Keywords

Prostate cancer, stigma, counseling, quality of life, relationship satisfaction, couples

Abstract

The purpose of this study was to examine the relationships between stigma, quality of life (QoL), and relationships satisfaction for prostate cancer (PCa) survivors and their intimate and/or romantic partners. The investigator tested a theoretical model that stigma (as measured by the Social Impact Scale [SIS; Fife & Wright, 2000]) influenced QoL (as measured by the Functional Assessment of Cancer Therapy – Prostate [FACT-P; Esper et al., 1997] and the Functional Assessment of Cancer Therapy – General Population [FACT-GP; Cella et al., 1993]) and relationship satisfaction (as measured by the Couples Satisfaction Index [CSI; Funk & Rogge, 2007]) for both PCa survivors and their partners (N = 72 couples). The investigator hypothesized that stigma would have a negative influence on both QoL and relationship satisfaction. Further, exploratory research questions pertained to the influence of race on stigma, QoL, and relationship satisfaction, as well as examining difference in experiences of stigma based on demographic variables (e.g., age and income). The results of the structural equation model analyses identified that stigma negatively influenced QoL (R2 = .84, p < .05) and relationship satisfaction (R2 = .19, p < .05) for both PCa survivors and their partners. Race did not have statistically significant (p > .05) relationships with stigma, QoL, or relationship satisfaction and stigma was not found to be statistically different (p > .05) based on demographic variables. Implications of the results of the study include (a) practical implications for PCa survivors and their partners; (b) strategies for effective individual, group, and couples-based counseling; (c) need for counselor educators to prepare counselors to work with medically ill populations and cancer survivors; (d) PCa stigma instrument development; and (e) the necessity to examine research with couples in a dyadic fashion.

Notes

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Graduation Date

2015

Semester

Spring

Advisor

Barden, Sejal

Degree

Doctor of Philosophy (Ph.D.)

College

College of Education and Human Performance

Degree Program

Education; Counselor Education

Format

application/pdf

Identifier

CFE0005742

URL

http://purl.fcla.edu/fcla/etd/CFE0005742

Language

English

Release Date

May 2015

Length of Campus-only Access

None

Access Status

Doctoral Dissertation (Open Access)

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