title: Presence of symptom distress and prostate cancer-related anxiety in patients at the beginning of cancer rehabilitation.
abstract: BACKGROUND
  A growing body of research points towards a substantial number of prostate cancer patients experiencing distress and anxiety. This study examines the frequency and character of cancer- and treatment-related problems and its association with symptom distress and prostate cancer-related anxiety in patients at the beginning of an oncological rehabilitation program.
  
  
  METHODS
  197 prostate cancer patients who had undergone prostatectomy (92.5% participation rate) completed the Memorial Anxiety Scale for Prostate Cancer (MAX-PC), the NCCN Distress Thermometer and EORTC QLQ-C30 subscales emotional function and global quality of life.
  
  
  RESULTS
  88% of patients report cancer- or treatment-related problems with a mean of 5 problems, and 104 patients (53%) experience distress and/or prostate cancer-related anxiety. The most prevalent symptoms are changes in urination, sexual problems, difficulties getting around, pain, fatigue and sleep problems. Emotional problems such as nervousness, worries, fears and sadness are prevalent in at least 53% of patients. Patients with distress and anxiety are confronted with a higher number and a wider range of problems and experience significantly lower levels of quality of life.
  
  
  CONCLUSIONS
  Findings emphasize the role of cancer rehabilitation and underline the importance of psychosocial screening measures and the provision of psychosocial support in prostate cancer patients.
authors.affiliation: Department of Medical Psychology, University Medical Center Hamburg-Eppendorf, Germany. mehnert@uke.uni-hamburg.de
authors.forename: Anja
authors.initials: A
authors.lastname: Mehnert
authors.forename: Claudia
authors.initials: C
authors.lastname: Lehmann
authors.forename: Thomas
authors.initials: T
authors.lastname: Schulte
authors.forename: Uwe
authors.initials: U
authors.lastname: Koch
mesh_terms: D000368:Aged; D001007:Anxiety / Q000453:epidemiology* / Q000523:psychology; D005858:Germany / Q000453:epidemiology; D006801:Humans; D015994:Incidence; D008297:Male; D008875:Middle Aged; D011468:Prostatectomy / Q000523:psychology / Q000706:statistics & numerical data; D011471:Prostatic Neoplasms / Q000453:epidemiology* / Q000523:psychology / Q000534:rehabilitation* / Q000601:surgery; D011584:Psychology; D011788:Quality of Life; D018570:Risk Assessment / Q000379:methods*; D012307:Risk Factors; D013315:Stress, Psychological / Q000453:epidemiology* / Q000523:psychology