Effects of individual and partner factors on anxiety and depression in Taiwanese prostate cancer patients: A longitudinal study

Abstract

Studies exploring the mediating and predictive factors of anxiety and depression for prostate cancer patients in Eastern countries are scant. Guided by the transactional model of stress and coping, this study determined the predictors and mediators of anxiety and depression in prostate cancer patients. The participants comprised 115 prostate cancer patients and 91 partners. The patients and partners completed questionnaires regarding physical symptoms, disease appraisals, coping behaviours, anxiety and depression in the period before confirmation of treatment decisions and 1, 3, 6 and 12 months after treatment. The results revealed that partner anxiety engendered a stressful situation and aggravated patient anxiety. Patients' threat appraisals and affective-oriented coping behaviours mediated the relationships between their anxiety levels and those of their partners. The patients' most recent prostate-specific antigen (PSA) levels and hormonal symptoms were key predictors of their anxiety and depression levels. The patients' harm appraisals mediated the relationships between their most recent PSA levels and hormonal symptoms and depression. Their threat appraisals and affective-oriented coping behaviours mediated the relationships between their hormonal symptoms and anxiety and depression. To manage those key factors, reframing, appraising disease and improving coping behaviours may reduce anxiety and depression levels in prostate cancer patients.

Coping strategies in Iranian mothers of children with type 1 diabetes

“…In this study, the use of emotion-focused coping strategies had a negative effect on maternal stress management. Chien et al (2018) in terms of the patients with prostate cancer showed that using more emotion-focused coping strategies would be associated with the anxiety and stress among patients [23]. Older studies on the stress of mothers with sick children have also achieved similar results [24,25].…”

Prostate cancer‐specific anxiety and the resulting health‐related quality of life in couples

“…People with early‐stage prostate cancer have a 99% 5‐year survival rate (American Cancer Society, ). Nevertheless, a confirmed diagnosis of prostate cancer psychologically affects not only people but also their spouses (Chien, Chuang, Liu, Huang, & Liu, ; Chien et al., ; Lehto, Aromaa, & Tammela, ; Tanner, Galbraith, & Hays, ), including their having concerns about prostate disease, side effects and complications of treatment, death from prostate cancer and cancer recurrence during the disease process (Oba et al., ; Tanner et al., ; van de Wal et al., , ), more so for spouses of people with prostate cancer than people with cancer themselves (Oba et al., ). Further, the suicide rate of newly diagnosed people with cancer is 2.47 times higher than that of the general population (Lin et al., ).…”

“…About receiving radiotherapy, although the risks are less than those of intrusive treatment, people must frequently travel back and forth from the hospital and may suffer complications, such as proctitis, sexual dysfunction and urgent urination (Avila et al, 2018;Hsiao, Loescher, & Moore, 2007;Skolarus et al, 2014). These factors further influence the emotions, lifestyle and HRQOL of people with prostate cancer and their spouses (Bellizzi, Latini, Cowan, DuChane, & Carroll, 2008;Chien et al, 2016Chien et al, , 2018Eisemann et al, 2014;Kohler et al, 2014;Pereira, Daibs, Tobias-Machado, & Pompeo, 2011;Segrin et al, 2012;Song et al, 2011;Tavlarides et al, 2013;Watts et al, 2015).…”

Psychological Morbidity in Endometriosis: A Couple’s Study

“…There are no studies, to our knowledge, on the couple's adaptation to endometriosis. In cancer studies, there is a positive association between women's psychological morbidity and that of their partners [31,32]. The results of Ameratunga et al [23] also reported the impact of endometriosis on the partner's financial and sexual life, which ultimately had a major impact on marital satisfaction.…”