Sociocultural determinants of men's reactions to prostate cancer diagnosis

Halbert, Chanita Hughes; Wrenn, Glenda; Weathers, Benita; Delmoor, Ernestine; Have, Thomas Ten; Coyne, James C.

doi:10.1002/pon.1574

Cited by 28 publications

(16 citation statements)

References 27 publications

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“…Halbert et al found that even though men are making an active effort to suppress their thoughts about cancer, they are also trying to make sense of their diagnosis. The authors found that married men and men with a high educational level seemed to handle the message of cancer better than those living alone and with low educational level [29]. In our study, most men were married, however with limited educational background.…”

Section: Discussionmentioning

confidence: 47%

Daily life and life quality 3 years following prostate cancer treatment

2013

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BackgroundKnowledge of experiences from prostate cancer is sparse in a longitudinal perspective. From a nursing perspective, results from combined qualitative and quantitative studies are lacking however would present the broadest knowledge base for best practice. Present descriptions of medical-physical symptoms such as urinary, bowel and sexual dysfunction from quantitative inquiries need be complemented with qualitative results. Such knowledge is essential in relation to treatment and communication with patients over the years and not only shortly after surgery.MethodsA longitudinal study was formatted to investigate general and specific health quality and sense of coherence quantitative alterations over three years. A general health quality module (EORTC QLC-C30) and a disease-specific module (EORTC PR-25) were applied for the longitudinal study together with the Orientation to life questionnaire (SOC), measuring a persons’ sense of coherence. In order to strengthen reliability and compensate for low participation we used the Directed content analysis for interviewing and analysis. The method allows using findings from earlier research when interviewing along with detecting new areas. Twenty-one men were followed over three years and six of them, in the third year, accepted to be interviewed.ResultsWe found high quality of life ratings and extended the study with follow-up interviews in year three, to investigate whether questionnaire results were in line with interview findings. We found high life quality and functioning ratings that were in line with qualitative descriptions. Interview analysis showed retrieval of life as lived before, yet in a different way, the men never forgot the diagnosis event, had a unique illness history worth hearing, and had come to terms with most treatment-related shortcomings. Sense of coherence ratings were medium to high and confirmed stability over time in comprehensibility, manageability and meaningfulness after prostate cancer treatment.ConclusionsOver the years, the men’s negative experiences from shifted into ‘a good life’ though in a different way than before. The interpretation is supported in the study by quantitative results showing a high degree of functioning. The men’s sense of coherence seamed to support their handling of life three years after prostate cancer treatment.

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Section: Discussionmentioning

confidence: 47%

Daily life and life quality 3 years following prostate cancer treatment

2013

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“…In studies of men with cancer, including prostate cancer, there is clear evidence for a direct relationship between social constraints and cancer-related intrusive thoughts and avoidant disclosure behaviors (Halbert et al, 2010; Hoyt, 2009; Lepore & Helgeson, 1998). This relationship appears stable across the disease trajectory.…”

Section: Introductionmentioning

confidence: 99%

Masculine norms about emotionality and social constraints in young and older adult men with cancer

Darabos

Hoyt

2016

J Behav Med

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Beliefs that men should restrict their display of emotions, or restrictive emotionality, might contribute to adjustment to cancer and this might be sensitive to social receptivity to disclosure. The present research examined relationships of restrictive emotionality, social constraints, and psychological distress in young adults with testicular cancer (N = 171; Study 1) and older men with prostate cancer (N = 66; Study 2). Study 1: positive associations were observed for social constraints and restrictive emotionality with depressive symptoms. Social constraints moderated the relationship, such that high restrictive emotionality was associated with higher depressive symptoms in those with high constraints. Study 2: only social constraints (and not restrictive emotionality) was positively associated with depressive symptoms and cancer-related intrusive thoughts. The social constraints × restrictive emotionality interaction approached significance with depressive symptoms, such with high social constraints low restrictive emotionality was associated with higher depressive symptoms compared to those with less constraints. No significant associations were found for intrusive thoughts in either study. Findings demonstrate unique relationships with psychological distress across the lifespan of men with cancer given perception of constraints and adherence to masculine norms about emotionality.

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“…[6] Furthermore, patients had different levels of desire to participate in decision-making [5] and informational needs [7] , and healthcare providers were frequently unaware of the individual patient's preferences. [10] The word "prostate" has the stigma of being directly associated with and being used as a common acronym for its diseases. [10] The word "prostate" has the stigma of being directly associated with and being used as a common acronym for its diseases.…”

Section: Discussionmentioning

confidence: 99%