New Challenges in Psycho-Oncology Research III: A systematic review of psychological interventions for prostate cancer survivors and their partners: clinical and research implications

Chambers, Suzanne K.; Hyde, Melissa K.; Smith, David P.; Hughes, Suzanne; Yuill, Susan; Egger, Sam; O’Connell, Dianne; Stein, Kevin; Frydenberg, Mark; Wittert, Gary; Dunn, Jeff

doi:10.1002/pon.4431

Cited by 58 publications

(101 citation statements)

References 70 publications

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“…Brief distress screening in people with cancer is an accepted standard of optimal care and has been well validated in men with prostate cancer . Effective psychosocial interventions have been identified . What remains lacking is broad implementation of psychosocial care beyond specialist clinics.…”

Section: Discussionmentioning

confidence: 99%

A prospective study of psychological distress after prostate cancer surgery

et al. 2019

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Background Men treated for prostate cancer experience heightened psychological distress and have an increased risk of suicide. Management of this distress and risk is crucial for quality urological care. Objective To identify risk indicators for poorer trajectories of psychological adjustment and health‐related quality of life (QoL) after surgery for localised prostate cancer. Design, Setting, and Participants Patients were newly diagnosed with localised prostate cancer scheduled for surgical treatment. Patients were assessed at baseline (pre‐surgery) and 6 weeks, 3 months, 6 months, 12 months, and 24 months post–surgery. Measurements Assessment measures included sociodemographics, domain‐specific and health‐related QoL, and psychological distress. Mixed effects regression models were used to analyse the data. Results and Limitations A total of 233 patients provided data for this analysis (Mage = 60 years, standard deviation [SD] = 4.02; MPSA = 7.37 ng/mL). At baseline, the prevalence of high psychological distress was 28% reducing to 21% at 24 months. Before treatment, younger age, more comorbidities, and worse bowel function were related to greater psychological distress; and younger age and better urinary, sexual, and bowel function were related to better health‐related QoL. By contrast, for changes over time, only bowel function was important with better bowel function predicting decreasing psychological distress for men. Conclusions Regular distress screening is indicated over the 24 months after surgery for localised prostate cancer. Care pathways for men with prostate cancer need also to respond to age‐specific concerns and health problems associated with comorbidities in aging men. Focussed symptom control for bowel bother should be a priority.

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Section: Discussionmentioning

confidence: 99%

A prospective study of psychological distress after prostate cancer surgery

et al. 2019

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“…Prostate cancer (PCa) is the most common male cancer in the developed world with an estimated 760 000 men diagnosed in 2012; 95% of men live for at least 15 years . Although men are living longer, the side effects of PCa diagnosis and treatment, such as sexual dysfunction and diminished quality of life (QoL), can be considerable and persistent . For every man diagnosed with PCa, at least the same number of family or caregivers exist.…”

Section: Introductionmentioning

confidence: 99%

“…Increased partner distress can be linked to individual factors such as coping style, social isolation, and the partner's own health; the man's sexual dysfunction, urinary incontinence, or QoL; and relationship variables such as relationship satisfaction or caregiver burden . Men's distress may also play a role in their partner's distress and vice‐versa .…”

Section: Introductionmentioning

confidence: 99%

Predictors of long‐term distress in female partners of men diagnosed with prostate cancer

et al. 2018

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“…What is more complex, however, is the varying pattern of differences across the two intervention approaches when compared with usual care, and as in previous research, the different effects for men compared with female partners. A recent systematic review of 18 studies reporting coping and adjustment among men with prostate found the following frequently used strategies: (1) avoidance and withdrawal, (2) redirecting cognition and attention, (3) reframing their masculinity and seeking support, (4) retaining pre‐illness identity and lifestyle, and (5) symptom/side‐effect management.…”

Section: Discussionmentioning

confidence: 79%

“…For those interventions that were effective, improved relationship and mental health outcomes were reported for the female partner but not the man; by contrast, while sexuality outcomes for the man improved, this was not the case for partners. Further, studies only reported short‐term outcomes, with long‐term outcomes (more than 12 mo post diagnosis) not yet reported …”

Section: Introductionmentioning

confidence: 99%

Five‐year outcomes from a randomised controlled trial of a couples‐based intervention for men with localised prostate cancer

et al. 2019

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Objective Psychosexual morbidity is common after prostate cancer treatment, however, long‐term prospective research is limited. We report 5‐year outcomes from a couples‐based intervention in dyads with men treated for localised prostate cancer with surgery. Methods A randomised controlled trial was conducted involving 189 heterosexual couples, where the man received a radical prostatectomy for prostate cancer. The trial groups were peer support vs. nurse counselling versus usual care. Primary outcomes were sexual adjustment, unmet sexual supportive care needs, masculine self‐esteem, marital satisfaction, and utilisation of erectile aids at 2‐, 3‐, 4‐ and 5‐year follow‐up. Results The effects of the interventions varied across the primary outcomes. Partners in the peer group had higher sexual adjustment than those in the usual care and nurses group at 2 and 3 years (P = 0.002‐0.035). Men in usual care had lower unmet sexual supportive care needs than men in the peer and nurse groups (P = 0.001; P = 0.01) at 3 years. Women in usual care had lower sexual supportive care needs than women in the peer group at 2 and 3 years (P = 0.038; P = 0.001). Men in the peer and nurse group utilised sexual aids more than men in usual care; at 5 years 54% of usual care men versus 87% of men in peer support and 80% of men in the nurse group. Conclusion Peer and nurse‐administered psychosexual interventions have potential for increasing men's adherence to treatments for erectile dysfunction. Optimal effects may be achieved through an integrated approach applying these modes of support.

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New Challenges in Psycho-Oncology Research III: A systematic review of psychological interventions for prostate cancer survivors and their partners: clinical and research implications

Cited by 58 publications

References 70 publications

A prospective study of psychological distress after prostate cancer surgery

A prospective study of psychological distress after prostate cancer surgery

Predictors of long‐term distress in female partners of men diagnosed with prostate cancer

Five‐year outcomes from a randomised controlled trial of a couples‐based intervention for men with localised prostate cancer

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