Erectile dysfunction, masculinity, and psychosocial outcomes: a review of the experiences of men after prostate cancer treatment

Chambers, Suzanne K.; Chung, Eric; Wittert, Gary; Hyde, Melissa K.

doi:10.21037/tau.2016.08.12

Cited by 79 publications

(95 citation statements)

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“…To date, numerous randomized controlled trials (RCT) have attempted to capture and quantify masculinity, body image, and personal identity changes experienced by men with prostate cancer . Studies examining masculinity have often extrapolated their claims from quantitative assessments of erectile dysfunction, levels of sexual activity, intimacy or function, or on perceptions of one's masculine self‐esteem . There thus exists significant heterogeneity across studies on what constitutes masculinity, and to date, most studies have quantitatively examined changes in masculinity in men receiving androgen deprivation therapy (ADT) .…”

Section: Introductionmentioning

confidence: 99%

“…There thus exists significant heterogeneity across studies on what constitutes masculinity, and to date, most studies have quantitatively examined changes in masculinity in men receiving androgen deprivation therapy (ADT) . Additionally, the measurement tools currently used by psychosocial researchers have been designed to capture more “traditional” interpretations of masculinity and therefore may not account for sociocultural variations in how masculinity can be expressed …”

Section: Introductionmentioning

confidence: 99%

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Exercise interventions and their effect on masculinity, body image, and personal identity in prostate cancer—A systematic qualitative review

et al. 2019

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Objective Men with prostate cancer face various body composition and psychosocial challenges following diagnosis. Movement‐based interventions such as exercise may represent novel strategies to improve these important biopsychosocial changes. This systematic qualitative review aimed to examine the various exercise interventions and their effect on male perception of masculinity, body image, and personal identity. Methods A systematic search across nine electronic databases was conducted in July 2017 and repeated in August 2018. Eligible studies included qualitative works examining masculinity, body image, or personal identity within an exercise intervention. Thematic content analysis allowed for qualitative synthesis across numerous studies. Results Six studies met eligibility criteria for inclusion. Four interventions used multimodal aerobic and resistance training, one incorporated aerobic exercise through football practice, and one utilized a home‐based aerobic plus yoga program. Exercise was implicated to improve masculinity through creation of a safe community, allowed for refocusing on valued male traits, provided a source of distraction, and offered a means of establishing control over one's illness. Exercise also facilitated a process of self‐reflection secondary to changes in physique and helped to re‐establish male self‐efficacy. Conclusions Regardless of prostate cancer stage, treatment status, or prior androgen deprivation therapy exposure, both aerobic or aerobic and resistance training exerted positive effects on perceived feelings of masculinity, body image, and personal identity.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Exercise interventions and their effect on masculinity, body image, and personal identity in prostate cancer—A systematic qualitative review

et al. 2019

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“…Mais do que negligência ou ausência de informações, a baixa adesão do público masculino a este procedimento deve ser compreendida à luz do contexto social onde os homens são inseridos e levando em consideração os sentidos atribuídos ao ser-homem, atravessados pelo modelo de masculinidade hegemônica (Campbell et al, 2014;Martins & Modena, 2016a;Chambers et al, 2017). Assim, por tocar uma região socialmente interditada do corpo masculino, o ânus, é recorrente que os homens, ao serem submetidos ao exame de toque, o percebam como uma violação sexual, semelhante a uma penetração anal, incidindo, assim, diretamente sobre sua masculinidade (Gomes et al, 2008, Martins & Modena, 2016a.…”

Section: A Realização Dos Exames Preventivos Do Câncer Na Próstataunclassified

“…A literatura nacional e internacional vem indicando que, quando comparados às mulheres, os homens apresentam menor adesão às ações de prevenção e diagnóstico precoce e uma busca tardia por serviços e profissionais de saúde, resultando em atendimentos em estágios já avançados de adoecimento e com reduzidas possibilidades de tratamento, cura e reabilitação (Cayless, Forbat, Illingworth, Hubbard, & Kearney, 2010;Bergerot et al, 2014;Martins & Modena, 2016a;Chambers, Chung, Wittert, & Hyde, 2017). O mesmo ocorre após a constatação do câncer, uma vez que os homens também apresentam dificuldades de aderir aos tratamentos propostos e de se adaptar à nova rotina de cuidados (Gomes, Nascimento, Rebello, & Araújo, 2008;Kelly, 2009;Gannon, GuerroBlanco, Patel, & Abel, 2010;Mesquita, Moreira, & Maliski, 2011;Paiva, Motta, & Griep, 2011;Burille, Schwartz, & Zillmer, 2013;Curtis, Groarke, & Sullivan, 2013;Martins & Modena, 2016a).…”

Section: Introductionunclassified

“…Estudos apontam que os modos pelos quais os homens concebem e vivenciam suas masculinidades podem interferir diretamente em seu bem-estar, nas suas práticas de autocuidado e nas suas condições de saúde, favorecendo a manifestação e o agravo de doenças como o câncer (Amorin et al, 2011;Paiva et al, 2011;Krumwiede & Krumwiede, 2012;Belinelo et al, 2014;Martins & Modena, 2016a, Chambers et al, 2017.…”

Section: Introductionunclassified

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Representações Sociais De Corpo Após O Adoecimento Por Câncer Na Próstata

Martins¹,

Nascimento²

2017

Psicol Estud

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RESUMO.O estudo tem como objetivo identificar e analisar as Representações Sociais de corpo para homens após o adoecimento por câncer na próstata. Foram realizadas entrevistas narrativas com oito homens com idade entre 50 e 70 anos, diagnosticados com câncer na p róstata e que realizaram tratamento oncológico há pelo menos um ano. As entrevistas foram gravadas, transcritas e analisadas por meio da Abordagem Fenomenológica Interpretativa. Os resultados apontam que antes do adoecimento, os participantes representavam seus corpos como fortes, resistentes e saudáveis, tendo no modelo de masculinidade hegemônica um importante ponto de ancoragem para estas representações. A ausência de sintomas que provocassem desconfortos corporais contribuiu para a percepção de corpo sa udável. A busca por serviços de saúde somente ocorreu após a manifestação e agravamentos dos primeiros sintomas, que limitaram suas ações diárias e alteraram o seu cotidiano. O adoecimento por câncer na próstata e as propostas de tratamento oncológico, em especial, a prostatectomia, foram destacados pelos participantes como uma experiência marcante e produtora de grande desconforto físico e psicológico. Após o adoecimento, os homens passaram a representar os seus corpos como frágeis, doentes e debilitados. Os entrevistados chamam a atenção para o impacto das transformações corporais, especialmente aquelas relacionadas às disfunções sexuais e urológicas, nos modos de pensar, sentir e agir, em relação à própria masculinidade. Nesse sentido, as limitações impos tas pelo adoecimento e tratamento oncológico se contrapõem ao modelo de masculinidade hegemônica, favorecendo o sentimento de ser menos homem do que antes do adoecimento. Palavras-chave:Câncer na próstata; masculinidade; representação social. SOCIAL REPRESENTATIONS OF THE BODY AFTER THE ILLNESS BY PROSTATE CANCERABSTRACT. This study aims to identify and analyze the social representations of body for men after the illness from prostate cancer. Narrative interviews were conducted with 08 men with age s ranging from 50 and 70 years, diagnosed with this disease and who had undergone oncological treatment, for at least one year. The interviews were recorded, transcribed and analyzed using the Interpretative Phenomenological Approach. The results show that before the illness, the participants represented their bodies as strong, resistant and healthy taking in the hegemonic masculinity model an important anchorage point for these representations. The absence of symptoms that cause bodily discomforts contribu ted to the feeling of healthy body. The search for health services only occurred after the manifestation of the first symptoms and its exacerbations, which limited their daily actions and change their daily lives. Participants mentioned the illness by prostate cancer and oncological treatment proposals, in particular the prostatectomy, as a remarkable experience that producer of great physical and psychological discomfort. After the illness, the men began to represent their bodies as fragile, sick a...

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Ambiguity in a masculine world: Being a BRCA1/2 mutation carrier and a man with prostate cancer

et al. 2017

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ObjectiveIncreased risk of prostate cancer (PCa) is observed in men with BRCA1/BRCA2 mutations. Sex and gender are key determinants of health and disease although unequal care exists between the sexes. Stereotypical male attitudes are shown to lead to poor health outcomes.MethodsMen with BRCA1/2 mutations and diagnosed with PCa were identified and invited to participate in a qualitative interview study. Data were analysed using a framework approach. “Masculinity theory” was used to report the impact of having both a BRCA1/2 mutation and PCa.ResultsEleven of 15 eligible men were interviewed. The umbrella concept of “Ambiguity in a Masculine World” was evident. Men's responses often matched those of women in a genetic context. Men's BRCA experience was described, as “on the back burner” but “a bonus” enabling familial detection and early diagnosis of PCa. Embodiment of PCa took precedence as men revealed stereotypical “ideal” masculine responses such as stoicism and control while creating new “masculinities” when faced with the vicissitudes of having 2 gendered conditions.ConclusionHealth workers are urged to take a reflexive approach, void of masculine ideals, a belief in which obfuscates men's experience. Research is required regarding men's support needs in the name of equality of care.

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Erectile dysfunction, masculinity, and psychosocial outcomes: a review of the experiences of men after prostate cancer treatment

Cited by 79 publications

References 70 publications

Exercise interventions and their effect on masculinity, body image, and personal identity in prostate cancer—A systematic qualitative review

Exercise interventions and their effect on masculinity, body image, and personal identity in prostate cancer—A systematic qualitative review

Representações Sociais De Corpo Após O Adoecimento Por Câncer Na Próstata

Ambiguity in a masculine world: Being a BRCA1/2 mutation carrier and a man with prostate cancer

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