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El. knyga: Androgen Deprivation Therapy: An Essential Guide for Prostate Cancer Patients and Their Families

  • Formatas: 270 pages
  • Išleidimo metai: 30-Mar-2023
  • Leidėjas: Springer Publishing Co Inc
  • Kalba: eng
  • ISBN-13: 9780826184030
Kitos knygos pagal šią temą:
  • Formatas: 270 pages
  • Išleidimo metai: 30-Mar-2023
  • Leidėjas: Springer Publishing Co Inc
  • Kalba: eng
  • ISBN-13: 9780826184030
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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. Its 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 fatigueplus 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.

Recenzijos

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. Its 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

Foreword xix
Hendrik Van Poppel
Foreword xxi
Paul F. Schellhammer
Preface xxiii
Introduction xxvii
Before You Begin xxviii
Will Reading This Book Make Me More or Less Anxious? xxx
I Have Never Read a Manual Before---Why Start Now? xxx
How to Read This Book xxxiii
What Are Your Values? xxxiii
Where to Go for Further Information xxxiv
Moving Forward: Questions for Discussion xxxiv
1 Androgen Deprivation Therapy
1(20)
What Is Androgen Deprivation Therapy?
1(17)
How Does Androgen Deprivation Therapy Work?
2(1)
Abiraterone and Androgen Annihilation
3(1)
Androgen Receptor-Targeted Agents and Hormonal Intensification
4(2)
A More In-Depth Look at Luteinizing Hormone-Releasing Hormone Agonists Versus Antagonists
6(2)
Yet Other Forms of Androgen Deprivation Therapy
8(1)
The Original Androgen Deprivation Therapy
9(2)
The Future of Androgen Deprivation Therapy
11(2)
What Medications Are You Taking for Androgen Deprivation Therapy?
13(1)
How Long Will I Be on Androgen Deprivation Therapy?
14(1)
What Is the Prostate-Specific Antigen Test?
15(1)
How Is the Prostate-Specific Antigen Test Used for Men Who Have Been Treated for Prostate Cancer?
16(1)
How Is the Prostate-Specific Antigen Test Used When You Are on Androgen Deprivation Therapy?
16(1)
How Good Is the Prostate-Specific Antigen Test?
16(1)
How Long Will Androgen Deprivation Therapy Control My Cancer?
17(1)
Moving Forward: Questions for Discussion
18(3)
2 Physical Side Effects
21(30)
Hot Flashes
21(7)
Medications
23(4)
A Device That May Help With Hot Flashes
27(1)
Counseling
27(1)
Activity: Abdominal Breathing/Paced Respiration
28(1)
Activity: Hot Flash Diary
28(2)
Weaker Bones
30(2)
Weight Gain and Muscle Loss
32(1)
Diabetes
33(1)
Metabolic Syndrome and Cardiovascular Risk
33(2)
Anemia and Fatigue
35(1)
Breast Growth and Discomfort
36(2)
Genital Shrinkage
38(1)
Loss of Body Hair
39(1)
Other Possible Side Effects
40(2)
Activity: Pros/Cons Table
42(1)
Activity: Action Plan
43(2)
Action Plan Example: Practice Abdominal Breathing to Help With Hot Flashes
44(1)
Activity: Goal Setting and Confidence
45(1)
Activity: Side Effects Self-Assessment
46(2)
Physical Side Effects: Essentials
48(1)
Moving Forward: Questions for Discussion
48(3)
3 Exercise
51(24)
Exercising Safely
52(8)
Caution
53(1)
Warm-Up Exercises
53(1)
Aerobic Exercises
54(3)
Resistance Training
57(1)
Keeping Your Bones Healthy
58(1)
Yoga and Tai Chi
59(1)
Cool Down
59(1)
Making the Decision to Exercise
60(1)
Habit and Reason
60(1)
Activity: Pros/Cons Table
60(2)
Setting Goals That Are SMART for You
62(1)
Example SMART Goals
62(1)
What Are Your SMART Goals?
63(1)
Activity: Matching Meaning and Change Using Self-Statements
63(1)
Meaning Self-Statements
63(1)
Preparing to Successfully Begin Exercising
64(1)
Your Action Plan
64(2)
When Do You Plan to Do It
64(1)
Where Do You Plan to Do It
65(1)
Who Might You Do It With
65(1)
Activity: Action Plan
66(1)
Action Plan Example: Start Walking Routinely
66(1)
Activity: Goal Setting and Confidence
67(1)
Maintaining Your Motivation
68(3)
Managing Lapses and Relapses
68(1)
Reward Yourself
69(1)
Support
70(1)
Activity: Identifying and Overcoming Barriers to Starting and Maintaining an Exercise Program
70(1)
Exercise: Essentials
71(1)
Moving Forward: Questions for Discussion
72(3)
4 Healthy Eating
75(26)
Reading Food Labels
76(1)
Fats
77(2)
Protein
79(2)
Carbohydrates
81(7)
Determining Your Current Body Mass Index
82(1)
Estimating Your Nutritional Needs
83(1)
Omega-3 Fatty Acids
84(2)
Omega-6 Fatty Acids
86(1)
Soy
86(2)
Vitamin D
88(1)
How Do I Get Enough Vitamin D?
88(1)
Calcium
89(5)
Calcium in Your Diet
90(2)
Phytonutrients
92(1)
Polyphenols
92(1)
Punicalagin and Ellagic Acid
93(1)
Lycopene
93(1)
Activity: Pros/Cons Table
94(1)
Activity: Action Plan
95(2)
Action Plan Example: Eat Healthier Snacks
95(2)
Activity: Goal Setting and Confidence
97(1)
Healthy Eating: Essentials
97(1)
Moving Forward: Questions for Discussion
98(3)
5 Effects on Psychological Well-Being
101(20)
Emotional Distress
102(1)
Emotional Expression
103(1)
Activity: Self-Assessment---Screening for Emotional Distress
103(5)
Depression
105(2)
Anxiety
107(1)
Activity: Progressive Muscle Relaxation
108(1)
Activity: Mindfulness Meditation
109(6)
Instructions
110(1)
Fatigue
111(1)
Grief
111(2)
Cognition
113(2)
Activity: Pros/Cons Table
115(1)
Activity: Action Plan
116(2)
Action Plan Example: Work on Stress Management
116(1)
Action Plan
117(1)
Activity: Goal Setting and Confidence
118(1)
Effects on Psychological Well-Being: Essentials
118(1)
Moving Forward: Questions for Discussion
119(2)
Emotional Changes
119(1)
Cognitive Changes
119(2)
6 Effects on Intimate Relationships and Sexuality
121(36)
Androgen Deprivation Therapy Lowers Sexual Desire
121(2)
How the Loss of Sexual Desire Affects Couples
122(1)
Staying Close in Nonsexual Ways
123(5)
Making Time for Intimacy
125(1)
Dating
125(1)
Being Open and Honest
126(2)
Maintaining a Sexual Relationship
128(12)
Suggestions for Enjoying Sensual Pleasure With Low Sexual Desire
129(1)
Be Flexible About Who Initiates Intimacy
129(1)
Redefine Your Sexual Activities
130(1)
Take the Focus Off Orgasm
131(1)
Be Aware of Decreased Responsiveness to Sexual Touch
131(1)
Enhancing Awareness of Sensation With Mindfulness
131(2)
Stimulate Your Sexual Appetite
133(1)
Orgasms Without Ejaculation
134(1)
Sex: Beyond Intercourse
134(1)
Suggestions for Pleasing Your Female Partner
135(1)
Suggestions for Pleasing Your Male Partner
136(1)
Using Sexual Aids and Sex Toys
136(2)
Sexual Devices to Permit Insertive Sex Without Erections
138(2)
Treatments for Erectile Dysfunction
140(8)
General Comments on Using Erectile Assistive Aids
141(1)
Oral Medications
141(2)
Injections
143(1)
Intraurethral Suppositories
144(1)
Vacuum Pump
145(1)
Inflatable Penile Prosthesis
146(1)
Solo Masturbation
146(1)
The Use of Lubricants for Men
146(1)
Developing New Sexual Practices
147(1)
Activity: Beliefs Awareness
148(2)
Activity: Pros/Cons Table
150(1)
Activity: Action Plan
151(2)
Action Plan Example: Increasing Physical Affection With My Partner
151(1)
Action Plan Example: Getting Out More
151(1)
Activity: Goal Setting and Confidence
152(1)
Effects on Intimate Relationships and Sexuality: Essentials
153(1)
Moving Forward: Questions for Discussion
154(3)
Questions for Single Men
154(1)
Questions for Couples
155(2)
7 Impact on Committed Relationships
157(12)
Potential Changes in the Relationship
158(4)
Changes in the Way You Interact With Each Other
158(2)
Differences in Coping Style
160(1)
Increased Self-Doubt
160(2)
One Thing to Avoid
162(1)
Activity: Pros/Cons Table
163(1)
Activity: Action Plan
164(1)
Action Plan Example: Communicate More Effectively With My Partner
164(1)
Activity: Goal Setting and Confidence
165(1)
Impact on Committed Relationships: Essentials
166(1)
Moving Forward: Questions for Discussion
166(3)
8 Unique Considerations for Gay Relationships
169(10)
Androgen Deprivation Therapy May Impact Committed Relationships for Gay Men
171(1)
Activity: Pros/Cons Table
172(1)
Activity: Action Plan
173(1)
Action Plan Example: Communicate More Effectively With My Partner
173(1)
Activity: Goal Setting and Confidence
174(1)
Unique Considerations for Gay Relationships: Essentials
175(1)
Moving Forward: Questions for Discussion
176(3)
9 Conclusion: Staying Healthy
179(14)
Appendix
181(1)
1 Drug Chart
182(1)
2 Prostate-Specific Antigen (PSA) Chart
183(1)
3 Hot Flash Diary
184(1)
4 Pros/Cons Table
185(1)
5 Action Plan
186(1)
6 Goal Setting and Confidence
187(1)
7 Side Effects Self-Assessment
188(2)
8 Screening for Emotional Distress Mood Questionnaire
190(2)
Symptoms of Distress Questionnaire
191(1)
9 Beliefs Awareness Exercise
192(1)
Glossary 193(6)
Resources 199(10)
Bibliography 209(10)
Acknowledgments 219(4)
Index 223(8)
Contributors 231(2)
About the Authors 233
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.