Quality of Life Research

, Volume 20, Issue 6, pp 833–844

Psychosocial interventions to improve quality of life in prostate cancer survivors and their intimate or family partners

  • Terry A. Badger
  • Chris Segrin
  • Aurelio J. Figueredo
  • Joanne Harrington
  • Kate Sheppard
  • Stacey Passalacqua
  • Alice Pasvogel
  • Maria Bishop
Article

Abstract

Purpose

The primary purpose was to test the effectiveness of two telephone-delivered psychosocial interventions for maintaining and improving quality of life (QOL) (psychological, physical, social, and spiritual well-being) among 71 prostate cancer survivors and the 70 intimate or family partners who were supporting them in their recovery.

Methods

This study used a three-wave repeated measures experimental design. Both the interpersonal counseling intervention (TIP-C) and health education attention condition (HEAC) were delivered using the telephone.

Results

Improvements in depression, negative affect, stress, fatigue, and spiritual well-being were significantly higher for survivors in the HEAC than for those in the TIP-C condition. Partners in the HEAC condition showed significantly greater improvements in depression, fatigue, social support from family members, social well-being, and spiritual well-being compared to partners in the TIP-C condition. The results revealed superior outcomes for those assigned to the HEAC intervention.

Conclusions

The psychosocial interventions in this study were effective in maintaining or improving the QOL for prostate cancer survivors and their partners. Both the survivor and their intimate partner or family member benefitted from the interventions. Future research is needed to determine the optimal timing and client characteristics for each intervention.

Keywords

Psychosocial interventions QOL Prostate cancer Intimate partner Family members 

References

  1. 1.
    ACS (2010). Cancer Facts & Figures, 2010: American Cancer Society.Google Scholar
  2. 2.
    Ferrell, B. R., Grant, M., Funk, B., Otis-Green, S., & Garcia, N. (1998). Quality of life in breast cancer. Part II: Psychological and spiritual well-being. Cancer Nursing, 21(1), 1–9.PubMedCrossRefGoogle Scholar
  3. 3.
    Ferrell, B. R., Grant, M., Funk, B., Otis-Green, S., & Garcia, N. (1997). Quality of life in breast cancer. Part I: Physical and social well-being. Cancer Nursing, 20(6), 398–408.PubMedCrossRefGoogle Scholar
  4. 4.
    Sharpley, C. F., & Christie, D. R. (2007). An analysis of the psychometric profile and frequency of anxiety and depression in Australian men with prostate cancer. Psycho-oncology, 16(7), 660–667.PubMedCrossRefGoogle Scholar
  5. 5.
    Pirl, W. F., Siegel, G. I., Goode, M. J., & Smith, M. R. (2002). Depression in men receiving androgen deprivation therapy for prostate cancer: A pilot study. Psycho-oncology, 11(6), 518–523.PubMedCrossRefGoogle Scholar
  6. 6.
    Jacobsen, P. B., & Jim, H. S. (2008). Psychosocial interventions for anxiety and depression in adult cancer patients: Achievements and challenges. CA: A Cancer Journal for Clinicians, 58(4), 214–230.CrossRefGoogle Scholar
  7. 7.
    Bennett, G., & Badger, T. A. (2005). Depression in men with prostate cancer: A Review. Oncology nursing forum, 32(3), 545–556.Google Scholar
  8. 8.
    Korfage, I. J., Essink-Bot, M. L., Janssens, A. C., Schroder, F. H., & de Koning, H. J. (2006). Anxiety and depression after prostate cancer diagnosis and treatment: 5-year follow-up. British Journal of Cancer, 94(8), 1093–1098.PubMedCrossRefGoogle Scholar
  9. 9.
    Mehnert, A., Lehmann, C., Schulte, T., & Koch, U. (2007). Presence of symptom distress and prostate cancer-related anxiety in patients at the beginning of cancer rehabilitation. Onkologie, 30(11), 551–556.PubMedCrossRefGoogle Scholar
  10. 10.
    Thaker, P. H., Lutgendorf, S. K., & Snood, A. K. (2007). The neuroendocrine impact of chronic stress in cancer. Cell Cycle, 6(4), 430–433.PubMedCrossRefGoogle Scholar
  11. 11.
    Faul, L. A., Jim, H. S., Williams, C., Loftus, L., & Jacobsen, P. B. (2010). Relationship of stress management skills to psychological distress and quality of life in adults with cancer. Psycho Oncology, 19(1), 102–109.PubMedCrossRefGoogle Scholar
  12. 12.
    Braun, M., Mikulincer, M., Rydall, A., Walsh, A., & Rodin, G. (2007). Hidden morbidity in cancer: Spouse caregivers. Journal of Clinical Oncology : Official Journal of the American Society of Clinical Oncology, 25(30), 4829–4834.Google Scholar
  13. 13.
    Segrin, C.,& Badger, T. (2010). Psychological distress in different social network members of breast and prostate cancer patients. Research in nursing & health. (Journal Article).Google Scholar
  14. 14.
    Butler, S. B., Turner, W., Kaye, L. W., Ruffin, L., & Downey, R. (2005). Depression and caregiver burden among rural elder caregivers. Journal of Gerontological Social Work, 46, 47–63.PubMedCrossRefGoogle Scholar
  15. 15.
    Bambauer, K. Z., Zhang, B., Maciejewski, P. K., et al. (2006). Mutuality and specificity of mental disorders in advanced cancer patients and caregivers. Social Psychiatry and Psychiatric Epidemiology, 41(10), 819–824.PubMedCrossRefGoogle Scholar
  16. 16.
    Danjoux, C., Gardner, S., & Fitch, M. (2007). Prospective evaluation of fatigue during a course of curative radiotherapy for localised prostate cancer. Supportive Care in Cancer : Official Journal of the Multinational Association of Supportive Care in Cancer, 15(10), 1169–1176.Google Scholar
  17. 17.
    Butt, Z., Rosenbloom, S. K., Abernethy, A. P. et al. (2008). Fatigue is the most important symptom for advanced cancer patients who have had chemotherapy. Journal of the National Comprehensive Cancer Network (JNCCN). 6(5), 448–455.Google Scholar
  18. 18.
    Michaelson, M. D., Cotter, S. E., Gargollo, P. C., Zietman, A. L., Dahl, D. M., & Smith, M. R. (2008). Management of complications of prostate cancer treatment. CA: A Cancer Journal for Clinicians, 58(4), 196–213.CrossRefGoogle Scholar
  19. 19.
    Litwin, M. S., Hays, R. D., Fink, A., et al. (1998). The UCLA prostate cancer index: Development, reliability and validity of a health related quality of life measure. Medical Care, 36, 1002–1012.PubMedCrossRefGoogle Scholar
  20. 20.
    Litwin, M. S. G. D. (2003). Quality of life following definitive therapy for localized prostate cancer: Potential impact of multiple therapies. Current Opinions in Urology, 13(2), 153–156.CrossRefGoogle Scholar
  21. 21.
    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. Journal of Cancer Survivorship, 4, 74–85.PubMedCrossRefGoogle Scholar
  22. 22.
    Sanders, S., Pedro, L. W., Bantum, E. O., & Galbraith, M. E. (2006). Couples surviving prostate cancer: Longterm intimacy needs and concerns following treatment. Clinical Journal of Oncology Nursing, 10(4), 503–508.PubMedCrossRefGoogle Scholar
  23. 23.
    Couper, J., Bloch, S., Love, A., Duchesne, G., MacVean, M., & Kissane, D. (2009). Coping patterns and psychological distress in female partners of prostate cancer patients. Psychosomatics, 50(4), 375–382.PubMedCrossRefGoogle Scholar
  24. 24.
    Baider, L., Ever-Hadani, P., Goldzweig, G., Wygoda, M. R., & Peretz, T. (2003). Is perceived family support a relevant variable in psychological distress? A sample of prostate and breast cancer couples. Journal of Psychosomatic Research, 55(5), 453–460.PubMedCrossRefGoogle Scholar
  25. 25.
    Badger, T. A., Braden, C. J., Longman, A. J., & Mishel, M. M. (1999). Depression burden, self-help interventions, and social support in women receiving treatment for breast cancer. Journal of Psychosocial Oncology, 17(2), 17–35.CrossRefGoogle Scholar
  26. 26.
    Turner-Cobb, J. M., Sephton, S. E., Koopman, C., Blake-Mortimer, J., & Spiegel, D. (2000). Social support and salivary cortisol in women with metastatic breast cancer. Psychosomatic Medicine, 62(3), 337–345.PubMedGoogle Scholar
  27. 27.
    Manne, S., Babb, J., Pinover, W., Horwitz, E., & Ebbert, J. (2004). Psychoeducational group intervention for wives of men with prostate cancer. Psycho-oncology, 13(1), 37–46.PubMedCrossRefGoogle Scholar
  28. 28.
    Krongrad, A., Lai, H., Burke, M. A., Goodkin, K., & Lai, S. (1996). Marriage and mortality in prostate cancer. Journal of Urology, 156(5), 1696–1700.PubMedCrossRefGoogle Scholar
  29. 29.
    Roberts, K. J., Lepore, S. J., & Helgeson, V. (2006). Social-cognitive correlates of adjustment to prostate cancer. Psycho-oncology, 15(3), 183–192.PubMedCrossRefGoogle Scholar
  30. 30.
    Brady, M. J., Peterman, A. H., Fitchett, G., Mo, M., & Cella, D. (1999). A case for including spirituality in quality of life measurement in oncology. Psycho-oncology, 8, 417–428.PubMedCrossRefGoogle Scholar
  31. 31.
    Medicine Io (2007). Cancer care for the whole patient: Meeting psychosocial health needs. Washington, D.C.: National Academies Press.Google Scholar
  32. 32.
    Gall, T. L. (2004). Relationship with god and quality of life of prostate cancer survivors. Quality of Life Research : An International Journal of Quality of Life Aspects of Treatment, Care and Rehabilitation, 13, 1357–1368.Google Scholar
  33. 33.
    Penedo, F. J., Dahn, J. R., Molton, I., et al. (2004). Cognitive-behavioral stress management improves stress-management skills and quality of life in men recovering from treatment of prostate carcinoma. Cancer, 100(1), 192–200.PubMedCrossRefGoogle Scholar
  34. 34.
    Penedo, F. J., Molton, I., Dahn, J. R., et al. (2006). A randomized clinical trial of group-based cognitive-behavioral stress management in localized prostate cancer: Development of stress management skills improves quality of life and benefit finding. Annals of Behavioral Medicine : A Publication of the Society of Behavioral Medicine, 31(3), 261–270.Google Scholar
  35. 35.
    Penedo, F. J., Traeger, L., Dahn, J., et al. (2007). Cognitive behavioral stress management intervention improves quality of life in Spanish monolingual hispanic men treated for localized prostate cancer: Results of a randomized controlled trial. International Journal of Behavioral Medicine, 14(3), 164–172.PubMedCrossRefGoogle Scholar
  36. 36.
    Northouse, L. L., Mood, D. W., Montie, J. E., et al. (2007). Living with prostate cancer: Patients’ and spouses’ psychosocial status and quality of life. Journal of Clinical Oncology : Official Journal of the American Society of Clinical Oncology, 25(27), 4171–4177.Google Scholar
  37. 37.
    Couper, J., Bloch, S., Love, A., Macvean, M., Duchesne, G. M., & Kissane, D. (2006). Psychosocial adjustment of female partners of men with prostate cancer: A review of the literature. Psycho-oncology, 15(11), 937–953.PubMedCrossRefGoogle Scholar
  38. 38.
    Ezer, H., Ricard, N., Bouchard, L., Souhami, L., Saad, F., Aprikian, A., et al. (2006). Adaptation of wives of prostate cancer following diagnosis and 3 months after treatment: A test of the family adaptation theory. International Journal of Nursing Studies, 43, 827–838.PubMedCrossRefGoogle Scholar
  39. 39.
    Docherty, A., Brothwell, C. P., & Symons, M. (2007). The impact of inadequate knowledge on patient and spouse experience of prostate cancer. Cancer Nursing, 30, 58–63.PubMedCrossRefGoogle Scholar
  40. 40.
    Traeger, L., Penedo, F. J., Gonzalez, J. S., Dahn, J. R., Lechner, S. C., Schneiderman, N., et al. (2009). Illness perceptions and emotional well-being in men treated for localized prostate cancer. Journal of psychsomatic Research, 67, 389–397.CrossRefGoogle Scholar
  41. 41.
    Bailey Jr, D. E., Wallace, M., & Mishel, M. H. (2007) Watching, waiting and uncertainty in prostate cancer. Journal of clinical nursing. 16, 734–741.Google Scholar
  42. 42.
    Klerman, G. L., Weissman, M. M., Rounsaville, B. J., & Chevron, E. S. (1994). Interpersonal psychotherapy of depression. Northvale, NJ: Jason Aronson.Google Scholar
  43. 43.
    Klerman, G. L., & Weissman, M. M. (1993). New applications of interpersonal psychotherapy. Washington, DC: American Psychological Association.Google Scholar
  44. 44.
    Weissman, M. M., & Markowitz, J. C. (1998). An overview of interpersonal psychotherapy. In J. C. Markowitz (Ed.), Interpersonal psychotherapy (pp. 1–33). Washington, DC: American Psychiatric Press.Google Scholar
  45. 45.
    Weissman, M. M., Markowitz, J. C., & Klerman, G. L. (2000). Comprehensive guide to interpersonal psychotherapy. New York: Basic Books.Google Scholar
  46. 46.
    Hinrichsen, G. A., Cloughtery, K. P. (2006). Interpersonal psychotherapy for depressed older adults. Washington, DC: American Psychological Association.Google Scholar
  47. 47.
    National Cancer I (2008). What you need to know about prostate cancer. Vol NIH Publication No. 08-1576. Washington, DC.Google Scholar
  48. 48.
    Institute NC (2009). Eating hints for cancer patients: Before, during and after treatment. Washington DC: NIH.Google Scholar
  49. 49.
    Department of A, Department of H, Human S. Dietary Guidelines for Americans (2009). Vol 12/03/2009. Washington, DC: Department of Agriculture (USDA); Department of Health and Human Services (HHS).Google Scholar
  50. 50.
    Aging NIo (2009). Exercise and physical activity. Washington DC: NIH.Google Scholar
  51. 51.
    Institute NC (2009). NCI National Organization Database. 2009; https://cissecure.nci.nih.gov/factsheet/FactSheetSearch8_1.aspx. Accessed Web Page, 2009.
  52. 52.
    Institute NC (2009). How to find resources in your own community, Vol. 2009.Google Scholar
  53. 53.
    National Cancer I (2007). Quitting smoking: Why to quit and how to get help—National Cancer Institute. Vol 2009: National Cancer Institute.Google Scholar
  54. 54.
    Radloff, L. S. (1977). The CES-D scale: A self-report depression scale for research in the general population. Applied Psychological Measurement, 1(3), 385–401.CrossRefGoogle Scholar
  55. 55.
    Badger, T. A., Segrin, C., Dorros, S. M., Meek, P. M., & Lopez, A. M. (2007). Depression and anxiety in women with breast cancer and their partners. Nursing research. 56, 44–53.Google Scholar
  56. 56.
    Watson, D., Clark, L. A., & Tellegan, A (1988). Development and validation of brief measures of positive and negative affect: The PANAS scale. Journal of Personality and Social Psychology, 54, 1063–1070.Google Scholar
  57. 57.
    Manne, S., & Schnoll, R. (2001). Measuring cancer survivors’ psychological distress and well-being: A factor analytic assessment of the Mental Health Inventory. Psychological Assessment, 13, 99–109.PubMedCrossRefGoogle Scholar
  58. 58.
    Melvin, G. A., & Molloy, G. N. (2000). Some psychometric properties of the positive and negative affect schedule among Australian youth. Psychological Reports, 86, 1209–1212.PubMedCrossRefGoogle Scholar
  59. 59.
    Cohen, J. C., & Cohen, P. (Eds.) (1983). Applied multiple regression/correlation analysis for the behavioral sciences. Hillsdale, NJ: Lawrence Erlbaum.Google Scholar
  60. 60.
    Cohen, S., & Wills, T. A. (1985). Stress, social support, and the buffering hypothesis. Psychological Bulletin, 98(2), 310–357.PubMedCrossRefGoogle Scholar
  61. 61.
    Meek, P. M., Nail, L. M., Barsevick, A., et al. (2000). Psychometric testing of fatigue instruments for use with cancer patients. Nursing Research, 49(4), 181–190.PubMedCrossRefGoogle Scholar
  62. 62.
    Karakiewicz, P. I., Kattan, M. W., et al. (2003). Cross-cultural validation of the UCLA prostate cancer index. Urology, 61(2), 302–307.PubMedCrossRefGoogle Scholar
  63. 63.
    Procidano, M. E., & Heller, K. (1983). Measures of perceived social support from friends and from family: Three validation studies. American Journal of Community Psychology, 11(1), 1–24.PubMedCrossRefGoogle Scholar
  64. 64.
    Figueredo, A. J., Brooks, A., Leff, S., & Sechrest, L. (2000). A meta-analytic approach to growth curve analysis. Psychological Reports, 87, 441–465.PubMedCrossRefGoogle Scholar
  65. 65.
    Rogosa, D. S., & Saner, H. (1994) Longitudinal data analysis examples with random coefficient models. Presented at the Rand Conference in October 1993, Manuscript cited with permission. Google Scholar
  66. 66.
    Willett, J. S., & Sayer, A. G. (1994). Using covariance structure analysis to detect correlates and predictors of individual change over time. Psychological Bulletin, 166, 363–381.CrossRefGoogle Scholar
  67. 67.
    McKnight, P. E., McKnight, K. M., Sidani, S., & Figuerdo, A. J. (2004). The applied researcher’s guide to missing data. New York: Guildford.Google Scholar
  68. 68.
    Gibbons, R., Hedeker, D., Waternauz, C., & Davis, J. (1988). Random regression models: A comprehensive approach to the analysis of longitudinal psychiatric data. Psychopharmacology Bulletin, 24, 438–443.PubMedGoogle Scholar
  69. 69.
    Raudenbush, S. W., & Bryk, A. S. (1992). Hierarchical linear models: Applications and data analysis methods. Newbury Park, CA: Sage.Google Scholar
  70. 70.
    Rogosa, D., Brandt, D., & Zimowski, M. (1982). A growth-curve approach to the measurement of change. Psychological Bulletin, 92, 726–748.CrossRefGoogle Scholar
  71. 71.
    Sutcliffe, J. (1980). On the relationship of reliability to statistical power. Psychological Bulletin, 88, 509–515.CrossRefGoogle Scholar
  72. 72.
    Badger, T., Segrin, C., Meek, P., Lopez, A. M., & Bonham, E. (2004). A case study of telephone interpersonal counseling for women with breast cancer and their partners. Oncology Nursing Forum, 31(5), 997–1003.PubMedCrossRefGoogle Scholar
  73. 73.
    Badger, T., Segrin, C., Meek, P., Lopez, A. M., Bonham, E., & Sieger, A. (2005). Telephone interpersonal counseling with women with breast cancer: Symptom management and quality of life. Oncology Nursing Forum, 32(2), 273–279.PubMedCrossRefGoogle Scholar
  74. 74.
    Henselmans, I., Sanderman, R., Baas, P. C., SMink, A., & Ranchor, A. V. (2009). Personal control after a breast cancer diagnosis: Stability and adaptive value. Psycho-oncology, 18(1), 104–108.PubMedCrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media B.V. 2010

Authors and Affiliations

  • Terry A. Badger
    • 1
  • Chris Segrin
    • 2
  • Aurelio J. Figueredo
    • 3
  • Joanne Harrington
    • 4
  • Kate Sheppard
    • 5
  • Stacey Passalacqua
    • 2
  • Alice Pasvogel
    • 1
  • Maria Bishop
    • 6
  1. 1.College of NursingThe University of ArizonaTucsonUSA
  2. 2.Department of CommunicationThe University of ArizonaTucsonUSA
  3. 3.Department of PsychologyThe University of ArizonaTucsonUSA
  4. 4.Division of Hematology and OncologyPhoenix Veterans’ Affairs Health Care SystemPhoenixUSA
  5. 5.Division of Health Sciences, Orvis School of NursingThe University of Nevada RenoRenoUSA
  6. 6.Arizona Cancer Center and Southern Arizona Veterans’ Affairs Health Care SystemTucsonUSA

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