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Shen B, Sun J, Yu Z, Xu G, Zhou Y. Are couple-based psychological interventions beneficial for the mental health of prostate cancer patients and their spouses? A systematic review and meta-analysis. Clin Psychol Psychother 2023. [PMID: 37905476 DOI: 10.1002/cpp.2925] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/09/2023] [Revised: 09/28/2023] [Accepted: 10/13/2023] [Indexed: 11/02/2023]
Abstract
As the survival rates for prostate cancer (PCa) have improved, there has been an increasing focus on the mental health of couples affected by this condition. There have been several couple-based psychological interventions, and yet the impact of this treatment modality on the mental health of PCa patients and their spouses is unclear. Consequently, a systematic search was conducted in PubMed, Embase, Cochrane, LILACS, and Web of Science up to March 2023 for randomized controlled trials (RCTs) addressing the impacts of couple-based psychological interventions on both PCa patients and their spouses. Besides, the Cochrane Risk of Bias Assessment Tool was employed to evaluate the methodological quality and potential bias of the included studies. Moreover, statistical analysis and meta-analysis were performed utilizing Revman 5.4, and the Grading of Recommendations Assessment, Development, and Evaluation (GRADE) was employed to assess the certainty of evidence. A total of nine RCTs were included, utilizing anxiety, depression, distress, communication, and self-efficacy as outcome indicators to assess mental health. Results demonstrated that couple-based psychological interventions increased spouses' self-efficacy (WMD, 0.21; 95% CI: -0.00 ~ 0.42; P = 0.05) and communication (SMD, 0.34; 95% CI: 0.09 ~ 0.59; P = 0.009), while reducing their distress (SMD, -0.21; 95% CI: -0.40 ~ -0.02; P = 0.03). Nonetheless, there is a need for additional research on the effect of couple-based psychological interventions on the mental health of PCa-affected couples given the limited evidence supporting this conclusion.
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Affiliation(s)
- Bin Shen
- Shaoxing People's Hospital, Shaoxing, Zhejiang, China
- Department of Urology, First Affiliated Hospital of Shaoxing University, Shaoxing, Zhejiang, China
| | - Jianhong Sun
- Shaoxing People's Hospital, Shaoxing, Zhejiang, China
- Department of Urology, First Affiliated Hospital of Shaoxing University, Shaoxing, Zhejiang, China
| | - Zhenliang Yu
- Shaoxing People's Hospital, Shaoxing, Zhejiang, China
- Department of Urology, First Affiliated Hospital of Shaoxing University, Shaoxing, Zhejiang, China
| | - Gang Xu
- Shaoxing People's Hospital, Shaoxing, Zhejiang, China
- Department of Urology, First Affiliated Hospital of Shaoxing University, Shaoxing, Zhejiang, China
| | - Yaoying Zhou
- Shaoxing People's Hospital, Shaoxing, Zhejiang, China
- Department of Nursing, Shaoxing People's Hospital, Shaoxing, Zhejiang, China
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Martín-Núñez J, Raya-Benítez J, López-López L, Calvache-Mateo A, Heredia-Ciuró A, Navas-Otero A, Valenza MC. Efficacy in urinary symptom burden, psychological distress, and self-efficacy of education-enhanced interventions in prostate cancer patients: a systematic review and meta-analyses. Support Care Cancer 2023; 31:340. [PMID: 37191890 DOI: 10.1007/s00520-023-07803-6] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/13/2022] [Accepted: 05/09/2023] [Indexed: 05/17/2023]
Abstract
BACKGROUND Worldwide, prostate cancer is both the second-most diagnosed cancer and most common solid tumor in men. Prostate cancer patients present with a symptom burden that is compounded by the impact of medical oncology treatment, affecting different domains of their perceived health status. Education active techniques are a key role in chronic disease to increase participation in their recovery. PURPOSE The purpose of the current review was to examine the efficacy of education-enhanced in urinary symptom burden, psychological distress, and self-efficacy in patients diagnosed with prostate cancer. METHODS A wide search of the literature was conducted for articles from their inception to June 2022. Only randomized controlled trials were included. Data extraction and methodologic quality assessment of the studies were carried out by two reviewers. We previously registered the protocol of this systematic review on PROSPERO (CRD42022331954). RESULTS A total of six studies were included in the study. After education-enhanced intervention showed significant improvements in any of perceived urinary symptom burden, one in psychological distress, and one in self-efficacy in the experimental group. The meta-analysis showed that education-enhanced interventions have a significant effect on depression. CONCLUSION Education-enhanced could have positive effects on urinary symptom burden, psychological distress, and self-efficacy in prostate cancer survivors. Our review was unable to demonstrate the best timing to apply education-enhanced strategies.
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Affiliation(s)
- Javier Martín-Núñez
- Faculty of Health Sciences, Department of Physiotherapy, University of Granada, Av. De La Ilustración, 60, 18016, Granada, Spain
| | - Julia Raya-Benítez
- Faculty of Health Sciences, Department of Physiotherapy, University of Granada, Av. De La Ilustración, 60, 18016, Granada, Spain
| | - Laura López-López
- Faculty of Health Sciences, Department of Physiotherapy, University of Granada, Av. De La Ilustración, 60, 18016, Granada, Spain
| | - Andrés Calvache-Mateo
- Faculty of Health Sciences, Department of Physiotherapy, University of Granada, Av. De La Ilustración, 60, 18016, Granada, Spain
| | - Alejandro Heredia-Ciuró
- Faculty of Health Sciences, Department of Physiotherapy, University of Granada, Av. De La Ilustración, 60, 18016, Granada, Spain
| | - Alba Navas-Otero
- Faculty of Health Sciences, Department of Physiotherapy, University of Granada, Av. De La Ilustración, 60, 18016, Granada, Spain
| | - Marie Carmen Valenza
- Faculty of Health Sciences, Department of Physiotherapy, University of Granada, Av. De La Ilustración, 60, 18016, Granada, Spain.
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3
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Chrobak AA, Przydacz M, Chłosta M, Machalska K, Turek A, Popiół M, Skalski M, Arciszewska-Leszczuk A, Chłosta P, Siwek M, Dudek D. Bipolar spectrum in prostate cancer patients and its role in stress related symptoms. Psychooncology 2023; 32:438-445. [PMID: 36631917 DOI: 10.1002/pon.6096] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/01/2022] [Revised: 12/11/2022] [Accepted: 01/05/2023] [Indexed: 01/13/2023]
Abstract
BACKGROUND Studies show significant co-occurrence of bipolar disorder and prostate cancer, as well as the presence of shared genes associated with both diseases. Our aim was to evaluate whether prostate cancer patients present bipolar spectrum symptoms and to establish their possible associations with stress related symptoms during diagnosis and the course of the cancer therapy. METHODS 200 participants were enrolled to this study: 100 prostate cancer patients and 100 healthy males. Bipolar spectrum symptoms were measured with the use of Mood Disorder Questionnaire and Hypomania Checklist-32 (HCL-32). Stress related symptoms were rated with The Impact of Events Scale-Revised (IES-R), Perceived Stress Scale-10 (PSS-10) and Generalised Self-Efficacy Scale (GSES). RESULTS In comparison to healthy controls group, prostate cancer patients have shown higher HCL-32 scores. Mood Disorder Questionnaire measures were associated with more severe stress related to prostate cancer diagnosis and treatment reflected by higher scores of IES-R and its subscales (Avoidance, Intrusions and Hyperarousal). Mood Disorder Questionnaire, HCL-32, PSS-10, IES-R and GSES measures were not associated with clinical characteristics of prostate cancer severity. LIMITATIONS Cross-sectional study model precluded identification of causal relationship among variables. Bipolar spectrum symptoms and stress related measures were based on auto-questionnaires. CONCLUSIONS To our best knowledge, this is the first study evaluating bipolar spectrum symptoms in prostate cancer patients. We have shown that this clinical group presents increased bipolarity traits compared to healthy individuals. Moreover, bipolar spectrum symptoms were associated with more severe stress related to the prostate cancer diagnosis and its treatment, reflected in avoidance, hyperarousal, and intrusions.
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Affiliation(s)
| | - Mikołaj Przydacz
- Department of Urology, Jagiellonian University in Cracow, Kraków, Poland
| | - Marcin Chłosta
- Department of Urology, Jagiellonian University in Cracow, Kraków, Poland
| | - Karolina Machalska
- Student's Scientific Association of Affective Disorders, Jagiellonian University Medical College, Kraków, Poland
| | - Aleksander Turek
- Student's Scientific Association of Affective Disorders, Jagiellonian University Medical College, Kraków, Poland
| | - Maja Popiół
- Student's Scientific Association of Affective Disorders, Jagiellonian University Medical College, Kraków, Poland
| | - Michał Skalski
- Department of Adult Psychiatry, Jagiellonian University Medical College, Kraków, Poland
| | | | - Piotr Chłosta
- Department of Urology, Jagiellonian University in Cracow, Kraków, Poland
| | - Marcin Siwek
- Department of Affective Disorders, Jagiellonian University Medical College, Kraków, Poland
| | - Dominika Dudek
- Department of Adult Psychiatry, Jagiellonian University Medical College, Kraków, Poland
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Amano K. Development of a self‐management scale for lower urinary tract symptoms in patients with cancer after radical prostatectomy. INTERNATIONAL JOURNAL OF UROLOGICAL NURSING 2023. [DOI: 10.1111/ijun.12344] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/12/2023]
Affiliation(s)
- Koji Amano
- Doctoral Program, Graduate School of Nursing Osaka Medical and Pharmaceutical University Osaka Japan
- Doshisha Women's College of Liberal Arts Faculty of Nursing Kyoto Japan
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5
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Wang L, Luo J, Li Y, Zhou Y, Wang W. Social support, anxiety, and depression in patients with prostate cancer: complete mediation of self-efficacy. Support Care Cancer 2022; 30:6851-6856. [PMID: 35536329 DOI: 10.1007/s00520-022-07065-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/26/2021] [Accepted: 04/12/2022] [Indexed: 11/25/2022]
Abstract
BACKGROUND Social support and self-efficacy are important factors to improve negative emotions such as depression and anxiety in patients with prostate cancer after surgery; however, little is known about the relationship between them. The objective of the study was to comprehensively explore the relationship between social support, self-efficacy, and anxiety and depression. METHOD A cross-sectional design and a convenience sampling method were used to recruit patients with prostate cancer from a comprehensive hospital in Zhejiang Province. Structured scales were used for data collection, including the Social Support Rating Scale, Strategies Used by People to Promote Health, and the hospital anxiety and depression scale. RESULTS The result showed that anxiety and depression were negatively correlated with self-efficacy (r = - 0. 434, P < 0. 01) and social support (r = - 0. 212, P < 0. 01), while self-efficacy and social support were positively correlated (r = 0. 356, P < 0. 01). A structural equation model showed that the effect value of social support on self-efficacy was (β = 0.386, p < 0.01) and the effect value of self-efficacy on negative emotions was (β = - 0.497, p < 0.01). Self-efficacy fully mediated the effect between social support and negative emotions with a 100% mediation rate. CONCLUSION Social support and self-efficacy did contribute to the improvement of depression and anxiety in patients with radical prostatectomy, and they were associated with a full mediating effect of self-efficacy. Providing social support that matches the coping needs of the stressor can maximize the role of social support. Therefore, it is necessary to identify the patient's stressor and coping needs in advance, which will help us to provide matching social support, so as to alleviate patients' bad emotions more effectively and improve their prognosis.
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Affiliation(s)
- Lijuan Wang
- Nursing Department, The First Afilliated Hospital, Zhejiang University School of Medicine, Zhejiang Province, Hangzhou, 310003, China
| | - Jie Luo
- Department of Urology, The First Afilliated Hospital, Zhejiang University School of Medicine, Zhejiang Province, Hangzhou, 310003, China
| | - Yaqin Li
- Nursing Department, The First Afilliated Hospital, Zhejiang University School of Medicine, Zhejiang Province, Hangzhou, 310003, China
| | - Yao Zhou
- Nursing Department, Hangzhou Normal University, Zhejiang Province, Hangzhou, 311121, China
| | - Wei Wang
- Nursing Department, The First Afilliated Hospital, Zhejiang University School of Medicine, Zhejiang Province, Hangzhou, 310003, China.
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Pané-Alemany R, Ramírez-García I, Kauffmann S, Blanco-Ratto L, Carralero-Martínez A, Sánchez Ruiz E. Efficacy of transcutaneous perineal electrostimulation versus intracavitary anal electrostimulation in the treatment of urinary incontinence after a radical prostatectomy: Randomized controlled trial. Neurourol Urodyn 2021; 40:1761-1769. [PMID: 34224598 DOI: 10.1002/nau.24740] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/09/2021] [Revised: 05/28/2021] [Accepted: 06/09/2021] [Indexed: 11/10/2022]
Abstract
AIM To compare the efficacy of the treatment with transcutaneous perineal electrostimulation versus intracavitary electrostimulation to reduce the frequency of urinary incontinence after radical prostatectomy and the impact on the quality of life (QoL). METHODS This single-blind equivalence-randomized controlled trial equally (1:1) randomly allocated men with urinary incontinence post radical prostatectomy into surface electrodes perineal group (intervention group, IG) and intra-anal probe group (control group, CG). Outcomes included changes in the 24h-Pad Test (main variable), and ICIQ-SF (International Consultation on Incontinence Questionnaire Short-Form), SF-12 (Short Form Health Survey), and I-QOL (incontinence quality of life questionnaire) questionnaires. Clinical data were collected at baseline, 6 and 10 weeks. For the comparisons between variables, χ2 test and Student's t test were used. Equivalence was analyzed by estimating the mean change (90% confidence interval) of urinary incontinence based on the Pad Test. The analysis was performed for the per-protocol and the intention-to-treat populations. Statistical significance level was set at p < 0.05. RESULTS Seventy patients were included, mean age 62.8 (SD 9.4) years. Mean baseline 24h-Pad Test was 328.3 g (SD 426.1) and a significant decrease (p < 0.001) in the grams of urine loss at 5 weeks (159.1 g in the IG and 121.7 g in the CG), and at 10 weeks of treatment (248.5 g in the IG and 235.8 g in the CG) was observed. However, the final difference in the grams of urine loss between both treatments showed the absence of statistical significance (p = 0.874). In both groups, the ICIQ-SF, I-QOL, and SF-12 questionnaires revealed a significant improvement in QoL. CONCLUSION Surface and intra-anal electrostimulation treatments reduced significantly losses of urine, but differences in grams of urine loss throughout the therapy between groups were not significant, suggesting that the efficacy of the two treatments is not statistically different. Nonetheless, the improvement observed in both groups was statistically significant and clinically relevant.
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Affiliation(s)
- Regina Pané-Alemany
- Department of Physiotherapy, Rehabilitación Abdomino-Pelviana (RAPbarcelona SL), Barcelona, Spain
| | - Inés Ramírez-García
- Department of Physiotherapy, Rehabilitación Abdomino-Pelviana (RAPbarcelona SL), Barcelona, Spain.,Department of Physiotherapy, Instituto Médico Tecnológico SL, Barcelona, Spain.,Department of Physiotherapy, Blanquerna School of Health Science, Ramon Llull University, Barcelona, Spain.,GHenderS (Global Health, Gender and Society) Research Group, Blanquerna School of Health Science, Ramon Llull University, Barcelona, Spain
| | - Stéphanie Kauffmann
- Department of Physiotherapy, Rehabilitación Abdomino-Pelviana (RAPbarcelona SL), Barcelona, Spain.,Department of Physiotherapy, Fundació Universitària del Bages (FUB), Manresa, Spain.,Department of Physiotherapy, Universidad Internacional de Catalunya (UIC), Sant Cugat del Vallès, Spain.,Department of Physiotherapy, Womens Salud y Bienestar de la Mujer SL, Barcelona, Spain
| | - Laia Blanco-Ratto
- Department of Physiotherapy, Rehabilitación Abdomino-Pelviana (RAPbarcelona SL), Barcelona, Spain.,Department of Physiotherapy, Fundació Universitària del Bages (FUB), Manresa, Spain.,Department of Physiotherapy, Universidad Internacional de Catalunya (UIC), Sant Cugat del Vallès, Spain
| | - Andrea Carralero-Martínez
- Department of Physiotherapy, Rehabilitación Abdomino-Pelviana (RAPbarcelona SL), Barcelona, Spain.,Hospital Clínic de Barcelona. Unidad de Suelo Pélvico del Instituto Clínico de Ginecología, Obstetrícia y Neonatología (ICGON), Barcelona, Spain
| | - Emília Sánchez Ruiz
- GHenderS (Global Health, Gender and Society) Research Group, Blanquerna School of Health Science, Ramon Llull University, Barcelona, Spain.,SAFE (Health, Physical Activity and Sport) Research Group, Blanquerna, Ramon Llull University, Barcelona, Spain
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7
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Sevier-Guy LJ, Ferreira N, Somerville C, Gillanders D. Psychological flexibility and fear of recurrence in prostate cancer. Eur J Cancer Care (Engl) 2021; 30:e13483. [PMID: 34191379 DOI: 10.1111/ecc.13483] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/14/2020] [Revised: 04/29/2021] [Accepted: 05/06/2021] [Indexed: 12/24/2022]
Abstract
OBJECTIVE Psychological flexibility and fear of cancer recurrence are important variables that influence psychosocial outcomes in individuals diagnosed with a range of different types of cancer. Their role and how they impact on psychological distress and quality of life in men with prostate cancer specifically have not been established. METHODS A cross-sectional sample of 144 men with prostate cancer was recruited. Multiple regression and conditional process analysis were used to assess whether psychological flexibility moderates the relationship between fear of recurrence and distress and quality of life. RESULTS Psychological flexibility significantly predicted psychological distress (β = -0.56, p < 0.0001) and quality of life (β = 0.21, p < 0.0001), appearing a stronger predictor of psychological distress than fear of recurrence (β = 0.25, p < 0.0001). Fear of recurrence was a stronger predictor of quality of life (β = -0.41, p < 0.0001) than psychological flexibility. Psychological flexibility moderated the relationship between fear of recurrence and psychological distress (β = -0.01, p < 0.001). At low and average levels of psychological flexibility, psychological distress mediated the relationship between fear of recurrence and quality of life (β = -0.33 to -0.16, p < 0.05). At high levels of psychological flexibility, distress no longer mediated this relationship (β = 0.01, ns), supporting the role of psychological flexibility as a moderator. CONCLUSIONS These findings suggest that psychological flexibility might be a useful treatment target, through interventions such as Acceptance and Commitment Therapy, to buffer the effects of fear of recurrence and distress and improve psychosocial outcomes in this population.
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Affiliation(s)
- Lindsay-Jo Sevier-Guy
- School of Health and Social Science, University of Edinburgh, Edinburgh, UK.,Psychology Department, NHS Fife, Kirkcaldy, UK.,Psychology Department, NHS Tayside, Dundee, UK
| | - Nuno Ferreira
- School of Health and Social Science, University of Edinburgh, Edinburgh, UK.,School of Humanities and Social Sciences, University of Nicosia, Nicosia, Cyprus
| | | | - David Gillanders
- School of Health and Social Science, University of Edinburgh, Edinburgh, UK
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Pané-Alemany R, Ramírez-García I, Carralero-Martínez A, Blanco-Ratto L, Kauffmann S, Sánchez E. Efficacy of transcutaneous perineal electrostimulation versus intracavitary anal electrostimulation in the treatment of urinary incontinence after a radical prostatectomy: randomized controlled trial study protocol. BMC Urol 2021; 21:12. [PMID: 33509164 PMCID: PMC7842059 DOI: 10.1186/s12894-020-00718-y] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/02/2020] [Accepted: 09/14/2020] [Indexed: 01/05/2023] Open
Abstract
Background Radical prostatectomy is the gold standard treatment for men with localized prostate cancer. This technique is associated with post-operative urinary incontinence. Pelvic floor physiotherapy is a conservative, painless and economical treatment for this specific situation. Kegel exercises and perineal electrostimulation are common techniques to train pelvic floor muscles. The perineal electrostimulation can be applied to the patient with surface electrodes or by an intra-cavitary anal probe. This study proposes that transcutaneous perineal electrostimulation is as effective as intra-cavitary electrostimulation in reducing urinary incontinence secondary to radical prostatectomy. The main objective is to compare the efficacy of the treatment with transcutaneous perineal electrostimulation versus the same intra-cavitary treatment to reduce the magnitude of urinary incontinence after radical prostatectomy, and the impact on the quality of life. Methods This single-blind equivalence randomized controlled trial will include 70 man who suffer urinary incontinence post radical prostatectomy. Participants will be randomized into surface electrodes group and intra-anal probe group. The groups will receive treatment for 10 consecutive weeks. Outcomes include changes in the 24-h Pad Test, and ICIQ-SF, SF-12 and I-QoL questionnaires. Clinical data will be collected at baseline, 6 and 10 weeks after the first session, and 6 months after the end of treatment. Discussion The results will allow us to prescribe the most beneficial perineal electrostimulation technique in the treatment of urinary incontinence derived from radical prostatectomy. Trial registration ClinicalTrials.gov Identifier: NCT03587402. 27/06/2018
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Affiliation(s)
- R Pané-Alemany
- Rehabilitación Abdomino-Pelviana (RAPbarcelona SL), Barcelona, Spain
| | - I Ramírez-García
- Rehabilitación Abdomino-Pelviana (RAPbarcelona SL), Barcelona, Spain. .,Servicio de Fisioterapia, Instituto Médico Tecnológico SL, Barcelona, Spain. .,Blanquerna School of Health Science-Universitat Ramon Llull, Barcelona, Spain. .,Universidad Internacional de Catalunya (UIC), Barcelona, Spain.
| | | | - L Blanco-Ratto
- Rehabilitación Abdomino-Pelviana (RAPbarcelona SL), Barcelona, Spain.,Fundació Universitària del Bages (FUB), Barcelona, Spain
| | - S Kauffmann
- Rehabilitación Abdomino-Pelviana (RAPbarcelona SL), Barcelona, Spain.,Fundació Universitària del Bages (FUB), Barcelona, Spain.,Servicio de Fisioterapia, Womens Salud Y Bienestar de La Mujer SL, Barcelona, Spain
| | - E Sánchez
- Blanquerna School of Health Science-Universitat Ramon Llull, Barcelona, Spain
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9
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Milios JE, Ackland TR, Green DJ. Pelvic floor muscle training in radical prostatectomy: a randomized controlled trial of the impacts on pelvic floor muscle function and urinary incontinence. BMC Urol 2019; 19:116. [PMID: 31729959 PMCID: PMC6858748 DOI: 10.1186/s12894-019-0546-5] [Citation(s) in RCA: 56] [Impact Index Per Article: 11.2] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/04/2018] [Accepted: 10/29/2019] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND Pelvic floor muscle training (PFM) training for post-prostatectomy incontinence (PPI) is an important rehabilitative approach, but the evidence base is still evolving. We developed a novel PFM training program focussed on activating fast and slow twitch muscle fibres. We hypothesized that this training, which commenced pre-operatively, would improve PFM function and reduce PPI, when compared to a control group. METHODS This randomized trial allocated 97 men (63 ± 7y, BMI = 25.4, Gleason 7) undergoing radical prostatectomy (RP) to either a control group (n = 47) performing low-volume rehabilitation, or an intervention group (n = 50). Both interventions commenced 5 weeks prior to surgery and continued for 12 weeks post-RP. Participants were assessed pre-operatively and at 2, 6 and 12 weeks post-RP using 24 h pad weights, International Prostate Symptom Score (IPSS), Expanded Prostate Cancer Index Composite for Clinical Practice (EPIC-CP) and real time ultrasound (RTUS) measurements of PFM function. RESULTS Following RP, participants in the control group demonstrated a slower return to continence and experienced significantly more leakage (p < 0.05), measured by 24 h pad weight, compared to the intervention group, suggesting an impact of the prehabilitation protocol. PFM function measures were enhanced following RP in the intervention group. Secondary measures (IPSS, EPIC-CP and RTUS PFM function tests) demonstrated improvement across all time points, with the intervention group displaying consistently lower "bothersome" scores. CONCLUSIONS A pelvic floor muscle exercise program commenced prior to prostate surgery enhanced post-surgical measures of pelvic floor muscle function, reduced PPI and improved QoL outcomes related to incontinence. TRIAL REGISTRATION The trial was registered in the Australia New Zealand Clinical Trials Registry and allocated as ACTRN12617001400358. The trial was registered on 4/10/2017 and this was a retrospective registration.
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Affiliation(s)
- Joanne E. Milios
- School of Human Sciences (Exercise and Sport Science), The University of Western Australia, Crawley, Western Australia 6009 Australia
- Faculty of Science, School of Human Services (Sport Science, Exercise and Health), University of Western Australia, Parkway Rd, Crawley, Western Australia 6009 Australia
| | - Timothy R. Ackland
- School of Human Sciences (Exercise and Sport Science), The University of Western Australia, Crawley, Western Australia 6009 Australia
| | - Daniel J. Green
- School of Human Sciences (Exercise and Sport Science), The University of Western Australia, Crawley, Western Australia 6009 Australia
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10
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Basier S, Pheulpin MC. Cancer de la prostate : communiquer dans le cadre d’une recherche clinique avec des patients fragilisés par une prostatectomie radicale. PSYCHO-ONCOLOGIE 2018. [DOI: 10.3166/pson-2018-0027] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
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11
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da Mata LRF, de Carvalho EC, Gomes CRG, da Silva AC, Pereira MDG. Postoperative self-efficacy and psychological morbidity in radical prostatectomy. Rev Lat Am Enfermagem 2017; 23:806-13. [PMID: 26487129 PMCID: PMC4660401 DOI: 10.1590/0104-1169.0456.2618] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/01/2014] [Accepted: 03/22/2015] [Indexed: 11/22/2022] Open
Abstract
Objective: evaluate the general and perceived self-efficacy, psychological morbidity, and
knowledge about postoperative care of patients submitted to radical prostatectomy.
Identify the relationships between the variables and know the predictors of
self-efficacy. Method: descriptive, cross-sectional study, conducted with 76 hospitalized men. The
scales used were the General and Perceived Self-efficacy Scale and the Hospital
Anxiety and Depression Scale, in addition to sociodemographic, clinical and
knowledge questionnaires. Results: a negative relationship was found for self-efficacy in relation to anxiety and
depression. Psychological morbidity was a significant predictor variable for
self-efficacy. An active professional situation and the waiting time for surgery
also proved to be relevant variables for anxiety and knowledge, respectively. Conclusion: participants had a good level of general and perceived self-efficacy and small
percentage of depression. With these findings, it is possible to produce the
profile of patients about their psychological needs after radical prostatectomy
and, thus, allow the nursing professionals to act holistically, considering not
only the need for care of physical nature, but also of psychosocial nature.
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12
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Lin HY, Lai HL, Chen CI, Huang CY. Depression and Health-Related Quality of Life and Their Association With Resourcefulness in Survivors of Prostate Cancer. Arch Psychiatr Nurs 2017; 31:407-413. [PMID: 28693878 DOI: 10.1016/j.apnu.2017.04.014] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/04/2016] [Revised: 04/17/2017] [Accepted: 04/22/2017] [Indexed: 10/19/2022]
Abstract
OBJECTIVE This study aimed to identify the determinants of depressive symptoms (DSs) and health-related quality of life (HRQOL) in survivors of prostate cancer (PC). METHODS This study used a descriptive, correlational design to assess a sample of 133 individuals with PC. The participants were face-to-face interviewed to collect demographic data and disease characteristics, assess self-control schedule, and survey health status. Correlation analysis, Student's t-test, ANOVA, and regression analysis were applied. RESULTS Over half the patients had depressive symptoms, and 96.1% had erectile dysfunction. Lack of resourcefulness was found to decrease PC-specific quality of life (PCQOL) and physical quality of life (PQOL). The participants who were more resourceful showed a better mental quality of life (MQOL) and PQOL (r=0.53**; r=0.41**) and fewer DSs (r=-0.52**). Most participants were stage II and IV, and there were significantly different effects on PQOL and MQOL related to cancer stage. Regarding the different outcomes of various therapies, the findings suggested that survivors of PC who underwent radical prostatectomy were more likely to have a better MQOL than those who underwent other treatments. In addition, resourcefulness had mediating effects on pain, PQOL/MQOL, and DSs in the patients with PC. CONCLUSIONS Good mental health and resourcefulness can help patients with PC reduce pain and enhance positive thinking and may augment PQOL and MQOL.
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Affiliation(s)
- Hung-Yu Lin
- Medical College, I-Shou University, Taiwan; Department of Urology, E-Da Hospital, Kaohsiung, Taiwan.
| | - Hui-Ling Lai
- Tzu Chi University, Hualien, Taiwan; Buddhist Tzu Chi General Hospital, Hualien, Taiwan.
| | - Chun-I Chen
- I-Shou University, No. 1, Sec. 1, Syuecheng Rd., Kaohsiung, Taiwan.
| | - Chiung-Yu Huang
- I-Shou University, No. 8, Yida Rd., Yanchao District, Kaohsiung County 82445, Taiwan.
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13
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Gandaglia G, Lista G, Fossati N, Suardi N, Gallina A, Moschini M, Bianchi L, Rossi MS, Schiavina R, Shariat SF, Salonia A, Montorsi F, Briganti A. Non-surgically related causes of erectile dysfunction after bilateral nerve-sparing radical prostatectomy. Prostate Cancer Prostatic Dis 2016; 19:185-90. [DOI: 10.1038/pcan.2016.1] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/05/2015] [Revised: 11/11/2015] [Accepted: 12/08/2015] [Indexed: 11/09/2022]
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14
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Santa Mina D, Au D, Alibhai SMH, Jamnicky L, Faghani N, Hilton WJ, Stefanyk LE, Ritvo P, Jones J, Elterman D, Fleshner NE, Finelli A, Singal RK, Trachtenberg J, Matthew AG. A pilot randomized trial of conventional versus advanced pelvic floor exercises to treat urinary incontinence after radical prostatectomy: a study protocol. BMC Urol 2015; 15:94. [PMID: 26377550 PMCID: PMC4574075 DOI: 10.1186/s12894-015-0088-4] [Citation(s) in RCA: 23] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/21/2015] [Accepted: 09/01/2015] [Indexed: 11/10/2022] Open
Abstract
Background Radical prostatectomy is the most common and effective treatment for localized prostate cancer. Unfortunately, radical prostatectomy is associated with urinary incontinence and has a significant negative impact on quality of life. Pelvic floor exercises are the most common non-invasive management strategy for urinary incontinence following radical prostatectomy; however, studies provide inconsistent findings regarding their efficacy. One potential reason for sub-optimal efficacy of these interventions is the under-utilization of regional muscles that normally co-activate with the pelvic floor, such as the transverse abdominis, rectus abdominis, and the diaphragm. Two novel approaches to improve urinary continence recovery are ‘Pfilates’ and ‘Hypopressives’ that combine traditional pelvic floor exercises with the activation of additional supportive muscles. Our study will compare an advanced pelvic floor exercise training program that includes Pfilates and Hypopressives, to a conventional pelvic floor exercises regimen for the treatment of post-radical prostatectomy urinary incontinence. Methods/Design This is a pilot, randomized controlled trial of advanced pelvic floor muscle training versus conventional pelvic floor exercises for men with localized prostate cancer undergoing radical prostatectomy. Eighty-eight men who will be undergoing radical prostatectomy at hospitals in Toronto, Canada will be recruited. Eligible participants must not have undergone androgen deprivation therapy and/or radiation therapy. Participants will be randomized 1:1 to receive 26 weeks of the advanced or conventional pelvic floor exercise programs. Each program will be progressive and have comparable exercise volume. The primary outcomes are related to feasibility for a large, adequately powered randomized controlled trial to determine efficacy for the treatment of urinary incontinence. Feasibility will be assessed via recruitment success, participant retention, outcome capture, intervention adherence, and prevalence of adverse events. Secondary outcomes of intervention efficacy include measures of pelvic floor strength, urinary incontinence, erectile function, and quality of life. Secondary outcome measures will be collected prior to surgery (baseline), and at 2, 6, 12, 26-weeks post-operatively. Discussion Pfilates and Hypopressives are novel approaches to optimizing urinary function after radical prostatectomy. This trial will provide the foundation of data for future, large-scale trials to definitively describe the effect of these advanced pelvic floor exercise modalities compared to conventional pelvic floor exercise regimes for men with prostate cancer undergoing radical prostatectomy Trial registration Clinicalstrials.gov Identifier: NCT02233608.
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Affiliation(s)
- Daniel Santa Mina
- University Health Network, Toronto, Ontario, 200 Elizabeth Street, Toronto, Ontario, M5G 2C4, Canada. .,University of Guelph-Humber, 207 Humber College Boulevard, Toronto, Ontario, M9W 5L7, Canada. .,University of Toronto, 27 King's College Circle, Toronto, Ontario, M5S 2W6, Canada.
| | - Darren Au
- University Health Network, Toronto, Ontario, 200 Elizabeth Street, Toronto, Ontario, M5G 2C4, Canada. .,University of Guelph, 50 Stone Rd E, Guelph, Ontario, N1G 2W1, Canada.
| | - Shabbir M H Alibhai
- University Health Network, Toronto, Ontario, 200 Elizabeth Street, Toronto, Ontario, M5G 2C4, Canada. .,University of Toronto, 27 King's College Circle, Toronto, Ontario, M5S 2W6, Canada.
| | - Leah Jamnicky
- University Health Network, Toronto, Ontario, 200 Elizabeth Street, Toronto, Ontario, M5G 2C4, Canada.
| | - Nelly Faghani
- Pelvic Health Solutions, 372 Hollandview Trail, Aurora, Ontario, L4G 0A5, Canada.
| | - William J Hilton
- University Health Network, Toronto, Ontario, 200 Elizabeth Street, Toronto, Ontario, M5G 2C4, Canada. .,University of Guelph, 50 Stone Rd E, Guelph, Ontario, N1G 2W1, Canada.
| | - Leslie E Stefanyk
- University Health Network, Toronto, Ontario, 200 Elizabeth Street, Toronto, Ontario, M5G 2C4, Canada. .,University of Guelph-Humber, 207 Humber College Boulevard, Toronto, Ontario, M9W 5L7, Canada.
| | - Paul Ritvo
- York University, 4700 Keele St, Toronto, Ontario, M3J 1P3, Canada. .,Cancer Care Ontario, Toronto, Ontario, Canada.
| | - Jennifer Jones
- University Health Network, Toronto, Ontario, 200 Elizabeth Street, Toronto, Ontario, M5G 2C4, Canada. .,University of Toronto, 27 King's College Circle, Toronto, Ontario, M5S 2W6, Canada.
| | - Dean Elterman
- University Health Network, Toronto, Ontario, 200 Elizabeth Street, Toronto, Ontario, M5G 2C4, Canada. .,University of Toronto, 27 King's College Circle, Toronto, Ontario, M5S 2W6, Canada.
| | - Neil E Fleshner
- University Health Network, Toronto, Ontario, 200 Elizabeth Street, Toronto, Ontario, M5G 2C4, Canada. .,University of Toronto, 27 King's College Circle, Toronto, Ontario, M5S 2W6, Canada.
| | - Antonio Finelli
- University Health Network, Toronto, Ontario, 200 Elizabeth Street, Toronto, Ontario, M5G 2C4, Canada. .,University of Toronto, 27 King's College Circle, Toronto, Ontario, M5S 2W6, Canada.
| | - Rajiv K Singal
- University of Toronto, 27 King's College Circle, Toronto, Ontario, M5S 2W6, Canada. .,Toronto East General Hospital, Toronto, Ontario, M4C 5T2, Canada.
| | - John Trachtenberg
- University Health Network, Toronto, Ontario, 200 Elizabeth Street, Toronto, Ontario, M5G 2C4, Canada. .,University of Toronto, 27 King's College Circle, Toronto, Ontario, M5S 2W6, Canada.
| | - Andrew G Matthew
- University Health Network, Toronto, Ontario, 200 Elizabeth Street, Toronto, Ontario, M5G 2C4, Canada. .,University of Toronto, 27 King's College Circle, Toronto, Ontario, M5S 2W6, Canada.
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Curtis R, Groarke A, Sullivan F. Stress and self-efficacy predict psychological adjustment at diagnosis of prostate cancer. Sci Rep 2014; 4:5569. [PMID: 24993798 PMCID: PMC4081888 DOI: 10.1038/srep05569] [Citation(s) in RCA: 30] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/16/2013] [Accepted: 06/12/2014] [Indexed: 11/17/2022] Open
Abstract
Prostate cancer is the most frequently non-skin cancer diagnosed among men. Diagnosis, a significant burden, generates many challenges which impact on emotional adjustment and so warrants further investigation. Most studies to date however, have been carried out at or post treatment with an emphasis on functional quality of life outcomes. Men recently diagnosed with localised prostate cancer (N = 89) attending a Rapid Access Prostate Clinic to discuss treatment options completed self report questionnaires on stress, self-efficacy, and mood. Information on age and disease status was gathered from hospital records. Self-efficacy and stress together explained more than half of the variance on anxiety and depression. Self-efficacy explained variance on all 6 emotional domains of the POMS (ranging from 5–25%) with high scores linked to good emotional adjustment. Perceived global and cancer specific stress also explained variance on the 6 emotional domains of the POMS (8–31%) with high stress linked to poor mood. These findings extend understanding of the role of efficacy beliefs and stress appraisal in predicting emotional adjustment in men at diagnosis and identify those at risk for poor adaptation at this time. Such identification may lead to more effective patient management.
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Affiliation(s)
- Ruth Curtis
- School of Psychology, National University of Ireland, Galway
| | | | - Frank Sullivan
- Prostate Cancer Institute, National University of Ireland, Galway
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16
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Recklitis CJ, Zhou ES, Zwemer EK, Hu JC, Kantoff PW. Suicidal ideation in prostate cancer survivors: understanding the role of physical and psychological health outcomes. Cancer 2014; 120:3393-400. [PMID: 24962506 DOI: 10.1002/cncr.28880] [Citation(s) in RCA: 45] [Impact Index Per Article: 4.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/09/2014] [Revised: 04/29/2014] [Accepted: 05/06/2014] [Indexed: 12/21/2022]
Abstract
BACKGROUND Epidemiological studies have shown prostate cancer (PC) survivors are at an increased risk of suicide compared with the general population, but to the authors' knowledge very little is known regarding what factors are associated with this increased risk. The current study examined the prevalence of suicidal ideation (SI) and its association with cancer treatment and posttreatment physical and emotional health in a cohort of long-term PC survivors. METHODS A total of 693 PC survivors (3-8 years after diagnosis) completed a mailed survey on physical and psychological functioning, including cancer treatments, the Short Form-12 (SF-12), the Expanded Prostate Cancer Index Composite Instrument (EPIC-26), a depression rating scale, and 8 items regarding recent suicidal thoughts and behaviors. RESULTS A total of 86 PC survivors (12.4%) endorsed SI, with 10 individuals (1.4%) reporting serious SI. Serious SI was more common in this sample compared with age-adjusted and sex-adjusted normative data. SI was not associated with most demographic variables, or with PC stage or treatments. However, SI was found to be significantly associated with employment status, poor physical and emotional functioning, greater symptom burden on the EPIC-26, higher frequency of significant pain, and clinically significant depression (P < .01). In an adjusted logistic model, poor physical and emotional function, including disability status and pain, were found to be associated with SI (P < .05), even after adjusting for depression. CONCLUSIONS A significant percentage of PC survivors report recent SI, which is associated with both physical and psychological dysfunction, but not PC treatments. The results of the current study help to explain the increased risk of suicide previously reported in PC survivors and have important implications for identifying and treating those survivors at greatest risk of suicidality.
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Affiliation(s)
- Christopher J Recklitis
- Perini Family Survivors' Center, Dana-Farber Cancer Institute, Harvard Medical School, Boston, Massachusetts
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17
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Nicolaisen M, Müller S, Patel HRH, Hanssen TA. Quality of life and satisfaction with information after radical prostatectomy, radical external beam radiotherapy and postoperative radiotherapy: a long-term follow-up study. J Clin Nurs 2014; 23:3403-14. [DOI: 10.1111/jocn.12586] [Citation(s) in RCA: 19] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 02/10/2014] [Indexed: 11/30/2022]
Affiliation(s)
- Marianne Nicolaisen
- National Continence and Pelvic Floor Center of Norway; University Hospital of North Norway; Tromsø Norway
| | - Stig Müller
- Department of Urology; Akershus University Hospital; Lørenskog Norway
- Institute of Clinical Medicine; University of Oslo; Lørenskog Norway
| | - Hitendra RH Patel
- National Continence and Pelvic Floor Center of Norway; University Hospital of North Norway; Tromsø Norway
- Faculty of Health Sciences; University of Tromsø; Tromsø Norway
| | - Tove Aminda Hanssen
- Faculty of Health Sciences; University of Tromsø; Tromsø Norway
- Division of Cardiothoracic and Respiratory Medicine; University Hospital North Norway; Tromsø Norway
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18
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Bother problems in prostate cancer patients after curative treatment. Urol Oncol 2013; 31:1067-78. [DOI: 10.1016/j.urolonc.2011.12.020] [Citation(s) in RCA: 18] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/08/2011] [Revised: 12/22/2011] [Accepted: 12/23/2011] [Indexed: 11/23/2022]
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19
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Bromand Z, Temur-Erman S, Yesil R, Heredia Montesinos A, Aichberger MC, Kleiber D, Schouler-Ocak M, Heinz A, Kastrup MC, Rapp MA. Mental health of Turkish women in Germany: resilience and risk factors. Eur Psychiatry 2013; 27 Suppl 2:S17-21. [PMID: 22863245 DOI: 10.1016/s0924-9338(12)75703-6] [Citation(s) in RCA: 17] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/28/2022] Open
Abstract
BACKGROUND The purpose of the present study was to examine the protective and risk factors of mental distress among Turkish women living in Germany. METHOD 105 Turkish immigrant women living in Berlin were investigated with measures of extraversion/neuroticism (NEO-FFI), general self-efficacy (GSE), social support (BSSS), social strain (F-SOZU) and mental distress (GHQ-28). Interrelations between psychosocial variables were assessed using simple Pearson correlations. RESULTS In all subjects, social strain (Pearson's r=.26(**), p=.008) and neuroticism (r=.34(**), p<.001) were positively associated with mental distress. In contrast, perceived self-efficacy (r=-.38(**), p<.001) and extraversion (r=-.36(**), p<.001) were negatively associated with mental distress. CONCLUSION Protective factors such as extraversion and self-efficacy seem to have a buffering effect on the process of migration. However, in addition to neuroticism, social strain seems to be positively associated with mental distress.
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Affiliation(s)
- Z Bromand
- Department of Psychiatry and Psychotherapy at St Hedwig Hospital, Charité - University Medicine Berlin, Germany.
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20
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Post-radical-prostatectomy urinary incontinence: the management of concomitant bladder neck contracture. Adv Urol 2012; 2012:295798. [PMID: 22611382 PMCID: PMC3349276 DOI: 10.1155/2012/295798] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/29/2011] [Accepted: 02/29/2012] [Indexed: 11/18/2022] Open
Abstract
Urinary incontinence postradical prostatectomy is a common problem which adversely affects quality of life. Concomitant bladder neck contracture in the setting of postprostatectomy incontinence represents a challenging clinical problem. Postprostatectomy bladder neck contracture is frequently recurrent and makes surgical management of incontinence difficult. The aetiology of bladder neck contracture and what constitutes the optimum management strategy are controversial. Here we review the literature and also present our approach.
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21
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Effects of early pelvic-floor muscle exercise for sexual dysfunction in radical prostatectomy recipients. Cancer Nurs 2012; 35:106-14. [PMID: 21915042 DOI: 10.1097/ncc.0b013e3182277425] [Citation(s) in RCA: 21] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
Abstract
BACKGROUND Sexual dysfunction is common after radical prostatectomy (RP). Although pelvic-floor muscle exercise (PFME) has been recommended for sexual dysfunction, the optimal time for starting exercises after this surgery and the effects of exercise still need to be examined. OBJECTIVES The present study was intended to explore the prevalence of sexual dysfunction and to assess the efficacy of PFME in sexual dysfunction following RP. METHODS Participants were randomly distributed into an experimental group (n = 35) or a control group (n = 27). The experimental group took part in PFME as part of regular daily activities after catheter removal post-RP. The control group was taught the exercise in the third month after RP. We followed up the participants at 1, 3, 6, 9, and 12 months. RESULTS All of the patients experienced a severe degree of sexual dysfunction after receiving RP. A t test showed a significant difference in the sexual function mean score between the experimental and control groups at 6 and 12 months. A mixed-model analysis indicated that, after a controlled surgical approach, there was a significant difference in group effect. The experimental group's sexual function was better than the control group's sexual function. CONCLUSION This study demonstrates that early PFME is an effective intervention for sexual dysfunction in prostatectomy patients. The results can help healthcare providers to include this intervention in patients' discharge plans. IMPLICATIONS FOR PRACTICE Patient sexual dysfunction after an RP is common. Nurses should evaluate and manage patients' sexual dysfunction and promote the early return of patients' potency.
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22
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Differences in treatment-based beliefs and coping between African American and white men with prostate cancer. J Community Health 2011; 36:505-12. [PMID: 21107893 DOI: 10.1007/s10900-010-9334-6] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
Abstract
The purpose of the study was to explore racial differences related to treatment-based beliefs (trust in physician, physician bias, access to care, and self-efficacy) and coping (religious coping and social support). The study was conducted in a 33-county area located in southwest Georgia (SWGA). Men living in SWGA and newly diagnosed with prostate cancer were invited to participate in the study. Men were also required to be 75 years of age or younger at the beginning of the study and free of dementia. In collaboration with the Georgia Cancer Registry, potentially eligible participants were identified through pathology reports. Participants completed three interviews during a 12-month period post-diagnosis. The 320 participants in this analysis ranged in age from 44 to 75 years with a mean age of 63 years, and 42% were African American. After controlling for confounders, African American participants were more likely to report physician bias, financial problems with access to care, and use of religious coping strategies. These results, based on a largely rural patient population, support those of other studies noting differences in perception of care, access to care, and coping strategies between African American and white men with prostate cancer.
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Jayadevappa R, Malkowicz SB, Chhatre S, Johnson JC, Gallo JJ. The burden of depression in prostate cancer. Psychooncology 2011; 21:1338-45. [PMID: 21837637 DOI: 10.1002/pon.2032] [Citation(s) in RCA: 110] [Impact Index Per Article: 8.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/09/2011] [Revised: 06/05/2011] [Accepted: 06/08/2011] [Indexed: 11/07/2022]
Abstract
OBJECTIVE We sought to analyze the prevalence and incremental burden of depression among elderly with prostate cancer. METHODS We adopted a retrospective cohort design using the Surveillance, Epidemiology and End Results-Medicare linked database between 1995 and 2003. Patients with prostate cancer diagnosed between 1995 and 1998 were identified and followed retrospectively for 1 year pre-diagnosis and up to 8 years post diagnosis. In this cohort of patients with prostate cancer, depression during treatment phase (1 year after diagnosis of prostate cancer) or in the follow-up phase was identified using the International Classification of Diseases-Ninth Revision depression-related codes. Poisson, general linear (log-link) and Cox regression models were used to determine the association between depression status during treatment and follow-up phases and outcomes-health resource utilization, cost and mortality. RESULTS Of the 50,147 patients newly diagnosed with prostate cancer, 4285 (8.54%) had a diagnosis of depression. A diagnosis of depression during treatment phase was associated with higher odds of emergency room visits (odds ratio (OR) = 4.45, 95% CI = 4.13, 4.80), hospitalizations (OR = 3.22, CI = 3.08, 3.37), outpatient visits (OR = 1.71, CI = 1.67, 1.75) and excess risk of death over the course of the follow-up interval (hazard ratio = 2.82, CI = 2.60, 3.06). Health care costs associated with depression remained elevated compared with costs for men without depression, over the course of the follow-up. CONCLUSIONS Depression during the treatment phase was associated with significant health resource utilization, costs and mortality among men with prostate cancer. These findings emphasize the need to effectively identify and treat depression in the setting of prostate cancer.
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Affiliation(s)
- Ravishankar Jayadevappa
- Department of Medicine, University of Pennsylvania School of Medicine, Philadelphia, PA, USA.
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24
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Peterson AC, Chen Y. Patient reported incontinence after radical prostatectomy is more common than expected and not associated with the nerve sparing technique: Results from the center for prostate disease research (CPDR) database. Neurourol Urodyn 2011; 31:60-3. [DOI: 10.1002/nau.21189] [Citation(s) in RCA: 28] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/22/2011] [Accepted: 06/22/2011] [Indexed: 11/09/2022]
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Incontinence After Radical Prostatectomy: A Patient Centered Analysis and Implications for Preoperative Counseling. J Urol 2011; 186:204-8. [DOI: 10.1016/j.juro.2011.02.2698] [Citation(s) in RCA: 24] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/11/2010] [Indexed: 11/15/2022]
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Kinčius M, Matjošaitis AJ, Trumbeckas D, Mickevičius R, Milonas D, Jievaltas M. Independent predictors of biochemical recurrence after radical prostatectomy: a single center experience. Cent European J Urol 2011; 64:21-5. [PMID: 24578855 PMCID: PMC3921706 DOI: 10.5173/ceju.2011.01.art4] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/03/2010] [Revised: 01/14/2011] [Accepted: 01/18/2011] [Indexed: 11/22/2022] Open
Abstract
Introduction The aim of study was to establish pretreatment and postoperative factors which could predict the early biochemical recurrence after radical prostatectomy. Materials and method 754 patients had undergone radical prostatectomy since January 2002 to December 2008 in our department and were included in this prospective study. Exclusion criteria were: neoadjuvant or adjuvant treatment (radiation or hormonal treatment) and N+. Following parameters were evaluated: age, PSA at time of biopsy, time period from biopsy to operation, biopsy and postoperative Gleason score, stage, high grade intraepithelial neoplasias, perineural invasion. Biochemical recurrence was detected if PSA value after radical prostatectomy was ≥0.2 ng/ml. All factors likely to be predictive were evaluated by univariate analysis (Log-rank test). Multivariate analysis using Cox model was completed for all factors with p value <0.1 at univariate analysis. Results Final analysis was done using data of 496 patients. We detected 53 (10.7%) biochemical recurrences. Calculated actuarial biochemical recurrence free survival reached 64%. Multivariate analysis highlighted that PSA >10 ng/ml (HR 2.45, p = 0.008), pathological stage ≥pT3 (HR 2.371, p = 0.02), postoperative Gleason score ≥7 (HR 2.149, p = 0.049), positive surgical margins (HR 2.482, p = 0.014) and absence of high grade intraepithelial neoplasia in removed prostate (HR 0.358, p = 0.006) are independent factors influencing biochemical recurrence after radical prostatectomy. Conclusion Patients with higher PSA, locally advanced disease, positive surgical margins, and Gleason score ≥7 are at the highest risk for biochemical recurrence.
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Affiliation(s)
- Marius Kinčius
- Institute for Biomedical Research, Lithuanian University of Health Sciences, Kaunas, Lithuania ; Clinic of Urology, Lithuanian University of Health Sciences, Kaunas, Lithuania
| | | | - Darius Trumbeckas
- Clinic of Urology, Lithuanian University of Health Sciences, Kaunas, Lithuania
| | - Ramūnas Mickevičius
- Clinic of Urology, Lithuanian University of Health Sciences, Kaunas, Lithuania
| | - Daimantas Milonas
- Clinic of Urology, Lithuanian University of Health Sciences, Kaunas, Lithuania
| | - Mindaugas Jievaltas
- Clinic of Urology, Lithuanian University of Health Sciences, Kaunas, Lithuania
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Miaskowski C. Outcome measures to evaluate the effectiveness of pain management in older adults with cancer. Oncol Nurs Forum 2010; 37 Suppl:27-32. [PMID: 20797940 DOI: 10.1188/10.onf.s1.27-32] [Citation(s) in RCA: 10] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
PURPOSE/OBJECTIVES To identify the most appropriate outcome measures to determine the effectiveness of pain management plans in older adults with cancer. DATA SOURCES PubMed literature searches, medical and nursing textbooks, and clinical experience. DATA SYNTHESIS Unrelieved chronic pain can have a significant impact on older adults' activity levels and their ability to function. Hence, effective pain management in older adults requires a comprehensive approach, including assessment of functional outcomes. Because the goals of pain management are broad, healthcare professionals should use an array of functional outcome measures along with pain intensity ratings to better assess the effectiveness of analgesic medications. CONCLUSIONS Particularly in older adults, evaluation of functional outcomes provides a better indication of the effectiveness of pain management strategies than pain intensity ratings. Appropriate outcome measures for older adults in the outpatient setting include pain relief, physical functioning, emotional functioning, patients' ratings of global improvement and satisfaction with treatment, and symptoms and adverse effects associated with analgesic medications. IMPLICATIONS FOR NURSING Healthcare providers should manage pain in older adults with cancer in an interdisciplinary environment with pharmacologic and nonpharmacologic interventions. The primary goals are decreasing pain and improving function and quality of life.
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Affiliation(s)
- Christine Miaskowski
- Department of Physiological Nursing, University of California, San Francisco, USA.
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Elliott S, Latini DM, Walker LM, Wassersug R, Robinson JW, ADT Survivorship Working Group. Androgen Deprivation Therapy for Prostate Cancer: Recommendations to Improve Patient and Partner Quality of Life. J Sex Med 2010; 7:2996-3010. [DOI: 10.1111/j.1743-6109.2010.01902.x] [Citation(s) in RCA: 101] [Impact Index Per Article: 7.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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Abstract
BACKGROUND Depression is becoming an increasing concern in cancer patients because of its impact on quality of life. Although risk factors of having depression have been examined in the literature, there has been no research examining these factors in older African American cancer patients. OBJECTIVE This study explores the demographic and illness-related risk factors in older African American cancer patients. METHODS Two hundred eighty-three patients were recruited from outpatient oncology clinics. These older African American patients completed a questionnaire that included the Geriatric Depression Scale as well as sociodemographic characteristics and medical information. chi2 Tests, trend tests, and logistic regression were used to identify the demographic and illness-related factors that predict depression in the sample. RESULTS The overall prevalence of depression in the sample was 27.2%. Younger age (<65 years), employment status, proximity to family, and multiple symptoms due to cancer or treatment were independent predictors of depression. CONCLUSION This study represents the first attempt to describe the risk factors of depression within older African American cancer patients. Findings indicate a high prevalence of depression in African American cancer patients which can be attributed to identifiable risk factors. IMPLICATIONS FOR PRACTICE An understanding of the risk factors associated with depression can be used to identify those cancer patients at risk for depression and initiate early interventions to improve psychological outcomes and lessen the potential burden of cancer on these patients.
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