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Individual and mutual predictors of marital satisfaction among prostate cancer patients and their spouses

Journal of Clinical Nursing Sep 01, 2017

Chien CH, et al. – This study was designed to elucidate the individual and mutual predictors of the marital satisfaction of couples in which the husband experienced prostate cancer. It was demonstrated that patients’ and spouses’ marital satisfaction will influence each other at 6 months post–treatment. Nevertheless, patients’ marital satisfaction exerts an insignificant effect on spouses’ marital satisfaction at 12 months. Moreover, patients’ serum prostate–specific antigen (PSA) level or the negative appraisal of prostate cancer affects their marital satisfaction. Spouses’ marital satisfaction is affected by psychological distress and their negative appraisal of prostate cancer.

Methods
  • This researchers applied a prospective and repeated-measures design.
  • Seventy Taiwanese couples in which the husband had prostate cancer completed measures at 6 and 12 months post-treatment.
  • Researchers performed assessments of physical symptoms, marital satisfaction, coping behaviour, and psychological distress.
  • They applied multiple linear regression to evaluate the data.

Results
  • It was noted that the marital satisfaction of prostate cancer patients and that of their spouses were significantly correlated.
  • The data indicated that spouses’ marital satisfaction, patients’ appraisal of prostate cancer as a threat, and patients’ serum prostate-specific antigen (PSA) levels were found to be the predictors of patients’ marital satisfaction at 6 months.
  • Moreover, patients’ marital satisfaction and their spouses’ psychological distress were predictors of spouses’ marital satisfaction.
  • The evidence showed spouses’ marital satisfaction and patients’ appraisal of prostate cancer as harm were predictors of patients’ marital satisfaction at 12 months.
  • Lastly, it was illustrated that spouses’ marital satisfaction (at 6 months) and appraisal of prostate cancer as a threat were predictors of spouses’ marital satisfaction.
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