Lyons Karen S, Winters-Stone Kerri M, Bennett Jill A, Beer Tomasz M
School of Nursing, Oregon Health & Science University.
Knight Cancer Institute, Oregon Health & Science University.
Health Psychol. 2016 May;35(5):509-13. doi: 10.1037/hea0000287. Epub 2015 Oct 12.
The study examined whether couples coping with prostate cancer participating in a partnered exercise program-Exercising Together (ET)-experienced higher levels of physical intimacy (i.e., affectionate and sexual behavior) than couples in a usual care (UC) control group.
Men and their wives (n = 64 couples) were randomly assigned to either the ET or UC group. Couples in the ET group engaged in partnered strength-training twice weekly for 6 months. Multilevel modeling was used to explore the effects of ET on husband and wife engagement in both affectionate and sexual behaviors over time.
Controlling for relationship quality, wives in ET showed significant increases in engagement in affectionate behaviors compared to wives in UC. No intervention effects were found for husbands.
Couple-based approaches to physical intimacy, after a cancer diagnosis, that facilitate collaborative engagement in nonsexual physical activities for the couple have potential to be effective for wives. More research is needed in this area to determine couples most amenable to such exercise strategies, optimal timing in the cancer trajectory, and the benefits of combining partnered exercise with more traditional relationship-focused strategies.
本研究探讨了参与“共同锻炼”(ET)伴侣锻炼计划的前列腺癌患者夫妻,与接受常规护理(UC)对照组的夫妻相比,是否体验到更高水平的身体亲密感(即亲昵行为和性行为)。
男性及其妻子(共64对夫妻)被随机分配到ET组或UC组。ET组的夫妻每周进行两次伴侣力量训练,为期6个月。采用多层次模型来探究ET对夫妻随着时间推移在亲昵行为和性行为方面参与度的影响。
在控制关系质量的情况下,与UC组的妻子相比,ET组的妻子在亲昵行为参与度上有显著增加。未发现对丈夫有干预效果。
癌症诊断后,基于夫妻的身体亲密感方法,即促进夫妻共同参与非性身体活动,对妻子可能有效。该领域需要更多研究来确定最适合此类锻炼策略的夫妻、癌症病程中的最佳时机,以及将伴侣锻炼与更传统的以关系为重点的策略相结合的益处。