Article

Describing Health-Related Outcomes for Couples Experiencing Prostate Cancer: Differences and Similarities

Michael Galbraith

Leli W. Pedro

Anna R. Jaffe

Tiffany L. Allen

health-related quality of life, family and caregivers
ONF 2008, 35(5), 794-801. DOI: 10.1188/08.ONF.794-801

Purpose/Objectives: To describe health-related outcomes for couples dealing with prostate cancer before the patient started treatment and 6, 12, and 18 months after treatment.

Design: Survey with longitudinal, comparative, and predictive elements.

Setting: Tertiary care nonprofit medical center in the southwestern United States.

Sample: A convenience sample of 216 patients treated for prostate cancer and their partners was enrolled. The mean age of patients was 68 years; 64 years for their partners. The average length of marriage was about 35 years. About 75% of patients and more than 50% of partners had at least some college education.

Methods: Study participants completed questionnaires before treatment and 6, 12, and 18 months after treatment.

Main Research Variables: Health-related quality of life, health status, and marital satisfaction.

Findings: Patients' scores were associated with partners' scores more than 50% of the time throughout the study. Relationship satisfaction was the most strongly related variable between patient and partner. Cross-lag analyses suggest that couples' scores demonstrate a reciprocal pattern of influence between the dyads throughout the study.

Conclusions: Patients' scores were associated with partners' scores on most outcome variables. Both are affected by prostate cancer and the treatment experience.

Implications for Nursing: Nurses should actively include partners in all information and education sessions connected with prostate cancer treatment and follow-up. In addition, the unique experiences of partners of patients with prostate cancer should be identified and addressed.

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    References

    Walsh, P., Marschke, P., Ricker, D., & Burnett, A. (2000). Patient-reported urinary continence and sexual functioning after anatomic radical prostatectomy. Urology, 55(1), 58-61.
    Ware, J., Kosinski, M., & Keller, S. (1994). SF36 physical and mental components summary measures: A user's manual. Boston, MA: New England Medical Center, Health Assessment Lab.
    Wei, J. T., Dunn, R. L., Sandler, H. M., McLaughlin, P. W., Montie, J. E., Litwin, M. S., et al. (2002). Comprehensive comparison of health-related quality of life after contemporary therapies for localized prostate cancer. Journal of Clinical Oncology, 20(2), 557-566.
    Harden, J. (2005). Developmental life stage and couples' experience with prostate cancer: A review of the literature. Cancer Nursing, 28(2), 85-98.
    Harden, J., Northouse, L., & Mood, D. (2006). Qualitative analyses of couples' experience with prostate cancer by age cohort. Cancer Nursing, 29(5), 367-377.
    Harden, J., Schafenacker, A., Northouse, L., Mood, D., Smith, D., Pienta, K., et al. (2002). Couples' experience with prostate cancer: Focus group research. Oncology Nursing Forum, 29(4), 701-709.
    Incrocci, L., Slob, A., & Levendag, P., (2002). Sexual (dys)function after radiotherapy for prostate cancer: A review. International Journal of Radiation Oncology, Biology, Physics, 52(3), 681-693.
    Institute of Medicine and National Research Council of the National Academies. (2005). From cancer patient to cancer survivor: Lost in transition. Washington, DC: National Academies Press.
    Bacon, C. G., Giovannucci, E., Testa, M., & Kawachi, I. (2001). The impact of cancer treatment on quality-of-life outcomes for patients with localized prostate cancer. Journal of Urology, 166(5), 1804-1810
    Banthia, R., Malcarne, V., Varni, J., Ko, C., Sadler, G., & Greenbergs, H. (2003). Dyadic strength and coping styles on psychological distress in couples faced with prostate cancer. Journal of Behavioral Medicine, 26(1), 31-52.
    Bertero, G. (2001). Altered sexual patterns after treatment for prostate cancer. Cancer Practice, 9(5), 245-251.
    Bokhour, B., Clarke, J., Inui, T., Silliman, R., & Talcott, J. (2001). Sexuality after treatment for early prostate cancer: Exploring the meaning of erectile dysfunction. Journal of General Internal Medicine, 16(10), 649-655.
    Canada, A. L., Neese, L. E., Sui, D., & Schover, L. R. (2005). Pilot intervention to enhance sexual rehabilitation for couples after treatment for localized prostate carcinoma. Cancer, 104(12), 2689-2700.
    Carlson, L., Ottenbreit, N., St. Pierre, M., & Bultz, B. (2001). Partner understanding of cancer experience, Cancer Nursing, 24(3), 231-239.
    Centers for Disease Control and Prevention. (2003). Public health and aging: Trends in aging—United States and worldwide. Morbidity and Mortality Weekly Report, 52, 101-106.
    Cooperberg, M. R., Koppie, T. M., Lubeck, D. P., Ye, J., Grossfeld, G. D., Mehta, S. S., et al. (2003). How potent is potent? Evaluation of sexual function and bother in men who report potency after treatment for prostate cancer: Data from CaPSURE. Adult Urology, 61(1), 190-196.
    Crowe, H., & Costello, A. (2003). Prostate cancer: Perspectives on quality of life and impact of treatment on patients and their partners. Urologic Nursing, 23(4), 279-285.
    Dahn, J., Penedo, F., Gonzalez, J., Esquiabro, M., Antoni, M. H., Roos, B. A., et al. (2004). Sexual functioning and quality of life after prostate cancer treatment: Considering sexual desire. Adult Urology, 63(2), 273-277.
    Deimling, G. T., Sterns, S., Bowman, K. F., & Kahana, B. (2005). The health of older-adult, long-term cancer survivors. Cancer Nursing, 28(6), 415-424.
    Drachenberg, D. (2000). Treatment of prostate cancer: Watchful waiting, radical prostatectomy, and cryotherapy. Seminars in Surgical Oncology, 18(1), 37-44.
    Egawa, S., Shimura, S., Irie, A., Kitano, M., Nishiquichi, I., Kuwao, S., et al. (2001). Toxicity and health-related quality of life during and after high dose rate brachytherapy followed by external beam radiotherapy for prostate cancer. Japanese Journal of Clinical Oncology, 31(11), 541-547.
    Eller, L. S., Lev, E. L., Gejerman, G., Colella, J., Esposito, M., Lanteri, V., et al. (2006). Prospective study of quality of life of patients receiving treatment for prostate cancer. Nursing Research, 55(2, Suppl.), S28-S36.
    Fan, A. (2002). Psychological and psychosocial effects of prostate cancer. Nursing Standard, 17(13), 33-37.
    Feldman-Stewart, D., Brundage, M., & Mackillop, W. (2001). What questions do families of patients with early stage prostate cancer need answered? Journal of Family Nursing, 7(2), 188-207
    Galbraith, M. E., Ramirez, J. W., & Pedro, L. W. (2001). Quality of life, health outcomes, and identity for patients with prostate cancer in five different treatment groups. Oncology Nursing Forum, 28(3), 551-560.
    Lee, W. R., Hall, M. C., McQuellon, R. P., Case, L. D., & McCullough, D. L. (2001). A prospective quality-of-life study in men with clinically localized prostate carcinoma treated with radical prostatectomy, external beam radiotherapy, or interstitial brachytherapy. International Journal of Radiation Oncology, 51(3), 614-623.
    Lewis, F. M. (2004). Family-focused oncology nursing research. Oncology Nursing Forum, 31(2), 288-292.
    Lintz, K., Moynihan, C., Steginga, S., Norman, A., Eeles, R., Huddart, R., et al. (2003). Prostate cancer patients' support and psychological care needs: Survey from a nonsurgical oncology clinic. Psycho-Oncology, 12(8), 769-783.
    Litwin, M. S., Melmed, G. Y., & Nakazon, T. (2001). Life after radical prostatectomy: A longitudinal study. Journal of Urology, 166(2), 587-592.
    Malcarne, V., Banthia, R., Varni, J., Sadler, G., Greenbergs, H., & Ko, C. (2002). Problem solving skills and emotional distress in spouses of men with prostate cancer. Journal of Cancer Education, 17(3), 150-154.
    Maliski, S., Heilemann, M., & McCorkle, R. (2001). Mastery of postprostatetomy incontinence and impotence: His work, her work, our work. Oncology Nursing Forum, 28(6), 985-992.
    Mann, 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.
    Manne, S. L., Ostroff, J. S., Winkel, G., Grana, G., & Fox, K. (2005). Partner unsupportive responses, avoidant coping, and distress among women with early stage breast cancer. Health Psychology, 24(6), 635-641.
    Mead, D. E. (2002). Marital distress, co-occurring depression, and marital therapy: A review. Journal of Marital and Family Therapy, 28(3), 299-314.
    Minuchin, S. (1974). Families and family therapy. Cambridge, MA: Harvard University Press.
    Mirone, V., Imbimbo, C., Palmieri, A., Long, N., & Fusco, F. (2003). Erectile dysfunction after surgical treatment. International Journal of Andrology, 26(3), 137-140.
    Mullen, F. (1985). Seasons of survival: Reflections of a physician with cancer. New England Journal of Medicine, 313(4), 270-273.
    Munro, B., Visintainer, M., & Page, E. (1986). Statistical methods for health care research. Philadelphia: Lippincott Williams and Wilkins.
    Neese, L., Schover, L., Klein, E., Zippe, C., & Kupelian, P. (2003). Finding help for sexual problems after prostate cancer treatment: A phone survey of men's and women's perspectives. Psycho-Oncology, 12(5), 463-473.
    O'Rourke, M. (2007). Choose wisely: Therapeutic decisions and quality of life in patients with prostate cancer. Clinical Journal of Oncology Nursing, 11(3), 401-408.
    Padilla, G., Presant, C., Grant, M., Metter, G., Lipsett, J., & Heide, J. (1983). Quality-of-life index for patients with cancer. Research in Nursing and Health, 6(3), 117-126.
    Perez, M. A., Skinner, E. C., & Meyerowitz, B. E. (2002). Sexuality and intimacy following radical prostatectomy: Patient and partner perspectives. Health Psychology, 21(3), 288-293.
    Robinson, J. W., Donnelly, B. J., Saliken, J. C., Weber, B. A., Ernst, S., & Rewcastle, J. C. (2002). Quality of life and sexuality of men with prostate cancer three years after cryosurgery. Urology, 60(2A), 12-18.
    Sanders, S., Pedro, L. W., Bantum, E., & Galbraith, M. E. (2006). Couples surviving prostate cancer: Long-term intimacy needs and concerns following treatment. Clinical Journal of Oncology Nursing, 10(4), 503-508.
    Schover, L. R., Fouladi, R. T., Warneke, C. L., Neese, L., Klein, E. A., Zippe, C., et al. (2002a). Defining sexual outcomes after treatment for localized prostate carcinoma. Cancer, 95(8), 1773-1785.
    Schover, L. R., Fouladi, R. T., Warneke, C. L., Neese, L., Klein, E. A., Zippe, C., et al. (2002b). The use of treatment for erectile dysfunction among survivors of prostate carcinoma. Cancer, 95(11), 2397-2407.
    Skerrett, K. (2003). Couple dialogues with illness. Families, Systems, and Health, 21(4), 69-80.
    Spanier, G. (1976). New scales for assessing the quality of marriage and similar dyads. Journal of Marriage and Family, 38(1), 15-28.
    Stewart, A., Hays, R., & Ware, J. (1988). The MOS short-form general health survey: Reliability and validity in a patient population. Medical Care, 26(7), 724-735.
    Sunny, L., Hopfgarten, T., Adolfsson, J., & Steineck, G. (2007). Economic conditions and marriage quality of men with prostate cancer. International British Journal of Urology, 99(6), 1391-1397.
    Tabachnick, B., & Fidell, L. (1998). Using multivariate statistics. New York: Harper and Collins.
    Wai-Ming, V. M. (2002). Psychological predictors of marital adjustment in breast cancer patients. Psychology, Health, and Medicine, 7(1), 37-51.
    Althof, S. E. (2002). Quality of life and erectile dysfunction. Urology, 59(6), 803-810
    American Cancer Society. (2008). Cancer facts and figures 2008. Atlanta, GA: Author.
    Kim, E., Nath, R., Slauin, K., Kadmon, D., Miles, B., & Scardino, P. (2001). Bilateral nerve grafting during retropubic prostatectomy: Extended followup. Urology, 58(6), 983-987.
    Kiss, A., & Meryn, S. (2001). Effect of sex and gender on psychosocial aspects of prostate and breast cancer. BMJ, 323(7320), 1055-1058.