Body image predicts quality of life in men with prostate cancer

Taylor-Ford, Megan; Meyerowitz, Beth E.; D’Orazio, Lina M.; Christie, Kysa M.; Gross, Mitchell E.; Agus, David B.

doi:10.1002/pon.3063

Cited by 37 publications

(31 citation statements)

References 36 publications

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“…Similarly, studies by Colella and Gejerman (), Bell and Kazanjian (), Taylor‐Ford et al . () and Cockle‐Hearne et al . () have identified that issues of surveillance, late treatment effects, lifestyle and QoL factors assume significance in the survivorship period.…”

Section: Methodsmentioning

confidence: 91%

The impact of prostate cancer on men's everyday life

Appleton

Wyatt

Perkins

et al. 2014

Eur J Cancer Care (Engl)

115

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Prostate cancer impacts on the daily lives of men, particularly their physical and emotional health, relationships and social life. This paper highlights how men cope with disease and treatment and the strategies they employ to manage their diagnosis alongside daily life. Twenty-seven men were interviewed at different stages in their disease pathway: nine men prior to radiotherapy, eight men at 6-8 months post radiotherapy and 10 men at 12-18 months post radiotherapy. A grounded theory approach was used to collect and analyse the data. Regardless of the point at which they were interviewed four areas emerged as important to the men: the pathway to diagnosis; the diagnosis; the impact of prostate cancer and its treatment on daily life; and living with prostate cancer. Prostate cancer was diagnosed using the prostate-specific antigen (PSA) test, rectal examination and biopsy. Many men did not understand the consequences of a high PSA reading before they undertook the test. Painful investigative biopsies were viewed as the worst part of the disease experience. Radiotherapy was considered less invasive than other treatments, although preparatory regimes were associated with stress and inconvenience. Men used various strategies to deal with treatment-induced threats to their masculinity in the long term.

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Section: Methodsmentioning

confidence: 91%

The impact of prostate cancer on men's everyday life

Appleton

Wyatt

Perkins

et al. 2014

Eur J Cancer Care (Engl)

115

View full text Add to dashboard Cite

show abstract

“…In quantitative research, Fowler et al and Harrington et al found that PCa patients undergoing ADT have significantly higher body image concerns when compared with ADT‐naïve patients, and that body image issues were negatively correlated to quality of life (QoL) . In line with these results, a longitudinal study by Taylor‐Ford et al found that change in body image over time was a significant predictor of change in QOL amongst PCa patients on ADT …”

Section: Introductionmentioning

confidence: 91%

Body image issues and attitudes towards exercise amongst men undergoing androgen deprivation therapy (ADT) following diagnosis of prostate cancer

et al. 2019

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Background Androgen deprivation therapy (ADT) is an established treatment for prostate cancer (PCa), but its side‐effects can affect body appearance and functioning. However, research into the impact of ADT on body image is limited. Exercise can help patients to counterbalance some side‐effects, potentially improving body image too. However, adherence to exercise recommendations is low. Therefore, we explored body image after ADT and attitudes towards exercise. Methods Twenty two semi‐structured interviews were conducted with PCa patients receiving ADT (Mage = 67.9 years old, SD = 9.99). Results Participants expressed appearance dissatisfaction focusing on body feminization. Participants exercised to counterbalance ADT side‐effects and improve mood. Exercise also helped them to re‐establish a sense of control over their body and experience a sense of achievement. However, some men described being worried that their appearance and physical performance would be judged by others, so they often exercised alone or gave up exercise. Time management and fatigue were also identified as exercise barriers. Conclusion These findings highlight the need to further investigate body image concerns and exercise barriers in PCa patients undergoing ADT. These results could also inform support groups and health care professionals on the topic. However, further research should explore the most effective and acceptable ways to provide support to PCa patients on body image issues.

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“…Body image concerns are also associated with a large number of adverse psychosocial consequences. Across numerous disease sites, body image concerns are significantly correlated with higher levels of anxiety and depression (breast, colorectal), worse quality of life (breast, head and neck, prostate), and sexual functioning difficulties (breast, gynecological, testicular) …”

Section: Overview Of Body Image Research With Cancer Patientsmentioning

confidence: 99%

Managing body image difficulties of adult cancer patients: Lessons from available research

Fingeret

Teo

Epner

2013

Cancer

225

213

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Background Body image is a critical psychosocial issue for cancer patients as they often undergo significant changes to appearance and functioning. In this review article, our primary purpose was to identify empirically-supported approaches to treat body image difficulties of adult cancer patients that can be incorporated into high-quality comprehensive cancer care. Methods We provided an overview of theoretical models of body image relevant to cancer patients, and presented findings from published literature on body image and cancer from 2003–2013. We integrated these data with information from the patient-doctor communication literature to delineate a practical approach for assessing and treating body image concerns of adult cancer patients. Results Body image difficulties were found across patients with diverse cancer sites, and were most prevalent in the immediate postoperative and treatment period. Age, body mass index, and specific cancer treatments have been identified as potential risk factors for body image disturbance in cancer patients. Current evidence supports the use of time-limited cognitive-behavioral therapy interventions for addressing these difficulties. Other intervention strategies also show promise but require further study. We identified potential indicators of body image difficulties to alert healthcare professionals when to refer patients for psychosocial care, and proposed a framework for approaching conversations about body image that can be used by the oncologic treatment team. Conclusions Body image issues affect a wide array of cancer patients. Providers can use available evidence combined with information from the healthcare communication literature to develop practical strategies for treating body image concerns of cancer patients.

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Body image predicts quality of life in men with prostate cancer

Abstract: The present study demonstrates that body image is an important component of the prostate cancer experience. Findings suggest that body image has a meaningful association with QOL among prostate cancer survivors.

Cited by 37 publications

References 36 publications

The impact of prostate cancer on men's everyday life

The impact of prostate cancer on men's everyday life

Body image issues and attitudes towards exercise amongst men undergoing androgen deprivation therapy (ADT) following diagnosis of prostate cancer

Managing body image difficulties of adult cancer patients: Lessons from available research

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