Jane Robertson1, Phillip McNamee2, Gerry Molloy3, Gill Hubbard4, Alan McNeill5, Prasad Bollina5, Daniel Kelly6, Liz Forbat7. 1. School of Social Science, University of Stirling, Stirling, UK. 2. Institute for Women's Health, University College London, London, UK. 3. School of Psychology, NUI Galway, Galway, Eire. 4. School of Health, University of Stirling, Inverness, UK. 5. Department of Urology, Lothian University Hospitals, Edinburgh, UK. 6. Cardiff University, Cardiff, UK. 7. Faculty of Health Sciences, Australian Catholic University and Calvary Health Care Bruce, Canberra, Australia. Electronic address: elizabeth.forbat@acu.edu.au.
Abstract
INTRODUCTION: Surgery for prostate cancer can result in distressing side effects such as sexual difficulties, which are associated with lower levels of dyadic functioning. The study developed and tested an intervention to address sexual, relational, and emotional aspects of the relationship after prostate cancer by incorporating elements of family systems theory and sex therapy. AIMS: To develop and test the feasibility and acceptability of relational psychosexual treatment for couples with prostate cancer, determine whether a relational-psychosexual intervention is feasible and acceptable for couples affected by prostate cancer, and determine the parameters for a full-scale trial. METHODS:Forty-three couples were recruited for this pilot randomized controlled trial and received a six-session manual-based psychosexual intervention or usual care. Outcomes were measured before, after, and 6 months after the intervention. Acceptability and feasibility were established from recruitment and retention rates and adherence to the manual. MAIN OUTCOME MEASURES: The primary outcome measurement was the sexual bother subdomain of the Expanded Prostate Cancer Index Composite. The Hospital Anxiety and Depression Scale and the 15-item Systemic Clinical Outcome and Routine Evaluation (SCORE-15) were used to measure emotional and relational functioning, respectively. RESULTS: The intervention was feasible and acceptable. The trial achieved adequate recruitment (38%) and retention (74%) rates. The intervention had a clinically and statistically significant effect on sexual bother immediately after the intervention. Small decreases in anxiety and depression were observed for the intervention couples, although these were not statistically significant. Practitioners reported high levels of adherence to the manual. CONCLUSION: The clinically significant impact on sexual bother and positive feedback on the study's feasibility and acceptability indicate that the intervention should be tested in a multicenter trial. The SCORE-15 lacked specificity for this intervention, and future trials would benefit from a couple-focused measurement.
RCT Entities:
INTRODUCTION: Surgery for prostate cancer can result in distressing side effects such as sexual difficulties, which are associated with lower levels of dyadic functioning. The study developed and tested an intervention to address sexual, relational, and emotional aspects of the relationship after prostate cancer by incorporating elements of family systems theory and sex therapy. AIMS: To develop and test the feasibility and acceptability of relational psychosexual treatment for couples with prostate cancer, determine whether a relational-psychosexual intervention is feasible and acceptable for couples affected by prostate cancer, and determine the parameters for a full-scale trial. METHODS: Forty-three couples were recruited for this pilot randomized controlled trial and received a six-session manual-based psychosexual intervention or usual care. Outcomes were measured before, after, and 6 months after the intervention. Acceptability and feasibility were established from recruitment and retention rates and adherence to the manual. MAIN OUTCOME MEASURES: The primary outcome measurement was the sexual bother subdomain of the Expanded Prostate Cancer Index Composite. The Hospital Anxiety and Depression Scale and the 15-item Systemic Clinical Outcome and Routine Evaluation (SCORE-15) were used to measure emotional and relational functioning, respectively. RESULTS: The intervention was feasible and acceptable. The trial achieved adequate recruitment (38%) and retention (74%) rates. The intervention had a clinically and statistically significant effect on sexual bother immediately after the intervention. Small decreases in anxiety and depression were observed for the intervention couples, although these were not statistically significant. Practitioners reported high levels of adherence to the manual. CONCLUSION: The clinically significant impact on sexual bother and positive feedback on the study's feasibility and acceptability indicate that the intervention should be tested in a multicenter trial. The SCORE-15 lacked specificity for this intervention, and future trials would benefit from a couple-focused measurement.
Authors: Linda E Carlson; Codie R Rouleau; Michael Speca; John Robinson; Barry D Bultz Journal: Support Care Cancer Date: 2017-01-07 Impact factor: 3.603
Authors: Marigdalia K Ramirez-Fort; Paula Suarez; Margely Carrion; Daniel Weiner; Claire Postl; Ricardo Arribas; Mehdi Sayyah; Digna V Forta; M Junaid Niaz; Amir Feily; Christopher S Lange; Zhahedia Zhaythseff Fort; Migdalia Fort Journal: Rep Pract Oncol Radiother Date: 2020-04-30
Authors: Charlene J Treanor; Olinda Santin; Gillian Prue; Helen Coleman; Chris R Cardwell; Peter O'Halloran; Michael Donnelly Journal: Cochrane Database Syst Rev Date: 2019-06-17
Authors: Suzanne K Chambers; Melissa K Hyde; David P Smith; Suzanne Hughes; Susan Yuill; Sam Egger; Dianne L O'Connell; Kevin Stein; Mark Frydenberg; Gary Wittert; Jeff Dunn Journal: Psychooncology Date: 2017-07 Impact factor: 3.894