title: Long-term quality of life after radical prostatectomy in wives of men in the postoperative adjuvant androgen deprivation trial.
abstract: OBJECTIVE
  We examined quality of life in spouses of men in the Post-Adjuvant Androgen Deprivation trial after radical prostatectomy.
  
  
  METHODS
  Men at high risk of prostate cancer recurrence were randomized to receive androgen deprivation therapy or observation. Forty-three couples completed telephone interviews every 6 months for 2 years assessing women's mood disturbance, mental and physical health, and sexual function and bother as well as men's symptoms and sociodemographic and marital variables. We used linear mixed modeling to explore relationships between wives' quality of life and time, treatment group, and men's symptoms.
  
  
  RESULTS
  Women's mental health functioning improved over time (p < 0.05). Furthermore, women with husbands in the observation group had worse mood disturbance (p = 0.01) and poorer mental health (p = 0.02) than women with husbands in treatment. Men's symptoms were associated with worse physical health in wives (p = 0.02). Women also reported worse sexual function at 18 and 24 months compared with baseline (p = 0.02), but ratings of sexual bother were unrelated to time, treatment, and symptoms.
  
  
  CONCLUSIONS
  These exploratory results are consistent with research demonstrating that spousal cancer-related distress decreases over time. Treatment group differences suggest that an examination of caregiving in the context of uncertainty is warranted. Also, the physical burden of caregiving may intensify when men have more symptoms. To inform interventions, future studies should clarify how treatment and symptoms influence wives' distress by examining expectations and communication.
authors.affiliation: Department of Medicine, Division of Biostatistics and Epidemiology, Medical University of South Carolina, MSC 955, Charleston, SC 29425-9550, USA. sterba@musc.edu
authors.forename: Katherine Regan
authors.initials: KR
authors.lastname: Sterba
authors.forename: Richard J
authors.initials: RJ
authors.lastname: Swartz
authors.forename: Karen
authors.initials: K
authors.lastname: Basen-Engquist
authors.forename: Peter C
authors.initials: PC
authors.lastname: Black
authors.forename: Curtis A
authors.initials: CA
authors.lastname: Pettaway
mesh_terms: D000223:Adaptation, Psychological; D000339:Affect; D000704:Analysis of Variance; D000726:Androgen Antagonists / Q000009:adverse effects*; D004522:Educational Status; D005260:Female; D006305:Health Status Indicators; D006801:Humans; D008297:Male; D008603:Mental Health; D008875:Middle Aged; D011184:Postoperative Period; D011468:Prostatectomy / Q000009:adverse effects / Q000523:psychology*; D011471:Prostatic Neoplasms / Q000523:psychology*; D011594:Psychometrics; D011788:Quality of Life / Q000523:psychology*; D019529:Sexuality; D018454:Spouses / Q000523:psychology*; D013315:Stress, Psychological; D013997:Time Factors
chemical_list: D000726:Androgen Antagonists