.52; P &lt; 0.001) and to perform sexually (patient/partner means 1.38/4.68; P &lt; 0.001) than they rated themselves. CONCLUSIONS Information from this study could be useful in constructing interventions that allow the physician and the prostate cancer ‘couple’ to reflect on issues of sexual function and psychological distress that might once have been considered taboo. The results characterize the disparities between patients with prostate cancer and their partners on self‐reported questionnaires, and underscore how important it is to hear the voice of the ‘couple’.</description><identifier>ISSN: 1464-4096</identifier><identifier>EISSN: 1464-410X</identifier><identifier>DOI: 10.1111/j.1464-410X.2005.05400.x</identifier><identifier>PMID: 15794782</identifier><language>eng</language><publisher>Oxford, UK: Blackwell Science Ltd</publisher><subject>Adaptation, Psychological ; Adult ; Aged ; Anxiety - etiology ; Biological and medical sciences ; depression ; Depressive Disorder - etiology ; Female ; Gynecology. Andrology. Obstetrics ; Humans ; Interpersonal Relations ; Male ; Male genital diseases ; marital quality ; Medical sciences ; Middle Aged ; Nephrology. Urinary tract diseases ; prostate cancer ; Prostatic Neoplasms - diagnosis ; Prostatic Neoplasms - psychology ; psychological distress ; Quality of Life ; Sexual Dysfunction, Physiological - etiology ; sexual function ; Spouses - psychology ; Stress, Psychological - etiology ; Tumors ; Tumors of the urinary system ; Urinary tract. 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PATIENTS AND METHODS In all, 103 men newly diagnosed with prostate cancer, and their partners, were assessed in an academic outpatient setting using instruments measuring sexual function, depressed mood, psychological distress and dyadic adjustment. RESULTS The partners’ mean scores on sexual function questions were 55.75, significantly higher than those of the patients (51.7, P = 0.018), showing that partners perceived their sexual performance at a better level. Partners’ mean scores on the depression and distress measures were also significantly higher. On those items that monitored the accuracy of the patients’ perceptions of their sexual function, partners rated the patients significantly lower in ability to gain erections (patient/partner means 2.67/4.52; P &lt; 0.001) and to perform sexually (patient/partner means 1.38/4.68; P &lt; 0.001) than they rated themselves. CONCLUSIONS Information from this study could be useful in constructing interventions that allow the physician and the prostate cancer ‘couple’ to reflect on issues of sexual function and psychological distress that might once have been considered taboo. The results characterize the disparities between patients with prostate cancer and their partners on self‐reported questionnaires, and underscore how important it is to hear the voice of the ‘couple’.</description><subject>Adaptation, Psychological</subject><subject>Adult</subject><subject>Aged</subject><subject>Anxiety - etiology</subject><subject>Biological and medical sciences</subject><subject>depression</subject><subject>Depressive Disorder - etiology</subject><subject>Female</subject><subject>Gynecology. Andrology. Obstetrics</subject><subject>Humans</subject><subject>Interpersonal Relations</subject><subject>Male</subject><subject>Male genital diseases</subject><subject>marital quality</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Nephrology. Urinary tract diseases</subject><subject>prostate cancer</subject><subject>Prostatic Neoplasms - diagnosis</subject><subject>Prostatic Neoplasms - psychology</subject><subject>psychological distress</subject><subject>Quality of Life</subject><subject>Sexual Dysfunction, Physiological - etiology</subject><subject>sexual function</subject><subject>Spouses - psychology</subject><subject>Stress, Psychological - etiology</subject><subject>Tumors</subject><subject>Tumors of the urinary system</subject><subject>Urinary tract. 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Andrology. Obstetrics</topic><topic>Humans</topic><topic>Interpersonal Relations</topic><topic>Male</topic><topic>Male genital diseases</topic><topic>marital quality</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Nephrology. Urinary tract diseases</topic><topic>prostate cancer</topic><topic>Prostatic Neoplasms - diagnosis</topic><topic>Prostatic Neoplasms - psychology</topic><topic>psychological distress</topic><topic>Quality of Life</topic><topic>Sexual Dysfunction, Physiological - etiology</topic><topic>sexual function</topic><topic>Spouses - psychology</topic><topic>Stress, Psychological - etiology</topic><topic>Tumors</topic><topic>Tumors of the urinary system</topic><topic>Urinary tract. Prostate gland</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Soloway, Cynthia T.</creatorcontrib><creatorcontrib>Soloway, Mark S.</creatorcontrib><creatorcontrib>Kim, Sandy S.</creatorcontrib><creatorcontrib>Kava, Bruce R.</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>BJU international</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Soloway, Cynthia T.</au><au>Soloway, Mark S.</au><au>Kim, Sandy S.</au><au>Kava, Bruce R.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Sexual, psychological and dyadic qualities of the prostate cancer ‘couple’</atitle><jtitle>BJU international</jtitle><addtitle>BJU Int</addtitle><date>2005-04</date><risdate>2005</risdate><volume>95</volume><issue>6</issue><spage>780</spage><epage>785</epage><pages>780-785</pages><issn>1464-4096</issn><eissn>1464-410X</eissn><abstract>OBJECTIVES To examine the levels of sexual, psychological and dyadic functioning of the prostate cancer ‘couple’ (as studies have shown that spouses/partners play an integral role in the patient's adjustment to prostate cancer treatment), to encourage the creation of innovative psychosexual interventions to be used in the outpatient setting, and to offer insights into a novel area of prostate cancer research. PATIENTS AND METHODS In all, 103 men newly diagnosed with prostate cancer, and their partners, were assessed in an academic outpatient setting using instruments measuring sexual function, depressed mood, psychological distress and dyadic adjustment. RESULTS The partners’ mean scores on sexual function questions were 55.75, significantly higher than those of the patients (51.7, P = 0.018), showing that partners perceived their sexual performance at a better level. Partners’ mean scores on the depression and distress measures were also significantly higher. On those items that monitored the accuracy of the patients’ perceptions of their sexual function, partners rated the patients significantly lower in ability to gain erections (patient/partner means 2.67/4.52; P &lt; 0.001) and to perform sexually (patient/partner means 1.38/4.68; P &lt; 0.001) than they rated themselves. CONCLUSIONS Information from this study could be useful in constructing interventions that allow the physician and the prostate cancer ‘couple’ to reflect on issues of sexual function and psychological distress that might once have been considered taboo. The results characterize the disparities between patients with prostate cancer and their partners on self‐reported questionnaires, and underscore how important it is to hear the voice of the ‘couple’.</abstract><cop>Oxford, UK</cop><pub>Blackwell Science Ltd</pub><pmid>15794782</pmid><doi>10.1111/j.1464-410X.2005.05400.x</doi><tpages>6</tpages></addata></record>
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subjects Adaptation, Psychological
Adult
Aged
Anxiety - etiology
Biological and medical sciences
depression
Depressive Disorder - etiology
Female
Gynecology. Andrology. Obstetrics
Humans
Interpersonal Relations
Male
Male genital diseases
marital quality
Medical sciences
Middle Aged
Nephrology. Urinary tract diseases
prostate cancer
Prostatic Neoplasms - diagnosis
Prostatic Neoplasms - psychology
psychological distress
Quality of Life
Sexual Dysfunction, Physiological - etiology
sexual function
Spouses - psychology
Stress, Psychological - etiology
Tumors
Tumors of the urinary system
Urinary tract. Prostate gland
title Sexual, psychological and dyadic qualities of the prostate cancer ‘couple’
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