A prospective study of psychological distress after prostate cancer surgery

Occhipinti, S; Zajdlewicz, L; Coughlin, GD; Yaxley, JW; Dunglison, N; Gardiner, RA; Chambers, SK

A prospective study of psychological distress after prostate cancer surgery

Occhipinti, S Zajdlewicz, L Coughlin, GD Yaxley, JW Dunglison, N Gardiner, RA Chambers, SK

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Publication Type:: Journal Article
Citation:: Psycho-Oncology, 2019, 28 (12), pp. 2389 - 2395
Issue Date:: 2019-12-01

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Field	Value	Language
dc.contributor.author	Occhipinti, S	en_US
dc.contributor.author	Zajdlewicz, L	en_US
dc.contributor.author	Coughlin, GD	en_US
dc.contributor.author	Yaxley, JW	en_US
dc.contributor.author	Dunglison, N	en_US
dc.contributor.author	Gardiner, RA	en_US
dc.contributor.author	Chambers, SK https://orcid.org/0000-0003-2369-6111	en_US
dc.date.available	2019-10-16	en_US
dc.date.issued	2019-12-01	en_US
dc.identifier.citation	Psycho-Oncology, 2019, 28 (12), pp. 2389 - 2395	en_US
dc.identifier.issn	1057-9249	en_US
dc.identifier.uri	http://hdl.handle.net/10453/137797
dc.description.abstract	© 2019 John Wiley & Sons, Ltd. Background: Men treated for prostate cancer experience heightened psychological distress and have an increased risk of suicide. Management of this distress and risk is crucial for quality urological care. Objective: To identify risk indicators for poorer trajectories of psychological adjustment and health-related quality of life (QoL) after surgery for localised prostate cancer. Design, Setting, and Participants: Patients were newly diagnosed with localised prostate cancer scheduled for surgical treatment. Patients were assessed at baseline (pre-surgery) and 6 weeks, 3 months, 6 months, 12 months, and 24 months post–surgery. Measurements: Assessment measures included sociodemographics, domain-specific and health-related QoL, and psychological distress. Mixed effects regression models were used to analyse the data. Results and Limitations: A total of 233 patients provided data for this analysis (Mage = 60 years, standard deviation [SD] = 4.02; MPSA = 7.37 ng/mL). At baseline, the prevalence of high psychological distress was 28% reducing to 21% at 24 months. Before treatment, younger age, more comorbidities, and worse bowel function were related to greater psychological distress; and younger age and better urinary, sexual, and bowel function were related to better health-related QoL. By contrast, for changes over time, only bowel function was important with better bowel function predicting decreasing psychological distress for men. Conclusions: Regular distress screening is indicated over the 24 months after surgery for localised prostate cancer. Care pathways for men with prostate cancer need also to respond to age-specific concerns and health problems associated with comorbidities in aging men. Focussed symptom control for bowel bother should be a priority.	en_US
dc.relation.ispartof	Psycho-Oncology	en_US
dc.relation.isbasedon	10.1002/pon.5263	en_US
dc.subject.classification	Oncology & Carcinogenesis	en_US
dc.title	A prospective study of psychological distress after prostate cancer surgery	en_US
dc.type	Journal Article
utslib.citation.volume	12	en_US
utslib.citation.volume	28	en_US
utslib.for	1112 Oncology and Carcinogenesis	en_US
utslib.for	1103 Clinical Sciences	en_US
utslib.for	1701 Psychology	en_US
pubs.embargo.period	Not known	en_US
pubs.organisational-group	/University of Technology Sydney
pubs.organisational-group	/University of Technology Sydney/Faculty of Health
utslib.copyright.status	closed_access
pubs.issue	12	en_US
pubs.publication-status	Published	en_US
pubs.volume	28	en_US

Abstract:

© 2019 John Wiley & Sons, Ltd. Background: Men treated for prostate cancer experience heightened psychological distress and have an increased risk of suicide. Management of this distress and risk is crucial for quality urological care. Objective: To identify risk indicators for poorer trajectories of psychological adjustment and health-related quality of life (QoL) after surgery for localised prostate cancer. Design, Setting, and Participants: Patients were newly diagnosed with localised prostate cancer scheduled for surgical treatment. Patients were assessed at baseline (pre-surgery) and 6 weeks, 3 months, 6 months, 12 months, and 24 months post–surgery. Measurements: Assessment measures included sociodemographics, domain-specific and health-related QoL, and psychological distress. Mixed effects regression models were used to analyse the data. Results and Limitations: A total of 233 patients provided data for this analysis (Mage = 60 years, standard deviation [SD] = 4.02; MPSA = 7.37 ng/mL). At baseline, the prevalence of high psychological distress was 28% reducing to 21% at 24 months. Before treatment, younger age, more comorbidities, and worse bowel function were related to greater psychological distress; and younger age and better urinary, sexual, and bowel function were related to better health-related QoL. By contrast, for changes over time, only bowel function was important with better bowel function predicting decreasing psychological distress for men. Conclusions: Regular distress screening is indicated over the 24 months after surgery for localised prostate cancer. Care pathways for men with prostate cancer need also to respond to age-specific concerns and health problems associated with comorbidities in aging men. Focussed symptom control for bowel bother should be a priority.

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http://hdl.handle.net/10453/137797