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dc.contributor.authorOcchipinti, Stefano
dc.contributor.authorZajdlewicz, Leah
dc.contributor.authorCoughlin, Geoffrey D
dc.contributor.authorYaxley, John W
dc.contributor.authorDunglison, Nigel
dc.contributor.authorGardiner, Robert A
dc.contributor.authorChambers, Suzanne K
dc.date.accessioned2019-11-07T01:52:45Z
dc.date.available2019-11-07T01:52:45Z
dc.date.issued2019
dc.identifier.issn1057-9249
dc.identifier.doi10.1002/pon.5263
dc.identifier.urihttp://hdl.handle.net/10072/388950
dc.description.abstractBACKGROUND: Men treated for prostate cancer experience heightened psychological distress and have an increased risk of suicide. Management of this distress and risk is crucial for quality urological care. OBJECTIVE: To identify risk indicators for poorer trajectories of psychological adjustment and health-related quality of life after surgery for localised prostate cancer. DESIGN, SETTING AND PARTICIPANTS: Patients were newly diagnosed with localised prostate cancer scheduled for surgical treatment. Patients were assessed at baseline (pre-surgery), and 6 weeks, 3mo, 6mo, 12mo and 24mo post-surgery. MEASUREMENTS: Assessment measures included: sociodemographics, domain-specific and health-related quality of life, and psychological distress. Mixed effects regression models were used to analyse the data. RESULTS AND LIMITATIONS: A total of 233 patients provided data for this analysis (Mage = 60years, SD = 4.02; MPSA = 7.37 ng/ml). At baseline the prevalence of high psychological distress was 28% reducing to 21% at 24mo. Before treatment younger age, more comorbidities and worse bowel function were related to greater psychological distress; and younger age, and better urinary, sexual and bowel function were related to better health-related QOL. By contrast, for changes over time only bowel function was important with better bowel function predicting decreasing psychological distress for men. CONCLUSIONS: Regular distress screening is indicated over the 24mo after surgery for localised prostate cancer. Care pathways for men with prostate cancer need also to respond to age specific concerns and health problems associated with co-morbidities in aging men. Focussed symptom control for bowel bother should be a priority.
dc.description.peerreviewedYes
dc.description.sponsorshipThe Cancer Council Queensland
dc.languageEnglish
dc.language.isoeng
dc.publisherWiley Blackwell
dc.publisher.placeUnited Kingdom
dc.relation.ispartofjournalPsycho-Oncology
dc.subject.fieldofresearchClinical Sciences
dc.subject.fieldofresearchPsychology
dc.subject.fieldofresearchOncology and Carcinogenesis
dc.subject.fieldofresearchcode1103
dc.subject.fieldofresearchcode1701
dc.subject.fieldofresearchcode1112
dc.subject.keywordsProstate cancer
dc.subject.keywordsdistress, longitudinal
dc.subject.keywordsoncology, prostatectomy
dc.subject.keywordsquality of life
dc.titleA Prospective Study of Psychological Distress after Prostate Cancer Surgery
dc.typeJournal article
dc.type.descriptionC1 - Articles
dcterms.bibliographicCitationOcchipinti, S; Zajdlewicz, L; Coughlin, GD; Yaxley, JW; Dunglison, N; Gardiner, RA; Chambers, SK, A Prospective Study of Psychological Distress after Prostate Cancer Surgery., Psycho-Oncology, 2019
dcterms.dateAccepted2019-10-16
dc.date.updated2019-11-06T23:17:37Z
dc.description.versionAccepted Manuscript (AM)
gro.rights.copyright© 2019 John Wiley & Sons, Ltd. This is the peer reviewed version of the following article: A Prospective Study of Psychological Distress after Prostate Cancer Surgery, Psycho-Oncology, 2019, which has been published in final form at https://doi.org/10.1002/pon.5263. This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Self-Archiving (http://olabout.wiley.com/WileyCDA/Section/id-828039.html)
gro.hasfulltextFull Text
gro.griffith.authorOcchipinti, Stefano
gro.griffith.authorChambers, Suzanne K.
gro.griffith.authorGardiner, Robert A.


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