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Depression, anxiety, post-traumatic stress disorder and health-related quality of life and its association with social support in ambulatory prostate cancer patients.
- Source :
-
European Journal of Cancer Care . Nov2010, Vol. 19 Issue 6, p736-745. 10p. 7 Charts. - Publication Year :
- 2010
-
Abstract
- MEHNERT A., LEHMANN C., GRAEFEN M., HULAND H. & KOCH U. (2010) European Journal of Cancer Care 19, 736-745 Depression, anxiety, post-traumatic stress disorder and health-related quality of life and its association with social support in ambulatory prostate cancer patients The aim of this study is to identify anxiety, depression and post-traumatic stress disorder in prostate cancer patients and to investigate the association with social support and health-related quality of life. A total of 511 men who had undergone prostatectomy were surveyed during ambulatory follow-up care for an average of 27 months after surgery using standardised self-report measures (e.g. Hospital Anxiety and Depression Scale, Posttraumatic Stress Disorder Checklist - Civilian Version, Illness-Specific Social Support Scale, Short-Form Health Survey). Seventy-six per cent of patients evaluated their disease as 'not' or a 'little threatening'. The cancer diagnosis and uncertainty were most frequently reported as 'distressing', while medical treatment and doctor-patient interaction were most frequently evaluated as 'most helpful'. The number of patients reporting increased levels of psychological distress was 16%, with 6% demonstrating signs of having severe mental health problems'. No higher levels of anxiety and depression were observed in cancer patients compared with age-adjusted normative comparison groups. Lack of positive support, detrimental interactions and perceived threat of cancer were found to be predictors of psychological co-morbidity ( P < 0.001). Lack of positive support, detrimental interactions, threat of cancer, disease stage and age significantly predicted mental health ( P < 0.001), whereas the impact of social support on physical health was rather weak. Findings emphasise the need for routine psychosocial screening. [ABSTRACT FROM AUTHOR]
- Subjects :
- *ANALYSIS of variance
*ANXIETY
*CANCER patients
*CHI-squared test
*CONFIDENCE intervals
*MENTAL depression
*EPIDEMIOLOGY
*LISTS
*RESEARCH methodology
*MULTIVARIATE analysis
*POST-traumatic stress disorder
*PROSTATE tumors
*PSYCHOLOGICAL tests
*QUALITY of life
*RESEARCH funding
*STATISTICAL hypothesis testing
*STATISTICS
*T-test (Statistics)
*DATA analysis
*MULTIPLE regression analysis
*SCALE items
*SOCIAL support
*EFFECT sizes (Statistics)
Subjects
Details
- Language :
- English
- ISSN :
- 09615423
- Volume :
- 19
- Issue :
- 6
- Database :
- Academic Search Index
- Journal :
- European Journal of Cancer Care
- Publication Type :
- Academic Journal
- Accession number :
- 54379109
- Full Text :
- https://doi.org/10.1111/j.1365-2354.2009.01117.x