The impact of prostate cancer on partners: a qualitative exploration

Wootten, Addie; Abbott, Jo; Osborne, Debra; Austin, David W.; Klein, Britt; Costello, Anthony J.; Murphy, Declan

doi:10.1002/pon.3552

Cited by 41 publications

(77 citation statements)

References 35 publications

(48 reference statements)

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“…4,5 ED is associated with significant declines in quality of life and has negative effects on psychological and marital adjustment for both patients 2,6,7 and their partners. 2,[7][8][9][10][11][12] About half of all patients will try a treatment for ED at some point after undergoing prostate cancer treatment. [13][14][15][16] Such ED treatments include phosphodiesterase type 5 inhibitors (PDE5Is), intracavernous injections (ICIs), or vacuum erection devices (VEDs).…”

Section: Introductionmentioning

confidence: 99%

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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Section: Introductionmentioning

confidence: 99%

Psychosocial perspectives on sexual recovery after prostate cancer treatment

Walker¹,

Wassersug

Robinson³

2015

Nat Rev Urol

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“…Women play important roles in the overall health of partners diagnosed with prostate cancer and there remain societal and personal expectations for them to play an equally important role in men's nutritional health (Forbat, Place, Hubbard, Leung, & Kelly, 2014;Harden et al, 2002;Wootten et al, 2014). Likewise, women are also expected to play important roles in shaping how men engage in nutrition interventions and diet change after a prostate cancer diagnosis, however, there is little known about how heterosexual couples decide about and make food practice changes in this context.…”

Section: Introductionmentioning

confidence: 99%

Gender relations and couple negotiations of British men's food practice changes after prostate cancer

Mróz

Robertson

2015

Appetite

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Nutrition plays an important role in the health of men diagnosed with prostate cancer and dietary interventions can therefore be a significant part of prostate cancer survivorship supportive care. Family food provision, however, involves complex social interactions, which shape how men engage with their diets and dietary interventions. The role that gender plays in shaping prostate cancer couples' food practices and men's diets after a prostate cancer diagnosis is thought to be important but is little understood.This study explored couples' accounts of nutrition information seeking and diet change to gain a better understanding of how gender relations shaped men's food practices after prostate cancer diagnosis. Qualitative health interviews with men and their partners were conducted and analysed using interpretive descriptive methods.Findings demonstrated how couples navigated food change journeys that involved seeking information, deciding what changes were warranted and implementing and regulating diet changes. Two overarching themes that illustrated couples' food negotiations were called 'Seeking information and deciding on food changes' and 'Monitoring food changes'. Additional sub--themes described who led food changes, women's filtering of information, and moderation or 'treats'. Throughout these food change journeys interactions between men and women were at play, demonstrating how gender relations and dynamics acted to shape couples food negotiations and men's food practices.Findings reveal that attention to gender relations and the men's family food dynamics should inform diet interventions for men with prostate cancer in order to improve uptake.

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“…Qualitative studies have shown that prostate cancer diagnosis and treatment side effects can worsen the relationship between patients and their spouses (Ka'opua, Gotay, & Boehm, 2007;Lavery & Clarke, 1999;Navon & Morag, 2003a, 2003bTomaszewski et al, 2017;Wootten et al, 2014). Decreased marital satisfaction is associated with psychological distress and worse quality of life among patients with prostate cancer (Garos, Kluck, & Aronoff, 2007;Pereira, Daibs, Tobias-Machado, & Pompeo, 2011) and their spouses (Garos et al, 2007).…”

Section: Introductionmentioning

confidence: 99%