An Examination of the Relationship between Mental Distress, Functional and Psychosocial Quality of Life Indicators in a Population Based Sample of Prostate Cancer Survivors Who Received Curative Treatment

Ilie, Gabriela; MacDonald, Marjorie; Bell, David; Rendon, Ricardo; Langille, Gavin; Bailly, Greg; Mason, Ross; Bowes, David; Wilke, Derek; Patil, Nikhilesh; Lawen, Joseph; Grantmyre, John; Thompson, Robert L.; MacDonald, Cathy; O’Malley, Padraic; Pan, Li; Bagnell, Scott; Campbell, Holly A; Acker, Matthew R.; Massaro, Peter; Padmore, Dave E.; Rutledge, Robert

doi:10.1097/upj.0000000000000104

Cited by 10 publications

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“…These results are important because, taken together with other recent reports in the literature, they point out to a need that is currently unacknowledged and unaddressed in PCa survivorship care plans throughout Canada or elsewhere in the world (5-7, 49, 55). Leaving mental health needs unattended leads to poor quality of life among PCa survivors, poor oncological outcomes, and could potentially burden health care systems (6)(7)(8)(9)(10)(11). In light of the current and recent studies, the necessity of assessing patients' needs as they emerge after the diagnosis and treatment, understanding the role treatment modalities play in their development, and creating survivorship care plans that address these needs including earlier interventions in the form of pre-habilitation as well as survivorship programs is evident (11,20,57,58).…”

Section: Discussionmentioning

confidence: 99%

“…The rise in PCa incidence with increased age combined with low PCa mortality have important implications for the Canadian healthcare system (11)(12)(13). Men with co-occurring Abbreviations: PCa, prostate cancer; CLSA, Canadian Longitudinal Study on Aging.…”

Section: Introductionmentioning

confidence: 99%

“…depression and PCa are more likely to have worse quality of life, short and long term, increased risk of multimorbidity (e.g., cardiovascular disease and diabetes), increased mortality, and higher healthcare utilization than men in the general population (9,10). Hence, examining and understanding the mechanisms behind the association between mental health outcomes and PCa survivorship is a health priority (1,(5)(6)(7)(10)(11)(12).…”

Section: Introductionmentioning

confidence: 99%

“…The rise in PCa incidence with increased age combined with low PCa mortality have important implications for the Canadian healthcare system ( 11 – 13 ). Men with co-occurring depression and PCa are more likely to have worse quality of life, short and long term, increased risk of multimorbidity (e.g., cardiovascular disease and diabetes), increased mortality, and higher healthcare utilization than men in the general population ( 9 , 10 ).…”

Section: Introductionmentioning

confidence: 99%

“…In the past few years, we have seen an increase in the number of studies that are beginning to assess the role of psychosocial factors on the mental health and quality of life of prostate cancer survivors ( 11 , 20 ). For example, a study looking at prostate cancer survivorship among married men (or currently in a relationship) who had undergone surgery for their prostate cancer diagnosis, found that 16.2% of the men in the sample also screened positive for psychological distress ( 20 ).…”

Section: Introductionmentioning

confidence: 99%

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Assessment of Current Mental Health Status in a Population-Based Sample of Canadian Men With and Without a History of Prostate Cancer Diagnosis: An Analysis of the Canadian Longitudinal Study on Aging (CLSA)

et al. 2020

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Background: Small-scale studies indicate an increase in mental health disorders among prostate cancer survivors compared to the general population, but large population-based data assessing this relationship are scarce. The present study examined the prevalence of lifetime history of prostate cancer in a cross-sectional sample of Canadian men and assessed the contribution of lifetime history of a prostate cancer diagnosis, multimorbidity, and current alcohol and smoking status to the association with current mental health outcomes in this population.Methods: The analytical sample included 25,183 men (aged 45 to 85 years old), who completed a survey as part of the Canadian Longitudinal Study on Aging (CLSA). The Center for Epidemiological Studies Depression Scale (CES-D10), Kessler's Psychological Distress Scale (K10), and self-reported mental health were mental health outcomes. Multiple logistic regression analyses, and controlling for the complexity of the design and covariates, evaluated the association between prostate cancer survivorship, multimorbidity, alcohol and smoking status, and current mental health outcomes.Results: The prevalence of lifetime history of prostate cancer diagnosis in this population-based sample of men was 4% (95% CI: 3.7, 4.4). Our results indicate statistically significantly higher odds of current psychological distress (aOR = 1.52, 95% CI: 1.09, 2.11) and screening positive for depression (aOR = 1.24; 95% CI: 1.02, 1.51) among survivors of prostate cancer, compared to men without a history of prostate cancer diagnosis in demographics controlled analyses. After addition of multimorbidity and substance use, the odds of screening positive for depression among survivors of prostate cancer are 1.32 (95% CI: 1.06, 1.64) higher compared to men who never had a history of prostate cancer diagnosis.Interpretation: Patient education and empowerment programs aimed at addressing concerns during the diagnosis and treatment and enhancing survivorship care plans by adding routine screening for mental distress to help survivors overcome poor mental health during the cancer survivorship journey, are warranted.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Assessment of Current Mental Health Status in a Population-Based Sample of Canadian Men With and Without a History of Prostate Cancer Diagnosis: An Analysis of the Canadian Longitudinal Study on Aging (CLSA)

et al. 2020

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Psychoeducational Intervention for Pain, Psychological Distress, Hope, and Post-traumatic Growth Among Breast Cancer Patients During Chemotherapy: A Pilot Randomized Controlled Trial

Arefian,

Asgari-Mobarakeh

2024

Pain Management Nursing

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An Examination of the Role of Socioeconomic Status in the Relationship between Depression and Prostate Cancer Survivorship in a Population-Based Sample of Men from Atlantic Canada

2021

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Objective: Prostate and skin cancer are among the most prevalent forms of cancer among men and have favorable survival rates compared to other, more aggressive forms of cancers. Recent studies have shown that the odds of depression among men with a lifetime history of prostate cancer are higher compared to men without a lifetime history of prostate cancer. Here we extend previous findings and examine the role of socioeconomic status in the relationship between depression and cancer survivorship status in a population-based sample of men from Atlantic Canada. Methods: A cross-sectional analysis was conducted on a subsample of 6,585 male participants aged 49–69 years from the 2009–2015 survey cycle of the Atlantic PATH study. The primary outcome was screening positive for mild, moderate or severe depression using the Patient Health Questionnaire (PHQ-9). The main predictor variable was cancer survivorship status (the presence of a lifetime history of prostate cancer, skin cancer, forms of cancer other than prostate or skin cancer, or absence of a lifetime cancer diagnosis). Covariates included age, education, marital status, household income, province, ethnicity, comorbidity, and survivorship time. Results: An estimated 14.7% of men in this sample screened positive for mild, moderate or severe depression. Men with a history of prostate cancer were 2.60 (95% CI: 1.02, 6.65) times more likely to screen positive for depression than men with a history of any other form of cancer. The odds ratios were 10.23 (95% CI: 2.82, 37.49) or 4.00 (95% CI: 1.20, 13.34) times higher for survivors of prostate or skin cancer who reported a low household income to screen positive for depression compared to men with a history of any other form of cancer and high household income. Conclusions: These results extend current evidence of the association between prostate cancer survivorship and depression compared with men who never had a history of cancer diagnosis by indicating that this association still stands when the survivors of prostate cancer are compared to survivors of any other form of cancer, and further indicates that this association is moderated by household income. The findings highlight the importance of delivering mental health screening and support to prostate cancer survivors during the cancer journey, especially those with low household incomes.

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An Examination of the Relationship between Mental Distress, Functional and Psychosocial Quality of Life Indicators in a Population Based Sample of Prostate Cancer Survivors Who Received Curative Treatment

Cited by 10 publications

References 0 publications

Assessment of Current Mental Health Status in a Population-Based Sample of Canadian Men With and Without a History of Prostate Cancer Diagnosis: An Analysis of the Canadian Longitudinal Study on Aging (CLSA)

Assessment of Current Mental Health Status in a Population-Based Sample of Canadian Men With and Without a History of Prostate Cancer Diagnosis: An Analysis of the Canadian Longitudinal Study on Aging (CLSA)

Psychoeducational Intervention for Pain, Psychological Distress, Hope, and Post-traumatic Growth Among Breast Cancer Patients During Chemotherapy: A Pilot Randomized Controlled Trial

An Examination of the Role of Socioeconomic Status in the Relationship between Depression and Prostate Cancer Survivorship in a Population-Based Sample of Men from Atlantic Canada

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