The dyadic effects of coping and resilience on psychological distress for cancer survivor couples

Lim, Jung Won; Shon, En Jung; Paek, Min-So; Daly, Barbara J.

doi:10.1007/s00520-014-2334-9

Cited by 80 publications

(95 citation statements)

References 35 publications

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“…This does not mean that our results are inconsistent with previous studies, which suggested that social support could buffer against stress and independently reduce cancer-related distress in family caregivers of patients with cancer [16,17]. It must be noted that these studies did not include psychological resilience, which has multiple relationships with perceived social support [39]. Furthermore, our results are comparable to King's [33,40] studies showing that social support was not strong enough to be considered a significant contributor when competing with the other predictors of PTSD among veterans.…”

Section: Discussioncontrasting

confidence: 94%

Post‐traumatic stress disorder symptoms in family caregivers of adult patients with acute leukemia from a dyadic perspective

Jia

Chen

et al. 2015

Psycho-Oncology

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Caregivers of acute leukemia patients had significantly more severe PTSS than did their patients. This study is the first to investigate PTSS among family caregivers of adult patients with acute leukemia and its related factors in a matched sample. More attention should be paid to the caregivers of patients with acute leukemia to minimize their PTSS and thus improve mental health of caregivers and reduce potential negative consequences for the patients themselves.

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Section: Discussioncontrasting

confidence: 94%

Post‐traumatic stress disorder symptoms in family caregivers of adult patients with acute leukemia from a dyadic perspective

Jia

Chen

et al. 2015

Psycho-Oncology

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“…Such adverse effects need to be handled in the context of a sexual relation ship, in which each partner holds their own needs and expectations. [31][32][33] Suggesting that time alone, or a single medical intervention alone, will allow the couple to 'get back to normal' can set up unrealistic expectations that lead to disappointment and failure. We have observed that with appropriate support and guidance, and persistence in the use of ED treatments, many couples do resume satisfy ing sexual activity.…”

Section: Introductionmentioning

confidence: 97%

Psychosocial perspectives on sexual recovery after prostate cancer treatment

Walker¹,

Wassersug

Robinson³

2015

Nat Rev Urol

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Many therapies for erectile dysfunction (ED) after prostate cancer treatment improve erectile firmness, yet, most couples stop using aids within 1-2 years. Patients and partners who expect immediate and complete success with their first ED treatment can be demoralized when they experience treatment failure, which contributes to reticence to explore other ED aids. Comprehensive patient education should improve sustainability and satisfaction with ED treatments. Pre-emptive and realistic information should be provided to couples about the probability of recovering natural erections. Beginning intervention early and using a couple-based approach is ideal. Recommendations are provided about the timing of ED treatment, the order of aid introduction, and combination therapies. Renegotiation of sexual activity is an essential part of sexual adaptation. From the outset of therapy, couples should be encouraged to broaden their sexual repertoire, incorporate erection-independent sexual activities, and continue to be sexual despite ED and reduced libido.

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“…The acceptance of unspontaneous sex and sexual aids by some of the patients in this study sample is a particular sign of resilience, given the fact that the literature has shown that men do not use sexual aids and consider erections necessary to satisfying sexuality [36,37]. Research on couples' resilience suggests that the patient's resilience has a positive effect on the partner and leads to positive coping of the couple [38]; studies on both heterosexual and gay men with prostate cancer corroborate the importance of the patient's attitude in suggesting that some men can respond to the challenge of coping with prostate cancer by feeling empowered to identify what is important in their lives and develop compassion for others [39,40]. Drawing on the family therapy literature, Walsh's systems model of resilience tells us that couples who have had a long history together, value their commitment, and have good communication are more likely to adapt to change and adverse health conditions [41].…”

Section: Discussionmentioning

confidence: 84%

What Couples Say about Their Recovery of Sexual Intimacy after Prostatectomy: Toward the Development of a Conceptual Model of Couples' Sexual Recovery after Surgery for Prostate Cancer

Wittmann

Carolan

Given

et al. 2015

The Journal of Sexual Medicine

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Introduction Interventions designed to help couples recover sexual intimacy after prostatectomy have not been guided by a comprehensive conceptual model. Aim We examined a proposed biopsychosocial conceptual model of couples’ sexual recovery that included functional, psychological and relational aspects of sexuality, surgery-related sexual losses, and grief and mourning as recovery process. Methods We interviewed twenty couples pre-operatively and 3-months post-operatively. between 2010 and 2012. Interviews were analyzed with Analytic Induction qualitative methodology, using NVivo software. Paired t-tests described functional assessment data. Study findings led to a revised conceptual model. Main Outcome Measures Couples’ experiences were assessed through semi-structured interviews; male participants’ sexual function was assessed with the Expanded Prostate Cancer Index Composite and female participants’ sexual function with the Female Sexual Function Index. Results Pre-operatively, 30% of men had erectile dysfunction (ED), 84% of partners were post-menopausal. All valued sexual recovery, but worried about cancer spread and surgery side-effects. Faith in themselves and their surgeons led 90% of couples to overestimate erectile recovery. Post-operatively, most men had ED and lost confidence. Couples’ sexual activity decreased. Couples reported feeling loss and grief: cancer diagnosis was the first loss, followed by surgery-related sexual losses. Couples’ engagement in intentional sex, patients’ acceptance of erectile aids and partners’ interest in sex aided the recovery of couples’ sexual intimacy recovery. Unselfconscious sex, not return to erectile function baseline, was seen as the endpoint. Survey findings documented participants’ sexual function losses, confirming qualitative findings. Conclusions Couples’ sexual recovery requires addressing sexual function, feelings about losses and relationship simultaneously. Peri-operative education should emphasize the roles of nerve damage in ED and grief and mourning in sexual recovery.

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The dyadic effects of coping and resilience on psychological distress for cancer survivor couples

Cited by 80 publications

References 35 publications

Post‐traumatic stress disorder symptoms in family caregivers of adult patients with acute leukemia from a dyadic perspective

Post‐traumatic stress disorder symptoms in family caregivers of adult patients with acute leukemia from a dyadic perspective

Psychosocial perspectives on sexual recovery after prostate cancer treatment

What Couples Say about Their Recovery of Sexual Intimacy after Prostatectomy: Toward the Development of a Conceptual Model of Couples' Sexual Recovery after Surgery for Prostate Cancer

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