Androgen Deprivation Therapy

An Essential Guide for Prostate Cancer Patients and Their Loved Ones
Third Auflage
ISBN: 978-0-8261-8402-3
Verlag: Springer Publishing Company

Buch, Englisch, 195 Seiten, Paperback, Format (B × H): 176 mm x 253 mm, Gewicht: 478 g

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.

Autoren/Hrsg.

Wassersug, Richard J

Walker, Lauren M

Robinson, John W

Fachgebiete

• Medizin | Veterinärmedizin Medizin | Public Health | Pharmazie | Zahnmedizin Medizin, Gesundheitswesen Medizin, Gesundheit: Sachbuch, Ratgeber
• Medizin | Veterinärmedizin Medizin | Public Health | Pharmazie | Zahnmedizin Klinische und Innere Medizin Onkologie, Krebsforschung

Inhaltsverzeichnis

Foreword, Hendrik Van PoppelForeword, Paul F. Schellhammer, MD, FACSPrefaceIntroductionBefore You BeginWill Reading This Book Make Me More or Less Anxious?I Have Never Read a Manual Before—Why Start Now?How to Read This BookWhat Are Your Values?Where to Go for Further InformationMoving Forward: Questions for DiscussionPART ONE: ANDROGEN DEPRIVATION THERAPYWhat Is Androgen Deprivation Therapy?How Does Androgen Deprivation Therapy Work?Abiraterone and Androgen AnnihilationAndrogen Receptor-Targeted Agents and Hormonal IntensificationA More In-Depth Look at Luteinizing Hormone-Releasing Hormone Agonists Versus AntagonistsYet Other Forms of Androgen Deprivation TherapyThe Original Androgen Deprivation TherapyThe Future of Androgen Deprivation TherapyWhat 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 DiscussionPART TWO: PHYSICAL SIDE EFFECTSHot FlashesMedicationsA Device That May Help With Hot FlashesCounselingActivity: Abdominal Breathing/Paced RespirationActivity: Hot Flash DiaryWeaker BonesWeight Gain and Muscle LossDiabetesMetabolic Syndrome and Cardiovascular RiskAnemia and FatigueBreast Growth and DiscomfortGenital ShrinkageLoss of Body HairOther Possible Side EffectsActivity: Pros/Cons TableActivity: Action PlanAction Plan Example: Practice Abdominal Breathing to Help With Hot FlashesActivity: Goal Setting and ConfidenceActivity: Side Effects Self-AssessmentPhysical Side Effects: EssentialsMoving Forward: Questions for DiscussionPART THREE: EXERCISEExercising SafelyCautionWarm-Up ExercisesAerobic ExercisesResistance TrainingKeeping Your Bones HealthyYoga and Tai ChiCool DownMaking the Decision to ExerciseHabit and ReasonActivity: Pros/Cons TableSetting Goals That Are SMART for YouExample SMART GoalsWhat Are Your SMART Goals?Activity: Matching Meaning and Change Using Self-StatementsMeaning Self-StatementsPreparing to Successfully Begin ExercisingYour Action PlanWhen Do You Plan to Do ItWhere Do You Plan to Do ItWho Might You Do It WithActivity: Action PlanAction Plan Example: Start Walking RoutinelyActivity: Goal Setting and ConfidenceMaintaining Your MotivationManaging Lapses and RelapsesReward YourselfSupportActivity: Identifying and Overcoming Barriers to Starting and Maintaining an Exercise ProgramExercise: EssentialsMoving Forward: Questions for DiscussionPART FOUR: HEALTHY EATINGReading Food LabelsFatsProteinCarbohydratesDetermining Your Current Body Mass IndexEstimating Your Nutritional NeedsOmega-3 Fatty AcidsOmega-6 Fatty AcidsSoyVitamin DHow Do I Get Enough Vitamin D?CalciumCalcium in Your DietPhytonutrientsPolyphenolsPunicalagin and Ellagic AcidLycopeneActivity: Pros/Cons TableActivity: Action PlanAction Plan Example: Eat Healthier SnacksActivity: Goal Setting and ConfidenceHealthy Eating: EssentialsMoving Forward: Questions for DiscussionPART FIVE: EFFECTS ON PSYCHOLOGICAL WELL-BEINGEmotional DistressEmotional ExpressionActivity: Self-Assessment—Screening for Emotional DistressDepressionAnxietyActivity: Progressive Muscle RelaxationActivity: Mindfulness MeditationInstructionsFatigueGriefCognitionActivity: Pros/Cons TableActivity: Action PlanAction Plan Example: Work on Stress ManagementAction PlanActivity: Goal Setting and ConfidenceEffects on Psychological Well-Being: EssentialsMoving Forward: Questions for DiscussionEmotional ChangesCognitive ChangesPART SIX: EFFECTS ON INTIMATE RELATIONSHIPS AND SEXUALITYAndrogen Deprivation Therapy Lowers Sexual DesireHow the Loss of Sexual Desire Affects CouplesStaying Close in Nonsexual WaysMaking Time for IntimacyDatingBeing Open and HonestMaintaining a Sexual RelationshipSuggestions for Enjoying Sensual Pleasure With Low Sexual DesireBe Flexible About Who Initiates IntimacyRedefine Your Sexual ActivitiesTake the Focus Off OrgasmBe Aware of Decreased Responsiveness to Sexual TouchEnhancing Awareness of Sensation With MindfulnessStimulate Your Sexual AppetiteOrgasms Without EjaculationSex: Beyond IntercourseSuggestions for Pleasing Your Female PartnerSuggestions for Pleasing Your Male PartnerUsing Sexual Aids and Sex ToysSexual Devices to Permit Insertive Sex Without ErectionsTreatments for Erectile DysfunctionGeneral Comments on Using Erectile Assistive AidsOral MedicationsInjectionsIntraurethral SuppositoriesVacuum PumpInflatable Penile ProsthesisSolo MasturbationThe Use of Lubricants for MenDeveloping New Sexual PracticesActivity: Beliefs AwarenessActivity: Pros/Cons TableActivity: Action PlanAction Plan Example: Increasing Physical Affection With My PartnerAction Plan Example: Getting Out MoreActivity: Goal Setting and ConfidenceEffects on Intimate Relationships and Sexuality: EssentialsMoving Forward: Questions for DiscussionQuestions for Single MenQuestions for CouplesPART SEVEN: IMPACT ON COMMITTED RELATIONSHIPSPotential Changes in the RelationshipChanges in the Way You Interact With Each OtherDifferences in Coping StyleIncreased Self-DoubtOne Thing to AvoidActivity: Pros/Cons TableActivity: Action PlanAction Plan Example: Communicate More Effectively With My PartnerActivity: Goal Setting and ConfidenceImpact on Committed Relationships: EssentialsMoving Forward: Questions for DiscussionPART EIGHT: UNIQUE CONSIDERATIONS FOR GAY RELATIONSHIPSAndrogen Deprivation Therapy May Impact Committed Relationships for Gay MenActivity: Pros/Cons TableActivity: Action PlanAction Plan Example: Communicate More Effectively With My PartnerActivity: Goal Setting and ConfidenceUnique Considerations for Gay Relationships: EssentialsMoving Forward: Questions for DiscussionPART NINE: CONCLUSION: STAYING HEALTHYAppendix - 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
GlossaryResourcesBibliographyAcknowledgementsIndexContributorsAbout the Authors

Über Autor(innen)

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.