Androgen Deprivation Therapy - Richard J. Wassersug, Lauren Walker, John Robinson

Androgen Deprivation Therapy

An Essential Guide for Prostate Cancer Patients and Their Loved Ones
Buch | Softcover
270 Seiten
2023 | 3rd New edition
Springer Publishing Co Inc (Verlag)
978-0-8261-8402-3 (ISBN)
35,65 inkl. MwSt
The only guide written exclusively about the side effects of hormone therapy. This comprehensive workbook for prostate cancer patients and their loved ones is filled with practical advice from experts in the field. The book covers a wealth of strategies to help men cope with ADT and maintain a good quality of life while on this treatment.
Awarded first place in the 2023 AJN Book of the Year Awards in Consumer Health.


"Androgen deprivation therapy is the main treatment for locally advanced and metastatic prostate cancer. It is a very effective treatment, but it has major impact on many aspects of men's health. Thousands of articles have been dedicated to that subject. This book distills these down and provides a comprehensive understanding and path forward for the many challenges associated with androgen deprivation therapy."


- David Crawford, M.D., Professor of Urology, University of California San Diego


"As someone who has treated men with prostate cancer for over 25 years, I recognize the burden of care of the patients and their loved ones. This book provides excellent tips on how to deal with the disease. I have used prior versions for many years in my practice and wholly endorse this new version. It’s a must read!"


- Neil Fleshner, MD, Chair of Urology, University of Toronto Ontario, and Love Chair in Prostate Cancer Prevention, Princess Margaret Cancer Centre, Toronto, Ontario


Androgen Deprivation Therapy is the only guide written exclusively about the side effects of hormone therapy. The authors have collaborated with the European Association of Urology to produce this specially revised new edition to serve men affected by ADT across the globe. This comprehensive workbook for prostate cancer patients and their loved ones is filled with practical advice from experts in the field. The book covers a wealth of strategies to help men cope with ADT and maintain a good quality of life while on this treatment. It is not only an informational manual, but a guide for both patients and partners about ways to make changes in their lives that can keep them healthy and positive when the patient is on ADT.


New to this Edition:





Updates on the primary drugs used to treat prostate cancer with tables for common brand names worldwide.

Updates on the physical side effects of ADT, such as hot flashes, weight gain, muscle loss and fatigue—plus management strategies.

Expanded information on exercise and nutrition for men diagnosed with prostate cancer.

Expanded information on the psychological and relational impact of ADT on both patients and their partners, with strategies to maintain intimacy despite reduced libido and difficulties with erections.

Expanded discussion on dealing with emotional side effects, such as mood swings and depression.

Exercises, activities, worksheets, and other tools to promote discussion and inspire behavioral changes that can reduce the burden of ADT.

Officially endorsed by the European Association of Urology and the Canadian Urological Association.

Richard J. Wassersug, PhD, is a research scientist who earned his doctoral degree in evolutionary biology from the University of Chicago in Illinois. He then spent most of his career studying the biology of amphibians and teaching anatomy in the medical school at Dalhousie University in Halifax, Nova Scotia. At the age of 52 years, he was diagnosed with prostate cancer and has received multiple treatments for the disease. After beginning androgen deprivation therapy, he redirected his research to study the psychology of androgen deprivation in various populations. Wassersug now holds the title of Honorary Professor at the University of British Columbia, Vancouver, Canada. Lauren M. Walker, PhD, R Psych, is an Adjunct Associate Professor in the Department of Oncology's Division of Psychosocial Oncology and the Department of Psychology at the University of Calgary in Alberta. She is a registered clinical psychologist in the province of Alberta and operates a private clinical psychology practice for individuals with sexual concerns (see www.drlaurenwalker.com). She completed a clinical fellowship in 2015 specializing in oncology and sexuality, where she focused on developing programs to help cancer patients adapt to sexual changes after cancer treatment. She received her doctorate in clinical psychology in 2013 from the University of Calgary. There she completed her dissertation, which evaluated a patient education initiative for prostate cancer patients (and their partners) starting androgen deprivation therapy. Walker established the University of Calgary's Oncology Sexual Health Lab and maintains an active research program. She also maintains an Instagram account aimed to decrease stigma and to disseminate scientific and clinical knowledge about sexuality (www.instagram. com/drlaurenwalker). John W. Robinson, PhD, R Psych, was a clinical psychologist and member of the Genitourinary and Gynaecological Cancer Programs at the Tom Baker Cancer Centre in Calgary, Alberta, from 1986 until he retired in 2019. Robinson's career focused on providing clinical services and creating and evaluating new ways to ease the psychological burden of cancer on not just patients but also their loved ones. He continues to hold an adjunct associate professorship in the Departments of Oncology (Division of Psychosocial Oncology) and Psychology at the University of Calgary, where he continues to be involved in research.

Foreword, Hendrik Van Poppel


Foreword, Paul F. Schellhammer, MD, FACS


Preface


Introduction


Before You Begin


Will Reading This Book Make Me More or Less Anxious?


I Have Never Read a Manual Before—Why Start Now?


How to Read This Book


What Are Your Values?


Where to Go for Further Information


Moving Forward: Questions for Discussion


PART ONE: ANDROGEN DEPRIVATION THERAPY


What Is Androgen Deprivation Therapy?


How Does Androgen Deprivation Therapy Work?


Abiraterone and Androgen Annihilation


Androgen Receptor-Targeted Agents and Hormonal Intensification


A More In-Depth Look at Luteinizing Hormone-Releasing Hormone Agonists Versus Antagonists


Yet Other Forms of Androgen Deprivation Therapy


The Original Androgen Deprivation Therapy


The Future of Androgen Deprivation Therapy


What Medications Are You Taking for Androgen Deprivation Therapy?


How Long Will I Be on Androgen Deprivation Therapy?


What Is the Prostate-Specific Antigen Test?


How Is the Prostate-Specific Antigen Test Used for Men Who Have Been Treated for Prostate Cancer?


How Is the Prostate-Specific Antigen Test Used When You Are on Androgen Deprivation Therapy?


How Good Is the Prostate-Specific Antigen Test?


How Long Will Androgen Deprivation Therapy Control My Cancer?


Moving Forward: Questions for Discussion


PART TWO: PHYSICAL SIDE EFFECTS


Hot Flashes


Medications


A Device That May Help With Hot Flashes


Counseling


Activity: Abdominal Breathing/Paced Respiration


Activity: Hot Flash Diary


Weaker Bones


Weight Gain and Muscle Loss


Diabetes


Metabolic Syndrome and Cardiovascular Risk


Anemia and Fatigue


Breast Growth and Discomfort


Genital Shrinkage


Loss of Body Hair


Other Possible Side Effects


Activity: Pros/Cons Table


Activity: Action Plan


Action Plan Example: Practice Abdominal Breathing to Help With Hot Flashes


Activity: Goal Setting and Confidence


Activity: Side Effects Self-Assessment


Physical Side Effects: Essentials


Moving Forward: Questions for Discussion


PART THREE: EXERCISE


Exercising Safely


Caution


Warm-Up Exercises


Aerobic Exercises


Resistance Training


Keeping Your Bones Healthy


Yoga and Tai Chi


Cool Down


Making the Decision to Exercise


Habit and Reason


Activity: Pros/Cons Table


Setting Goals That Are SMART for You


Example SMART Goals


What Are Your SMART Goals?


Activity: Matching Meaning and Change Using Self-Statements


Meaning Self-Statements


Preparing to Successfully Begin Exercising


Your Action Plan


When Do You Plan to Do It


Where Do You Plan to Do It


Who Might You Do It With


Activity: Action Plan


Action Plan Example: Start Walking Routinely


Activity: Goal Setting and Confidence


Maintaining Your Motivation


Managing Lapses and Relapses


Reward Yourself


Support


Activity: Identifying and Overcoming Barriers to Starting and Maintaining an Exercise Program


Exercise: Essentials


Moving Forward: Questions for Discussion


PART FOUR: HEALTHY EATING


Reading Food Labels


Fats


Protein


Carbohydrates


Determining Your Current Body Mass Index


Estimating Your Nutritional Needs


Omega-3 Fatty Acids


Omega-6 Fatty Acids


Soy


Vitamin D


How Do I Get Enough Vitamin D?


Calcium


Calcium in Your Diet


Phytonutrients


Polyphenols


Punicalagin and Ellagic Acid


Lycopene


Activity: Pros/Cons Table


Activity: Action Plan


Action Plan Example: Eat Healthier Snacks


Activity: Goal Setting and Confidence


Healthy Eating: Essentials


Moving Forward: Questions for Discussion


PART FIVE: EFFECTS ON PSYCHOLOGICAL WELL-BEING


Emotional Distress


Emotional Expression


Activity: Self-Assessment—Screening for Emotional Distress


Depression


Anxiety


Activity: Progressive Muscle Relaxation


Activity: Mindfulness Meditation


Instructions


Fatigue


Grief


Cognition


Activity: Pros/Cons Table


Activity: Action Plan


Action Plan Example: Work on Stress Management


Action Plan


Activity: Goal Setting and Confidence


Effects on Psychological Well-Being: Essentials


Moving Forward: Questions for Discussion


Emotional Changes


Cognitive Changes


PART SIX: EFFECTS ON INTIMATE RELATIONSHIPS AND SEXUALITY


Androgen Deprivation Therapy Lowers Sexual Desire


How the Loss of Sexual Desire Affects Couples


Staying Close in Nonsexual Ways


Making Time for Intimacy


Dating


Being Open and Honest


Maintaining a Sexual Relationship


Suggestions for Enjoying Sensual Pleasure With Low Sexual Desire


Be Flexible About Who Initiates Intimacy


Redefine Your Sexual Activities


Take the Focus Off Orgasm


Be Aware of Decreased Responsiveness to Sexual Touch


Enhancing Awareness of Sensation With Mindfulness


Stimulate Your Sexual Appetite


Orgasms Without Ejaculation


Sex: Beyond Intercourse


Suggestions for Pleasing Your Female Partner


Suggestions for Pleasing Your Male Partner


Using Sexual Aids and Sex Toys


Sexual Devices to Permit Insertive Sex Without Erections


Treatments for Erectile Dysfunction


General Comments on Using Erectile Assistive Aids


Oral Medications


Injections


Intraurethral Suppositories


Vacuum Pump


Inflatable Penile Prosthesis


Solo Masturbation


The Use of Lubricants for Men


Developing New Sexual Practices


Activity: Beliefs Awareness


Activity: Pros/Cons Table


Activity: Action Plan


Action Plan Example: Increasing Physical Affection With My Partner


Action Plan Example: Getting Out More


Activity: Goal Setting and Confidence


Effects on Intimate Relationships and Sexuality: Essentials


Moving Forward: Questions for Discussion


Questions for Single Men


Questions for Couples


PART SEVEN: IMPACT ON COMMITTED RELATIONSHIPS


Potential Changes in the Relationship


Changes in the Way You Interact With Each Other


Differences in Coping Style


Increased Self-Doubt


One Thing to Avoid


Activity: Pros/Cons Table


Activity: Action Plan


Action Plan Example: Communicate More Effectively With My Partner


Activity: Goal Setting and Confidence


Impact on Committed Relationships: Essentials


Moving Forward: Questions for Discussion


PART EIGHT: UNIQUE CONSIDERATIONS FOR GAY RELATIONSHIPS


Androgen Deprivation Therapy May Impact Committed Relationships for Gay Men


Activity: Pros/Cons Table


Activity: Action Plan


Action Plan Example: Communicate More Effectively With My Partner


Activity: Goal Setting and Confidence


Unique Considerations for Gay Relationships: Essentials


Moving Forward: Questions for Discussion


PART NINE: CONCLUSION: STAYING HEALTHY


Appendix





Drug Chart

Prostate-Specific Antigen (PSA) Chart

Hot Flash Diary

Pros/Cons Table

Action Plan

Goal Setting and Confidence

Side Effects Self-Assessment

Screening for Emotional Distress Mood Questionnaire, Symptoms of Distress Questionnaire






Beliefs Awareness Exercise



Glossary


Resources


Bibliography


Acknowledgements


Index


Contributors


About the Authors

Erscheinungsdatum
Verlagsort New York
Sprache englisch
Maße 178 x 254 mm
Gewicht 494 g
Themenwelt Sachbuch/Ratgeber Gesundheit / Leben / Psychologie
Medizin / Pharmazie Medizinische Fachgebiete Onkologie
ISBN-10 0-8261-8402-2 / 0826184022
ISBN-13 978-0-8261-8402-3 / 9780826184023
Zustand Neuware
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