Understanding the gendered experiences of female partners of prostate cancer survivors to inform psychosocial support: a systematic review and thematic synthesis

Background/rationale or Objectives/purpose: To understand the gendered experiences of female partners of prostate cancer survivors to inform psychosocial support for women. Methodology or Methods: We undertook a systematic review and synthesis of studies reporting qualitative data. Articles published in peer-reviewed journals were included if they reported solely on findings describing the perspectives of the female partners of prostate cancer survivors. Ussher and Sandoval’s theory to describe the gendered positionings of cancer caregivers accommodated the thematic findings. Impact on practice or Results: 14 articles met inclusion criteria, reporting 13 studies with a total sample of 359 female partners. The overarching theme reflected the substantive psychosocial impact of prostate cancer on female partners. Women’s experiences were influenced by self-positioning (as part of a couple; provider of support to their male partner; resilient; and guided by faith and spirituality), being positioned by their partners’ response (manager of male partner’s psychological distress or strengthened by male partner’s positive response) and by their broader contexts (family members and social networks; clinicians and the health system; and cultural values and customs). Discussion or Conclusions: Findings highlight the need to avoid reductionist approaches to gender. Greater consideration of ‘contextualised femininities’, or conceptualising the influence of gender roles, relations, and identities within the wider life course contexts of female partners is required in the design and delivery of psychosocial support services. Incorporation of ‘contextualised femininities’ encompassing the wider life course contexts of female partners will yield dividends to both women and their partners