Comparing a genetic and a psychological factor as correlates of anxiety, depression, and chronic stress in men with prostate cancer

Sharpley, Christopher F.; Christie, David; Bitsika, Vicki; Andronicos, Nicholas M.; Agnew, Linda L.; Richards, Timothy M.; McMillan, Mary

doi:10.1007/s00520-018-4183-4

Cited by 19 publications

(19 citation statements)

References 35 publications

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“…regarding the former of these associations in PCa patients, 4,18,19 there is little evidence of the latter effect. Investigation of both of these associations represents a relatively new field of enquiry in the PCa field that has the potential to contribute to the development of individualised resilience training when needed by these men.…”

Section: Introductionmentioning

confidence: 97%

Section: Introductionmentioning

confidence: 99%

“…Thus, PR may have two associations with stress: first, as a ‘buffer’ against the depressive effects of stress, and second, in the way that stress builds PR (i.e., ‘steeling’). While there is substantial literature regarding the former of these associations in PCa patients, 4,18,19 there is little evidence of the latter effect. Investigation of both of these associations represents a relatively new field of enquiry in the PCa field that has the potential to contribute to the development of individualised resilience training when needed by these men.…”

Section: Introductionmentioning

confidence: 99%

“…Although between 14% 1 and 27% 2 of prostate cancer (PCa) patients report being depressed, due at least in part from the stress of diagnosis and treatment for PCa, 3 there is evidence that psychological resilience (PR) can 'buffer' the association between stress and depression in these men. [4][5][6][7] The association between stress and PR itself may also be of interest because Rutter [8][9][10] suggested that experiencing adverse events could actually increase later resilience, an effect that he referred to as 'steeling' (p. 337). 10 Support for this hypothesis comes from studies of children who experienced moderate stress (such as bad grades in school, arguments with parent, frequent teasing by peers) but who were less likely to become depressed in adolescence 11 ; similar findings were reported for breast cancer survivors who had been exposed to previous moderate life stress.…”

Section: Introductionmentioning

confidence: 99%

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‘Steeling’ effects in the association between psychological resilience and cancer treatment in prostate cancer patients

2020

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Objective To test the ‘buffering’ effect of psychological resilience (PR) upon depression in prostate cancer patients and to also investigate any effects that past or current treatment may have had upon patients' PR as a test of the ‘steeling’ hypothesis of past adversity upon future resilience. Methods A total of 576 volunteer prostate cancer patients completed questionnaires about their demographic and treatment variables, and their psychological resilience and depression. Factor analysis was used to identify the underlying components of the resilience measure. Results PR was confirmed as an inverse correlate of depression in these men. Additionally, some past and current treatments were found to be significantly associated with patients' psychological resilience in a way suggestive of ‘steeling’ effects. Conclusion These data provide support for the model of PR as being influenced by past experiences of adversity and demonstrate that association for prostate cancer patients.

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Section: Introductionmentioning

confidence: 97%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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‘Steeling’ effects in the association between psychological resilience and cancer treatment in prostate cancer patients

2020

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“…Depression and anxiety are considered emotional symptoms that together may provide a multifaceted description of the psychological distress experienced by PC patients (SHARPLEY et al, 2018). Moreover, the surgical treatment of PC is usually influenced by the onset of these symptoms, especially when they are related to surgical side effects such as extended hospitalization periods, pain, sexual dysfunction and urinary incontinence (PASTORE et al, 2018).…”

Section: Introductionmentioning

confidence: 99%

Evaluation of anxiety, depression and stress symptoms in men with prostate cancer during the preoperative period

Dias¹,

Silva²,

Baliana³

et al. 2020

Biosci. J.

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Prostate cancer is the second most common type of cancer among men, being considered a cancer of the elderly because about three quarters of cases worldwide occur in individuals aged 65 and over. Anxiety, depression and stress are three emotional states understood as psychological morbidity factors, and they interfere with the patient's adaptation to the diagnosis. The present study aimed to identify anxiety, depression and stress levels in men with prostate cancer, describing sociodemographic and clinical characteristics and investigating whether the influence of such characteristics on the emotional symptoms of patients is significant. Cross-sectional study with a quantitative approach performed in two public hospitals with patients preoperatively for prostatectomy. Two instruments were used, one covering sociodemographic and clinical aspects of the patients, and the other was the Depression Anxiety and Stress Scale (DASS-21)-Short Form. In the statistical analysis, the Pearson correlation test and the Mann-Whitney U test were used to evaluate the variables of interest, considering the significance level of 0.05. As a preliminary study, 31 patients were interviewed. The results indicated a predominant age of 60 years or older (72.4%), 71% of men had low level of education, and 51.6% did not have partner. The mean scores obtained in the DASS-21 were 2.84 (SD = 3.925) for depression; 3.68 (SD = 3.655) for anxiety; and 6.71 (SD = 6.92) for stress. The results revealed no significant correlation between these constructs and the variables of interest. However, a descriptive analysis of the data showed a minimal correlation of anxiety (r = 0.191) and stress (r = 0.149) with the numerical variable time since diagnosis. In conclusion, the results presented important questions related to prostate cancer diagnosis, involving patients' marital status, religion and cancer staging.

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Psychological resilience and cortisol levels in adults: A systematic review

Aizpurua‐Perez,

Arregi,

Labaka

et al. 2023

American J Hum Biol

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Resilience or the capacity to “bend but not break” refers to the ability to maintain or regain psychobiological equilibrium during or after exposure to stressful life events. Specifically, resilience has been proposed as a potential resource for staving off pathological states that often emerge after exposure to repeated stress and that are related to alterations in circulating cortisol.The aim of this systematic review of the literature was to gather evidence related to the relationship between psychological resilience and cortisol levels in adult humans.An extensive systematic search was carried out following the Preferred Reporting Items for Systematic Reviews and Meta‐Analyses (PRISMA) method in the PubMed and Web of Science databases. In total, 1256 articles were identified and, of these, 35 peer‐reviewed articles were included in the systematic review.We categorized findings according to (1) the short and long‐term secretion period covered by the cortisol matrices selected by studies and also according to (2) the differentiated diurnal, phasic (acute), and tonic (basal) components of the HPA output to which they refer and their relationships with resilience. Reported relationships between psychological resilience and distinct cortisol output parameters varied widely across studies, finding positive, negative, and null associations between the two variables. Notably, several of the studies that found no relationship between resilience and cortisol used a single morning saliva or plasma sample as their assessment of HPA axis activity.Despite limitations such as the great variability of the instruments and methods used by the studies to measure both resilience and cortisol, together with their high heterogeneity and small sample sizes, the evidence found in this systematic review points to the potential of resilience as a modifiable key factor to modulate the physiological response to stress. Therefore, further exploration of the interaction between the two variables is necessary for the eventual development of future interventions aimed at promoting resilience as an essential component of health prevention.

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Comparing a genetic and a psychological factor as correlates of anxiety, depression, and chronic stress in men with prostate cancer

Abstract: Each of these two factors may provide valuable information regarding the vulnerability of PCa patients to anxiety, depression, or chronic stress. Suggestions are made for their inclusion in clinical settings.

Cited by 19 publications

References 35 publications

‘Steeling’ effects in the association between psychological resilience and cancer treatment in prostate cancer patients

‘Steeling’ effects in the association between psychological resilience and cancer treatment in prostate cancer patients

Evaluation of anxiety, depression and stress symptoms in men with prostate cancer during the preoperative period

Psychological resilience and cortisol levels in adults: A systematic review

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