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Social constraints and psychological well-being after prostate cancer: A follow-up at 12 and 24 months after surgery.

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Title:	Social constraints and psychological well-being after prostate cancer: A follow-up at 12 and 24 months after surgery.
Authors:	Stinesen Kollberg, Karin, Thorsteinsdottir, Thordis, Wilderäng, Ulrica, Hugosson, Jonas, Wiklund, Peter, Bjartell, Anders, Carlsson, Stefan, Stranne, Johan, Haglind, Eva, Steineck, Gunnar
Source:	Psycho-Oncology. Feb2018, Vol. 27 Issue 2, p668-675. 8p. 1 Diagram, 2 Charts.
Subjects:	Mental health, Quality of life, Laparoscopy, Longitudinal method, Prostate tumors, Prostatectomy, Satisfaction, Surgical robots
Abstract:	Objective: Studies indicate that social constraints (barriers to emotional expression) may be a risk factor for psychological morbidity. We aimed to investigate the association between prostate cancer-related social constraints and psychological well-being following prostate cancer surgery.Methods: In a group of 3478 partnered patients, participating in the Laparoscopic Prostatectomy Robot Open trial, a prospective multicenter comparative study of robot-assisted laparoscopic and retropubic radical prostatectomy for prostate cancer, we used log-binomial regression analysis to investigate the links between prostate cancer-related social constraints at 3 months after surgery and psychological well-being at 12 and 24 months.Results: A total of 1086 and 1093 men reported low well-being at 12 and 24 months, respectively. Prostate cancer-related social constraints by partner predicted low psychological well-being at 12 months (adjusted RR: 1.4; 95% CI, 1.1-1.9) and by others (adjusted RR: 1.9; 95% CI, 1.1-3.5). Intrusive thoughts mediated the association.Conclusions: Negative responses from the social environment, especially from partner to talking about the prostate cancer experience affected patients' psychological well-being 2 years after radical prostatectomy. Results emphasize the importance of helping patients mobilize psychosocial resources within their social network, especially among those with a lack of quality psychosocial support. [ABSTRACT FROM AUTHOR]
	Copyright of Psycho-Oncology is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database:	Psychology and Behavioral Sciences Collection
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