title: Sexual dysfunction and spousal communication in couples coping with prostate cancer.
abstract: OBJECTIVE
  To characterize the sexual function of both prostate cancer patients and their partners, and to examine whether associations between sexual dysfunction and psychosocial adjustment vary depending on spousal communication patterns.
  
  
  METHODS
  In this cross-sectional study, 116 prostate cancer patients and their partners completed psychosocial questionnaires.
  
  
  RESULTS
  Patients and partners reported high rates of sexual dysfunction. Within couples, patients' and their partners' sexual function was moderately to highly correlated (r=0.30-0.74). When patients had poor erectile function, their partners were more likely to report that the couple avoided open spousal discussions; this in turn was associated with partners' marital distress (Sobel's Z=12.47, p=0.001). Patients and partners who reported high levels (+1SD) of mutual constructive communication also reported greater marital adjustment, regardless of their own sexual satisfaction. In contrast, greater sexual dissatisfaction was associated with poorer marital adjustment in patients and partners who reported low levels (-1SD) of mutual constructive communication (p<0.05).
  
  
  CONCLUSIONS
  Our findings underscore the need for psychosocial interventions that facilitate healthy spousal communication and address the sexual rehabilitation needs of patients and their partners after prostate cancer treatment. Although some couples may be reluctant to engage in constructive cancer-related discussions about sexual problems, such discussions may help alleviate the negative impact that sexual problems have on prostate cancer patients' and their partners' marital adjustment.
authors.affiliation: Department of Behavioral Science, The University of Texas M. D. Anderson Cancer Center, Houston, TX 77230-1439, USA. hbadr@mdanderson.org
authors.forename: Hoda
authors.initials: H
authors.lastname: Badr
authors.forename: Cindy L Carmack
authors.initials: CL
authors.lastname: Taylor
mesh_terms: D000223:Adaptation, Psychological; D000368:Aged; D000369:Aged, 80 and over; D003142:Communication; D007172:Erectile Dysfunction / Q000523:psychology*; D054541:Family Conflict / Q000523:psychology; D005260:Female; D006801:Humans; D007989:Libido; D008297:Male; D008388:Marital Therapy; D008875:Middle Aged; D009948:Orgasm; D011471:Prostatic Neoplasms / Q000523:psychology* / Q000628:therapy; D020018:Sexual Dysfunctions, Psychological / Q000523:psychology; D012803:Sick Role; D018454:Spouses / Q000523:psychology*; D011795:Surveys and Questionnaires