Naomi Baba1, Theresa Schrage2, Armin Hartmann1, Kenji Baba1, Alexander Wuensch1,3, Wolfgang Schultze-Seemann4, Joachim Weis2, Andreas Joos1. 1. Department of Psychosomatic Medicine and Psychotherapy, Medical Center-University of Freiburg, Freiburg im Breisgau, Germany. 2. Comprehensive Cancer Center, Department of Selfhelp Research, Medical Center-University of Freiburg, Freiburg im Breisgau, Germany. 3. Psychosocial Counselling for Cancer Outpatients, Comprehensive Cancer Center, Medical Center-University of Freiburg, Freiburg im Breisgau, Germany. 4. Department of Urology, Medical Center-University of Freiburg, Freiburg im Breisgau, Germany.
Abstract
OBJECTIVE: Prostate cancer is the most common cancer in German men and associated with various physical and psychosocial problems. This study investigated the association between mental distress and the subjective need for psychosocial support comparing subgroups of patients with different treatments and disease stages. METHOD: We performed an observational, cross-sectional study including patients with four medical conditions: Active Surveillance, radical prostatectomy, biochemical relapse, metastasized disease. Mental distress (NCCN Distress-Thermometer), symptoms of depression and anxiety (PHQ-9, GAD-7), psychosocial needs and coping resources (self-designed questionnaire) were assessed. RESULTS: N = 130 patients were included. 33.3% showed distress, 16.5% symptoms of moderate depression and 13% symptoms of moderate anxiety. We found no significant differences between the four groups. An association was present between distress and wish for psychosocial support (χ2 = 4.3; p < 0.05; ϕ = 0.19). Almost 90% lived with a partner, which represents a resource. CONCLUSIONS: Prostate cancer patients showed low levels of mental distress, depression and anxiety with no difference in terms of disease stage and treatment modality. Therefore, careful psychosocial screening of all patients is essential to identify those in need for support. Distressed patients express a need for psychosocial support more often. Interpersonal relationships, most often wives and children, represent important coping resources.
OBJECTIVE:Prostate cancer is the most common cancer in German men and associated with various physical and psychosocial problems. This study investigated the association between mental distress and the subjective need for psychosocial support comparing subgroups of patients with different treatments and disease stages. METHOD: We performed an observational, cross-sectional study including patients with four medical conditions: Active Surveillance, radical prostatectomy, biochemical relapse, metastasized disease. Mental distress (NCCN Distress-Thermometer), symptoms of depression and anxiety (PHQ-9, GAD-7), psychosocial needs and coping resources (self-designed questionnaire) were assessed. RESULTS: N = 130 patients were included. 33.3% showed distress, 16.5% symptoms of moderate depression and 13% symptoms of moderate anxiety. We found no significant differences between the four groups. An association was present between distress and wish for psychosocial support (χ2 = 4.3; p < 0.05; ϕ = 0.19). Almost 90% lived with a partner, which represents a resource. CONCLUSIONS:Prostate cancerpatients showed low levels of mental distress, depression and anxiety with no difference in terms of disease stage and treatment modality. Therefore, careful psychosocial screening of all patients is essential to identify those in need for support. Distressed patients express a need for psychosocial support more often. Interpersonal relationships, most often wives and children, represent important coping resources.
Entities:
Keywords:
anxiety; depression; distress; prostate cancer; psycho-oncology; psychosocial support
Authors: Kim Donachie; Erik Cornel; Thomas Pelgrim; Leslie Michielsen; Bart Langenveld; Marian Adriaansen; Esther Bakker; Lilian Lechner Journal: Support Care Cancer Date: 2022-01-26 Impact factor: 3.359
Authors: Christina Sauer; Andreas Ihrig; Tobias Hanslmeier; Johannes Huber; Kiriaki Hiller; Hans-Christoph Friederich; Imad Maatouk Journal: Support Care Cancer Date: 2022-05-13 Impact factor: 3.359