Physical and emotional predictors of depression after radical prostatectomy.
Radical prostatectomy commonly results in urinary, sexual, and bowel dysfunction that bothers men and may lead to depressive symptomatology (hereafter depression) that occurs at a rate 4 times greater for men with prostate cancer than healthy counterparts. The purpose of this study was to assess depressive symptoms in men shortly after radical prostatectomy and to identify associated risk factors. Seventy-two men were interviewed 6 weeks after surgery. Measured were depression (Geriatric Depression Scale), self-efficacy (Stanford Inventory of Cancer Patient Adjustment), social support (Modified Inventory of Socially Supportive Behaviors), physical and emotional factors (UCLA Prostate Cancer Index), and social function (SF-36 subscale). Results indicate that men with high self-efficacy and less sexual bother were 45% and 55% less likely to have depressive symptoms, respectively. Findings from this study add to the limited amount of information on the complex relationship between prostate cancer treatment and depression in men.
Weber
Bryan A
BA
Collegeof Nursing, Box 100197, Gainesville, FL 32610-0197, USA. bweber@ufl.edu
Roberts
Beverly L
BL
Mills
Terry L
TL
Chumbler
Neale R
NR
Algood
Chester B
CB
D000222:Adaptation, Physiological; D000223:Adaptation, Psychological; D000367:Age Factors; D000368:Aged; D015331:Cohort Studies; D003866:Depressive Disorder / Q000453:epidemiology / Q000209:etiology* / Q000503:physiopathology; D007172:Erectile Dysfunction / Q000453:epidemiology / Q000209:etiology; D006801:Humans; D016015:Logistic Models; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000453:epidemiology / Q000523:psychology; D011237:Predictive Value of Tests; D011336:Probability; D011468:Prostatectomy / Q000009:adverse effects* / Q000379:methods / Q000523:psychology*; D011471:Prostatic Neoplasms / Q000175:diagnosis / Q000523:psychology / Q000601:surgery*; D011788:Quality of Life; D018570:Risk Assessment; D012649:Self Concept; D011795:Surveys and Questionnaires; D014549:Urinary Incontinence / Q000453:epidemiology / Q000209:etiology