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The psychological impact of being on a monitoring pathway for localised prostate cancer: a UK-wide mixed methods study
- Source :
- Matheson, L, Wilding, S, Wagland, R, Nayoan, J, Rivas, C, Downing, A, Wright, P, Brett, J, Kearney, T, Cross, W, Glaser, A W, Gavin, A & Watson, E 2019, ' The psychological impact of being on a monitoring pathway for localised prostate cancer: a UK-wide mixed methods study ', Psycho-oncology . https://doi.org/10.1002/pon.5133
- Publication Year :
- 2019
-
Abstract
- Objective: To address concerns over the psychological impact of being on a monitoring pathway following prostate cancer (PCa) diagnosis, this study compared the psychological status of men on active surveillance (AS) or watchful waiting (WW) with men on active treatment (AT), and explored psychological adjustment in men on AS/WW. Methods: Cross-sectional survey of UK men diagnosed with PCa 18-42 months previously (n=16,726, localised disease at diagnosis) and telephone interviews with 24 men on AS/WW. Psychological outcomes were measured using two validated scales (Short Warwick-Edinburgh Mental-Well-being Scale; Kessler Psychological Distress Scale). Univariable and multivariable analyses compared outcomes between men on AS/WW and AT. Thematic analysis of interviews was undertaken, informed by a previously developed theory of adjustment to cancer.Results: 3,986 (23.8%) respondents were on AS/WW. Overall, psychological outcomes were similar or better in men on AS/WW compared to those receiving AT (SWEMWBS: Poor well-being; 12.3% AS/WW vs 13.9% AT, adjusted OR=0.86, 95% CI 0.76-0.97; K6: severe psychological distress; 4.6% vs 5.4%, adjusted OR=0.90, 95% CI 0.74-1.08). Interviews indicated most men on AS/WW had adjusted positively. Men with poorer well-being were less able to accept, reframe positively and normalise the diagnosis, described receiving insufficient information and support, and a lack of confidence in their health-care professionals. Conclusions: Most men on AS/WW cope well psychologically. Men making treatment decisions should be given this information. Psychological health should be assessed to determine suitability for AS/WW, and at monitoring appointments. A clear action plan and support from healthcare professionals is important.
- Subjects :
- Adult
Male
medicine.medical_specialty
medicine.medical_treatment
Decision Making
Experimental and Cognitive Psychology
Localised disease
Psychological health
03 medical and health sciences
Prostate cancer
0302 clinical medicine
Humans
Medicine
030212 general & internal medicine
Watchful Waiting
Aged
Health professionals
business.industry
Prostatic Neoplasms
Patient Preference
Middle Aged
medicine.disease
United Kingdom
Psychiatry and Mental health
Cross-Sectional Studies
Mental Health
Oncology
030220 oncology & carcinogenesis
Family medicine
Psychological well-being
Disease Progression
Active treatment
Thematic analysis
business
Watchful waiting
Subjects
Details
- Language :
- English
- ISSN :
- 10579249
- Database :
- OpenAIRE
- Journal :
- Matheson, L, Wilding, S, Wagland, R, Nayoan, J, Rivas, C, Downing, A, Wright, P, Brett, J, Kearney, T, Cross, W, Glaser, A W, Gavin, A & Watson, E 2019, ' The psychological impact of being on a monitoring pathway for localised prostate cancer: a UK-wide mixed methods study ', Psycho-oncology . https://doi.org/10.1002/pon.5133
- Accession number :
- edsair.doi.dedup.....582d76c233bec1012b2e2be60c0f7092
- Full Text :
- https://doi.org/10.1002/pon.5133