Please use this identifier to cite or link to this item: http://hdl.handle.net/1893/23447
Appears in Collections:Faculty of Social Sciences Journal Articles
Peer Review Status: Refereed
Title: Couple-based psychosexual support following prostate cancer surgery: Results of a feasibility pilot randomized control trial
Authors: Robertson, Jane
McNamee, Philip
Molloy, Gerry
Hubbard, Gill
McNeill, S Alan
Bollina, Prasad R
Kelly, Daniel
Forbat, Liz
Contact Email: j.m.robertson@stir.ac.uk
Keywords: Couple Therapy
Family Systems
Intimacy
Prostate Cancer
Psychosexual Support
Relationships
Sex Therapy
Sexual Function
Treatment
Issue Date: Aug-2016
Publisher: Elsevier
Citation: Robertson J, McNamee P, Molloy G, Hubbard G, McNeill SA, Bollina PR, Kelly D & Forbat L (2016) Couple-based psychosexual support following prostate cancer surgery: Results of a feasibility pilot randomized control trial, Journal of Sexual Medicine, 13 (8), pp. 1233-1242.
Abstract: Introduction: Surgery for prostate cancer can result in distressing side effects such as sexual difficulties, which are associated with lower levels of dyadic functioning. The study developed and tested an intervention to address sexual, relational, and emotional aspects of the relationship after prostate cancer by incorporating elements of family systems theory and sex therapy. Aims: To develop and test the feasibility and acceptability of relational psychosexual treatment for couples with prostate cancer, determine whether a relational-psychosexual intervention is feasible and acceptable for couples affected by prostate cancer, and determine the parameters for a full-scale trial. Methods: Forty-three couples were recruited for this pilot randomized controlled trial and received a six-session manual-based psychosexual intervention or usual care. Outcomes were measured before, after, and 6 months after the intervention. Acceptability and feasibility were established from recruitment and retention rates and adherence to the manual. Main Outcome Measures: The primary outcome measurement was the sexual bother subdomain of the Expanded Prostate Cancer Index Composite. The Hospital Anxiety and Depression Scale and the 15-item Systemic Clinical Outcome and Routine Evaluation (SCORE-15) were used to measure emotional and relational functioning, respectively. Results: The intervention was feasible and acceptable. The trial achieved adequate recruitment (38%) and retention (74%) rates. The intervention had a clinically and statistically significant effect on sexual bother immediately after the intervention. Small decreases in anxiety and depression were observed for the intervention couples, although these were not statistically significant. Practitioners reported high levels of adherence to the manual. Conclusion: The clinically significant impact on sexual bother and positive feedback on the study's feasibility and acceptability indicate that the intervention should be tested in a multicenter trial. The SCORE-15 lacked specificity for this intervention, and future trials would benefit from a couple-focused measurement.
Type: Journal Article
URI: http://hdl.handle.net/1893/23447
DOI Link: http://dx.doi.org/10.1016/j.jsxm.2016.05.013
Rights: This item has been embargoed for a period. During the embargo please use the Request a Copy feature at the foot of the Repository record to request a copy directly from the author. You can only request a copy if you wish to use this work for your own research or private study.
Affiliation: Dementia Studies
University College London
National University of Ireland - Galway
Cancer Care Research Centre
Western General Hospital
Western General Hospital
Cardiff University
Australian Catholic University

Files in This Item:
File Description SizeFormat 
RiPSToP Model Manual Paper for JFT_R1 RMS (2).pdf646.54 kBAdobe PDFUnder Embargo until 23/6/2017     Request a copy

Note: If any of the files in this item are currently embargoed, you can request a copy directly from the author by clicking the padlock icon above. However, this facility is dependant on the depositor still being contactable at their original email address.

This item is protected by original copyright



Items in the Repository are protected by copyright, with all rights reserved, unless otherwise indicated.

If you believe that any material held in STORRE infringes copyright, please contact library@stir.ac.uk providing details and we will remove the Work from public display in STORRE and investigate your claim.