Prostate cancer and the impact on couples: a qualitative metasynthesis
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To review and interpret existing qualitative literature on the experiences of couples affected by prostate cancer (PCa).
A metasynthesis was carried out which included a systematic search of seven databases between 2000 and 2016. A modified version of Noblit and Hare’s meta-ethnographic approach was used to synthesise qualitative study findings and inform overarching interpretations.
Thirty-seven studies focusing on the experiences of men with PCa and their partner dyad were included producing seven interconnected constructs. The construct accepting change vs seeking continuity reflects the range of ways individuals within the dyad and couples adjust to the diagnosis. Cultivating connection vs disengaging illustrates how couples seek to manage the impact of PCa and its treatment on their relationship, which may lead to a threatened identity, including sexual insecurities. Shielding me, you and us reflects the ways in which couples strive to protect themselves as individuals and/or each other from the impact of PCa. Being a partner and its challenges highlights the responsibilities partners assume and the impact of their supporting role. Yet, partners sometimes report feeling unsupported and side-lined both by the man they are caring for and by healthcare professionals. Couples often recognise the value of facing PCa together.
PCa affects both members of the dyad as individuals, as well as the couple’s relationship. How best to support couples and how to overcome difficulties in expressing their concerns to one another requires further consideration. Healthcare professionals should endeavour to employ a couple-focused approach where appropriate.
KeywordsProstate cancer Qualitative metasynthesis Partner experience Couples Dyad Oncology
This study was funded by Oxford Brookes University which is a sub-study to the Life After Prostate Cancer Diagnosis (LAPCD) study. The LAPCD study was funded by the Movember Foundation, in partnership with Prostate Cancer UK, as part of the Prostate Cancer Outcomes programme, grant number BO26/MO.
Compliance with ethical standards
Conflicts of interest
The authors declare that they have no conflict of interest.
- 4.Cancer Research UK (2015) Achieving world class outcome: a strategy for England 2015–2020Google Scholar
- 16.Rivas C, Matheson L, Nayoan J, Glaser A, Gavin A, Wright P, Watson E, Wagland R A Metasynthesis on the prostate cancer experience for men with prostate cancer and their partners and carers. prepGoogle Scholar
- 18.Benoot C, Saelaert M, Hannes K, Bilsen J (2016) The sexual adjustment process of cancer patients and their partners: a qualitative evidence synthesis. Arch Sx Behav:1–25Google Scholar
- 20.Rivas C, Matheson L, Wagland R, Corner J, Wright P, Gavin A (2015) Exploring the quality of life and wellbeing of men with prostate cancer and their partners or carers, and related care needs and gaps in service: protocol for qualitative meta-synthesis. PROSPERO Int Prospect Regist Syst Rev 24:618–634. https://doi.org/10.1111/ecc.12286 Google Scholar
- 21.Saini M, Shlonksy A (2012) Systematic synthesis of qualitative research. Oxford University PressGoogle Scholar
- 25.Wittmann D, Carolan M, Given B, Skolarus TA, Heather C, An L, Palapattu G, Clark P, Montie JE (2015) 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. Sex Med 12:494–504CrossRefGoogle Scholar
- 28.Noblit W, Hare D (1988) Meta-ethnography: synthesizing qualitative studiesGoogle Scholar
- 29.Hannes K (2011) Critical Appraisal of Qualitative ResearchGoogle Scholar
- 31.Paterson BL (2007) Coming out as ill: understanding self-disclosure in chronic illness from a meta-synthesis of qualitative research. In: rev. res. Evid Nurs Pract pp 73–83Google Scholar
- 32.Thomas J, Harden A (2008) Methods for the thematic synthesis of qualitative research in systematic reviews. BMC Med Res Methodol 8. https://doi.org/10.1186/1471-2288-8-45
- 72.Matheson L, Rivas C, Nayoan J, Wagland R, Glaser A, Gavin A, Wright P (2017) A qualitative metasynthesis exploring the impact of prostate cancer and its management on younger, unpartnered, gay or bisexual men. Eur J Cancer 26. https://doi.org/10.1111/ecc.12676
- 83.Chambers SK, Occhipinti S, Schover L, Nielsen L, Zajdlewicz L, Clutton S, Halford K, Gardiner RA, Dunn J (2015) A randomised controlled trial of a couples-based sexuality intervention for men with localised prostate cancer and their female partners. Psychooncology 24:748–756CrossRefPubMedGoogle Scholar
- 98.Acitelli LK, Badr HJ (2005) My illness or our illness? Attending to the relationship when one partner is ill. In: Couples coping with stress Emerg. Perspect. Dyadic coping. American Psychological Association, pp 121–136Google Scholar
- 99.Department of Health (2014) NHS outcomes framework 2015/16Google Scholar
- 100.National Collaborating Centre for Cancer (2014) Prostate cancer: diagnosis and treatmentGoogle Scholar