Social constraints and psychological well-being after prostate cancer : A follow-up at 12 and 24 months after surgery
(2018) In Psycho-Oncology 27(2). p.668-675- Abstract
Objective: Studies indicate that social constraints (barriers to emotional expression) may be a risk factor for psychological morbidity. We aimed to investigate the association between prostate cancer–related social constraints and psychological well-being following prostate cancer surgery. Methods: In a group of 3478 partnered patients, participating in the Laparoscopic Prostatectomy Robot Open trial, a prospective multicenter comparative study of robot-assisted laparoscopic and retropubic radical prostatectomy for prostate cancer, we used log-binomial regression analysis to investigate the links between prostate cancer–related social constraints at 3 months after surgery and psychological well-being at 12 and 24 months. Results: A... (More)
Objective: Studies indicate that social constraints (barriers to emotional expression) may be a risk factor for psychological morbidity. We aimed to investigate the association between prostate cancer–related social constraints and psychological well-being following prostate cancer surgery. Methods: In a group of 3478 partnered patients, participating in the Laparoscopic Prostatectomy Robot Open trial, a prospective multicenter comparative study of robot-assisted laparoscopic and retropubic radical prostatectomy for prostate cancer, we used log-binomial regression analysis to investigate the links between prostate cancer–related social constraints at 3 months after surgery and psychological well-being at 12 and 24 months. Results: A total of 1086 and 1093 men reported low well-being at 12 and 24 months, respectively. Prostate cancer-related social constraints by partner predicted low psychological well-being at 12 months (adjusted RR: 1.4; 95% CI, 1.1-1.9) and by others (adjusted RR: 1.9; 95% CI, 1.1-3.5). Intrusive thoughts mediated the association. Conclusions: Negative responses from the social environment, especially from partner to talking about the prostate cancer experience affected patients' psychological well-being 2 years after radical prostatectomy. Results emphasize the importance of helping patients mobilize psychosocial resources within their social network, especially among those with a lack of quality psychosocial support.
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- author
- Stinesen Kollberg, Karin ; Thorsteinsdottir, Thordis ; Wilderäng, Ulrica ; Hugosson, Jonas ; Wiklund, Peter ; Bjartell, Anders LU ; Carlsson, Stefan ; Stranne, Johan ; Haglind, Eva and Steineck, Gunnar
- organization
- publishing date
- 2018-02-01
- type
- Contribution to journal
- publication status
- published
- subject
- keywords
- cancer, oncology, partner, prostate cancer, psychological well-being, social constraints
- in
- Psycho-Oncology
- volume
- 27
- issue
- 2
- pages
- 8 pages
- publisher
- John Wiley & Sons Inc.
- external identifiers
-
- pmid:29024232
- scopus:85041721602
- ISSN
- 1057-9249
- DOI
- 10.1002/pon.4561
- language
- English
- LU publication?
- yes
- id
- 6a90971b-051c-430a-935b-db5cd2988efd
- date added to LUP
- 2018-03-06 13:13:45
- date last changed
- 2024-07-08 10:28:09
@article{6a90971b-051c-430a-935b-db5cd2988efd, abstract = {{<p>Objective: Studies indicate that social constraints (barriers to emotional expression) may be a risk factor for psychological morbidity. We aimed to investigate the association between prostate cancer–related social constraints and psychological well-being following prostate cancer surgery. Methods: In a group of 3478 partnered patients, participating in the Laparoscopic Prostatectomy Robot Open trial, a prospective multicenter comparative study of robot-assisted laparoscopic and retropubic radical prostatectomy for prostate cancer, we used log-binomial regression analysis to investigate the links between prostate cancer–related social constraints at 3 months after surgery and psychological well-being at 12 and 24 months. Results: A total of 1086 and 1093 men reported low well-being at 12 and 24 months, respectively. Prostate cancer-related social constraints by partner predicted low psychological well-being at 12 months (adjusted RR: 1.4; 95% CI, 1.1-1.9) and by others (adjusted RR: 1.9; 95% CI, 1.1-3.5). Intrusive thoughts mediated the association. Conclusions: Negative responses from the social environment, especially from partner to talking about the prostate cancer experience affected patients' psychological well-being 2 years after radical prostatectomy. Results emphasize the importance of helping patients mobilize psychosocial resources within their social network, especially among those with a lack of quality psychosocial support.</p>}}, author = {{Stinesen Kollberg, Karin and Thorsteinsdottir, Thordis and Wilderäng, Ulrica and Hugosson, Jonas and Wiklund, Peter and Bjartell, Anders and Carlsson, Stefan and Stranne, Johan and Haglind, Eva and Steineck, Gunnar}}, issn = {{1057-9249}}, keywords = {{cancer; oncology; partner; prostate cancer; psychological well-being; social constraints}}, language = {{eng}}, month = {{02}}, number = {{2}}, pages = {{668--675}}, publisher = {{John Wiley & Sons Inc.}}, series = {{Psycho-Oncology}}, title = {{Social constraints and psychological well-being after prostate cancer : A follow-up at 12 and 24 months after surgery}}, url = {{http://dx.doi.org/10.1002/pon.4561}}, doi = {{10.1002/pon.4561}}, volume = {{27}}, year = {{2018}}, }