Men with prostate cancer and psychological distress reported strong perceptions of loss toward self, function, connection, and control, exacerbated by maladaptive coping strategies.
Psychological distress in prostate cancer survivors is multifaceted and driven by perceptions of loss, highlighting the need for targeted nursing or peer-led interventions.
PURPOSE: To explore the experiences of men with prostate cancer identified as having psychological distress and to identify factors influencing distress. PARTICIPANTS & SETTING: 28 men with prostate cancer diagnosed 18-42 months earlier, identified as having psychological distress on survey measures. METHODOLOGIC APPROACH: Semistructured telephone interviews were conducted. Thematic analysis using a framework approach was used. FINDINGS: Men with psychological distress had strong perceptions of loss toward self (identity, sexuality/masculinity, self-confidence), function (physical activities), connection (relational, social, community), and control (future, emotional). Psychological vulnerability appeared heightened in particular groups of men. Maladaptive strategies of emotional concealment, help-seeking avoidance, and withdrawal appeared to contribute to distress. IMPLICATIONS FOR NURSING: Distress in men with prostate cancer is multifaceted. Men with distress should be identified and offered support. Nurse- or peer-led interventions are required.
Matheson et al. (Fri,) conducted a other in Prostate cancer with psychological distress (n=28). Psychological distress was evaluated on Experiences and factors influencing psychological distress. Men with prostate cancer and psychological distress reported strong perceptions of loss toward self, function, connection, and control, exacerbated by maladaptive coping strategies.