To tell or not to tell: patterns of disclosure among men with prostate cancer

Gray, Ross E.; Fitch, Margaret I.; Phillips, Catherine; Labrecque, Manon; Fergus, Karen

doi:10.1002/1099-1611(200007/08)9:4<273::aid-pon463>3.0.co;2-f

Cited by 188 publications

(179 citation statements)

References 15 publications

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“…41 Some studies have identified barriers men put up to limit expression of their distress about sexual dysfunction. Gray et al 42 reported men's tendency to work hard not to be vulnerable. Wall and Kristjanson 43 advance a theory that men's response to prostate cancer treatment sequelae is mediated by the way in which masculinity is learned by men in Western culture.…”

Section: Resultsmentioning

confidence: 99%

“…Other researchers make similar observations. 42 Based on their research, Wall and Kristjanson 43 propose a new flexible construct for masculinity that is less absolute, more dynamic and designed to promote coping based on context.…”

Section: Resultsmentioning

confidence: 99%

“…Communication within the couple is reported as an area of difficulty because couples often do not share their concerns; men and women report different needs for intimacy and guidance about recovery from treatment. 42,[60][61][62] The trajectory of coping may be different for patients and partners. Couper et al 63 found in a sample of 103 survivors and 103 partners that partners' rates of depression, distress and anxiety (per criteria Diagnostic and Statistical Manual of Mental Disorders 4th edition) were higher than those of the patients and the general Australian population.…”

Section: Resultsmentioning

confidence: 99%

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The psychosocial aspects of sexual recovery after prostate cancer treatment

et al. 2009

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Prostate cancer affects one in six American men. Erectile and sexual dysfunctions are long-term side effects of prostate cancer treatment. PubMed database was searched for papers on prostate cancer-related sexual recovery for men and couples. The search yielded articles on (1) the treatment of erectile dysfunction, (2) men's psychological and culturally diverse adaptation to the sexual side effects; (3) the impact of prostate cancer on couples' relationships; and (4) interventions to promote sexual function. Erectile dysfunction after prostate cancer treatment has been widely studied.Research on the sexual recovery of men and couples or understanding it in a cultural context is scarce. Greater focus on the impact of sexual sequelae of prostate cancer treatment on men as well as couples in diverse groups is needed. Clinical implications for treating sexual dysfunction and promoting sexual recovery for prostate cancer survivors and their partners are discussed. Recommendations for future research are provided.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

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The psychosocial aspects of sexual recovery after prostate cancer treatment

et al. 2009

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“…This raises questions about whether there might be improvements needed to existing psychosexual services and how best to facilitate 4 men's access to health care if they experience problems [22,23]. Empirical evidence supports a popular belief that men encounter difficulties disclosing psychological difficulties during consultations [8,[24][25][26]. Health care seeking for mental health difficulties has been described as being particularly challenging to masculinities [27,28], which may exacerbate problems in identifying and addressing patients' psychosexual needs.…”

Section: Introductionmentioning

confidence: 99%

“I wish I’d told them”: A qualitative study examining the unmet psychosexual needs of prostate cancer patients during follow-up after treatment

O’Brien

Rose

Campbell

et al. 2011

Patient Education and Counseling

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“…Doctors often learn of their patients' distress from spouses, who also have high levels of distress. 3,20 Distress also may manifest as complaints of physical symptoms rather than acknowledging the psychological origin of these complaints. Perhaps most commonly, men with prostate cancer express their anxiety through concerns about their prostate specific antigen (PSA) levels.…”

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confidence: 99%

The Memorial Anxiety Scale for Prostate Cancer

Roth

Rosenfeld

Kornblith

et al. 2003

Cancer

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BACKGROUNDThe psychological difficulties facing men with prostate cancer are acknowledged widely, yet identifying men who may benefit from mental health treatment has proven to be a challenging task. The authors developed the Memorial Anxiety Scale for Prostate Cancer (MAX‐PC) to facilitate the identification and assessment of men with prostate cancer‐related anxiety. This scale consists of three subscales that measure general prostate cancer anxiety, anxiety related to prostate specific antigen (PSA) levels in particular, and fear of recurrence.METHODSAmbulatory men with prostate cancer (n = 385 patients) were recruited from clinics throughout the United States. Prior to routine PSA tests, participants completed a baseline assessment packet that included the Hospital Anxiety and Depression Scale; the Distress Thermometer; the Functional Assessment of Cancer Therapy Scale, Prostate Module; and measures of role functioning, sleep, and urinary functioning. PSA values from the last three tests also were collected. Follow‐up evaluation was completed within 2 weeks after patients learned of their PSA test result using a subset of these scales.RESULTSAnalysis of the MAX‐PC revealed a high degree of internal consistency and test‐retest reliability for the total score and for the three subscales, although reliability was somewhat weaker for the PSA Anxiety Scale. Concurrent validity was demonstrated by correlations between the MAX‐PC and measures of anxiety. Overall changes in PSA levels were correlated only modestly with changes in MAX‐PC scores (correlation coefficient, 0.13; P = 0.02).CONCLUSIONSThe MAX‐PC appears to be a valid and reliable measure of anxiety in men with prostate cancer receiving ambulatory care. Cancer 2003;97:2910–8. © 2003 American Cancer Society.DOI 10.1002/cncr.11386

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To tell or not to tell: patterns of disclosure among men with prostate cancer

Cited by 188 publications

References 15 publications

The psychosocial aspects of sexual recovery after prostate cancer treatment

The psychosocial aspects of sexual recovery after prostate cancer treatment

“I wish I’d told them”: A qualitative study examining the unmet psychosexual needs of prostate cancer patients during follow-up after treatment

The Memorial Anxiety Scale for Prostate Cancer

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