Evidence map›Paper›PMID 25059094›Full record

Trial reportThe journal of sexual medicine2014

Sexual bother in men with advanced prostate cancer undergoing androgen deprivation therapy.

Catherine Benedict, Lara Traeger, Jason R Dahn, Michael Antoni, Eric S Zhou, Natalie Bustillo, Frank J Penedo

Open access · greenAbstract readRandomized Controlled Trial
In one paragraph

Trial report in The journal of sexual medicine, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 1 pooled it
4.6field-weighted citation impact, top 5% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

22 citing papers in PubMed, 1 synthesis or guideline pooled it, 50 citations in OpenAlex.

  1. The effects of resistance exercise on physical performance and health-related quality of life in prostate cancer patients: a systematic review.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2015
    Pooled it
  2. Trial
  3. Article
  4. Observational
  5. Sexual distress among men with cancer - a cross-sectional study.Acta oncologica (Stockholm, Sweden) · 2025
    Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Sexual function in men undergoing androgen deprivation therapy.International journal of impotence research · 2021
    Review
  12. Article
  13. Estimating utilities/disutilities for high-risk metastatic hormone-sensitive prostate cancer (mHSPC) and treatment-related adverse events.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2019
    Review
  14. Mood, sexuality, and relational intimacy after starting androgen deprivation therapy: implications for couples.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2018
    Article
  15. Article
  16. Article
  17. Review
  18. Review
  19. Review
  20. Prostatic irradiation-induced sexual dysfunction: a review and multidisciplinary guide to management in the radical radiotherapy era (Part I defining the organ at risk for sexual toxicities).Reports of practical oncology and radiotherapy : journal of Greatpoland Cancer Center in Poznan and Polish Society of Radiation Oncology
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 7 institutions in 3 countries.

Catherine BenedictDepartment of Psychiatry & Behavioral Sciences, Memorial Sloan Kettering Cancer Center, New York, NY, USA.
Lara Traeger
Jason R Dahn
Michael Antoni
Eric S Zhou
Natalie Bustillo
Frank J Penedo
American Orchid Society · USBoston University · USDana-Farber Cancer Institute · USMemorial Sloan Kettering Cancer Center · USMiami VA Healthcare System · USNorthwestern University · USSylvester Comprehensive Cancer Center · US

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI SELWYN M VICKERS · 1985 to 2026
$347.4M
Psychosocial Palliative & Community Research in CancerT32CA009461 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI JENNIFER L HAY, Jamie S. Ostroff · 1985 to 2026
$10.1M
Core--Psychosocial assessmentP50CA084944 · NCI · UNIVERSITY OF MIAMI CORAL GABLES · PI ANTONI, MICHAEL HOWARD · 1999 to 2003
$8.6M
NCI NIH HHS P30 CA008748NCI NIH HHS P50 CA084944NCI NIH HHS T32 CA009461
6 · The paper itself

Abstract

introductionMen with advanced prostate cancer (APC) undergoing androgen deprivation therapy (ADT) often experience distressing sexual side effects. Sexual bother is an important component of adjustment. Factors associated with increased bother are not well understood.

aimsThis study sought to describe sexual dysfunction and bother in APC patients undergoing ADT, identify socio-demographic and health/disease-related characteristics related to sexual bother, and evaluate associations between sexual bother and psychosocial well-being and quality of life (QOL).

methodsBaseline data of a larger psychosocial intervention study was used. Pearson's correlation and independent samples t-test tested bivariate relations. Multivariate regression analysis evaluated relations between sexual bother and psychosocial and QOL outcomes.

main outcome measuresThe Expanded Prostate Cancer Index Composite sexual function and bother subscales, Center for Epidemiologic Studies Depression Scale, Functional Assessment of Cancer Therapy--General, and Dyadic Adjustment Scale were the main outcome measures.

resultsParticipants (N = 80) were 70 years old (standard deviation [SD] = 9.6) and reported 18.7 months (SD = 17.3) of ADT. Sexual dysfunction (mean = 10.1; SD = 18.0) was highly prevalent. Greater sexual bother (lower scores) was related to younger age (β = 0.25, P = 0.03) and fewer months of ADT (β = 0.22, P = 0.05). Controlling for age, months of ADT, current and precancer sexual function, sexual bother correlated with more depressive symptoms (β = -0.24, P  = 0.06) and lower QOL (β = 0.25, P = 0.05). Contrary to hypotheses, greater sexual bother was related to greater dyadic satisfaction (β = -0.35, P = 0.03) and cohesion (β = -0.42, P = 0.01).

conclusionsThe majority of APC patients undergoing ADT will experience sexual dysfunction, but there is variability in their degree of sexual bother. Psychosocial aspects of sexual functioning should be considered when evaluating men's adjustment to ADT effects. Assessment of sexual bother may help identify men at risk for more general distress and lowered QOL. Psychosocial interventions targeting sexual bother may complement medical treatments for sexual dysfunction and be clinically relevant, particularly for younger men and those first starting ADT.

Indexed as

Adaptation, PsychologicalAgedAged, 80 and overAndrogen AntagonistsDepressionHumansMaleMiddle AgedProstatic NeoplasmsQuality of LifeSexual BehaviorSexual Dysfunction, PhysiologicalAndrogen AntagonistsAndrogen AblationAndrogen DeprivationDepressive SymptomsErectile DysfunctionHormone TherapyProstate CancerQuality of LifeRelationship FunctioningSexual BotherSexual DysfunctionSexual Function

Identifiers

PMID25059094
PMCPMC11302979
OpenAlexW2125127990

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.