Conséquences psychologiques du cancer de prostate chez les patients traités par une forme semestrielle d’hormonothérapie

Abstract

Prostate cancer (PCa) is often associated with psychopathological symptoms such as anxiety. This study evaluated the effects of the luteinizing hormone-releasing hormone agonist therapy leuprorelin acetate (LA) on anxiety and quality of life (QoL) over time in men with PCa. This observational, non interventional, multicenter study was conducted in France. Patients with PCa eligible for therapy with a 6-month LA depot were enrolled. Patients completed questionnaires assessing anxiety (memorial anxiety scale for prostate cancer [MAX-PC]; state trait anxiety inventory [STAI]) and QoL (medical outcomes study 12-item short-form health survey [SF-12] physical summary component [PCS] and mental component summary [MSCS] subscales) at baseline and 6months after 6-month LA depot administration. Questionnaires were completed by 575men at baseline and 315men at 6months. Mean age was 75.5years; median time since first diagnosis was 0.4years. At baseline, the mean (±standard deviation [SD]) MAX-PC score was 17.7±12.0, with anxiety primarily related to the PCa diagnosis. STAI-state and MAX-PC scores were consistent. Following 6months of LA administration, the mean MAX-PC score decreased (-2.0±10.4; P<0.001). The PCa diagnosis negatively affected patients' QoL, as assessed by the SF-12PCS and MCS subscores. At 6months, the SF-12vitality score significantly increased (1.2±9.8; P=0.0142) vs baseline and the SF-12PCS score decreased by -2.0±8.0from baseline. After 6months of leuprorelin 45mg therapy, prostate cancer patients appeared to be less anxious with a mental health improvement. 3.