Treatment Regret, Mental and Physical Health Indicators of Psychosocial Well-Being among Prostate Cancer Survivors

Abstract

Prostate cancer (PCa) patients and survivors are at high risk of mental health illness. Here, we examined the contribution of treatment regret, mental and physical health indicators to the social/family, emotional, functional and spiritual well-being of PCa survivors. The study assessed 367 men with a history of PCa residing in the Maritimes Canada who were surveyed between 2017 and 2021. The outcomes were social/family, emotional, functional and spiritual well-being (FACT-P,FACIT-Sp). Predictor variables included urinary, bowel and sexual function (UCLA-PCI), physical and mental health (SF-12), and treatment regret. Logistic regression analyses were controlled for age, income, and survivorship time. Poor social/family, emotional, functional and spiritual well-being was identified among 54.4%, 26.5%, 49.9% and 63.8% of the men in the sample. Men who reported treatment regret had 3.62, 5.58, or 4.63 higher odds of poor social/family, emotional, and functional well-being, respectively. Men with low household income had 3.77 times higher odds for poor social/ well-being. Good mental health was a protective factor for poor social/family, emotional, functional, or spiritual well-being. Better physical and sexual health were protective factors for poor functional well-being. Seeking to promote PCa patients’ autonomy in treatment decisions and recognizing this process’ vulnerability in health care contexts is warranted.

Trajectory of Depression among Prostate Cancer Patients: A Secondary Analysis of a Randomized Controlled Trial

“…Research has demonstrated that a large proportion of patients with prostate cancer experience some regret after treatment, and this regret tends to increase over time [ 21 , 22 , 23 , 24 , 51 , 52 ]. Diefenbach and Mohamed (2009) found that prostate cancer survivors who were regretful about their treatment choice(s) had a lower quality of life compared to those who were not regretful [ 53 ].…”

“…Decision regret is the undesirable emotion of distress following a decision, and can manifest when the outcome of a decision is compared with the likely outcome of an unchosen alternative [ 17 , 18 ]. Thus, when a treatment decision is made in an uncertain or preference-sensitive situation, such as prostate cancer, it may lead to decision regret [ 9 , 17 , 19 , 20 , 21 , 22 , 23 , 24 ].…”

Impacts of psychological wellbeing with HIV/AIDS and cancer among sexual and gender minorities: A systematic review and meta-analysis

“…Cancer and HIV/AIDS are significant illnesses affecting contemporary population wellbeing ( 20 , 126 ). More effective technical strategies for HIV/AIDS and cancer do not exist at present.…”

Effect of Narrative Nursing Intervention Based on Targeted Nursing Intervention on Anxiety and Nursing Satisfaction of Patients with Malignant Tumors Undergoing Chemotherapy

“…In addition, after the targeted nursing intervention focused on narrative nursing, the patients could review their lives, feel their shinning spots in life again, and bring positiveness into the treatment, thereby building up confidence and a stronger attitude toward treatment [ 23 ]. Scholars Bradley et al found that targeted nursing can reduce patients' hostility and enable the patients to experience targeted psychological nursing, promote their trust in nursing personnel, and increase their positivity over treatment [ 24 ]. The study results showed that, after intervention, group A achieved 22.65 ± 2.68 points in the MCMQ score, which were significantly better than group B ( P < 0.05), proving that such nursing mode could change the anxious state of malignant tumor patients undergoing chemotherapy for them to take control of their own lives again and fully activate their positive quality; hence, patients in group A faced their difficulties with a more positive attitude.…”