Efficacy of problem-solving therapy for spouses of men with prostate cancer: A randomized controlled trial
| Autor: | Malcarne, Vanessa L, Ko, Celine M, Roesch, Scott C, Banthia, Rajni, Sadler, Georgia Robins |
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| Rok vydání: | 2019 |
| Předmět: |
Male
Urologic Diseases Aging 6.6 Psychological and behavioural Clinical Sciences Oncology and Carcinogenesis Cost of Illness Clinical Research Behavioral and Social Science Humans Psychology Interpersonal Relations Oncology & Carcinogenesis Adaptation Spouses Problem Solving Aged Cancer Prostate Cancer fungi food and beverages Prostatic Neoplasms Evaluation of treatments and therapeutic interventions psychosocial oncology Middle Aged spousal caregivers Psychotherapy health-related quality of life dyadic adjustment Mental Health Good Health and Well Being Caregivers Quality of Life Psychological problem-solving therapy |
| Zdroj: | Psycho-oncology, vol 28, iss 3 |
| 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 18months (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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