Lalos A, Jacobsson L, Lalos O, Stendahl U
Department of Obstetrics and Gynecology, University Hospital, Umeå, Sweden.
J Psychosom Obstet Gynaecol. 1995 Sep;16(3):153-65. doi: 10.3109/01674829509024464.
This article focuses on social, psychological and sexual experiences of 47 men before their partner was treated for cervical or endometrial cancer and 1 year later. As a complement to the interviews the men completed a symptom check-list. Before initiation of treatment, a great majority of the men were in psychological crisis. The number of psychological symptoms decreased from the first to the last interview. Symptoms with psychosomatic character increased, however, considerably. In the endometrial group, several had intrapsychic problems, while interpersonal problems were more common in the cervical group. Both groups found it difficult to know how to behave and how to communicate with their partner, friends and acquaintances. A majority had nobody to whom they could speak honestly, and most did not obtain basic information about their partner's disease. The experiences of intercourse were much more negative after completed treatment and a majority described impaired sexual desire. Provided that the woman herself desires it, the coping and rehabilitation of the woman, the man and the couple would improve if the male were integrated in the care program from the moment the diagnosis of cancer is made.
本文聚焦于47名男性在其伴侣接受宫颈癌或子宫内膜癌治疗前及治疗1年后的社会、心理和性体验。作为访谈的补充，这些男性完成了一份症状清单。在治疗开始前，绝大多数男性处于心理危机之中。从第一次访谈至最后一次访谈，心理症状的数量有所减少。然而，具有身心特征的症状却大幅增加。在子宫内膜癌组中，一些人存在内心问题，而人际问题在宫颈癌组更为常见。两组都发现很难知道如何表现以及如何与伴侣、朋友和熟人交流。大多数人没有人可以坦诚交谈，而且大多数人没有获得关于其伴侣疾病的基本信息。治疗结束后，性交体验更加消极，大多数人表示性欲受损。如果女性自身有此意愿，从癌症诊断之时起就让男性参与护理计划，那么女性、男性及夫妻双方的应对和康复情况将会得到改善。
