title: The effect of dyadic intervention on self-efficacy, social support, and depression for men with prostate cancer.
abstract: Urinary and sexual dysfunctions are side effects of radical prostatectomy (RP) for prostate cancer (PC) that contribute to depression. Despite the effectiveness of support groups at reducing depression in cancer patients, men typically do not participate in them. The purpose of this pilot study was to test the effects of a dyadic intervention (one-to-one support) on social support (Modified Inventory of Socially Supportive Behaviors), self-efficacy (Stanford Inventory of Cancer Patient Adjustment), and depression (Geriatric Depression Scale). Subjects were randomized to group. Controls (N=15; Mage=59.7) received usual care. Experimentals were paired with long-term survivors (LTS) who had RP and who had treatment side effects in common. Experimentals (N=15; Mage=57.5) met with a LTS 8 times in 8 weeks to discuss concerns associated with survivorship. No significant differences were detected on social support, but after 4 weeks, significant differences were present on depression between controls and experimentals, however these differences were not seen at 8 weeks. After 8 weeks, there were also significant differences on self-efficacy between controls and experimentals. Weekly anecdotal data supported the feasibility and acceptance of the intervention that was a low cost strategy effective at reducing depression and increasing self-efficacy in men treated by RP. Future research directions and clinical application is presented.
authors.affiliation: Department of Adult & Elderly Nursing, College of Nursing, University of Florida, P.O. Box 100197, Gainesville, FL 32610-0197, USA. bweber@ufl.edu
authors.forename: Bryan A
authors.initials: BA
authors.lastname: Weber
authors.forename: Beverly L
authors.initials: BL
authors.lastname: Roberts
authors.forename: Martin
authors.initials: M
authors.lastname: Resnick
authors.forename: Gary
authors.initials: G
authors.lastname: Deimling
authors.forename: Jaclene A
authors.initials: JA
authors.lastname: Zauszniewski
authors.forename: Carol
authors.initials: C
authors.lastname: Musil
authors.forename: Hossein N
authors.initials: HN
authors.lastname: Yarandi
mesh_terms: D000223:Adaptation, Psychological; D000275:Adjustment Disorders / Q000175:diagnosis / Q000523:psychology*; D000368:Aged; D007172:Erectile Dysfunction / Q000523:psychology; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008388:Marital Therapy; D008875:Middle Aged; D017063:Outcome Assessment, Health Care; D010379:Peer Group; D011183:Postoperative Complications / Q000523:psychology; D011468:Prostatectomy / Q000523:psychology*; D011471:Prostatic Neoplasms / Q000523:psychology* / Q000601:surgery; D012650:Self Disclosure; D020377:Self Efficacy; D012803:Sick Role; D012944:Social Support; D017741:Survivors / Q000523:psychology*; D014549:Urinary Incontinence / Q000523:psychology