Innovations in the Treatment of Sexual Health Post Prostate Cancer Treatment: Comparing Mindfulness vs. CBT (INTROSPPECT)
Prostate Cancer, Sexual Dysfunctions, Psychological, Sexual Dysfunction, Physiological
About this trial
This is an interventional supportive care trial for Prostate Cancer focused on measuring Psychological Treatment, Intimacy, Cognitive Behavioural Therapy, Cognitive Behavioral Therapy, Mindfulness, Group Therapy, Couples Therapy
Eligibility Criteria
Inclusion Criteria:
- Currently in a relationship that has lasted longer than 1 year
- Both members of the couple are at least 19 years of age or older
- (At least) one member of the couple has a history of prostate cancer diagnosis
- The same member of the couple underwent treatment (e.g., radical prostatectomy, radiation therapy, Androgen Deprivation Therapy) for their prostate cancer or is on active surveillance
- The member of the couple who underwent treatment for prostate cancer is experiencing distress related to his current level of intimacy/sexual well-being
- Both members of the couple are willing and able to comply with all study procedures and be available for the duration of the study. Commitment includes a total of 5.5 hours per week in sessions and daily homework over the 4-week period of the treatment program for those randomized to receive treatment
- Both members of the couple are fluent in English
Exclusion Criteria:
- Have a current health condition (e.g., severe cardiovascular health problems, unmanaged diabetes mellitus), physical disability and/or a significant, unmanaged major mental illness (e.g., unmanaged bipolar disorder, psychosis) that would interfere with self- or partnered-sexual activities, or the individual's ability to attend group sessions or complete home assignments
Sites / Locations
- Gordon & Leslie Diamond Health Centre -- Vancouver General Hospital
Arms of the Study
Arm 1
Arm 2
Arm 3
Experimental
Experimental
No Intervention
Cognitive Behavioural Therapy (CBT)
Mindfulness-Based Therapy
Control - Usual Care
Treatment will consist of a 4-week group lead by a trained clinician. Sessions are 2 hours in length and take place in consecutive weeks, with daily homework recommended between sessions.
Treatment will consist of a 4-week group lead by a trained clinician. Sessions are 2 hours in length and take place in consecutive weeks, with daily homework recommended between sessions.
Participants who are randomized to the control group will not receive mindfulness or CBT treatment. They will proceed with the course of treatment they were receiving prior to enrollment in the study. As resources for couples dealing with changes to their sexual lives after prostate cancer are limited, it is anticipated that the majority of these patients will have no treatment targeting sexual intimacy during the 6-week period between completing the first and second questionnaire. Those randomized to the "control" group will have the opportunity to be randomized to one of the treatment groups following their third and final questionnaire if they wish. In this case, they will be issued an additional participant ID within one of the treatment groups.