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INTERNATIONAL CONGRESS OF

CancerGenetics

• Coping Strategies for Sexual Dysfunction in Prostate Cancer Patients: A Systematic Review

• Amir Hossein Dehghan,¹ Hossein Bakhtiari-Dovvombaygi,^2,*
  1. Nursing student, Nursing and Midwifery School, Student Research Committee, Tehran University of Medical Sciences, Tehran, Iran.
  2. Nursing and Midwifery School, Student Research Committee, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
  
  
  
• Introduction: Sexual dysfunction is a common and distressing side effect for patients undergoing treatment for prostate cancer, significantly affecting their quality of life. This systematic review aims to identify and categorize coping strategies used by men with prostate cancer to manage sexual dysfunction, providing insights into adaptive and maladaptive mechanisms.
• Methods: A comprehensive search was conducted across multiple databases, including PubMed, Scopus, and Web of Science, to identify relevant studies published between 2000 and 2024. Studies were included if they focused on coping mechanisms related to sexual dysfunction in prostate cancer patients. Data extraction and quality assessment were conducted using standardized protocols, with findings categorized into psychological, behavioral, and social coping strategies.
• Results: Twenty-two studies met the inclusion criteria. The most commonly reported coping strategies included: Psychological strategies: Cognitive reframing, mindfulness, emotional regulation, and acceptance. Behavioral strategies: Physical activity, lifestyle modifications (e.g., diet changes), and participation in sexual rehabilitation programs. Social strategies: Seeking support from partners, family, and healthcare providers. In contrast, maladaptive strategies such as avoidance, denial, and withdrawal from social interaction were associated with poorer emotional outcomes. Adaptive coping mechanisms, particularly those involving communication with partners and professional guidance, were found to enhance patients' emotional well-being and improve sexual recovery outcomes.
• Conclusion: Prostate cancer patients employ a range of coping strategies to manage sexual dysfunction, with adaptive strategies showing better outcomes in emotional well-being and recovery. Healthcare providers should prioritize psychological support and tailored interventions to help patients navigate sexual health challenges following treatment.
• Keywords: Prostate cancer, sexual dysfunction, coping strategies, systematic review, quality of life