Psychological reactions in men screened for prostate cancer

Gustafsson, Ove; Theorell, Töres; Norming, Ulf; Perski, Aleksander; Ohström, M; Cr, Nyman

doi:10.1111/j.1464-410x.1995.tb07422.x

Cited by 79 publications

(54 citation statements)

References 19 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In the Rotterdam PSA screening study, state anxiety levels (STAI) were highest among those who had undergone a biopsy, but had not yet received the results. 11 Gustafsson et al 21 measured serum cortisol as a biological marker for stress at various points during the investigation of men undergoing screening for prostate cancer. They found that the highest levels were found in men who had undergone a prostate biopsy, but were not informed of the result.…”

Section: Discussionmentioning

confidence: 99%

The measurement of psychological distress in men being investigated for the presence of prostate cancer

Awsare

Green

Aldwinckle

et al. 2008

Prostate Cancer Prostatic Dis

View full text Add to dashboard Cite

High levels (450%) of anxiety are reported in patients undergoing screening for prostate cancer, which may affect health-related quality of life. We aimed to determine the level and prevalence of anxiety and depression and to identify those aspects of the diagnostic pathway that induce the most stress in men being investigated for prostate cancer. A total of 159 prostate-specific antigenunscreened men undergoing a transrectal ultrasound-guided biopsy of the prostate (TRUS-B) completed two questionnaires, prior to their biopsy and before receiving results, containing the Hospital Anxiety and Depression Scale (HADS) and a 10-point Visual Analogue Scale (VAS). Median scores and prevalence of anxiety (4-5, 4-7%) and depression (1-2, 1.4%) respectively were low for both questionnaires. Waiting for biopsy results received the highest median VAS score (6) and was the most stressful event in 65% of men. There is a low incidence of clinically significant anxiety and depression in men being investigated for prostate cancer but questionnaires such as HADS identify patients with psychological distress who may benefit from early counselling. Uncertainty about the future while awaiting biopsy results after TRUS-B seems to be the most stressful event in patients' lives and minimizing this wait should help optimize patient care.

show abstract

Section: Discussionmentioning

confidence: 99%

The measurement of psychological distress in men being investigated for the presence of prostate cancer

Awsare

Green

Aldwinckle

et al. 2008

Prostate Cancer Prostatic Dis

View full text Add to dashboard Cite

show abstract

“…3 About 20% of men undergoing to prostate biopsy felt anxious and/or highly stressed prior to the biopsy. 16 Pain, evaluation for possible malignancy and rectal route used by the probe are some possible reasons of the anxiety.…”

Section: Discussionmentioning

confidence: 99%

“…They found that patients undergoing screening experience emotional stress, resulting in elevated plasma cortisol levels. 3 Before a medical or surgical procedure, patients should be provided with sufficient information so that levels of anxiety are diminished. [4][5][6][7][8][9][10] However, the ideal way of providing this information is unclear.…”

Section: Introductionmentioning

confidence: 99%

The effect of video-based education on patient anxiety in men undergoing transrectal prostate biopsy

Tarhan

Çakmak

Ünal

et al. 2014

CUAJ

View full text Add to dashboard Cite

Cite as: Can Urol Assoc J 2014;8(11-12):e894-900. http://dx.doi.org/10.5489/cuaj.2208 Published online December 15, 2014. Abstract Introduction:We assess the effect of video-based education on patient anxiety during transrectal prostate biopsy. Methods: A total of 246 patients who underwent transrectal prostate biopsy were prospectively enrolled in the study. Group 1 included 123 patients who received both written and video-based education, while Group 2 included 123 patients who received only written instructions regarding prostate biopsies. State-Trait Anxiety Inventory (STAI) was used to assess state and trait anxiety (STAI-S/T) After completing the STAI-S and STAI-T questionnaires, all patients in Group 1 received written information and video-based education and they again completed STAI-S before the biopsy. On the contrary, after completing the STAI-S and STAI-T questionnaires, the patients in Group 2 received only written information and then they completed the STAI-S before the biopsy. Moreover, a visual analog scale (VAS) was used to assess pain scores during digital rectal examination, probe insertion, periprostatic local anesthesic infiltration, and biopsy. Results: No difference was noted between 2 groups regarding VAS scores. Comparing the 2 groups on baseline anxiety, we found that trait anxiety scores (STAI-T) were similar (p = 0.238). Preinformation STAI-S scores were similar in both groups (p = 0.889) and they both indicated high anxiety levels (score ≥42). While postinformation STAI-S scores remained high in Group 2, post-information STAI-S scores significantly decreased in Group 1 (p = 0.01). Conclusions: Undergoing a prostate biopsy is stressful and may cause anxiety for patients. Video-based education about the procedure can diminish patient anxiety.

show abstract

“…A blood test to measure PSA is considered the most effective test currently available for the early detection of prostate cancer, but this effectiveness has also been questioned due to risks of false positives and false negatives. 10 A study on anxiety in prostate carcinoma suggests that while screening for prostate carcinoma, anxiety levels vary plausibly over the clinical timeline in response to stress and uncertainty both before to testing and while awaiting the reports. Baseline levels of anxiety related to screening are much lower for older men than younger men with the illness.…”

Section: General Psychological Issues In Prostate Cancermentioning

confidence: 99%

Psychological aspects of prostate cancer: a clinical review

Sousa

Sonavane

Mehta

2012

Prostate Cancer Prostatic Dis

View full text Add to dashboard Cite

Prostate cancer is the most common non-skin cancer in men. It is fraught with both physical and psychological symptomatology. Depression, anxiety, stress, fatigue, pain and psychosocial factors all affect the patient with prostate cancer. Impotence, erectile dysfunction, sexual issues and incontinence in these patients complicate matters further. Anxiety may exist both before testing and while awaiting test results. Confusion over choosing from various interventions often adds to anxiety and depression in these patients. Various demographic factors and the developmental stage of the couple affect these psychological symptoms. The caregiver may undergo significant psychological turmoil while caring for a patient diagnosed with prostate cancer, which is addressed. The role of nurses in the management of prostate cancer is discussed. The present review looks at psychological issues in patients with prostate cancer from a clinical perspective, with the aim of highlighting these issues for the clinical urologist dealing with these patients. It also explores the consultation --liaison relationship between psychiatrists, psychologists and urologists as a team for the multimodal management of prostate cancer.

show abstract

Psychological reactions in men screened for prostate cancer

Cited by 79 publications

References 19 publications

The measurement of psychological distress in men being investigated for the presence of prostate cancer

The measurement of psychological distress in men being investigated for the presence of prostate cancer

The effect of video-based education on patient anxiety in men undergoing transrectal prostate biopsy

Psychological aspects of prostate cancer: a clinical review

Contact Info

Product

Resources

About