Care-related predictors for negative intrusive thoughts after prostate cancer diagnosis-data from the prospective LAPPRO trial.
Average rating
Cast your vote
You can rate an item by clicking the amount of stars they wish to award to this item.
When enough users have cast their vote on this item, the average rating will also be shown.
Star rating
Your vote was cast
Thank you for your feedback
Thank you for your feedback
Authors
Thorsteinsdottir, ThordisValdimarsdottir, Heiddis
Hauksdottir, Arna
Stranne, Johan
Wilderäng, Ulrica
Haglind, Eva
Steineck, Gunnar
Issue Date
2017-11
Metadata
Show full item recordCitation
Care-related predictors for negative intrusive thoughts after prostate cancer diagnosis-data from the prospective LAPPRO trial. 2017, 26 (11):1749-1757 PsychooncologyAbstract
Negative intrusive thoughts about one's prostate cancer have been associated with depressive mood and impaired quality of life among prostate cancer patients. However, little is known about possible predictors for negative intrusive thoughts among this group. We aimed to identify health- and care-related predictors for such thoughts among a population of men newly diagnosed with prostate cancer and undergoing radical prostatectomy.In the LAPPRO-trial, 3154 men (80%) answered study-specific questionnaires at admission and 3 months after surgery. Questions concerned socio-demographics, health, uncertainty, preparedness for symptoms, and the outcome-negative intrusive thoughts. Associations between variables were analyzed by log-binominal and multivariable approach.
The strongest predictor of negative intrusive thoughts at admission to surgery was uncertainty of cure, followed by binge drinking, poor physical health, antidepressant medication, not being prepared for urinary symptoms, age under 55, and physical pain. Reporting it not probable to obtain urinary symptoms after surgery lowered the odds. Negative intrusive thoughts before surgery were the strongest predictor for such thoughts 3 months later followed by uncertainty of cure, physical pain, younger age, living alone, and poor self-reported physical health.
Our findings showed an association of preoperative uncertainty of cure as well as low preparedness for well-known surgery-induced symptoms with higher occurrence of negative intrusive thoughts about prostate cancer. Future studies should examine if interventions designed to have healthcare professionals inform patients about their upcoming prostatectomy reduce patients' negative intrusive thoughts and thereby, improve their psychological well-being.
Description
To access publisher's full text version of this article click on the hyperlink belowAdditional Links
http://onlinelibrary.wiley.com/doi/10.1002/pon.4359/epdfRights
Archived with thanks to Psycho-oncologyae974a485f413a2113503eed53cd6c53
10.1002/pon.4359
Scopus Count
Collections
Related articles
- Intrusive thoughts and quality of life among men with prostate cancer before and three months after surgery.
- Authors: Thorsteinsdottir T, Hedelin M, Stranne J, Valdimarsdóttir H, Wilderäng U, Haglind E, Steineck G, LAPPROSteering Committee.
- Issue date: 2013 Sep 11
- Habits and self-assessed quality of life, negative intrusive thoughts and depressed mood in patients with prostate cancer: a longitudinal study.
- Authors: Bock D, Angenete E, Bjartell A, Carlsson S, Steineck G, Stranne J, Thorsteinsdottir T, Wiklund P, Haglind E
- Issue date: 2017 Oct
- Thinking about one's own death after prostate-cancer diagnosis.
- Authors: Thorsteinsdottir TK, Valdimarsdottir H, Stranne J, Wilderäng U, Haglind E, Steineck G
- Issue date: 2018 May
- Do negative intrusive thoughts at diagnosis predict impaired quality of life, depressed mood and waking up with anxiety 3, 12 and 24 months after radical prostatectomy? - a longitudinal study.
- Authors: Bock D, Angenete E, Asplund D, Bjartell A, Carlsson S, Hugosson J, Stinesen Kollberg K, Lantz A, Nilsson H, Prytz M, Steineck G, Thorsteinsdottir T, Wiklund P, Haglind E
- Issue date: 2020 Jun
- Social constraints and psychological well-being after prostate cancer: A follow-up at 12 and 24 months after surgery.
- Authors: Stinesen Kollberg K, Thorsteinsdottir T, Wilderäng U, Hugosson J, Wiklund P, Bjartell A, Carlsson S, Stranne J, Haglind E, Steineck G
- Issue date: 2018 Feb