Abstract
The purpose of the study was to to describe which factors of health related quality of life were associated with a high sense of coherence in a 5 year perspective. The sense of coherence, SOC-scale, EORTC QLQ C-30 and PR 25 questionnaires were applied to a sample of 222 men at baseline and over 5 years following radical prostatectomy. Result showed significant association to SOC in psychological aspects (emotional and cognitive functioning, p=<0.00-0.04 respectively 0.04) and for hormone treatment related symptoms (i.e. manhood p=<0.05). High SOC was associated with quality of life (index) in the early post treatment period and to aspects of general functioning (role-, emotional- respectively cognitive) in year 3 and 5. High sense of coherence was interpreted to be a health resource for experiencing life quality connected to different aspects at different time points of the data collection. The result showed stability in SOC and QoL scoring over 5 years.
Highlights
The influence of sense of coherence (SOC), on and its connection to generic quality of life (QoL) in men after prostate cancer (PC) treatment is little known from a Swedish perspective
By taking a salutogenic approach, turning SOC into a dependent phenomenon with possible impact on QoL and to calculate the chance of having a good life without the risk of having a poor life, it might be possible to get a picture of the post-surgery period from a positive perspective for men surviving curative prostate cancer treatment
Our study manages to show the importance of high Sense of Coherence as a health resource for experiencing quality of life after PC treatment
Summary
The influence of sense of coherence (SOC), on and its connection to generic quality of life (QoL) in men after prostate cancer (PC) treatment is little known from a Swedish perspective. There are PC specific as well as general population study results on quality of life and sense of coherence, not presenting SOC as having an influence on QoL [1,2,3]. The results were supported by another Swedish study that found low QoL to be connected to low SOC in people of 85 years of age [7]. Both studies give a view of Swedes in general and were not gender or PC specific. This study focuses on a delimited life incident caused by the diagnosis of prostate cancer [9]
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