Abstract：
:The aim of this prospective multi-centre study was to evaluate the level of psychological distress (PD) and adjustment to disease in patients who underwent radical prostatectomy. Furthermore, the impact of urinary incontinence and erectile dysfunction on PD was assessed. Anxiety, depression and PD were evaluated using the Hospital Anxiety and Depression Scale in 329 prostate cancer patients before surgery as well as 3, 6 and 12 months after surgery. These results were compared with those of a male German general population reference group. Adjustment to disease was assessed using the Perceived Adjustment to Chronic Illness Scale. Patients reported low levels of PD at all points of assessment similar to population norms of age-matched German men. Persistent PD was seen in about 8% of the patients and 20% had PD at least two of the measurement points. Relevant predictors for PD after surgery were urinary symptoms and baseline PD. Adjustment to disease was highest before surgery and had significantly reduced at 3 and 6 months after surgery. In general, men are resilient to the experience of localised prostate cancer and adjust well psychologically after surgery. However, between 8% and 20% of patients could possibly benefit from mental health support.
journal_name
Eur J Cancer Care (Engl)journal_title
European journal of cancer careauthors
Köhler N,Friedrich M,Gansera L,Holze S,Thiel R,Roth S,Rebmann U,Stolzenburg JU,Truss MC,Fahlenkamp D,Scholz HJ,Brähler Edoi
10.1111/ecc.12186subject
Has Abstractpub_date
2014-11-01 00:00:00pages
795-802issue
6eissn
0961-5423issn
1365-2354journal_volume
23pub_type
杂志文章,多中心研究abstract：:The objective of this study was to clarify the term 'palliative' in clinical oncology. A qualitative study design with in-depth interviews was applied. The study sample included 30 cancer patients and 16 physicians. In clinical oncology, the use of the term 'palliative' to describe both anticancer treatments and palli...
journal_title：European journal of cancer care
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