Department of Psychiatry and Behavioral Sciences, The Johns Hopkins University School of Medicine, 5510 Nathan Shock Drive, Suite 100, Baltimore, MD 21224, USA.
J Sex Marital Ther. 2012;38(5):402-17. doi: 10.1080/0092623X.2011.606886.
No studies have tested interventions addressing the sexual concerns of colorectal cancer patients and their partners. The authors reported findings from a pilot feasibility study of a novel telephone-based intimacy enhancement protocol that addresses the intimacy and sexual concerns of couples facing colorectal cancer. On the basis of a flexible coping model, the intervention was designed to help couples make cognitive and behavioral shifts in their intimate relationships. Participants were 18 individuals (9 dyads) who completed the intervention and measures of feasibility (frequency, ease of use, helpfulness of skills, ratings of rapport), program evaluations, and measures of sexual and relationship functioning. Most participants reported that the intervention was "quite a bit" or "extremely" helpful and that they had used the skills taught within the past week. The skills most commonly practiced and perceived as most helpful tended to be behavioral (e.g., trying a new sexual activity). The authors found the largest effect sizes (≥.60) for sexual distress, sexual function (female), and sexual communication. Findings from this pilot study suggest that the intimacy enhancement protocol is feasible and holds promise for improving sexual and intimacy outcomes in colorectal cancer patients and their partners. The authors discuss the research and clinical implications.
尚无研究测试过针对结直肠癌患者及其伴侣的性问题的干预措施。作者报告了一项新型基于电话的增进亲密关系方案的初步可行性研究结果，该方案解决了面临结直肠癌的夫妇的亲密关系和性问题。基于灵活的应对模式，该干预措施旨在帮助夫妇在亲密关系中做出认知和行为上的转变。18 名参与者（9 对）完成了干预措施以及可行性（频率、易用性、技能的有用性、融洽度评分）、方案评估以及性和关系功能的测量。大多数参与者表示，该干预措施“非常”或“极其”有帮助，并且他们在过去一周内使用了所教授的技能。最常实践且被认为最有用的技能往往是行为方面的（例如，尝试新的性活动）。作者发现性困扰、女性性功能和性沟通方面的效果大小最大（≥.60）。这项初步研究的结果表明，增进亲密关系方案是可行的，并有望改善结直肠癌患者及其伴侣的性和亲密关系结果。作者讨论了研究和临床意义。
