Social Constraints, Intrusive Thoughts, and Mental Health after Prostate Cancer

Lepore, Stephen J.; Helgeson, Vicki S.

doi:10.1521/jscp.1998.17.1.89

Cited by 308 publications

(329 citation statements)

References 3 publications

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“…The ability of men receiving the intervention to explore their disease-related concerns with a receptive nurse and learn new skills appears to have facilitated cognitive processing of their experience during the most intense time for treatment side effects. 40 Cognitive reframing reportedly is a common coping strategy among cancer patients. 73 Lepore and Helegson 40 identified cognitive processing as an important activity that helps men with prostate carcinoma reinterpret traumatic events into manageable events and integrate uncertain aspects of their experience into a coherent cognitive state during the time of most distress.…”

Section: Discussionmentioning

confidence: 99%

“…40 Cognitive reframing reportedly is a common coping strategy among cancer patients. 73 Lepore and Helegson 40 identified cognitive processing as an important activity that helps men with prostate carcinoma reinterpret traumatic events into manageable events and integrate uncertain aspects of their experience into a coherent cognitive state during the time of most distress. Consistent with the uncertainty in illness theory 37 and recent work by Pennebaker 74 expressing one's experience to a trusted individual places some structure on the experience, thereby facilitating cognitive restructuring of the event.…”

Section: Discussionmentioning

confidence: 99%

“…39 However, cognitive processing of illness-related events by talking about them with significant others, including health care professionals, can assist the patient with prostate carcinoma to reframe events into something manageable and less threatening. 40 Also, patients can be taught how to form a cognitive schema from uncertain events and, within this schema, to change their view from loss of control to controllable.…”

Section: Strategies For Managing Uncertainty In Patients With Prostatmentioning

confidence: 99%

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Helping patients with localized prostate carcinoma manage uncertainty and treatment side effects

Mishel

Belyea

Germino

et al. 2002

Cancer

195

310

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BACKGROUNDThe objective of this study was to test the efficacy of an individualized uncertainty management intervention delivered by telephone to Caucasian and African‐American men with localized prostate carcinoma and directed at managing the uncertainties of their disease and treatment.METHODSThe authors delivered a psychoeducational intervention by phone to men with prostate carcinoma, with or without supplemented delivery to a close family member, that was directed at managing uncertainty and improving symptom control. One hundred thirty‐four Caucasian men and 105 African‐American men were assigned randomly to one of two approaches to delivering the intervention or to the control condition. Men entered the study immediately after surgical treatment or in the first 3 weeks of radiation therapy. Trained nurses delivered the intervention through weekly phone calls for 8 weeks.RESULTSThe authors found that the majority of intervention effects were from baseline to 4 months postbaseline, when treatment side effects are most intense. Both Caucasian men and African‐American men who received either one of the two approaches for delivering the intervention improved in the two uncertainty management methods of cognitive reframing and problem solving. Similarly, when the intervention groups were combined, men who received the intervention also improved significantly in control of incontinence by 4 months postbaseline. Decreases in the number of treatment side effects differed by time and treatment/ ethnic group interactions as did satisfaction with sexual functioning.CONCLUSIONSThis is one of the first tests of a psychoeducational intervention among men with prostate carcinoma and was the first test that included a sufficient number of African‐American men to test by ethnic group. Therefore, replication of these findings is advised. Cancer 2002;94:1854–66. © 2002 American Cancer Society.DOI 10.1002/cncr.10390

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Strategies For Managing Uncertainty In Patients With Prostatmentioning

confidence: 99%

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Helping patients with localized prostate carcinoma manage uncertainty and treatment side effects

Mishel

Belyea

Germino

et al. 2002

Cancer

195

310

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“…Self-help group participation costs its members little or nothing. 95 Studies among prostate cancer patients indicate that social support leads to better mental health, 96 less psychological distress or even prolonged survival. 97 For a growing group of prostate cancer patients, support groups, either self-help or professionally led groups, are becoming a way to find social support.…”

Section: Psychological Issues In Prostate Cancer Related To Developmementioning

confidence: 99%

Psychological aspects of prostate cancer: a clinical review

Sousa

Sonavane

Mehta

2012

Prostate Cancer Prostatic Dis

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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.

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“…There is mounting evidence that adjustment to cancer may be mediated by how individuals cognitively process their disease (Lepore, 2001;Lepore and Helgeson, 1998;Redd et al, 2001;Taylor, 1983). Confronting, contemplating, and re-evaluating a stressful event, such as cancer, may facilitate adjustment by either helping people to assimilate the event into their preexisting mental models or helping them to change their mental models to accommodate the event (Lepore, 2001).…”

Section: Introductionmentioning

confidence: 99%

Social‐cognitive correlates of adjustment to prostate cancer

2005

Self Cite

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SUMMARYThis study examined whether social support might enhance health-related quality of life in men (n = 89) treated for localized prostate cancer by improving their ability to cognitively process their cancer experience. Data were collected using two, structured in-person interviews and abstracting medical records. The baseline interview was within several months (T1) after treatment for cancer, and follow-up was 3 months later (T2). Most men (61.8%) were treated by radical prostatectomy. Results showed that T1 social support was positively related to T2 mental functioning, and this relation appeared to be mediated by T1 indicators of cognitively processing, intrusive thoughts and searching for meaning. These findings suggest that supportive social relations may improve mental functioning by helping men cognitively process their prostate cancer experience.

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Social Constraints, Intrusive Thoughts, and Mental Health after Prostate Cancer

Cited by 308 publications

References 3 publications

Helping patients with localized prostate carcinoma manage uncertainty and treatment side effects

Helping patients with localized prostate carcinoma manage uncertainty and treatment side effects

Psychological aspects of prostate cancer: a clinical review

Social‐cognitive correlates of adjustment to prostate cancer

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