- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT00335634
Sexual Dysfunction and Adaptation in Couples Affected by Prostate Cancer Surgery
Sexual Dysfunction and Adaptation in Couples Affected by Prostate Cancer Surgery: Steps Towards a Bio-Psychosocial Model of Treatment
Study Overview
Status
Detailed Description
We are studying the impact of sexual dysfunction following radical prostatectomy on patient and partners' experiences of intimacy. Research with men in post-radical prostatectomy recovery indicates 25%-75% experience sexual dysfunction. Many patients experience anxiety and distress related to sexual difficulties. These experiences may progress and result in long-term problems in the relationship between patients and their partners. Despite apparent levels of effectiveness, up to half of the patients who turn to sexually assistive aids after surgical removal of the prostate discontinue use of the aids within one year. Additionally, difficulties in communicating about sexual impairments can significantly interfere with the couples' ability to achieve successful adaptation. We are interested in studying patient and partner experiences with sexual dysfunction in order to understand its effects on sexual and non-sexual intimacy.
Participation in this study will involve completing 6 confidential face-to-face interviews on three separate occasions (3-6 months, 12-15 months, and 21-24 months post-surgery). On each occasion, participants will be required to take part in a "couple's" interview with his/her partner, as well as an individual interview. The interviews will provide participants with the opportunity to discuss the impact of sexual dysfunction on mood, thoughts, and communication with their partners. Demographic information will be collected at the initial interview. As well, at each of the 3 time points, participants will also be asked to complete a questionnaire package containing 6 psychological questionnaires. All questionnaires and interview material will be kept strictly confidential.
Study Type
Enrollment (Actual)
Contacts and Locations
Study Locations
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Ontario
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Etobicoke, Ontario, Canada, M9V 1R8
- Etobicoke General Hospital
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Toronto, Ontario, Canada, M5G 2M9
- The Prostate Centre, Princess Margaret Hospital
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Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Sampling Method
Study Population
Description
Inclusion Criteria:
- Radical prostatectomy treatment for prostate cancer at Princess Margaret Hospital or Etobicoke General Hospital
- At least 3 months, but less than 6 months post-radical prostatectomy
- Experience sexual dysfunction as a result of radical prostatectomy
- Must have an intimate partner and be able to participate as a couple
Exclusion Criteria:
- Detectable prostate specific antigen (PSA) post-radical prostatectomy
- Patient or partner unable to speak English
- Patient or partner unwilling to allow interviews to be recorded
- Patient or partner unwilling to participate
Study Plan
How is the study designed?
Design Details
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Time Frame |
|---|---|
|
Semi-Structured Interview - Patient
Time Frame: 3-6 months post-radical prostatectomy
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3-6 months post-radical prostatectomy
|
|
Semi-Structured Interview - Patient
Time Frame: 12-15 months post-radical prostatectomy
|
12-15 months post-radical prostatectomy
|
|
Semi-Structured Interview - Patient
Time Frame: 21-24 months post-radical prostatectomy
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21-24 months post-radical prostatectomy
|
|
Semi-Structured Interview - Partner
Time Frame: 3-6 months post-radical prostatectomy
|
3-6 months post-radical prostatectomy
|
|
Semi-Structured Interview - Partner
Time Frame: 12-15 months post-radical prostatectomy
|
12-15 months post-radical prostatectomy
|
|
Semi-Structured Interview - Partner
Time Frame: 21-24 months post-radical prostatectomy
|
21-24 months post-radical prostatectomy
|
|
Semi-Structured Interview - Couple
Time Frame: 3-6 months post-radical prostatectomy
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3-6 months post-radical prostatectomy
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|
Semi-Structured Interview - Couple
Time Frame: 12-15 months post-radical prostatectomy
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12-15 months post-radical prostatectomy
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|
Semi-Structured Interview - Couple
Time Frame: 21-24 months post-radical prostatectomy
|
21-24 months post-radical prostatectomy
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
The International Index of Erectile Function
Time Frame: 3-6 months post-radical prostatectomy
|
Used to assess erectile function, orgasmic function, sexual desire, intercourse satisfaction and overall sexual satisfaction in patients and male partners
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3-6 months post-radical prostatectomy
|
|
Index of Sexual Life
Time Frame: 3-6 months post-radical prostatectomy
|
Used to assess sexual desire and overall sexual satisfaction in female partners
|
3-6 months post-radical prostatectomy
|
|
Dyadic Adjustment Scale
Time Frame: 3-6 months post-radical prostatectomy
|
Used to measure couple distress
|
3-6 months post-radical prostatectomy
|
|
Hospital Anxiety and Depression Scale
Time Frame: 3-6 months post-radical prostatectomy
|
Used to measure anxiety and depression
|
3-6 months post-radical prostatectomy
|
|
The International Index of Erectile Function
Time Frame: 12-15 months post-radical prostatectomy
|
Used to assess erectile function, orgasmic function, sexual desire, intercourse satisfaction and overall sexual satisfaction in patients and male partners
|
12-15 months post-radical prostatectomy
|
|
The International Index of Erectile Function
Time Frame: 21-24 months post-radical prostatectomy
|
Used to assess erectile function, orgasmic function, sexual desire, intercourse satisfaction and overall sexual satisfaction in patients and male partners
|
21-24 months post-radical prostatectomy
|
|
Index of Sexual Life
Time Frame: 12-15 months post-radical prostatectomy
|
Used to assess sexual desire and overall sexual satisfaction in female partners
|
12-15 months post-radical prostatectomy
|
|
Index of Sexual Life
Time Frame: 21-24 months post-radical prostatectomy
|
Used to assess sexual desire and overall sexual satisfaction in female partners
|
21-24 months post-radical prostatectomy
|
|
Dyadic Adjustment Scale
Time Frame: 12-15 months post-radical prostatectomy
|
Used to measure couple distress
|
12-15 months post-radical prostatectomy
|
|
Dyadic Adjustment Scale
Time Frame: 21-24 months post-radical prostatectomy
|
Used to measure couple distress
|
21-24 months post-radical prostatectomy
|
|
Hospital Anxiety and Depression Scale
Time Frame: 12-15 months post-radical prostatectomy
|
Used to measure anxiety and depression
|
12-15 months post-radical prostatectomy
|
|
Hospital Anxiety and Depression Scale
Time Frame: 21-24 months post-radical prostatectomy
|
Used to measure anxiety and depression
|
21-24 months post-radical prostatectomy
|
|
Brief Profile of Mood States
Time Frame: 3-6 months post-radical prostatectomy
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Used to measure emotional distress
|
3-6 months post-radical prostatectomy
|
|
Brief Profile of Mood States
Time Frame: 12-15 months post-radical prostatectomy
|
Used to measure emotional distress
|
12-15 months post-radical prostatectomy
|
|
Brief Profile of Mood States
Time Frame: 21-24 months post-radical prostatectomy
|
Used to measure emotional distress
|
21-24 months post-radical prostatectomy
|
|
Miller Social Intimacy Scale
Time Frame: 3-6 months post-radical prostatectomy
|
Used to measure patient-partner intimacy
|
3-6 months post-radical prostatectomy
|
|
Miller Social Intimacy Scale
Time Frame: 12-15 months post-radical prostatectomy
|
Used to measure patient-partner intimacy
|
12-15 months post-radical prostatectomy
|
|
Miller Social Intimacy Scale
Time Frame: 21-24 months post-radical prostatectomy
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Used to measure patient-partner intimacy
|
21-24 months post-radical prostatectomy
|
|
Sternberg Triangular Love Scale
Time Frame: 3-6 months post-radical prostatectomy
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Used to assess levels of intimacy (closeness and connectedness), commitment and decisions to love, and passion
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3-6 months post-radical prostatectomy
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|
Sternberg Triangular Love Scale
Time Frame: 12-15 months post-radical prostatectomy
|
Used to assess levels of intimacy (closeness and connectedness), commitment and decisions to love, and passion
|
12-15 months post-radical prostatectomy
|
|
Sternberg Triangular Love Scale
Time Frame: 21-24 months post-radical prostatectomy
|
Used to assess levels of intimacy (closeness and connectedness), commitment and decisions to love, and passion
|
21-24 months post-radical prostatectomy
|
Collaborators and Investigators
Collaborators
Investigators
- Principal Investigator: Andrew G Matthew, PhD, C.Psych, University Health Network, Toronto
Study record dates
Study Major Dates
Study Start
Primary Completion (Actual)
Study Completion (Actual)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Estimate)
Study Record Updates
Last Update Posted (Estimate)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
- PC-05-0813
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