Supportive Care in Cancer

, Volume 21, Issue 11, pp 2967–2976 | Cite as

Couple distress after localised prostate cancer

  • Suzanne K. Chambers
  • Leslie Schover
  • Lisa Nielsen
  • Kim Halford
  • Samantha Clutton
  • Robert A. Gardiner
  • Jeff Dunn
  • Stefano Occhipinti
Original Article

Abstract

Background

The experience of the diagnosis of prostate cancer is distressing for both men and their partners. The present study describes the prevalence of psychological distress in men with prostate cancer and their partners, and the predictors of adjustment outcomes.

Methods/design

A cross-sectional survey of 189 prostate cancer patients who were scheduled for or had undergone surgery for localised prostate cancer and their partners assessed socio-demographic variables, masculine self-esteem and social intimacy, psychological adjustment and quality of life.

Results

Overall, patients and partners reported low distress; however, female partners were more anxious with 36 % reporting mild to severe anxiety. For men, masculine self-esteem and time since diagnosis were most strongly related to mental health status; urinary bother most influenced physical quality of life. For female partners, the man’s psychological distress and his sexual bother were most strongly related to her mental health status; higher social intimacy was most strongly associated with physical quality of life.

Conclusion

The correlates of distress after the diagnosis of prostate cancer differ between patients and female partners. For men, masculine self-esteem may be most crucial, whereas for women, her partner’s level of distress may matter most. Research to better understand these interactions is needed.

Keywords

Prostate cancer Psychosocial adjustment Couples Partners 

Notes

Acknowledgments

This project was funded by the National Health and Medical Research Council (ID496001) and Andrology Australia. We gratefully acknowledge the support of the Urological Society of Australia and New Zealand, of Mr Bill McHugh and Mr Spence Broughton as consumer advisors in the undertaking of this research and of Miss Leah Zajdlewicz for her assistance with the analysis.

Conflict of interest

There are no conflicts of interest for any of the authors.

References

  1. 1.
    Australian Institute of Health and Welfare (2010) Australian cancer incidence and mortality. Australian Institute of Health and Welfare, CanberraGoogle Scholar
  2. 2.
    Ferlay J, Shin HR, Bray F, Forman D, Mathers C, Parkin DM (2010) GLOBOCAN 2008. Cancer incidence and mortality worldwide: IARC Cancer Base No. 10. International Agency for Research on Cancer. http://globocan.iarc.fr. Accessed 3 Aug 2010
  3. 3.
    Yu XQ, Luo Q, Smith DP, Clements MS, O'Connell D (2012) Challenges in projecting prevalence for prostate cancer: issues and options. In: Australasian prostate cancer conference, MelbourneGoogle Scholar
  4. 4.
    Jayadevappa R, Bloom BS, Chhatre S, Fomberstein KM, Wein AJ, Malkowicz SB (2005) Health related quality of life and direct medical care cost in newly diagnosed younger men with prostate cancer. J Urol 174(3):1059–1064, discussion 1064PubMedCrossRefGoogle Scholar
  5. 5.
    Schover LR, Fouladi RT, Warneke CL, Neese L, Klein EA, Zippe C, Kupelian PA (2002) Defining sexual outcomes after treatment for localized prostate carcinoma. Cancer 95(8):1773–1785PubMedCrossRefGoogle Scholar
  6. 6.
    Australian Institute of Health and Welfare (2010) Cancer in Australia 2010: an overview. Cancer series no. 60 cat. no. CAN 56. AIHW, CanberraGoogle Scholar
  7. 7.
    Steginga SK, Occhipinti S, Gardiner RA, Yaxley J, Heathcote P (2004) Prospective study of men’s psychological and decision-related adjustment after treatment for localized prostate cancer. Urology 63(4):751–756PubMedCrossRefGoogle Scholar
  8. 8.
    Smith DP, Supramaniam R, King MT, Ward J, Berry M, Armstrong BK (2007) Age, health, and education determine supportive care needs of men younger than 70 years with prostate cancer. J Clin Oncol 25(18):2560–2566PubMedCrossRefGoogle Scholar
  9. 9.
    Couper J, Bloch S, Love A, Macvean M, Duchesne GM, Kissane D (2006) Psychosocial adjustment of female partners of men with prostate cancer: a review of the literature. Psychooncology 15(11):937–953PubMedCrossRefGoogle Scholar
  10. 10.
    Eton DT, Lepore SJ, Helgeson VS (2005) Psychological distress in spouses of men treated for early-stage prostate carcinoma. Cancer 103(11):2412–2418PubMedCrossRefGoogle Scholar
  11. 11.
    Couper JW, Bloch S, Love A, Duchesne G, Macvean M, Kissane DW (2006) The psychosocial impact of prostate cancer on patients and their partners. Med J Aust 185(8):428–432PubMedGoogle Scholar
  12. 12.
    Kershaw TS, Mood DW, Newth G, Ronis DL, Sanda MG, Vaishampayan U, Northouse LL (2008) Longitudinal analysis of a model to predict quality of life in prostate cancer patients and their spouses. Ann Behav Med 36(2):117–128PubMedCrossRefGoogle Scholar
  13. 13.
    Chambers SK, Ferguson M, Gardiner RA, Aitken J, Occhipinti S (2013) Intervening to improve psychological outcomes for men with prostate cancer. Psychooncology 22(5):1025–1034PubMedCrossRefGoogle Scholar
  14. 14.
    Roberts KJ, Lepore SJ, Hanlon AL, Helgeson V (2010) Genitourinary functioning and depressive symptoms over time in younger versus older men treated for prostate cancer. Ann Behav Med 40(3):275–283PubMedCrossRefGoogle Scholar
  15. 15.
    Alemozaffar M, Regan MM, Cooperberg MR, Wei JT, Michalski JM, Sandler HM, Hembroff L, Sadetsky N, Saigal CS, Litwin MS, Klein E, Kibel AS, Hamstra DA, Pisters LL, Kuban DA, Kaplan ID, Wood DP, Ciezki J, Dunn RL, Carroll PR, Sanda MG (2011) Prediction of erectile function following treatment for prostate cancer. JAMA 306(11):1205–1214PubMedCrossRefGoogle Scholar
  16. 16.
    Namiki S, Ishidoya S, Nakagawa H, Ito A, Kaiho Y, Tochigi T, Takegami M, Arai Y (2012) The relationships between preoperative sexual desire and quality of life following radical prostatectomy: a 5-year follow-up study. J Sex Med 9(9):2448–2456PubMedCrossRefGoogle Scholar
  17. 17.
    Steinsvik EA, Axcrona K, Dahl AA, Eri LM, Stensvold A, Fossa SD (2012) Can sexual bother after radical prostatectomy be predicted preoperatively? Findings from a prospective national study of the relation between sexual function, activity and bother. BJU Int 109(9):1366–1374PubMedCrossRefGoogle Scholar
  18. 18.
    Galbraith ME, Fink R, Wilkins GG (2011) Couples surviving prostate cancer: challenges in their lives and relationships. Semin Oncol Nurs 27(4):300–308PubMedCrossRefGoogle Scholar
  19. 19.
    Clark JA, Bokhour BG, Inui TS, Silliman RA, Talcott JA (2003) Measuring patients’ perceptions of the outcomes of treatment for early prostate cancer. Med Care 41(8):923–936PubMedCrossRefGoogle Scholar
  20. 20.
    Zaider T, Manne S, Nelson C, Mulhall J, Kissane D (2012) Loss of masculine identity, marital affection, and sexual bother in men with localized prostate cancer. J Sex Med 9(10):2724–2732PubMedCrossRefGoogle Scholar
  21. 21.
    Segrin C, Badger TA, Harrington J (2012) Interdependent psychological quality of life in dyads adjusting to prostate cancer. Health Psychol 31(1):70–79PubMedCrossRefGoogle Scholar
  22. 22.
    Manne S, Badr H, Zaider T, Nelson C, Kissane D (2010) Cancer-related communication, relationship intimacy, and psychological distress among couples coping with localized prostate cancer. J Cancer Surviv 4(1):74–85PubMedCrossRefGoogle Scholar
  23. 23.
    Chambers SK, Schover L, Halford K, Clutton S, Ferguson M, Gordon L, Gardiner RA, Occhipinti S, Dunn J (2008) ProsCan for Couples: randomised controlled trial of a couples-based sexuality intervention for men with localised prostate cancer who receive radical prostatectomy. BMC Cancer 8:226PubMedCrossRefGoogle Scholar
  24. 24.
    Altman DG, Schulz KF, Moher D, Egger M, Davidoff F, Elbourne D, Gotzsche PC, Lang T (2001) The revised CONSORT statement for reporting randomized trials: explanation and elaboration. Ann Intern Med 134(8):663–694PubMedCrossRefGoogle Scholar
  25. 25.
    Litwin MS, Hays RD, Fink A, Ganz PA, Leake B, Brook RH (1998) The UCLA Prostate Cancer Index: development, reliability, and validity of a health-related quality of life measure. Med Care 36(7):1002–1012PubMedCrossRefGoogle Scholar
  26. 26.
    Miller RS, Lefcourt HM (1982) The assessment of social intimacy. J Pers Assess 46(5):514–518PubMedCrossRefGoogle Scholar
  27. 27.
    Hunsley J, Best M, Lefebvre M, Vito D (2001) The seven-item short form of the Dyadic Adjustment Scale: further evidence for construct validity. Am J Fam Ther 29:325–335Google Scholar
  28. 28.
    Sharpley CF, Rogers HJ (1984) Preliminary validation of the abbreviated Spanier Dyadic Adjustment Scale: some psychometric data regarding a screening test of marital adjustment. Educ Psychol Meas 44:1045–1049CrossRefGoogle Scholar
  29. 29.
    Spanier GB (1976) Measuring dyadic adjustment: new scales for assessing the quality of marriage and similar dyads. J Marriage Fam 38:15–38CrossRefGoogle Scholar
  30. 30.
    Crane DR, Middleton R, Bean RA (2000) Establishing criterion scores for the Kansas Marital Satisfaction Scale and the Revised Dyadic Adjustment Scale. Am J Fam Ther 28(1):53–60CrossRefGoogle Scholar
  31. 31.
    Zigmond AS, Snaith RP (1983) The Hospital Anxiety and Depression Scale. Acta Psychiatr Scand 67(6):361–370PubMedCrossRefGoogle Scholar
  32. 32.
    Herrmann C (1997) International experiences with the Hospital Anxiety and Depression Scale—a review of validation data and clinical results. J Psychosom Res 42(1):17–41PubMedCrossRefGoogle Scholar
  33. 33.
    Medical Outcomes Trust and Quality Metric Incorporated (1992, 2003) SF-36: SF-36v2TM Health Survey (IQOLA SF36v2 Standard, English (Australia), 7/03). Medical Outcomes Trust and Quality Metric Incorporated, Health Assessment Lab, Lincoln, RIGoogle Scholar
  34. 34.
    Hawthorne G, Osborne RH, Taylor A, Sansoni J (2007) The SF36 version 2: critical analyses of population weights, scoring algorithms and population norms. Qual Life Res 16(4):661–673PubMedCrossRefGoogle Scholar
  35. 35.
    Sanson-Fisher RW, Perkins JJ (1998) Adaptation and validation of the SF-36 Health Survey for use in Australia. J Clin Epidemiol 51(11):961–967PubMedCrossRefGoogle Scholar
  36. 36.
    Horowitz M, Wilner N, Alvarez W (1979) Impact of Event Scale: a measure of subjective stress. Psychosom Med 41(3):209–218PubMedGoogle Scholar
  37. 37.
    Weiss DS, Marmar CR (1997) The Impact of Events Scale—Revised. In: Wilson JP, Keane TM (eds) Assessing Psychological Trauma and PTSD. Guilford, New York, pp 399–411Google Scholar
  38. 38.
    Epping-Jordan JE, Compas BE, Howell DC (1994) Predictors of cancer progression in young adult men and women: avoidance, intrusive thoughts, and psychological symptoms. Health Psychol 13(6):539–547PubMedCrossRefGoogle Scholar
  39. 39.
    Lepore SJ, Helgeson VS (1998) Social constraints, intrusive thoughts, and mental health after prostate cancer. J Soc Clin Psychol 17(1):89–106CrossRefGoogle Scholar
  40. 40.
    Creamer M, Bell R, Failla S (2003) Psychometric properties of the Impact of Event Scale—Revised. Behav Res Ther 41(12):1489–1496PubMedCrossRefGoogle Scholar
  41. 41.
    Helgeson VS, Lepore SJ (1997) Men’s adjustment to prostate cancer: the role of agency and unmitigated agency. Sex roles 37(3):251–267CrossRefGoogle Scholar
  42. 42.
    Helgeson VS, Lepore SJ (2004) Quality of life following prostate cancer: the role of agency and unmitigated agency. J Appl Soc Psychol 34(12):2559–2585CrossRefGoogle Scholar
  43. 43.
    Sowislo JF, Orth U (2013) Does low self-esteem predict depression and anxiety? A meta-analysis of longitudinal studies. Psychol Bull 139(1):213–240PubMedCrossRefGoogle Scholar
  44. 44.
    Giesler RB, Josephs RA, Swann WB Jr (1996) Self-verification in clinical depression: the desire for negative evaluation. J Abnorm Psychol 105(3):358–368PubMedCrossRefGoogle Scholar
  45. 45.
    Nolen-Hoeksema S (2000) The role of rumination in depressive disorders and mixed anxiety/depressive symptoms. J Abnorm Psychol 109(3):504–511PubMedCrossRefGoogle Scholar
  46. 46.
    Boehmer U, Clark JA (2001) Married couples’ perspectives on prostate cancer diagnosis and treatment decision-making. Psychooncology 10(2):147–155PubMedCrossRefGoogle Scholar
  47. 47.
    Chambers SK, Pinnock C, Lepore SJ, Hughes S, O'Connell DL (2011) A systematic review of psychosocial interventions for men with prostate cancer and their partners. Patient Educ Couns 85(2):e75–e88PubMedCrossRefGoogle Scholar
  48. 48.
    Northouse LL, Mood DW, Montie JE, Sandler HM, Forman JD, Hussain M, Pienta KJ, Smith DC, Sanda MG, Kershaw T (2007) Living with prostate cancer: patients’ and spouses’ psychosocial status and quality of life. J Clin Oncol 25(27):4171–4177PubMedCrossRefGoogle Scholar
  49. 49.
    McCorkle R, Siefert ML, Dowd MF, Robinson JP, Pickett M (2007) Effects of advanced practice nursing on patient and spouse depressive symptoms, sexual function, and marital interaction after radical prostatectomy. Urol Nurs 27(1):65–77PubMedGoogle Scholar
  50. 50.
    Manne S, Ostroff J, Winkel G, Goldstein L, Fox K, Grana G (2004) Posttraumatic growth after breast cancer: patient, partner, and couple perspectives. Psychosom Med 66(3):442–454PubMedCrossRefGoogle Scholar
  51. 51.
    Hutchison SD, Steginga SK, Dunn J (2006) The tiered model of psychosocial intervention in cancer: a community based approach. Psychooncology 15(6):541–546PubMedCrossRefGoogle Scholar
  52. 52.
    Galvao DA, Taaffe DR, Spry N, Newton RU (2011) Physical activity and genitourinary cancer survivorship. In: Courneya KS, Friedenreich CM (eds) Physical Activity and Cancer. Springer, Heidelberg, pp 217–236Google Scholar
  53. 53.
    Cormie P, Newton RU, Taaffe DR, Spry N, Joseph D, Akhlil Hamid M, Galvao DA (2013) Exercise maintains sexual activity in men undergoing androgen suppression for prostate cancer: a randomized controlled trial. Prostate Cancer Prostatic Dis 16(2):170–175PubMedCrossRefGoogle Scholar
  54. 54.
    Campbell LC, Keefe FJ, McKee DC, Edwards CL, Herman SH, Johnson LE, Colvin OM, McBride CM, Donattuci CF (2004) Prostate cancer in African Americans: relationship of patient and partner self-efficacy to quality of life. J Pain Symptom Manage 28(5):433–444PubMedCrossRefGoogle Scholar
  55. 55.
    McClure KS, Nezu AM, Nezu CM, O'Hea EL, McMahon C (2012) Social problem solving and depression in couples coping with cancer. Psychooncology 21(1):11–19PubMedCrossRefGoogle Scholar
  56. 56.
    Whisman MA, Beach SR, Snyder DK (2008) Is marital discord taxonic and can taxonic status be assessed reliably? Results from a national, representative sample of married couples. J Consult Clin Psychol 76(5):745–755PubMedCrossRefGoogle Scholar

Copyright information

© Springer-Verlag Berlin Heidelberg 2013

Authors and Affiliations

  • Suzanne K. Chambers
    • 1
    • 2
    • 3
    • 11
  • Leslie Schover
    • 4
  • Lisa Nielsen
    • 2
  • Kim Halford
    • 5
  • Samantha Clutton
    • 2
  • Robert A. Gardiner
    • 6
    • 7
  • Jeff Dunn
    • 2
    • 8
    • 9
  • Stefano Occhipinti
    • 10
  1. 1.Griffith Health InstituteGriffith UniversityBrisbaneAustralia
  2. 2.Cancer Council QueenslandBrisbaneAustralia
  3. 3.Prostate Cancer Foundation of AustraliaSydneyAustralia
  4. 4.Department of Behavioral ScienceUniversity of Texas M.D. Anderson Cancer CenterHoustonUSA
  5. 5.School of PsychologyUniversity of QueenslandBrisbaneAustralia
  6. 6.University of Queensland Centre for Clinical ResearchUniversity of QueenslandBrisbaneAustralia
  7. 7.Department of UrologyRoyal Brisbane and Women’s HospitalBrisbaneAustralia
  8. 8.School of Public HealthGriffith UniversityBrisbaneAustralia
  9. 9.School of Social ScienceUniversity of QueenslandBrisbaneAustralia
  10. 10.Griffith Health Institute and School of Applied PsychologyGriffith UniversityBrisbaneAustralia
  11. 11.Griffith UniversityBrisbaneAustralia

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