High Perceived Stress Is Linked to Afternoon Cortisol Levels and Greater Symptom Distress in Patients With Localized Prostate Cancer

Hsiao, Chao Pin; Moore, Ida M.; Insel, Kathleen C.; Merkle, Carrie J.

doi:10.1097/ncc.0b013e31820a5943

Cited by 14 publications

(19 citation statements)

References 41 publications

(37 reference statements)

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“…The symptoms and related distress in the area of sexual functioning were perceived to be a greater problem than symptoms and distress related to urinary and bowel problems (Hsiao et al . ). In addition, symptom‐related distress was significantly associated with perceived stress (Hsiao et al .…”

Section: Introductionmentioning

confidence: 97%

Symptom self‐management strategies in patients with non‐metastatic prostate cancer

Hsiao

Moore

Insel

et al. 2013

Journal of Clinical Nursing

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Section: Introductionmentioning

confidence: 97%

Symptom self‐management strategies in patients with non‐metastatic prostate cancer

Hsiao

Moore

Insel

et al. 2013

Journal of Clinical Nursing

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“…A number of studies have reported significant associations between perceived stress and overall quality of life in mixed cancer groups18 and in men with localised prostate cancer1920. In the emotional domain, Hsaoi et al21 found a significant association between global perceived stress and greater prostate cancer symptom distress one to three months post treatment and stress appraisal predicted total mood disturbance in a group of men two years post treatment22. While research in this area is limited, the evidence suggests a link between perceived stress and later psychological adjustment.…”

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confidence: 99%

Stress and self-efficacy predict psychological adjustment at diagnosis of prostate cancer

Curtis

Groarke

Sullivan

2014

Sci Rep

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Prostate cancer is the most frequently non-skin cancer diagnosed among men. Diagnosis, a significant burden, generates many challenges which impact on emotional adjustment and so warrants further investigation. Most studies to date however, have been carried out at or post treatment with an emphasis on functional quality of life outcomes. Men recently diagnosed with localised prostate cancer (N = 89) attending a Rapid Access Prostate Clinic to discuss treatment options completed self report questionnaires on stress, self-efficacy, and mood. Information on age and disease status was gathered from hospital records. Self-efficacy and stress together explained more than half of the variance on anxiety and depression. Self-efficacy explained variance on all 6 emotional domains of the POMS (ranging from 5–25%) with high scores linked to good emotional adjustment. Perceived global and cancer specific stress also explained variance on the 6 emotional domains of the POMS (8–31%) with high stress linked to poor mood. These findings extend understanding of the role of efficacy beliefs and stress appraisal in predicting emotional adjustment in men at diagnosis and identify those at risk for poor adaptation at this time. Such identification may lead to more effective patient management.

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“…The association between increasing relationship commitment and reduced T levels in men confirms and extends prior research linking T with mating effort, whereas another study suggests that T does not vary with relationship quality or commitment in monogamous, heterosexual women (Hooper et al, 2011). Hsiao et al (2011) has recently suggested that perceived stress was positively correlated with higher afternoon cortisol levels and greater symptoms of distress. It is presently unknown how exactly cortisol covaries with T in relation to fatherhood or relationship status in men.…”

Section: Discussionmentioning

confidence: 99%

Erectile Dysfunction and Extramarital Sex Induced by Timed Intercourse: A Prospective Study of 439 Men

Bak

Lyu

Seok

et al. 2012

Journal of Andrology

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During the fertile window of a woman's menstrual cycle, the effect of impending timed intercourse (TI) on the psychological well-being and behavior of male partners has not been thoroughly investigated, despite the fact that men comprise one half of each couple endeavoring to achieve natural conception. This prospective study consisting of 439 men was conducted during a 3-year period between July 1, 2008, and June 30, 2011. Various characteristics were evaluated, including newly acquired erectile dysfunction (ED); extramarital sex (EMS); intake of soft drinks (SD); levels of hormones, such as follicle-stimulating hormone (FSH), luteinizing hormone (LH), testosterone (T), prolactin, and estradiol (E2); and semen parameters. A total of 188 men (42.8%) experienced ED and 47 men (10.7%) engaged in EMS. As the number of TI episodes increased, the number of men with ED and EMS and those who wanted to avoid TI also increased (all, P , .0001). All 47 men who reported EMS experienced ED with their spouses. Men who consumed SDs produced significantly smaller volumes of semen (P 5 .0363). Among the hormones investigated, the levels of LH, T, and E2 were significantly lower in men with ED (all, P , .05) whereas the level of FSH was higher in contrast to E2, which was significantly higher in men who had EMS (both, P , .01). TI imposes a great deal of stress on male partners evoking ED and, in some cases, causing these men to seek EMS. Physicians and clinicians should acknowledge the potential harmful effects of TI on men. Furthermore, both female and male partners should also be cautioned about the increased possibilities of ED and EMS as TI incidents increase.

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High Perceived Stress Is Linked to Afternoon Cortisol Levels and Greater Symptom Distress in Patients With Localized Prostate Cancer

Abstract: Patients treated for prostate cancer with RP or RT should be assessed for symptoms and symptom distress and targeted for early symptom management interventions.

Cited by 14 publications

References 41 publications

Symptom self‐management strategies in patients with non‐metastatic prostate cancer

Symptom self‐management strategies in patients with non‐metastatic prostate cancer

Stress and self-efficacy predict psychological adjustment at diagnosis of prostate cancer

Erectile Dysfunction and Extramarital Sex Induced by Timed Intercourse: A Prospective Study of 439 Men

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