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Abstract

Background: As the most common cancer in the UK for men, the psychological impact of prostate cancer to the patient is well documented in the literature. Impact to the spouses of these patients, however, is less covered. Similarly, available psychological support is also patient centred, with little to no focus on the partner. The purpose of this study is to ascertain the psychological impact of prostate cancer diagnosis on partners and whether there is a demand for spousal support.

Materials and methods: Men with prostate cancer treated with radical prostatectomy were identified from our departmental cancer database between 1st June 2014 and 30th April 2021. We utilized a two-part questionnaire based on brief-COPE and a Finnish national survey, with an additional question on whether partner support was desired. It was posted to these men in both English and Welsh, to be completed by their partner.

Results: 218 questionnaires were sent with a response rate of 125 (57%); 3 were excluded as they were completed by the patient. Mean age was 67.3 (±7.5 SD). 92% of respondents were female. 59% of respondents were interested in psychological support. The most common psychological reaction reported at time of diagnosis was concern about treatability of disease. At least half also reported shock, concern for the future, and fear that their partner would die. From the modified brief-COPE, approach coping strategies were more common than avoidance coping (median score 11 compared with 8 respectively).

Conclusion: Prostate cancer diagnosis has a negative psychological impact on partners. Further work is required for the best format of support for the partners of men with prostate cancer. Nonetheless, there is a clear demand for this support, which is currently lacking.