Communication and intimacy-enhancing interventions for men diagnosed with prostate cancer and their partners.
Communication and intimacy-enhancing interventions for men diagnosed with prostate cancer and their partners.
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针对诊断患有前列腺癌的男性及其伴侣的沟通和亲密关系增强干预措施。
DOI：
10.1111/jsm.12049
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发表时间：
2013
期刊：
影响因子：
--
通讯作者：
Kenowitz,Joslyn
中科院分区：
文献类型：
--
作者：
Nelson,ChristianJ;Kenowitz,Joslyn
前列腺癌治疗后的性功能障碍往往导致夫妻亲密接触减少。已经制定了一些心理社会干预措施，以加强这些夫妇的亲密关系。本文回顾了其中的三种干预措施，并总结了2011年癌症幸存者和性健康会议专题讨论会的一部分，目的是：（i）回顾三种类型的心理社会干预措施;和（ii）描述这些干预措施所强调的方法学问题。主要结果测量关系亲密度和沟通的有效测量方法待选，的干预措施必须：一个随机对照试验，集中在一对夫妇的治疗方法，并报告至少一个关系outcome.ResultsThe结果是不一致的内或跨研究，并建议，一些具体方面的干预措施可能是有帮助的病人，而其他方面的研究可能是有帮助的合作伙伴。The Northouse et al.研究表明，与患者相比，伴侣可能会从专注于夫妇工作中受益。加拿大等。一项研究表明，在关注性功能时，与单独与男性合作相比，与夫妇合作并没有显示出显着的好处。然而，该研究确实表明，基于性的干预可以改善勃起功能障碍治疗的使用，并表明患者可能会从治疗副作用的具体关注中受益。The Manne et al.研究强调了针对这些干预措施的重要性，夫妇谁报告的困扰，和苦恼的夫妇，干预可以显示出积极的结果.ConclusionsIntimacy增强干预措施可以有效的夫妇，而合作伙伴可能会受益更多的夫妇工作，患者可能会受益更多的关注特定的副作用。
IntroductionThe sexual dysfunction following prostate cancer treatments often leads to a reduction in intimate contact for couples. A number of psychosocial interventions have been developed to enhance intimacy in these couples. This paper reviews three of these interventions and is a summary of a presentation given as part of a symposium at the 2011 Cancer Survivorship and Sexual Health Meeting.AimThe goal of this presentation was to: (i) review three types of psychosocial interventions; and (ii) describe the methodological issues highlighted by these interventions.Main Outcome MeasuresValidated measures of relationship intimacy and communication.MethodsTo be selected, the interventions had to be: a randomized control trial, focus on a couples approach to therapy, and report at least one relationship outcome.ResultsThe results were not consistent within or across studies, and suggest that some specific aspects of the interventions may be helpful for the patient, while other aspects of the studies may be helpful for the partner. The Northouse et al. study suggests that partners may benefit from a focus on couple work, as compared to the patient. The Canada et al. study indicates that when focusing on sexual functioning, working with a couple did not show significant benefit compared to working with a man alone. The study did show, however, that a sexual‐based intervention can improve the use of erectile dysfunction treatments and suggests patients may benefit from specific focus on side effects of treatment. The Manne et al. study highlights the importance of targeting these interventions to couples who report distress, and for distressed couples, an intervention can show positive results.ConclusionsIntimacy enhancing interventions can be effective for couples, while the partners may benefit more from couples work; the patients may benefit more from focus on specific side effects.
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