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With an aging population and advances in PC detection and treatment, the need for better PC sexual health interventions is acute.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Aim<\/jats:title>\n                  <jats:p>Examine the feasibility of a mindfulness-based therapy group aimed at improving sexual intimacy for couples following PC treatments.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>A 4-session mindfulness-based group intervention was developed for PC survivors (mean age 65.6\u00a0yrs) and their partners (mean age 61.4\u00a0yrs). A mixed-methods approach was adopted to account for small sample sizes (N\u00a0=\u00a014 couples). Findings will guide future treatment refinement via participants\u2019 lived experiences.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Main Outcome Measures<\/jats:title>\n                  <jats:p>Quantitative outcomes assessed pretreatment, immediately after treatment, and 6\u00a0months later included relationship adjustment, sexual satisfaction, sexual function, depression, anxiety, and mindfulness. Qualitative outcomes used Grounded Theory Approach following posttreatment exit interviews.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>Effect sizes 6\u00a0months posttreatment indicated moderate improvements in overall sexual satisfaction and large increases in mindfulness in PC survivors, small decreases in sexual intimacy reported by partners, and small increases in anxiety in PC survivors and partners. Qualitative outcomes revealed 6 themes: (i) PC treatments must view PC as a couple\u2019s disease; (ii) PC treatments must consider the impact of illness on individuals and the couple; (iii) Mindfulness was a valued treatment modality; (iv) Individual factors contribute to outcomes, and therefore, must be considered; (v) Multiple perceived mechanisms for change exist; (vi) Group format is a therapeutic element of the process.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusion<\/jats:title>\n                  <jats:p>An acceptance-based approach to sexual intimacy needs among PC survivors and their partners is feasible. While this small-scale preliminary study suggests that mindfulness may address some currently unmet needs among this population, randomized clinical trials are needed.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1016\/j.esxm.2020.100310","type":"journal-article","created":{"date-parts":[[2021,1,30]],"date-time":"2021-01-30T16:49:22Z","timestamp":1612025362000},"page":"100310-100310","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":15,"title":["Preliminary Development of a Mindfulness-Based Group Therapy to Expand Couples\u2019 Sexual Intimacy after Prostate Cancer: A Mixed Methods Approach"],"prefix":"10.1093","volume":"9","author":[{"given":"Jennifer A.","family":"Bossio","sequence":"first","affiliation":[{"name":"Queen\u2019s University, Departments of Urology, Gynecology, Psychology, Kingston, Ontario , , Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Celestia 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