Psychosocial interventions to improve quality of life in prostate cancer survivors and their intimate or family partners
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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.
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.
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.
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.
KeywordsPsychosocial interventions QOL Prostate cancer Intimate partner Family members
Funding for this R21 study (R21CA113409) was provided by the National Cancer Institute to Terry Badger. We gratefully thank our recruitment sites: Arizona Cancer Center, Veteran’s Affairs Health Care Systems in Phoenix and Tucson. This material is the result of work supported with the resources and the use of facilities at the Veteran’s Affairs Health Care Systems in Phoenix and Tucson. We thank Maria Figueroa, Xochitl Gaxiola, Jeannine Thomas, Jen Riech, and Karina Othon-Tapia. The contents of this publication do not represent the views of the Department of Veterans Affairs or the United States Government.
- 1.ACS (2010). Cancer Facts & Figures, 2010: American Cancer Society.Google Scholar
- 7.Bennett, G., & Badger, T. A. (2005). Depression in men with prostate cancer: A Review. Oncology nursing forum, 32(3), 545–556.Google Scholar
- 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.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
- 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.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
- 31.Medicine Io (2007). Cancer care for the whole patient: Meeting psychosocial health needs. Washington, D.C.: National Academies Press.Google Scholar
- 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
- 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.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.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
- 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.Klerman, G. L., Weissman, M. M., Rounsaville, B. J., & Chevron, E. S. (1994). Interpersonal psychotherapy of depression. Northvale, NJ: Jason Aronson.Google Scholar
- 43.Klerman, G. L., & Weissman, M. M. (1993). New applications of interpersonal psychotherapy. Washington, DC: American Psychological Association.Google Scholar
- 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.Weissman, M. M., Markowitz, J. C., & Klerman, G. L. (2000). Comprehensive guide to interpersonal psychotherapy. New York: Basic Books.Google Scholar
- 46.Hinrichsen, G. A., Cloughtery, K. P. (2006). Interpersonal psychotherapy for depressed older adults. Washington, DC: American Psychological Association.Google Scholar
- 47.National Cancer I (2008). What you need to know about prostate cancer. Vol NIH Publication No. 08-1576. Washington, DC.Google Scholar
- 48.Institute NC (2009). Eating hints for cancer patients: Before, during and after treatment. Washington DC: NIH.Google Scholar
- 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.Aging NIo (2009). Exercise and physical activity. Washington DC: NIH.Google Scholar
- 51.Institute NC (2009). NCI National Organization Database. 2009; https://cissecure.nci.nih.gov/factsheet/FactSheetSearch8_1.aspx. Accessed Web Page, 2009.
- 52.Institute NC (2009). How to find resources in your own community, Vol. 2009.Google Scholar
- 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
- 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.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
- 59.Cohen, J. C., & Cohen, P. (Eds.) (1983). Applied multiple regression/correlation analysis for the behavioral sciences. Hillsdale, NJ: Lawrence Erlbaum.Google Scholar
- 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
- 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
- 69.Raudenbush, S. W., & Bryk, A. S. (1992). Hierarchical linear models: Applications and data analysis methods. Newbury Park, CA: Sage.Google Scholar