Changes in Relationship Dynamics in Men and Women After Receiving the Diagnosis of Breast Versus Prostate Cancer: A Population-based Study

Background:. Relationship changes after cancer are prevalent yet underexplored. This investigation aimed to assess factors influencing relationship changes between participants receiving the 2 most common gender-specific cancer diagnoses: breast and prostate. Methods:. Anonymous surveys were adminis...

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Main Authors: Frederick Heath, BS, Kyle Ockerman, BS, Gayle S. Wiesemann, MD, Rachel Safeek, MD, Marie Heath, BS, Arash Momeni, MD, Lisa R. Spiguel, MD, Stephen Kovach, MD, Sarah Sorice-Virk, MD
Format: Article
Language:English
Published: Wolters Kluwer 2025-02-01
Series:Plastic and Reconstructive Surgery, Global Open
Online Access:http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000006494
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author Frederick Heath, BS
Kyle Ockerman, BS
Gayle S. Wiesemann, MD
Rachel Safeek, MD
Marie Heath, BS
Arash Momeni, MD
Lisa R. Spiguel, MD
Stephen Kovach, MD
Sarah Sorice-Virk, MD
author_facet Frederick Heath, BS
Kyle Ockerman, BS
Gayle S. Wiesemann, MD
Rachel Safeek, MD
Marie Heath, BS
Arash Momeni, MD
Lisa R. Spiguel, MD
Stephen Kovach, MD
Sarah Sorice-Virk, MD
author_sort Frederick Heath, BS
collection DOAJ
description Background:. Relationship changes after cancer are prevalent yet underexplored. This investigation aimed to assess factors influencing relationship changes between participants receiving the 2 most common gender-specific cancer diagnoses: breast and prostate. Methods:. Anonymous surveys were administered via Amazon Mechanical Turk. Eligible participants were 18 years or older and diagnosed with breast or prostate cancer. Relationship satisfaction and mental health were assessed via Personal Health Questionnaire Depression Scale (PHQ-8), General Anxiety Disorder (GAD-7), and Self-Esteem and Relationship Questionnaire. Results:. Of the 186 study respondents, 85.4% (159) had breast cancer and 14.5% (27) had prostate cancer. More breast cancer participants reported that their relationship worsened after cancer diagnosis (breast: 40.9%, prostate: 11.1%), whereas a majority of prostate cancer patients reported improved relationships (breast: 17%, prostate: 66.7%; P < 0.001). However, most participants reported no relationship status change (breast: 66.7%, prostate: 77.8%; P = 0.508) and remained with the same partner postdiagnosis (breast: 84.9%; prostate: 77.8%). Breast cancer participants reported higher self-esteem compared with prostate cancer participants (P = 0.019). There was no significant difference in overall Self-Esteem and Relationship Questionnaire (P = 0.140), PHQ-8 (P = 0.689), and GAD-7 (P = 0.871) scores. Average PHQ-8 and GAD-7 scores indicated moderate depression (breast: 12.62, prostate: 12.88) and moderate anxiety (breast: 10.96, prostate: 11.06). Conclusions:. Breast cancer participants reported greater perceived changes in their relationship postdiagnosis. This study supports routine, active, and pre-emptive involvement of a mental health provider for patients with cancer to improve mental health outcomes.
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spelling doaj-art-1722bb6c0982459da29d1a5d29b1cd752025-08-20T03:04:49ZengWolters KluwerPlastic and Reconstructive Surgery, Global Open2169-75742025-02-01132e649410.1097/GOX.0000000000006494202502000-00061Changes in Relationship Dynamics in Men and Women After Receiving the Diagnosis of Breast Versus Prostate Cancer: A Population-based StudyFrederick Heath, BS0Kyle Ockerman, BS1Gayle S. Wiesemann, MD2Rachel Safeek, MD3Marie Heath, BS4Arash Momeni, MD5Lisa R. Spiguel, MD6Stephen Kovach, MD7Sarah Sorice-Virk, MD8From the * University of California Irvine School of Medicine, Irvine, CA† University of Florida College of Medicine, Gainesville, FL‡ Division of Plastic Surgery, Department of Surgery, University of Alabama Birmingham, Birmingham, AL§ Division of Plastic and Reconstructive Surgery, Department of Surgery, University of Florida, Gainesville, FL¶ University of California Irvine School of Neuroscience, Irvine, CA∥ Division of Plastic and Reconstructive Surgery, Department of Surgery, Stanford University, Palo Alto, CA** Division of Surgical Oncology, Department of Surgery, University of Florida, Gainesville, FL†† Division of Plastic and Reconstructive Surgery, Department of Surgery, University of Pennsylvania, Philadelphia, PA.∥ Division of Plastic and Reconstructive Surgery, Department of Surgery, Stanford University, Palo Alto, CABackground:. Relationship changes after cancer are prevalent yet underexplored. This investigation aimed to assess factors influencing relationship changes between participants receiving the 2 most common gender-specific cancer diagnoses: breast and prostate. Methods:. Anonymous surveys were administered via Amazon Mechanical Turk. Eligible participants were 18 years or older and diagnosed with breast or prostate cancer. Relationship satisfaction and mental health were assessed via Personal Health Questionnaire Depression Scale (PHQ-8), General Anxiety Disorder (GAD-7), and Self-Esteem and Relationship Questionnaire. Results:. Of the 186 study respondents, 85.4% (159) had breast cancer and 14.5% (27) had prostate cancer. More breast cancer participants reported that their relationship worsened after cancer diagnosis (breast: 40.9%, prostate: 11.1%), whereas a majority of prostate cancer patients reported improved relationships (breast: 17%, prostate: 66.7%; P < 0.001). However, most participants reported no relationship status change (breast: 66.7%, prostate: 77.8%; P = 0.508) and remained with the same partner postdiagnosis (breast: 84.9%; prostate: 77.8%). Breast cancer participants reported higher self-esteem compared with prostate cancer participants (P = 0.019). There was no significant difference in overall Self-Esteem and Relationship Questionnaire (P = 0.140), PHQ-8 (P = 0.689), and GAD-7 (P = 0.871) scores. Average PHQ-8 and GAD-7 scores indicated moderate depression (breast: 12.62, prostate: 12.88) and moderate anxiety (breast: 10.96, prostate: 11.06). Conclusions:. Breast cancer participants reported greater perceived changes in their relationship postdiagnosis. This study supports routine, active, and pre-emptive involvement of a mental health provider for patients with cancer to improve mental health outcomes.http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000006494
spellingShingle Frederick Heath, BS
Kyle Ockerman, BS
Gayle S. Wiesemann, MD
Rachel Safeek, MD
Marie Heath, BS
Arash Momeni, MD
Lisa R. Spiguel, MD
Stephen Kovach, MD
Sarah Sorice-Virk, MD
Changes in Relationship Dynamics in Men and Women After Receiving the Diagnosis of Breast Versus Prostate Cancer: A Population-based Study
Plastic and Reconstructive Surgery, Global Open
title Changes in Relationship Dynamics in Men and Women After Receiving the Diagnosis of Breast Versus Prostate Cancer: A Population-based Study
title_full Changes in Relationship Dynamics in Men and Women After Receiving the Diagnosis of Breast Versus Prostate Cancer: A Population-based Study
title_fullStr Changes in Relationship Dynamics in Men and Women After Receiving the Diagnosis of Breast Versus Prostate Cancer: A Population-based Study
title_full_unstemmed Changes in Relationship Dynamics in Men and Women After Receiving the Diagnosis of Breast Versus Prostate Cancer: A Population-based Study
title_short Changes in Relationship Dynamics in Men and Women After Receiving the Diagnosis of Breast Versus Prostate Cancer: A Population-based Study
title_sort changes in relationship dynamics in men and women after receiving the diagnosis of breast versus prostate cancer a population based study
url http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000006494
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