‘<i>You know I've joined your club… I'm the hot flush boy</i>’: a qualitative exploration of hot flushes and night sweats in men undergoing androgen deprivation therapy for prostate cancer

Eziefula, CU; Grunfeld, Elizabeth A.; Hunter, Myra

doi:10.1002/pon.3355

Cited by 17 publications

(17 citation statements)

References 45 publications

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“…Since the majority of men in this study had been prescribed hormone therapy prior to radiotherapy, men were able to identify the specific strategies they used to deal with radiotherapy. Consistent with the literature, hormone therapy created a range of physical and emotional needs in men associated with feminisation, hot flushes and altered sex drive (Carter et al 2011;Grunfeld et al 2012;Eziefula et al 2013). Indeed, men in this study described strategies such as concealment for dealing with embarrassing body image changes as a result of hormone therapy.…”

Section: Discussionsupporting

confidence: 75%

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The impact of prostate cancer on men's everyday life

Appleton

Wyatt

Perkins

et al. 2014

Eur J Cancer Care (Engl)

115

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Prostate cancer impacts on the daily lives of men, particularly their physical and emotional health, relationships and social life. This paper highlights how men cope with disease and treatment and the strategies they employ to manage their diagnosis alongside daily life. Twenty-seven men were interviewed at different stages in their disease pathway: nine men prior to radiotherapy, eight men at 6-8 months post radiotherapy and 10 men at 12-18 months post radiotherapy. A grounded theory approach was used to collect and analyse the data. Regardless of the point at which they were interviewed four areas emerged as important to the men: the pathway to diagnosis; the diagnosis; the impact of prostate cancer and its treatment on daily life; and living with prostate cancer. Prostate cancer was diagnosed using the prostate-specific antigen (PSA) test, rectal examination and biopsy. Many men did not understand the consequences of a high PSA reading before they undertook the test. Painful investigative biopsies were viewed as the worst part of the disease experience. Radiotherapy was considered less invasive than other treatments, although preparatory regimes were associated with stress and inconvenience. Men used various strategies to deal with treatment-induced threats to their masculinity in the long term.

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Section: Discussionsupporting

confidence: 75%

“…; Eziefula et al . ). Indeed, men in this study described strategies such as concealment for dealing with embarrassing body image changes as a result of hormone therapy.…”

Section: Discussionmentioning

confidence: 97%

The impact of prostate cancer on men's everyday life

Appleton

Wyatt

Perkins

et al. 2014

Eur J Cancer Care (Engl)

115

View full text Add to dashboard Cite

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“…The intervention which was effective for women with HFNS was adapted for men, being informed by a qualitative study , and was piloted on 12 prostate cancer survivors who provided feedback on content and how much guidance they required, for example the term ‘hot sweats’ was preferred to ‘hot flushes’.…”

Section: Methodsmentioning

confidence: 99%

A randomised controlled trial of a brief cognitive behavioural intervention for men who have hot flushes following prostate cancer treatment (MANCAN)

et al. 2015

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ObjectiveHot flushes and night sweats (HFNS) are experienced by up to 80% of prostate cancer patients undergoing androgen deprivation therapy (ADT). This study evaluates the effects of a guided self‐help cognitive behavioural therapy (CBT) intervention on HFNS problem‐rating (primary outcome), HFNS frequency, mood and health‐related quality of life (secondary outcomes) in patients undergoing ADT.MethodsPatients reporting treatment‐induced HFNS were randomly assigned to CBT (n = 33) or treatment as usual (TAU) (n = 35), stratified for cancer type. The CBT intervention included a booklet, CD plus telephone contact during a 4‐week period. Validated self‐report questionnaires were completed at baseline, 6 weeks and 32 weeks after randomisation. The primary outcome was HFNS problem rating (perceived burden of HFNS) at 6 weeks after randomisation. Potential moderators and mediators were examined. Data analysis was conducted on a modified intention‐to‐treat basis.ResultsCompared with TAU, CBT significantly reduced HFNS problem rating (adjusted mean difference: −1.33, 95% CI −2.07 to −0.58; p = 0.001) and HFNS frequency (−12.12, 95% CI −22.39 to −1.84; p = 0.02) at 6 weeks. Improvements were maintained at 32 weeks, but group differences did not reach significance. There were significant reductions in negative HFNS Beliefs and Behaviours following CBT, but not in mood or quality of life.ConclusionsGuided self‐help CBT appears to be a safe and effective brief treatment for men who have problematic HFNS following prostate cancer treatments. Further research might test the efficacy of the intervention in a multicentre trial. © 2015 The Authors. Psycho‐Oncology published by John Wiley & Sons Ltd.

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“…In addition, embarrassment and perceptions of altered masculinity may result from hot flushes and men may report feelings of powerlessness and difficulties adjusting to bodily changes associated with treatment (Eziefula, Grunfeld and Hunter, 2013). Clinical management guidelines suggest offering men medroxyprogesterone to treat troublesome hot flushes (NICE 2014), however, such medications have side-effects, which may have a detrimental impact on quality of life (Frisk, 2010).…”

Section: Introductionmentioning

confidence: 99%

Men’s experience of a guided self-help intervention for hot flushes associated with prostate cancer treatment

Grunfeld

Hunter

Yousaf

2016

Psychology, Health & Medicine

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Up to 80% of men who receive androgen deprivation therapy report hot flushes and for many these are associated with reduced quality of life. However it is recognised that there are a number of barriers to men's engagement with support to manage symptoms and improve quality of life. This qualitative study was embedded within a larger randomised controlled trial (MANCAN) of a guided self-help cognitive behavioural intervention to manage hot flushes resulting among men androgen deprivation therapy. The study aimed to explore the engagement and experiences with the guided selfhelp intervention. Twenty men recruited from the treatment arm of the MANCAN trial participated in a semi-structured interview exploring acceptability of the intervention, factors affecting engagement and perceived usefulness of the intervention. Interviews were audio-recorded, transcribed verbatim and analysed using a Framework approach. Over two thirds of respondents (69%) reported reading the intervention booklet in full and over 90% reporting practising the relaxation CD at least once a week. Analysis of the interviews identified three super-ordinate themes and these related to changes in hot flush symptomatology (learned to cope with hot flushes in new ways), the skills that participants had derived from the intervention (promoting relaxation and reducing stressors), and to a broader usefulness of the intervention (broader impact of the intervention and skills). The present study identified positive engagement with a guided self-help intervention and that men applied the skills developed through the intervention to help them undertake general lifestyle changes. Psychoeducational interventions (e.g. cognitive behaviour therapy, relaxation, and positive lifestyle elements) offer the potential to be both effective and well received by male cancer survivors.

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‘You know I've joined your club… I'm the hot flush boy’: a qualitative exploration of hot flushes and night sweats in men undergoing androgen deprivation therapy for prostate cancer

Cited by 17 publications

References 45 publications

The impact of prostate cancer on men's everyday life

The impact of prostate cancer on men's everyday life

A randomised controlled trial of a brief cognitive behavioural intervention for men who have hot flushes following prostate cancer treatment (MANCAN)

Men’s experience of a guided self-help intervention for hot flushes associated with prostate cancer treatment

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