Weber Bryan A, Roberts Beverly L, Resnick Martin, Deimling Gary, Zauszniewski Jaclene A, Musil Carol, Yarandi Hossein N
Department of Adult & Elderly Nursing, College of Nursing, University of Florida, P.O. Box 100197, Gainesville, FL 32610-0197, USA.
Psychooncology. 2004 Jan;13(1):47-60. doi: 10.1002/pon.718.
Urinary and sexual dysfunctions are side effects of radical prostatectomy (RP) for prostate cancer (PC) that contribute to depression. Despite the effectiveness of support groups at reducing depression in cancer patients, men typically do not participate in them. The purpose of this pilot study was to test the effects of a dyadic intervention (one-to-one support) on social support (Modified Inventory of Socially Supportive Behaviors), self-efficacy (Stanford Inventory of Cancer Patient Adjustment), and depression (Geriatric Depression Scale). Subjects were randomized to group. Controls (N=15; Mage=59.7) received usual care. Experimentals were paired with long-term survivors (LTS) who had RP and who had treatment side effects in common. Experimentals (N=15; Mage=57.5) met with a LTS 8 times in 8 weeks to discuss concerns associated with survivorship. No significant differences were detected on social support, but after 4 weeks, significant differences were present on depression between controls and experimentals, however these differences were not seen at 8 weeks. After 8 weeks, there were also significant differences on self-efficacy between controls and experimentals. Weekly anecdotal data supported the feasibility and acceptance of the intervention that was a low cost strategy effective at reducing depression and increasing self-efficacy in men treated by RP. Future research directions and clinical application is presented.
泌尿和性功能障碍是前列腺癌根治术（RP）治疗前列腺癌（PC）的副作用，会导致抑郁。尽管支持小组在减轻癌症患者抑郁方面有效，但男性通常不参与其中。这项试点研究的目的是测试二元干预（一对一支持）对社会支持（社会支持行为修正量表）、自我效能感（斯坦福癌症患者适应量表）和抑郁（老年抑郁量表）的影响。受试者被随机分组。对照组（N = 15；平均年龄 = 59.7岁）接受常规护理。实验组与有RP且有共同治疗副作用的长期幸存者（LTS）配对。实验组（N = 15；平均年龄 = 57.5岁）在8周内与一名LTS会面8次，讨论与生存相关的问题。在社会支持方面未检测到显著差异，但4周后，对照组和实验组在抑郁方面存在显著差异，然而在8周时未观察到这些差异。8周后，对照组和实验组在自我效能感方面也存在显著差异。每周的轶事数据支持了该干预措施的可行性和可接受性，这是一种低成本策略，对减轻接受RP治疗男性的抑郁和提高自我效能感有效。本文还介绍了未来的研究方向和临床应用。
