Couple distress after localised prostate cancer

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• 作者：Suzanne K. Chambers ; Leslie Schover ; Lisa Nielsen ; Kim Halford…
• 关键词：Prostate cancer ; Psychosocial adjustment ; Couples ; Partners
• 刊名：Supportive Care in Cancer
• 出版年：2013
• 出版时间：November 2013
• 年：2013
• 卷：21
• 期：11
• 页码：2967-2976
• 全文大小：189KB
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• 作者单位：Suzanne K. Chambers (1) (11) (2) (3)
  Leslie Schover (4)
  Lisa Nielsen (2)
  Kim Halford (5)
  Samantha Clutton (2)
  Robert A. Gardiner (6) (7)
  Jeff Dunn (2) (8) (9)
  Stefano Occhipinti (10)
  
  1. Griffith Health Institute, Griffith University, Brisbane, Australia
  11. Griffith University, Gold Coast Campus, Brisbane, Queensland, 4222, Australia
  2. Cancer Council Queensland, Brisbane, Australia
  3. Prostate Cancer Foundation of Australia, Sydney, Australia
  4. Department of Behavioral Science, University of Texas M.D. Anderson Cancer Center, Houston, USA
  5. School of Psychology, University of Queensland, Brisbane, Australia
  6. University of Queensland Centre for Clinical Research, University of Queensland, Brisbane, Australia
  7. Department of Urology, Royal Brisbane and Women’s Hospital, Brisbane, Australia
  8. School of Public Health, Griffith University, Brisbane, Australia
  9. School of Social Science, University of Queensland, Brisbane, Australia
  10. Griffith Health Institute and School of Applied Psychology, Griffith University, Brisbane, Australia
  
• ISSN：1433-7339

文摘

Background The experience of the diagnosis of prostate cancer is distressing for both men and their partners. The present study describes the prevalence of psychological distress in men with prostate cancer and their partners, and the predictors of adjustment outcomes. Methods/design A cross-sectional survey of 189 prostate cancer patients who were scheduled for or had undergone surgery for localised prostate cancer and their partners assessed socio-demographic variables, masculine self-esteem and social intimacy, psychological adjustment and quality of life. Results Overall, patients and partners reported low distress; however, female partners were more anxious with 36?% reporting mild to severe anxiety. For men, masculine self-esteem and time since diagnosis were most strongly related to mental health status; urinary bother most influenced physical quality of life. For female partners, the man’s psychological distress and his sexual bother were most strongly related to her mental health status; higher social intimacy was most strongly associated with physical quality of life. Conclusion The correlates of distress after the diagnosis of prostate cancer differ between patients and female partners. For men, masculine self-esteem may be most crucial, whereas for women, her partner’s level of distress may matter most. Research to better understand these interactions is needed.