How do prostate cancer patients navigate the active surveillance journey? A 3-year longitudinal study
| Autor: | Lara Bellardita, Paola Dordoni, Maria Francesca Alvisi, Tiziana Magnani, Letizia De Luca, Riccardo Valdagni, Julia Menichetti, Fabio Badenchini, Teresa Di Florio, C. Marenghi, Tiziana Rancati |
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| Rok vydání: | 2019 |
| Předmět: |
Adult
Male Longitudinal study media_common.quotation_subject Emotions Psychological intervention Learned helplessness Anxiety 03 medical and health sciences Prostate cancer 0302 clinical medicine Adaptation Psychological Medicine Humans 030212 general & internal medicine Longitudinal Studies Watchful Waiting media_common Aged business.industry Nursing research Fatalism Cancer Prostatic Neoplasms Middle Aged medicine.disease Self Concept Oncology 030220 oncology & carcinogenesis medicine.symptom business Clinical psychology Follow-Up Studies |
| Zdroj: | Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer. 29(2) |
| ISSN: | 1433-7339 |
| Popis: | To investigate whether prostate cancer (PCa) patients’ coping strategies (i.e., fighting spirit, anxious preoccupation, fatalism, helplessness/hopelessness, and avoidance) significantly change during the first 3-year follow-up period of active surveillance (AS). Altogether, 104 patients on AS completed the Mini-Mental Adjustment to Cancer (Mini-MAC) at baseline (T0), at 10 and 12 months after diagnostic biopsy (T1 and T2, respectively) and then at 24- (T3) and 36-month (T4) follow-up. Paired samples T test was used to detect statistically significant changes over time. Changes ≥ 1 point (or ≤ − 1) were hypothesized to be clinically relevant. During the first 3 years on AS, men experienced decreased anxiety, avoidance thoughts/behaviors, and fight-against-cancer attitudes, and these changes were found to be statistically significant. When considering clinically significant changes between inclusion in AS (T0) and 3-year follow-up (T4), avoidance decreased in 19% of patients. Most patients were observed to have adopted functional coping strategies at baseline, which were maintained through the first 3 years on AS. Overall, men on AS may perceive increasing control over their cancer and comfort with the AS protocol over time and experience slight decreases in anxious preoccupation, cancer-related avoidance thoughts and behaviors, and fight-against-cancer reactions. For those men who find it difficult to cope with AS, psychological monitoring and interventions could be helpful throughout the monitoring journey. |
| Databáze: | OpenAIRE |
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