Cited by 149Cancer survivorship and careAttachment and Relationship DynamicsSexual function and dysfunction studies

Intimacy-Enhancing Psychological Intervention for Men Diagnosed with Prostate Cancer and Their Partners: A Pilot Study

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Manne, Sharon L., Kissane, David W., Nelson, Christian J., Mulhall, John P., Winkel, Gary, Zaider, Talia·2011·The Journal of Sexual Medicine

Abstract

Introduction: Few couple-focused interventions have been developed to improve distress and relationship outcomes among men diagnosed with localized prostate cancer and their partners. Aims: We examined the effects of a five-session Intimacy-Enhancing Therapy (IET) vs. Usual Care (UC) on the psychological and relationship functioning of men diagnosed with localized prostate cancer and their partners. Pre-intervention levels of psychological and relationship functioning were evaluated as moderators of intervention effects. Methods: Seventy-one survivors and their partners completed a baseline survey and were subsequently randomly assigned to receive five sessions of IET or UC (no treatment). Eight weeks after the baseline assessment, a follow-up survey was administered to survivor and partner. Main Outcome Measures: Distress, well-being, relationship satisfaction, relationship intimacy, and communication were investigated as the main outcomes. Results: IET effects were largely moderated by pre-intervention psychosocial and relationship factors. Those survivors who had higher levels of cancer concerns at pretreatment had significantly reduced concerns following IET. Similar moderating effects for pre-intervention levels were reported for the effects of IET on self-disclosure, perceived partner disclosure, and perceived partner responsiveness. Among partners beginning the intervention with higher cancer-specific distress, lower marital satisfaction, lower intimacy, and poorer communication, IET improved these outcomes. Conclusions: IET had a marginally significant main effect upon survivor well-being but was effective among couples with fewer personal and relationship resources. Subsequent research is needed to replicate these findings with a larger sample and a longer follow-up.

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  1. [2]Bokhour B Clark J Inui T Silliman R Talcott J Sexuality after Treatment for Early Prostate Cancer J Gen Intern Med 2001 16 649 655 11679031 PMC1495277
  2. [10]Kornblith AB Herr HW Quality of Life of Patients with Prostate Cancer and Their Spouses Cancer 1994 73 2791 2802 8194021
  3. [37]Gottman J Notarius C Gonso J Markman H Couples Guide to Communication 1976 Research Press
  4. [50]Cappelleri JC Rosen RC Smith MD Mishra A Osterloh IH Diagnostic evaluation of the erectile function domain of the International Index of Erectile Function Urology 1999 54 2 346 351 10443736

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Authors
Manne, S. L., Kissane, D. W., Nelson, C. J., Mulhall, J. P., Winkel, G., & Zaider, T.
Affiliations
  • Rutgers Cancer Institute (US)
  • Memorial Sloan Kettering Cancer Center (US)
  • City University of New York (US)
Corresponding author
Manne, Sharon L.
Venue
The Journal of Sexual Medicine
Published
2011-04-01
Volume
8
Issue
4
Pages
1197-1209
ISSN
  • 1743-6095 (ISSN-L)
  • 1743-6109
OpenAlex
W2127644490
Cited by
149
References
56
Citations by year
2026: 1 · 2025: 6 · 2024: 4 · 2023: 6 · 2022: 6 · 2021: 11 · 2020: 6 · 2019: 13 · 2018: 11 · 2017: 13 · 2016: 12 · 2015: 17 · 2014: 17 · 2013: 14 · 2012: 10
FWCI
6.78
Type
journal article
Language
en
Open access
Locations
  • The Journal of Sexual Medicine (publishedVersion)
  • PubMed (publishedVersion)
  • PubMed Central (acceptedVersion)
Funders
  • NCI (K05 CA109008)
  • Fox Chase Cancer Center (P30 CA006927)
Topics
  • Health Sciences › Medicine › Oncology › Cancer survivorship and care
  • Social Sciences › Psychology › Social Psychology › Attachment and Relationship Dynamics
  • Health Sciences › Medicine › Psychiatry and Mental health › Sexual function and dysfunction studies
Keywords
prostate cancer, couple-based interventions, cancer survivors, partners of cancer patients, relationship satisfaction, relationship intimacy, marital communication, cancer-related distress, self-disclosure, partner responsiveness, psychological well-being, localized prostate cancer
MeSH terms
Adaptation, Psychological, Female, Health Surveys, Humans, Male, Mental Health, Middle Aged, Models, Psychological, Personal Satisfaction, Pilot Projects, Prostatic Neoplasms, Psychometrics, Psychotherapy, Sexual Partners, Statistics as Topic, Stress, Psychological, United States, Survivors, Spouses, Men's Health

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