Kate-Ellen J Elliott1, Jennifer L Scott1, Michael Monsour2,3, Fadi Nuwayhid4. 1. a Faculty of Health, School of Medicine (Psychology) , University of Tasmania , Hobart , Australia. 2. b School of Surgery , University of Tasmania, Launceston Clinical School , Launceston , Australia. 3. c Department of Urological Oncology , Launceston General Hospital , Launceston , Australia. 4. d Department of Urological Oncology , Royal Hobart Hospital , Hobart , Australia.
Abstract
OBJECTIVE: The purpose of the study is to describe from a relational perspective, partners' psychological adjustment, coping and support needs for advanced prostate cancer. DESIGN: A mixed methods design was adopted, employing triangulation of qualitative and quantitative data, to produce dyadic profiles of adjustment for six couples recruited from the urology clinics of local hospitals in Tasmania, Australia. METHODS: Dyads completed a video-taped communication task, semi-structured interview and standardised self-report questionnaires. RESULTS: Themes identified were associated with the dyadic challenges of the disease experience (e.g. relationship intimacy, disease progression and carer burden). Couples with poor psychological adjustment profiles had both clinical and global locus of distress, treatment side-effects, carer burden and poor general health. Resilient couples demonstrated relationship closeness and adaptive cognitive and behavioural coping strategies. The themes informed the adaption of an effective program for couples coping with women's cancers (CanCOPE, to create a program for couples facing advanced prostate cancer (ProCOPE-Adv). CONCLUSION: Mixed method results inform the development of psychological therapy components for couples coping with advanced prostate cancer. The concomitance of co-morbid health problems may have implications for access and engagement for older adult populations in face-to-face intervention.
OBJECTIVE: The purpose of the study is to describe from a relational perspective, partners' psychological adjustment, coping and support needs for advanced prostate cancer. DESIGN: A mixed methods design was adopted, employing triangulation of qualitative and quantitative data, to produce dyadic profiles of adjustment for six couples recruited from the urology clinics of local hospitals in Tasmania, Australia. METHODS: Dyads completed a video-taped communication task, semi-structured interview and standardised self-report questionnaires. RESULTS: Themes identified were associated with the dyadic challenges of the disease experience (e.g. relationship intimacy, disease progression and carer burden). Couples with poor psychological adjustment profiles had both clinical and global locus of distress, treatment side-effects, carer burden and poor general health. Resilient couples demonstrated relationship closeness and adaptive cognitive and behavioural coping strategies. The themes informed the adaption of an effective program for couples coping with women's cancers (CanCOPE, to create a program for couples facing advanced prostate cancer (ProCOPE-Adv). CONCLUSION: Mixed method results inform the development of psychological therapy components for couples coping with advanced prostate cancer. The concomitance of co-morbid health problems may have implications for access and engagement for older adult populations in face-to-face intervention.
Authors: Kate-Ellen J Elliott; Christine M Stirling; Angela J Martin; Andrew L Robinson; Jennifer L Scott Journal: Health Expect Date: 2015-10-16 Impact factor: 3.377
Authors: Michael J Annear; Kate-Ellen J Elliott; Laura T Tierney; Emma J Lea; Andrew Robinson Journal: Health Expect Date: 2017-04-11 Impact factor: 3.377
Authors: Christina Sauer; Andreas Ihrig; Tobias Hanslmeier; Johannes Huber; Kiriaki Hiller; Hans-Christoph Friederich; Imad Maatouk Journal: Support Care Cancer Date: 2022-05-13 Impact factor: 3.359