Abstract
Purpose
The diagnosis of prostate cancer and the following treatment does not only affect the patient, but also his partner. Partners often suffer even more severely from psychological distress than the patients themselves. This analysis aims to describe the quality of life (QoL) after the cancer diagnosis over time and to identify the effects of possible predictors of partners’ quality of life in a German study population.
Data and methods
Patients with localised prostate cancer and their partners were recruited from a prospective multicenter study in Germany, the Prostate Cancer, Sexuality, and Partnership (ProCaSP) Study. At five observation times during the follow-up period of 2 years after diagnosis, QoL (EORTC QLQ-C30) and personal, social, and cancer-related health factors as well as adaptation and coping factors of 293 couples were observed and analysed with mixed effects analysis.
Results
The men’s prostate cancer diagnosis had a small, but significant impact on their partner’s QoL. However, QoL of partners was most affected by the partners’ own physical health and psychological condition, time, and their relationship quality.
Conclusion
The finding that average QoL increased again 3 months after diagnosis and later should give partners faith and hope for the future. The identified most important predictors of partners’ QoL are potentially susceptible to intervention, and further research on target groups in special need of support and on adequate interventions is needed.
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We thank the reviewers for their helpful contributions to the revision of the manuscript.
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Appendix
Appendix
The self-developed questions were as follows:
Relationship quality: “Overall, how content have you been with your relationship in the last three months?”[Very uncontent/uncontent/content/very content] (Original question: “Wie zufrieden waren Sie insgesamt mit Ihrer Partnerschaft in den letzten drei Monaten?” [Sehr unzufrieden/unzufrieden/zufrieden/sehr zufrieden]).
Problem-solving behaviour if sexual problems occurred: “During the last 3 months: What possible solutions to sexual problems have you tried?” [There were no sexual problems/no active approach to the problem/selection of possible solution, such as other sex techniques, talking to the partner or a physician, or medication] (Während der letzten drei Monate: Welche Lösungsmöglichkeiten haben Sie bei sexuellen Problemen gesucht? [Es gab keine sexuellen Probleme/Kein aktiver Lösungsversuch/Auswahl verschiedener Lösungsmöglichkeiten wie Ausprobieren anderer sexueller Praktiken als vorher, Gespräch darüber mit dem Partner, Aufsuchen eines Facharztes, und andere]).
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Eisemann, N., Waldmann, A., Rohde, V. et al. Quality of life in partners of patients with localised prostate cancer. Qual Life Res 23, 1557–1568 (2014). https://doi.org/10.1007/s11136-013-0588-1
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DOI: https://doi.org/10.1007/s11136-013-0588-1