title: The psychosocial impact of cervical cancer among affected women and their partners.
abstract: This study aimed to assess the range and intensity of psychosocial concerns experienced by women with cervical cancer and their male partners. A cross-sectional survey assessed 26 couples where the woman had invasive cervical cancer stage I-IV, up to 2 years posttreatment, using a concerns questionnaire and widely used psychosocial questionnaires. Respondents indicated their concerns about the impact of the disease and treatment as well as general psychosocial impact. Women with cervical cancer and their male partners expressed equal intensities of concern regarding the illness and its treatment, rating sexuality, prognosis, and communication with the treatment team most highly in terms of current concerns. Couples where the patient had a more advanced stage of cancer expressed higher concerns than those with earlier stage disease. Although women with cervical cancer reported more fatigue and illness intrusiveness than their male partners, both experienced disruptions in relationships, intimacy, and instrumental life domains. With increased time posttreatment, concerns differed subtly between affected women and their male partners. Effective psychosocial support for cervical cancer must be provided for both the affected woman and her male partner. Support and information should address the most salient concerns of patients and partners as these evolve over significant clinical milestones.
authors.affiliation: Psychosocial Oncology and Palliative Care Program, Princess Margaret Hospital and University of Toronto, Toronto, Ontario, Canada. janet.degroot@uhn.on.ca
authors.forename: J M
authors.initials: JM
authors.lastname: de Groot
authors.forename: K
authors.initials: K
authors.lastname: Mah
authors.forename: A
authors.initials: A
authors.lastname: Fyles
authors.forename: S
authors.initials: S
authors.lastname: Winton
authors.forename: S
authors.initials: S
authors.lastname: Greenwood
authors.forename: A D
authors.initials: AD
authors.lastname: Depetrillo
authors.forename: G M
authors.initials: GM
authors.lastname: Devins
mesh_terms: D000328:Adult; D004493:Education; D005260:Female; D006240:Happiness; D006801:Humans; D008297:Male; D008393:Marriage / Q000523:psychology; D008875:Middle Aged; D009367:Neoplasm Staging; D012737:Sex Factors; D019529:Sexuality; D012959:Socioeconomic Factors; D018454:Spouses / Q000523:psychology*; D011795:Surveys and Questionnaires; D013997:Time Factors; D002583:Uterine Cervical Neoplasms / Q000175:diagnosis / Q000523:psychology* / Q000628:therapy