Loss of masculine identity, marital affection, and sexual bother in men with localized prostate cancer.
Loss of masculine identity, marital affection, and sexual bother in men with localized prostate cancer.
复制标题
DOI：
10.1111/j.1743-6109.2012.02897.x
复制
发表时间：
2012-10
期刊：
影响因子：
--
通讯作者：
Kissane D
中科院分区：
文献类型：
--
作者：
Zaider T;Manne S;Nelson C;Mulhall J;Kissane D
勃起功能障碍（艾德）是前列腺癌（PCa）治疗后最常见的痛苦来源之一，但有证据表明，随着时间的推移，男性不容易适应性功能的丧失。男性适应艾德的一个假设决定因素是他们在PCa治疗后经历男性身份丧失的程度。本研究的目的是：（一）描述与本地PCa治疗的男性男性减少的男性气质的关注的患病率;（二）以确定是否减少的男性气质与性困扰，控制性功能状态后;（三）以确定男性的婚姻质量是否缓和减少的男性气质和性困扰之间的关联。我们分析了75名在两个癌症中心之一接受治疗的局部前列腺癌患者提供的横断面数据。本研究的数据是在基线评估时提供的，作为他们在基于夫妇的干预的试点试验中招募的一部分。来自前列腺健康相关生活质量问卷的性困扰子量表和来自Clark等人的PCA相关生活质量量表的男性自尊和婚姻情感子量表。大约三分之一的男性认为他们在治疗后失去了男子气概的一个方面。即使考虑到性功能状态，男性气质下降也是性困扰的唯一重要的独立预测因素。对于那些配偶认为婚姻感情不好的男性来说，男性气质下降和性困扰之间的联系最强。男性气质下降是PCa幸存者的一个突出但研究不足的问题。无论功能状态，男性谁认为男性气概的损失后，治疗可能更容易被困扰他们的ED。此外，其对生存调整的影响可能依赖于他们的亲密关系的质量。
Erectile dysfunction (ED) is one of the most frequent sources of distress after treatment for prostate cancer (PCa), yet evidence suggests that men do not easily adjust to loss of sexual function over time. A hypothesized determinant of men's adaptation to ED is the degree to which they experience a loss of masculine identity in the aftermath of PCa treatment. The aims of this study were (i) to describe the prevalence of concerns related to diminished masculinity among men treated for localized PCa; (ii) to determine whether diminished masculinity is associated with sexual bother, after controlling for sexual functioning status; and (iii) to determine whether men's marital quality moderates the association between diminished masculinity and sexual bother. We analyzed cross-sectional data provided by 75 men with localized PCa who were treated at one of two cancer centers. Data for this study were provided at a baseline assessment as part of their enrollment in a pilot trial of a couple-based intervention. The sexual bother subscale from the Prostate Health-Related Quality-of-Life Questionnaire and the Masculine Self-Esteem and Marital Affection subscales from Clark et al's PCa-related quality-of-life scale. Approximately one-third of men felt they had lost a dimension of their masculinity following treatment. Diminished masculinity was the only significant, independent predictor of sexual bother, even after accounting for sexual functioning status. The association between diminished masculinity and sexual bother was strongest for men whose spouses perceived low marital affection. Diminished masculinity is a prominent, yet understudied concern for PCa survivors. Regardless of functional status, men who perceive a loss of masculinity following treatment may be more likely to be distressed by their ED. Furthermore, its impact on adjustment in survivorship may rely on the quality of their intimate relationships.
登录
查看更多内容
影响因子：
8.8
作者：
Helgason, A;Adolfsson, J;Dickman, P;Fredrikson, M;Arver, S;Steineck, G
通讯作者：
Steineck, G
影响因子：
45.3
作者：
Clark, JA;Inui, TS;Talcott, JA
通讯作者：
Talcott, JA
影响因子：
3.6
作者：
Gacci, Mauro;Simonato, Alchiede;Carini, Marco
通讯作者：
Carini, Marco
影响因子：
3.1
作者：
Banthia, R;Malcarne, VL;Greenbergs, HL
通讯作者：
Greenbergs, HL
影响因子：
3.5
作者：
Nelson, Christian J.;Mulhall, John P.;Roth, Andrew J.
通讯作者：
Roth, Andrew J.