title: A randomised, wait-list controlled trial: evaluation of a cognitive-behavioural group intervention on psycho-sexual adjustment for men with localised prostate cancer.
abstract: OBJECTIVE
  To examine the effectiveness of a cognitive-behavioural therapy (CBT) group intervention to facilitate improved psycho-sexual adjustment to treatment side effects in prostate cancer survivors post-radical prostatectomy.
  
  
  METHODS
  A randomised, wait-list controlled trial was conducted with a total of 60 men who participated in a manualised 8-week cognitive-behavioural group intervention 6 months to 5 years post-radical prostatectomy for localised prostate cancer. Participants completed standardised questionnaires pre-intervention and post-intervention, which assessed mood state, stress, general and prostate cancer anxiety, quality of life and areas of sexual functioning.
  
  
  RESULTS
  Paired samples t-tests identified a significant improvement in sexual confidence, masculine self-esteem, sexual drive/relationship and a significant decline in sexual behaviour from pre-intervention to post-intervention. Hierarchical regression analyses revealed that after controlling for covariates, participation in the group intervention significantly improved sexual confidence, sexual intimacy, masculine self-esteem and satisfaction with orgasm.
  
  
  CONCLUSIONS
  This group-based CBT intervention for men post-radical prostatectomy for localised prostate cancer shows promising results in terms of improving quality of life.
authors.affiliation: Department of Urology, Royal Melbourne Hospital, Parkville, Vic., Australia.
authors.forename: Heather M
authors.initials: HM
authors.lastname: Siddons
authors.affiliation: Department of Urology, Royal Melbourne Hospital, Parkville, Vic., Australia.|Australian Prostate Cancer Research Centre Epworth, Richmond, Vic., Australia.
authors.forename: Addie C
authors.initials: AC
authors.lastname: Wootten
authors.affiliation: Department of Urology, Royal Melbourne Hospital, Parkville, Vic., Australia.|Australian Prostate Cancer Research Centre Epworth, Richmond, Vic., Australia.
authors.forename: Anthony J
authors.initials: AJ
authors.lastname: Costello
mesh_terms: D000223:Adaptation, Psychological; D000368:Aged; D001007:Anxiety / Q000523:psychology / Q000628:therapy; D015928:Cognitive Behavioral Therapy / Q000379:methods*; D003863:Depression / Q000523:psychology / Q000628:therapy; D006801:Humans; D007989:Libido; D008297:Male; D057228:Masculinity; D008875:Middle Aged; D011468:Prostatectomy / Q000009:adverse effects; D011471:Prostatic Neoplasms / Q000150:complications / Q000523:psychology* / Q000601:surgery; D011615:Psychotherapy, Group / Q000379:methods; D011788:Quality of Life; D012044:Regression Analysis; D012649:Self Concept; D012735:Sexual Dysfunction, Physiological / Q000209:etiology / Q000523:psychology*; D020018:Sexual Dysfunctions, Psychological / Q000523:psychology / Q000628:therapy*; D013315:Stress, Psychological / Q000523:psychology / Q000628:therapy; D016896:Treatment Outcome; D014850:Waiting Lists
keywords: cognitive behaviour therapy group intervention; masculinity; oncology; prostate cancer; psycho‐sexual adjustment; sexual intimacy