How badly did it hit? Self-assessed emotional shock upon prostate cancer diagnosis and psychological well-being: a follow-up at 3, 12, and 24 months after surgery

Authors

  • Karin Stinesen Kollberg Department of Oncology, Institute of Clinical Sciences, Sahlgrenska Academy at the University of Gothenburg, Gothenburg, Sweden
  • Ulrica Wilderäng Department of Oncology, Institute of Clinical Sciences, Sahlgrenska Academy at the University of Gothenburg, Gothenburg, Sweden
  • Thordis Thorsteinsdottir Faculty of Nursing, School of Health Sciences, University of Iceland, Reykjavik, Iceland
  • Jonas Hugosson Department of Urology, Institute of Clinical Sciences, Sahlgrenska Academy at the University of Gothenburg, Gothenburg, Sweden
  • Peter Wiklund Department of Molecular Medicine and Surgery, Section of Urology, Karolinska Institute, Stockholm, Sweden
  • Anders Bjartell Department of Urology, Skåne University Hospital, Lund University, Lund, Sweden
  • Stefan Carlsson Department of Molecular Medicine and Surgery, Section of Urology, Karolinska Institute, Stockholm, Sweden
  • Johan Stranne Department of Urology, Institute of Clinical Sciences, Sahlgrenska Academy at the University of Gothenburg, Gothenburg, Sweden
  • Eva Haglind Department of Surgery, Institute of Clinical Sciences, SSORG – Scandinavian Surgical Outcomes Research Group, Sahlgrenska Academy, University of Gothenburg, Sahlgrenska University Hospital/Östra, Gothenburg, Sweden
  • Gunnar Steineck Department of Oncology, Institute of Clinical Sciences, Sahlgrenska Academy at the University of Gothenburg, Gothenburg, Sweden;  Division of Clinical Cancer Epidemiology, Department of Oncology-Pathology, Karolinska Institute, Stockholm, Sweden

DOI:

https://doi.org/10.1080/0284186X.2017.1300320

Abstract

Background: We were interested in examining if there was a link between self-assessed emotional shock by prostate cancer diagnosis and psychological well-being at 3, 12, and 24 months after surgery.

Material and methods: Information was derived from patients participating in the LAPAroscopic Prostatectomy Robot Open (LAPPRO) trial, Sweden. We analyzed the association between self-assessed emotional shock upon diagnosis and psychological well-being by calculating odds ratios (ORs).

Results: A total of 2426 patients (75%) reported self-assessed emotional shock by the prostate cancer diagnosis. Median age of study participants was 63. There was an association between emotional shock and low psychological well-being after surgery: adjusted OR 1.7: (95% confidence interval [CI]), 1.4–2.1 at 3 months; adjusted OR 1.3: CI, 1.1–1.7 at 12 months, and adjusted OR 1.4: CI, 1.1–1.8 at 24 months. Among self-assessed emotionally shocked patients, low self-esteem, anxiety, and having no one to confide in were factors more strongly related with low psychological well-being over time.

Conclusion: Experiencing self-assessed emotional shock by prostate cancer diagnosis may be associated with low psychological well-being for up to two years after surgery. Future research may address this high rate of self-assessed emotional shock after diagnosis with the aim to intervene to avoid this negative experience to become drawn out.

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Published

2017-07-03

How to Cite

Stinesen Kollberg, K., Wilderäng, U., Thorsteinsdottir, T., Hugosson, J., Wiklund, P., Bjartell, A., … Steineck, G. (2017). How badly did it hit? Self-assessed emotional shock upon prostate cancer diagnosis and psychological well-being: a follow-up at 3, 12, and 24 months after surgery. Acta Oncologica, 56(7), 984–990. https://doi.org/10.1080/0284186X.2017.1300320

Issue

Vol. 56 No. 7 (2017): Acta Oncologica

Section

Articles