1342 PSYCHOLOGICAL STRESS ASSOCIATED WITH ACTIVE SURVEILLANCE FOR LOCALISED LOW RISK PROSTATE CANCER

Abstract

You have accessJournal of UrologyProstate Cancer: Localized (VI)1 Apr 20131342 PSYCHOLOGICAL STRESS ASSOCIATED WITH ACTIVE SURVEILLANCE FOR LOCALISED LOW RISK PROSTATE CANCER Mark Frydenberg, Jake Anderson, Lina Ricciardelli, Susan Burney, Joanne Brooker, and Jane Fletcher Mark FrydenbergMark Frydenberg Melbourne, Australia More articles by this author , Jake AndersonJake Anderson Melbourne, Australia More articles by this author , Lina RicciardelliLina Ricciardelli Melbourne, Australia More articles by this author , Susan BurneySusan Burney Melbourne, Australia More articles by this author , Joanne BrookerJoanne Brooker Melbourne, Australia More articles by this author , and Jane FletcherJane Fletcher Melbourne, Australia More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2013.03.053AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION AND OBJECTIVES Prostate cancer is a major cause of mortality in Australian men. One treatment for low risk prostate cancer, is active surveillance (AS). Anectdotal evidence suggests that some men on AS are vulnerable to anxiety which may have an impact on health related quality of life (HRQOL) and may also impact on the mens ability to remain on AS. The objectives of this study were to describe a range of anxieties in men on AS, and which of these anxieties predicted HRQOL in these men. Our final aim was to examine the satisfaction that these men reported in the information provided to them about AS by their treating urologist. METHODS 265 men with prostate cancer on an AS database from a single urologist were invited to participate in the study. Inclusion criteria for the AS database were in accord with the PRIAS protocol. Sociodemographic information was collected, and patients completed the Hospital and Anxiety depression scale (HADS), State-trait anxiety inventory-trait scale (STAT), memorial anxiety scale for prostate cancer (MAX-PC), Functional assessment of cancer therapy - prostate version 4 (FACT-P), illness perception questionnaire-revised (IPQ-R) and Likert scale analysis questionnaire regarding information provision. All data was analysed using SPSS version 19. RESULTS 104 men agreed to participate in the study. 91% of men did not demonstrate anxiety on HADS, 98% demonstrated low levels of PSA anxiety and 87% low levels of prostate cancer anxiety on MAX-PC. However 81% of men demonstrated higher levels regarding fear of recurrence on MAX-PC. General (state/trait) anxieties and younger age were significantly associated with illness specific prostate cancer and fear of recurrence anxieties. 92% of men were satisfied with the information received from their urologist regarding prostate cancer and AS specifically. CONCLUSIONS Men experience low levels of anxiety and high HRQOL on AS for localised prostate cancer but still experience some concerns regarding fear of recurrence. Younger age and underlying trait anxiety emerged as significant predictors of overall HRQOL suggesting that these men may indeed be vulnerable psychologically on AS, and consideration could be given to urologists administering a short trait anxiety screening tool to help identify these men and consider them for active therapy. High levels of patient education as seen in this study may explain the low levels of anxiety seen in men on AS, underlying the importance of the provision of detailed verbal and written information about AS and its risks and benefits in real terms. © 2013 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 189Issue 4SApril 2013Page: e548 Advertisement Copyright & Permissions© 2013 by American Urological Association Education and Research, Inc.MetricsAuthor Information Mark Frydenberg Melbourne, Australia More articles by this author Jake Anderson Melbourne, Australia More articles by this author Lina Ricciardelli Melbourne, Australia More articles by this author Susan Burney Melbourne, Australia More articles by this author Joanne Brooker Melbourne, Australia More articles by this author Jane Fletcher Melbourne, Australia More articles by this author Expand All Advertisement Advertisement PDF downloadLoading ...