The prostate cancer journey: results of an online survey of men and their partners.
BACKGROUND
The initial impact of treatments for men with prostate cancer is well reported in the literature. Less is known about the psychosocial needs of these men as their journey after diagnosis and treatment continues into the months and years.


OBJECTIVE
The objective of this study was to examine and understand the supportive care needs of men diagnosed and treated for prostate cancer at key identifiable periods of their cancer journey.


METHODS
An international Web-based survey was conducted in 2012, investigating men's prostate cancer pathways. The survey was based on substantial qualitative research and assessed for validity and reliability before piloting. To provide a unique insight into men living with prostate cancer, the views of partners were also elicited.


RESULTS
Completed questionnaires were obtained from 193 men and 40 partners from 6 nations. The physical and psychosocial impact of treatment and need for support varied along the cancer journey. Fear, distress, loss, regret, anxiety, low self-esteem, depression, changes in sexuality, masculinity, and relationships were also described by both men and partners as adverse effects of the diagnosis and treatment for prostate cancer.


CONCLUSIONS
Wives and partners are a key psychosocial support to men with prostate cancer. They may also provide valuable insight into men's supportive care needs that men are often unable to recognize themselves.


CONCLUSIONS
Findings suggest that wives and partners of men with prostate cancer can provide nurses and healthcare authorities with a powerful and unique resource in providing supportive care for men who are challenged by prostate cancer.
Author Affiliations: School of Nursing and Midwifery, University of South Australia-City East Campus, Adelaide.
Peter Kevin
PK
O'Shaughnessy
Thomas A
TA
Laws
Adrian J
AJ
Esterman
D000223:Adaptation, Psychological; D003863:Depression / Q000523:psychology; D004644:Emotions; D005239:Fear / Q000523:psychology; D005260:Female; D006801:Humans; D008297:Male; D011471:Prostatic Neoplasms / Q000150:complications / Q000523:psychology*; D036301:Qualitative Research; D011788:Quality of Life; D015203:Reproducibility of Results; D012747:Sexual Partners; D012944:Social Support; D018454:Spouses / Q000523:psychology; D011795:Surveys and Questionnaires