Family Wellbeing and Sexual Health of Patients Receiving Treatment for Prostate Cancer

Carielle Joy Rio,1 Taichi Goto,1 Chao-Pin Hsiao,2 Alexander LR Ross,1 Leorey N Saligan2 1National Institute of Nursing Research, Division of Intramural Research, National Institutes of Health, Bethesda, MD, USA; 2Case Western Reserve University School of Nursing, Cleveland, OH, USACorrespondence: Le...

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Main Authors: Rio CJ, Goto T, Hsiao CP, Ross ALR, Saligan LN
Format: Article
Language:English
Published: Dove Medical Press 2023-10-01
Series:Cancer Management and Research
Subjects:
Online Access:https://www.dovepress.com/family-wellbeing-and-sexual-health-of-patients-receiving-treatment-for-peer-reviewed-fulltext-article-CMAR
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author Rio CJ
Goto T
Hsiao CP
Ross ALR
Saligan LN
author_facet Rio CJ
Goto T
Hsiao CP
Ross ALR
Saligan LN
author_sort Rio CJ
collection DOAJ
description Carielle Joy Rio,1 Taichi Goto,1 Chao-Pin Hsiao,2 Alexander LR Ross,1 Leorey N Saligan2 1National Institute of Nursing Research, Division of Intramural Research, National Institutes of Health, Bethesda, MD, USA; 2Case Western Reserve University School of Nursing, Cleveland, OH, USACorrespondence: Leorey N Saligan, National Institute of Nursing Research, Division of Intramural Research, National Institutes of Health, Building 3, Room 5E14, 3 Center Drive, Bethesda, MD, 20892, USA, Tel/Fax +1 301-451-1685, Email saliganl@mail.nih.govPurpose: Prostate cancer and its treatment may affect patients’ sexual function and social wellbeing. This study investigated the relationship between social/family wellbeing and sexual health in patients with prostate cancer. Additionally, the moderating effect of clinical characteristics on this relationship was also explored.Patients and Methods: This is a descriptive correlational study using baseline data of a longitudinal study enrolling 137 patients with prostate cancer. Sexual Function (SF) and Sexual Function Distress (SFD) data were collected using the Symptom Index questionnaire. Demographic data were obtained during study intake and clinical data were obtained from chart review. Bivariate correlation determined the correlations among continuous demographic/clinical data, social/family wellbeing, and sexual health. Moderated regression analysis determined the moderating effects of clinical characteristics on the relationship of social/family wellbeing and sexual health.Results: Moderate positive correlation was found between social/family wellbeing and SF, whereas a weak negative correlation was noted between social/family wellbeing and SFD. Depression was significantly correlated with social/family wellbeing and SFD. Both sexual health domains were significantly correlated with Gleason score. A significant difference was noted in the social/family wellbeing and both SF and SFD in participants receiving androgen deprivation therapy (ADT) compared to those not receiving ADT. Concomitant ADT use was the only clinical characteristic found to be a significant moderator of the relationship between social/family wellbeing and SFD, but none of the clinical characteristics was found to have a moderating effect on the relationship of social/family wellbeing and SF. Among patients who were not receiving ADT, high social/family wellbeing was associated with low SFD. Patients who were receiving ADT reported slightly higher SFD despite having higher social/family wellbeing.Conclusion: Ensuring sexual health in patients with prostate cancer requires a comprehensive approach to address factors contributing to sexual health such as side effects of treatment and family wellbeing.Keywords: sexual function, sexual function distress, family health, male reproductive health
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spelling doaj.art-8e7f234d9a744fae872c40dd644bebb42023-10-31T17:33:54ZengDove Medical PressCancer Management and Research1179-13222023-10-01Volume 151197120687734Family Wellbeing and Sexual Health of Patients Receiving Treatment for Prostate CancerRio CJGoto THsiao CPRoss ALRSaligan LNCarielle Joy Rio,1 Taichi Goto,1 Chao-Pin Hsiao,2 Alexander LR Ross,1 Leorey N Saligan2 1National Institute of Nursing Research, Division of Intramural Research, National Institutes of Health, Bethesda, MD, USA; 2Case Western Reserve University School of Nursing, Cleveland, OH, USACorrespondence: Leorey N Saligan, National Institute of Nursing Research, Division of Intramural Research, National Institutes of Health, Building 3, Room 5E14, 3 Center Drive, Bethesda, MD, 20892, USA, Tel/Fax +1 301-451-1685, Email saliganl@mail.nih.govPurpose: Prostate cancer and its treatment may affect patients’ sexual function and social wellbeing. This study investigated the relationship between social/family wellbeing and sexual health in patients with prostate cancer. Additionally, the moderating effect of clinical characteristics on this relationship was also explored.Patients and Methods: This is a descriptive correlational study using baseline data of a longitudinal study enrolling 137 patients with prostate cancer. Sexual Function (SF) and Sexual Function Distress (SFD) data were collected using the Symptom Index questionnaire. Demographic data were obtained during study intake and clinical data were obtained from chart review. Bivariate correlation determined the correlations among continuous demographic/clinical data, social/family wellbeing, and sexual health. Moderated regression analysis determined the moderating effects of clinical characteristics on the relationship of social/family wellbeing and sexual health.Results: Moderate positive correlation was found between social/family wellbeing and SF, whereas a weak negative correlation was noted between social/family wellbeing and SFD. Depression was significantly correlated with social/family wellbeing and SFD. Both sexual health domains were significantly correlated with Gleason score. A significant difference was noted in the social/family wellbeing and both SF and SFD in participants receiving androgen deprivation therapy (ADT) compared to those not receiving ADT. Concomitant ADT use was the only clinical characteristic found to be a significant moderator of the relationship between social/family wellbeing and SFD, but none of the clinical characteristics was found to have a moderating effect on the relationship of social/family wellbeing and SF. Among patients who were not receiving ADT, high social/family wellbeing was associated with low SFD. Patients who were receiving ADT reported slightly higher SFD despite having higher social/family wellbeing.Conclusion: Ensuring sexual health in patients with prostate cancer requires a comprehensive approach to address factors contributing to sexual health such as side effects of treatment and family wellbeing.Keywords: sexual function, sexual function distress, family health, male reproductive healthhttps://www.dovepress.com/family-wellbeing-and-sexual-health-of-patients-receiving-treatment-for-peer-reviewed-fulltext-article-CMARsexual functionsexual function distressfamily healthmale reproductive health
spellingShingle Rio CJ
Goto T
Hsiao CP
Ross ALR
Saligan LN
Family Wellbeing and Sexual Health of Patients Receiving Treatment for Prostate Cancer
Cancer Management and Research
sexual function
sexual function distress
family health
male reproductive health
title Family Wellbeing and Sexual Health of Patients Receiving Treatment for Prostate Cancer
title_full Family Wellbeing and Sexual Health of Patients Receiving Treatment for Prostate Cancer
title_fullStr Family Wellbeing and Sexual Health of Patients Receiving Treatment for Prostate Cancer
title_full_unstemmed Family Wellbeing and Sexual Health of Patients Receiving Treatment for Prostate Cancer
title_short Family Wellbeing and Sexual Health of Patients Receiving Treatment for Prostate Cancer
title_sort family wellbeing and sexual health of patients receiving treatment for prostate cancer
topic sexual function
sexual function distress
family health
male reproductive health
url https://www.dovepress.com/family-wellbeing-and-sexual-health-of-patients-receiving-treatment-for-peer-reviewed-fulltext-article-CMAR
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