Efficacy of problem-solving therapy for spouses of men with prostate cancer: A randomized controlled trial
| Autor: | Scott C. Roesch, Georgia Robins Sadler, Rajni Banthia, Celine M. Ko, Vanessa L. Malcarne |
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| Rok vydání: | 2018 |
| Předmět: |
Male
Experimental and Cognitive Psychology Dysfunctional family law.invention 03 medical and health sciences Prostate cancer 0302 clinical medicine Quality of life Randomized controlled trial Cost of Illness law Adaptation Psychological Medicine Humans Interpersonal Relations 030212 general & internal medicine Spouses Problem Solving Aged 030504 nursing business.industry fungi food and beverages Prostatic Neoplasms Middle Aged medicine.disease Mental health Psychotherapy Psychiatry and Mental health Distress Mood Oncology Caregivers Quality of Life 0305 other medical science business Psychosocial Clinical psychology |
| Zdroj: | Psycho-oncology. 28(3) |
| ISSN: | 1099-1611 |
| Popis: | Objective Prostate cancer can have a significant negative impact on patients and their spouses. Problem-solving therapy (PST) has been shown to help reduce distress and improve quality of life among cancer and caregiver populations. This study tested the efficacy of PST for spouses of men with prostate cancer. Methods Spouses of men diagnosed with prostate cancer within the past 18 months (N = 164) were randomly assigned to PST (n = 78) or usual psychosocial care (UPC; n = 86). Spouses completed measures of constructive and dysfunctional problem solving, cancer-related distress, mood, physical and mental health, and dyadic adjustment at preintervention and post-intervention and 3-month post-intervention follow-up. Results Constructive problem solving increased from pre-intervention to post-intervention among spouses receiving PST but not for spouses receiving UPC; this was maintained at follow-up. There was no decrease in dysfunctional problem solving. Spouses receiving PST versus UPC reported less cancer-related distress post-intervention and at follow-up. There were no significant changes in mood or physical and mental health. Dyadic adjustment was significantly better for spouses receiving PST versus UPC at post-intervention but not at follow-up. Improvements in constructive problem solving mediated better mood and dyadic adjustment post-intervention. Conclusions Results support the efficacy of PST for improving spouses' constructive problem solving. There was evidence of both direct and mediated positive effects of PST for both individual and dyadic adjustment. PST may be useful for improving individual and dyadic outcomes for spouses of men with prostate cancer. |
| Databáze: | OpenAIRE |
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