Psychological distress among prostate cancer survivors in South Korea: A nationwide population‐based, longitudinal study

Abstract

Aim This time‐dependent study aimed to analyze the prevalence of psychological distress in prostate cancer survivors by using claims data in South Korea. Methods In a nationwide cohort, 32 005 patients were identified who were diagnosed with prostate cancer between January 2010 and December 2014. We referred the diagnostic codes of mental disorders as psychological distress. We categorized the prevalence of psychological distress based on age and specific times before and after the cancer diagnosis. Results The median age at diagnosis of prostate cancer was 70 years. Among 32 005 patients, 3074 (9.6%) were diagnosed at least once with a mental disorder between 1 year before the cancer diagnosis and the last follow‐up. Among the first diagnoses of each patient, the common mental disorders were anxiety (39.1%) and depression (33.0%). In the total cohort, there were 54 666 claims for mental disorders and over 48.0% (26 256) were for depression. The frequency of psychological distress peaked just before cancer diagnosis. Anxiety was frequent before diagnosis of prostate cancer, whereas depression was frequent after diagnosis. Although stress reaction/adjustment disorders were relatively high in the younger group, depression was relatively high in the elderly group. Conclusion Psychological distress in prostate cancer survivors showed different patterns of prevalence between before and after cancer diagnosis, as well as between age groups. Timely diagnosis and intervention for mental health could promote quality of life for prostate cancer survivors.

Pre-treatment Depression and Anxiety Disorder in Men with Cancer of the Prostate in South Western Nigeria

“…While other authors in similar environment reported prevalence rates ranging from 17-28% for depression [5,6]. On the other hand, some authors reported a much higher prevalence rates for anxiety disorder (28-39%) [7,8]. Reasons for the varying prevalent rates among the various studies could be because of the instrument used in assessing for psychiatric morbidity, or the different populations been studied.…”

“…Another study had reported much higher prevalence of 33% [7]. Anxiety disorders prevalence between 28% and 39% were reported by various authors [7,8].…”

“…Other researchers have reported a prevalence of common depressive disorders (major and persistent depressive disorders or depression) of up to 25-28% in cancer survivors (vs 5-6% in non cancer controls [6]. Another study had reported much higher prevalence of 33% [7]. Anxiety disorders prevalence between 28% and 39% were reported by various authors [7,8].…”

“…Risk factors for psychiatric morbidities among prostate cancer patients include being unmarried, low education, advanced prostate cancer, low physical or cognitive functioning, younger age, and medical co-morbidities, unemployment, low income, past depressive episodes, and poor coping skills [7,9]. Explanation of the relationship or cause of depression in prostate cancer patients could be multifactorial.…”

Qualidade de vida relacionada à saúde de pacientes com câncer de próstata submetidos à radioterapia / Health-related quality of life of prostate cancer patients undergoing radiotherapy

“…2021A maior frequência de pacientes com estado civil casado (13 -69,1%) na amostra também pode ter contribuído para os resultados descritos, haja vista que, segundo Vieira, Araújo e Vargas (2012), a figura da esposa como cuidadora ou participante no processo de tratamento auxilia no enfrentamento da doença e resulta em menor repercussão afetiva.Outro destaque neste contexto é a afirmação de crença espiritual e religiosa dos homens entrevistados neste estudo (20 -95,24%), a qual, segundoFerrão (2015), pode contribuir para a manutenção de papeis familiares e sociais durante o tratamento do CP Na escala funcional, o domínio que apresentou maior comprometimento na QV, foi a função emocional com média de 73,78. As perguntas 21, 22, 23 e 24 do instrumento EORTC QLQ C-30 compõem essa escala e abordam condições de nervosismo, preocupação, irritabilidade e depressão.Seeman et al (2018), por meio da investigação da influência dos sintomas depressivos na QV de pacientes com câncer de próstata, apontou resultados semelhantes em itens correspondentes à sensação de estar deprimido.Comparado a outros domínios de funcionalidade, isso revela maior vulnerabilidade na escala emocional Heo et al (2020). concluiu que o sofrimento psicológico em sobreviventes do CP tem variação de sua prevalência no decorrer do processo terapêutico.Por isso, o diagnóstico e as intervenções dirigidas à saúde mental podem promover melhorias na qualidade de vida dos sobreviventes do CP Occhipinti (2019).…”