Anxiety and depression associated with a positive prostate biopsy result: A comparative, prospective cohort study

Şefik, Ertuğrul; Günlüsoy, Bülent; Eker, Anıl; Çelik, Serdar; Ceylan, Yasin; Köşkderelioğlu, Aslı; Basmacı, İsmail; Değirmenci, Tansu

doi:10.1590/s1677-5538.ibju.2019.0719

Cited by 4 publications

(1 citation statement)

References 24 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Twelve per cent of patients started with low mental health at the time of diagnosis but recovered 6 months after the event, suggesting that discomfort was likely generated by the cancer event and the uncertainties on the care path for these patients. Indeed, it can be hypothesised that after the patient has come to terms with the diagnosis [ 30 ] and has reached an agreement with health care professionals about treatment [ 10 ], he perceives less stress and, as a result, shows lower anxiety and better coping strategies (i.e., the constantly changing cognitive and behavioural efforts to manage specific external and/or internal demands) [ 6 , 31 , 32 , 33 ]. Most acute prevalences of depression, anxiety and psychological distress seem to occur before and after the conclusion of treatment, with possible negative impacts on QoL [ 7 ].…”

Section: Discussionmentioning

confidence: 99%

Patient-Factors Influencing the 2-Year Trajectory of Mental and Physical Health in Prostate Cancer Patients

et al. 2022

View full text Add to dashboard Cite

This study aimed to examine the physical and mental Quality of Life (QoL) trajectories in prostate cancer (PCa) patients participating in the Pros-IT CNR study. QoL was assessed using the Physical (PCS) and Mental Component Score (MCS) of Short-Form Health Survey upon diagnosis and two years later. Growth mixture models were applied on 1158 patients and 3 trajectories over time were identified for MCS: 75% of patients had constantly high scores, 13% had permanently low scores and 12% starting with low scores had a recovery; the predictors that differentiated the trajectories were age, comorbidities, a family history of PCa, and the bowel, urinary and sexual functional scores at diagnosis. In the physical domain, 2 trajectories were defined: 85% of patients had constantly high scores, while 15% started with low scores and had a further slight decrease. Two years after diagnosis, the psychological and physical status was moderately compromised in more than 10% of PCa patients. For mental health, the trajectory analysis suggested that following the compromised patients at diagnosis until treatment could allow identification of those more vulnerable, for which a level 2 intervention with support from a non-oncology team supervised by a clinical psychologist could be of help.

show abstract

Section: Discussionmentioning

confidence: 99%

Patient-Factors Influencing the 2-Year Trajectory of Mental and Physical Health in Prostate Cancer Patients

et al. 2022

View full text Add to dashboard Cite

show abstract

The association between patient characteristics, psychological distress, and coping in the diagnostic phase of prostate cancer – A cross-sectional multicenter study

Søndergaard,

Lode,

Husebø

et al. 2024

European Journal of Oncology Nursing

View full text Add to dashboard Cite

Editorial Comment: Anxiety and depression associated with a positive prostate biopsy result: A comparative, prospective cohort study

Diniz

2020

Int. braz j urol.

View full text Add to dashboard Cite

Developed in the 1970s, transrectal ultrasound of the prostate applied to biopsy of that organ started to be used more widely in the 1980s (1, 2). In that decade, the use of this technology among renowned teams allowed great knowledge to be acquired about prostate anatomy, the procedure and complications (3, 4). Much has been changed since then, devices have developed substantially, new imaging methods have been added, protocols and guidelines have been outlined for the proper use of this diagnostic tool. So, after more than 30 years of publications, the most skeptical of urologists would say that this science is exhausted, and no other paper could emerge on this topic. With great satisfaction, the International Brazilian Journal of Urology once again brings to our dear readers an assessment of prostate biopsy guided by ultrasound from a different perspective. In previous editions, new data about complications of the procedure (5) and evaluation of the pain pattern in different methods of sample acquisition (6) were presented. In this issue we bring you an article that discusses the mood disorders associated with biopsy and positive results. The wide access and use of screening methods, made part of our actions somewhat mythical. The lack of real understanding about PSA and all the taboos inherent to digital rectal examination, together are enough to create a fog of doubt and fear among men in the age group for screening. In other areas of oncology, where screening methods are possible, patients also face similar challenges before diagnosis; and once it is done, a storm of dubious thoughts sets in their minds and souls. Among women, confirmation of a breast cancer or a cervical and its treatment may impact on self-image and sexual concerns which may lead to mood disorders and worsening quality of life (7-10). Likewise, a positive diagnosis through colonoscopic screening for malignancies can bring countless questions to the patient who, without assertive information or even without adequate support, can develop anxiety or depression (11). In the present study Sefik et al. demonstrated that, before biopsy, levels of anxiety and depression measured were correlated with serum levels of PSA. Demonstrating one of the negative effects that a "simple blood test" could have on individuals. And they show us more: just after biopsy, those symptoms disappeared; this is related to the good practice adopted in that department, where the patient is well oriented on the technique of the procedure just before it (12). In Rio de Janeiro, Brazil, at the National Cancer Institute-INCa-a branch of the Urology Department, the Prostate Cancer Diagnosis Center-CDCP-welcomes referral patients from all over the state, whose biopsy was requested in primary care by a family and community physician or even by urologists serving in public settings. Understanding the burden of expectations related to that referral, our Center proposes a multi-professional approach to the patient and his family.

show abstract

Anxiety and depression associated with a positive prostate biopsy result: A comparative, prospective cohort study

Cited by 4 publications

References 24 publications

Patient-Factors Influencing the 2-Year Trajectory of Mental and Physical Health in Prostate Cancer Patients

Patient-Factors Influencing the 2-Year Trajectory of Mental and Physical Health in Prostate Cancer Patients

The association between patient characteristics, psychological distress, and coping in the diagnostic phase of prostate cancer – A cross-sectional multicenter study

Editorial Comment: Anxiety and depression associated with a positive prostate biopsy result: A comparative, prospective cohort study

Contact Info

Product

Resources

About