Marital relationship and health‐related quality of life of patients with prostate cancer and their spouses: A longitudinal clinical study

Harju, Eeva; Rantanen, Anja; Helminen, Mika; Kaunonen, Marja; Isotalo, Taina; Åstedt‐Kurki, Päivi

doi:10.1111/jocn.14343

Cited by 15 publications

(9 citation statements)

References 25 publications

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“…This may cause bias since unsatisfactory marriage can result in immune dysregulation [30]. Previous study revealed that marital relationship may change after cancer diagnosis [31]. The SEER database did not provide information on change of marital status after G-NEN diagnosis.…”

Section: Discussionmentioning

confidence: 99%

Marital status, an independent predictor for survival of gastric neuroendocrine neoplasm patients: a SEER database analysis

Zhou

Zheng

et al. 2020

BMC Endocr Disord

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Background: Marital status proves to be an independent prognostic factor in a variety of cancers. However, its prognostic impact on gastric neuroendocrine neoplasms (G-NEN) has not been investigated. Methods: We identified 3947 G-NEN patients from the Surveillance, Epidemiology, and End Results (SEER) database. Meanwhile, propensity scores for marital status were used to match 506 unmarried patients with 506 married patients. We used Kaplan-Meier method and multivariate Cox regression to analyse the association between marital status and the overall survival (OS) and G-NEN cause-specific survival (CSS) before matching and after matching. Results: Married patients enjoyed better OS and CSS, compared with divorced/separated, single, and widowed patients. Multivariate Cox regression analysis indicated that unmarried status was associated with higher mortality hazards for both OS and CSS among G-NEN patients. Additionally, widowed individuals had the highest risks of overall (adjusted hazard ratio (HR): 1.56, 95% confidence interval (CI): 1.35-1.81, P < 0.001) and cancer-specific mortality (adjusted HR: 1.33, 95% CI: 1.05-1.68, P = 0.02) compared to other unmarried groups in both males and females. Furthermore, unmarried status remained an independent prognostic and risk factor for both OS (HR 1.51, 95% CI 1.19-1.90, P = 0.001) and CSS (HR 1.50, 95% CI 1.10-2.05, P = 0.01) in 1:1 propensity score-matched analysis. Conclusion: Marital status was an independent prognostic factor for G-NEN. Meanwhile, widowed patients with G-NEN had the highest risk of death compared with single, married, and divorced/separated patients.

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Section: Discussionmentioning

confidence: 99%

Marital status, an independent predictor for survival of gastric neuroendocrine neoplasm patients: a SEER database analysis

Zhou

Zheng

et al. 2020

BMC Endocr Disord

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“…First, we examined specific relationship-enhancing and compromising communication behaviours using longitudinal data. Prior longitudinal studies evaluating relationship factors have assessed general relationship satisfaction (Chien et al, 2018;Harju et al, 2018;Ross et al, 2016) or general open communication (Song et al, 2011(Song et al, , 2016 This study had two aims. The first aim was to characterise changes in couples' depressive symptoms, general psychological adjustment, cancer-specific distress and cancer-related concerns over a 6 month period.…”

mentioning

confidence: 99%

Relationship communication and the course of psychological outcomes among couples coping with localised prostate cancer

et al. 2021

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Along with the practical and emotional stressors that accompany the diagnosis of any type of cancer, current medical treatments for localised prostate cancer typically result in adverse long-term sideeffects that can pose a challenge to the patient, partner, and their relationship. These long-term adverse side-effects include impaired erectile function, urinary incontinence, problematic bowel function and loss of libido (

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“…In Finland, relatively little research has investigated the experiences and support needs of cancer patients' close ones. Studies have focused on the experiences of mental health professionals who use structured family-centred interventions to support the children of cancer patients (Niemelä et al, 2010), quality of life of patients with breast cancer (Salonen, 2011), perceptions of electronic social support (Yli-Uotila, 2017) and marital relations and health-related quality of life questions in patients with prostate cancer and their spouses (Harju et al, 2018). Lehto-Järnstedt et al (2004), Lehto et al (2015Lehto et al ( , 2018 have performed research, for example, on cancer patients' social support.…”

Section: Previous Studiesmentioning

confidence: 99%

Development of cancer support services for patients and their close ones from the Cancer Society of Finland’s perspective

Tiirola

Poutanen

Vornanen

et al. 2021

International Journal of Qualitative Studies on Health and Well

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Marital relationship and health‐related quality of life of patients with prostate cancer and their spouses: A longitudinal clinical study

Abstract: These findings may be useful when counselling of patients with prostate cancer and their spouses.

Cited by 15 publications

References 25 publications

Marital status, an independent predictor for survival of gastric neuroendocrine neoplasm patients: a SEER database analysis

Marital status, an independent predictor for survival of gastric neuroendocrine neoplasm patients: a SEER database analysis

Relationship communication and the course of psychological outcomes among couples coping with localised prostate cancer

Development of cancer support services for patients and their close ones from the Cancer Society of Finland’s perspective

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