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The psychosocial impact of cervical cancer among affected women and their partners
  1. J. M. DE GROOT*,,,
  2. K. MAH*,,
  3. A. FYLES,§,
  4. S. WINTON*,,
  5. S. GREENWOOD*,,
  6. A. D. DEPETRILLO§, and
  7. G. M. DEVINS*,,
  1. *Psychosocial Oncology and Palliative Care Program, Princess Margaret Hospital
  2. †Department of Psychiatry, University Health Network
  3. ‡Department of Psychiatry, Faculty of Medicine, University of Toronto
  4. §Department of Radiation Oncology, Princess Margaret Hospital
  5. ¶Department of Gynecologic Oncology, Princess Margaret Hospital
  1. Address correspondence and reprint requests to: Dr Janet M. de Groot, MD, FRCPC, Department of Psychosocial Oncology and Palliative Care, University Health Network (PMH), 16-747, 610 University Avenue, Toronto, ON, Canada M5G 2M9. Email: janet.degroot{at}uhn.on.ca

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.

  • gynecology
  • phychosocial
  • neoplasms
  • couples
  • sex
  • women's health

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