Breast Cancer and Dyadic Psychosexual Well-Being

乳腺癌和二元性心理健康

• 批准号: 6967772
• 负责人: BETSY Louise FIFE
• 金额: $ 13.03万
• 依托单位: INDIANA UNIV-PURDUE UNIV AT INDIANAPOLIS
• 依托单位国家: 美国
• 财政年份: 2005
• 资助国家: 美国
• 起止时间: 2005-07-01 至 2007-05-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6967772
• 关键词: anxiety; behavioral /social science research tag; breast neoplasms; clinical research; communication; comorbidity; coping; depression; dyadic interaction; emotions; human subject; interdisciplinary collaboration; interpersonal relations; patient oriented research; psychological aspect of cancer; quality of life; questionnaires; sex behavior; stress

DESCRIPTION (provided by applicant): There is strong empirical evidence that the diagnosis and treatment of breast cancer are associated with psychosexual vulnerability for both the survivor and her partner. A decrease in libido and intimacy and an increase in emotional distress are common within the relationship. The primary purpose of this evaluation study is to assess the effectiveness under controlled conditions of an intervention designed to promote psychosexual well-being and decrease the incidence of co-morbidity in the partner dyad following a diagnosis of breast cancer by affecting coping strategies. The sample will include 50 pre-menopausal women with stage I or II breast cancer and their partners who are randomized into intervention and control groups. Given our theoretical model, the target of intervention will be coping behavior with the outcome being psychosexual adaptation, which includes sexual functioning, intimacy, depression and anxiety. The intervention will take place early in the illness trajectory, 4 months following diagnosis, and we will obtain data at baseline prior to the intervention (T1), immediately following completion of the intervention (T2), and 6 months following diagnosis (T3). The psychoeducational intervention will include 3 sessions that focus on communication, problems of sexual functioning, increasing intimacy and support, and coping with emotional distress. Analyses will evaluate the outcome and the effectiveness of the intervention in promoting psychosexual wellbeing within the dyad living with breast cancer. The study will be conducted by an interdisciplinary team that includes expertise from nursing, psychology, oncology, surgery, and statistics.

描述（由申请人提供）：有强有力的经验证据表明，乳腺癌的诊断和治疗与幸存者及其伴侣的性心理脆弱性有关。在这段关系中，性欲和亲密感下降以及情绪困扰增加是很常见的。本评估研究的主要目的是评估干预措施在受控条件下的有效性，该干预措施旨在通过影响应对策略来促进性心理健康并降低乳腺癌诊断后伴侣二人共病的发生率。该样本将包括 50 名患有 I 期或 II 期乳腺癌的绝经前女性及其伴侣，她们被随机分为干预组和对照组。根据我们的理论模型，干预的目标将是应对行为，其结果是性心理适应，包括性功能、亲密关系、抑郁和焦虑。干预将在疾病轨迹的早期进行，即诊断后 4 个月，我们将在干预前 (T1)、干预完成后立即 (T2) 和诊断后 6 个月 (T3) 获取基线数据。心理教育干预将包括 3 个课程，重点关注沟通、性功能问题、增加亲密感和支持以及应对情绪困扰。分析将评估干预措施在促进乳腺癌患者性心理健康方面的结果和有效性。该研究将由一个跨学科团队进行，其中包括护理、心理学、肿瘤学、外科和统计学方面的专业知识。