ACT-ED: Acceptance and Commitment Therapy for Erectile Dysfunction Adaptation of ACT for Compliance With an Erectile Rehabilitation Program
Inclusion Criteria:
Part A
- Men who are 1 to 3 years post radical prostatectomy for early stage prostate cancer
- Participated in penile injection program
- Are able to speak, read, write and understand English well enough to complete study
assessment and communicate with an English speaking therapist
Part B
- Men who are up to 9 months post radical prostatectomy.
- Had good erectile functioning pre-surgery (i.e., 24 or greater on the IIEF Erectile
Function Domain (EFD) score), graded their erections as a 1 or 2 on the standard 5
point Urology Erectile Function scale) or have a score of 7 or greater on the 1-10
pre-surgery erectile function scale on the SMRP assessment)
- Seen at MSKCC‟s Sexual Medicine Rehabilitation Program (SMRP)
- Advised by the clinical staff of the SMRP to start penile injections.
Exclusion Criteria:
Part A
- Recurrence or progression of disease,
- Specific injection phobia (self report)
- A history of bipolar disorder or psychotic disorder (determined from self-report
and/or chart review)
- Current major depression (determined by self report and/or clinician observation and
assessment) that would preclude from giving informed consent or being an active
participant in a focus group
Part B
- Specific injection phobia (self report)
- A history of bipolar disorder or psychotic disorder (determined from self-report
and/or chart review)
- Current major depression (determined by self report and/or clinician observation and
assessment) that would preclude from giving informed consent or being an active
participant in a therapeutic session.