Sexual Dysfunction and Adaptation in Couples Affected by Prostate Cancer Surgery: Steps Towards a Bio-Psychosocial Model of Treatment
We are studying the impact of sexual dysfunction following radical prostatectomy on patient
and partners' experiences of intimacy. Research with men in post-radical prostatectomy
recovery indicates 25%-75% experience sexual dysfunction. Many patients experience anxiety
and distress related to sexual difficulties. These experiences may progress and result in
long-term problems in the relationship between patients and their partners. Despite
apparent levels of effectiveness, up to half of the patients who turn to sexually assistive
aids after surgical removal of the prostate discontinue use of the aids within one year.
Additionally, difficulties in communicating about sexual impairments can significantly
interfere with the couples' ability to achieve successful adaptation. We are interested in
studying patient and partner experiences with sexual dysfunction in order to understand its
effects on sexual and non-sexual intimacy.
Participation in this study will involve completing 6 confidential face-to-face interviews
on three separate occasions (3-6 months, 12-15 months, and 21-24 months post-surgery). On
each occasion, participants will be required to take part in a "couple's" interview with
his/her partner, as well as an individual interview. The interviews will provide
participants with the opportunity to discuss the impact of sexual dysfunction on mood,
thoughts, and communication with their partners. Demographic information will be collected
at the initial interview. As well, at each of the 3 time points, participants will also be
asked to complete a questionnaire package containing 6 psychological questionnaires. All
questionnaires and interview material will be kept strictly confidential.
Observational
Observational Model: Case-Only, Time Perspective: Prospective
Andrew G Matthew, PhD, C.Psych
Principal Investigator
University Health Network, Toronto
Canada: Ethics Review Committee
PC-05-0813
NCT00335634
June 2006
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