Social constraints and psychological well-being after prostate cancer: A follow-up at 12 and 24 months after surgery

Karin Stinesen Kollberg, Thordis Thorsteinsdottir, Ulrica Wilderäng, Jonas Hugosson, Peter Wiklund, Anders Bjartell, Stefan Carlsson, Johan Stranne, Eva Haglind, Gunnar Steineck

Research output: Contribution to journalArticlepeer-review

10 Scopus citations

Abstract

Objective: Studies indicate that social constraints (barriers to emotional expression) may be a risk factor for psychological morbidity. We aimed to investigate the association between prostate cancer–related social constraints and psychological well-being following prostate cancer surgery. Methods: In a group of 3478 partnered patients, participating in the Laparoscopic Prostatectomy Robot Open trial, a prospective multicenter comparative study of robot-assisted laparoscopic and retropubic radical prostatectomy for prostate cancer, we used log-binomial regression analysis to investigate the links between prostate cancer–related social constraints at 3 months after surgery and psychological well-being at 12 and 24 months. Results: A total of 1086 and 1093 men reported low well-being at 12 and 24 months, respectively. Prostate cancer-related social constraints by partner predicted low psychological well-being at 12 months (adjusted RR: 1.4; 95% CI, 1.1-1.9) and by others (adjusted RR: 1.9; 95% CI, 1.1-3.5). Intrusive thoughts mediated the association. Conclusions: Negative responses from the social environment, especially from partner to talking about the prostate cancer experience affected patients' psychological well-being 2 years after radical prostatectomy. Results emphasize the importance of helping patients mobilize psychosocial resources within their social network, especially among those with a lack of quality psychosocial support.

Original languageEnglish
Pages (from-to)668-675
Number of pages8
JournalPsycho-Oncology
Volume27
Issue number2
DOIs
StatePublished - Feb 2018
Externally publishedYes

Keywords

  • cancer
  • oncology
  • partner
  • prostate cancer
  • psychological well-being
  • social constraints

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