title: Psychosocial adjustments in patients with prostate cancer from pre-diagnosis to 6 months post-treatment.
abstract: We evaluated changes in psychosocial adjustment over time and its associated factors in prostate cancer patients. A total of 69 patients with prostate cancer were surveyed at pre-diagnosis, 1 month and 6 months post-treatment. The questionnaires distributed to the patients consisted of the Psychosocial Adjustment to Illness Scale and the UCLA Prostate Cancer Index. The generalized estimating equations were used to analyse the collected data. The results of adjustments to psychological distress, the domestic environment and the social environment worsened post-treatment. However, the adjustment to health-care orientation was worst at the time of pre-diagnosis and improved during post-treatment. Patients who perceived an unfavourable health status reported poor adjustment in psychological distress. Patients exhibiting poor urinary function poorly adjusted to the domestic environment. Patients with sexual dysfunction exhibited poor adjustment to the social environment. Patients with low education demonstrated poor adjustment to health-care orientation. Further studies should assess the psychosocial adjustment among prostate cancer patients and provide interventions following pre-diagnosis.
authors.affiliation: College of Nursing, National Taipei University of Nursing and Health Sciences, Taipei, Taiwan.
authors.forename: Ching-Hui
authors.initials: CH
authors.lastname: Chien
authors.affiliation: Division of Urology, Department of Surgery, Chang Gung Memorial Hospital, College of Medicine, Chang Gung University, Tao-Yuan, Taiwan.
authors.forename: Cheng-Keng
authors.initials: CK
authors.lastname: Chuang
authors.affiliation: Division of Urology, Department of Surgery, College of Medicine, Chang Gung Memorial Hospital, College of Medicine, Chang Gung University, Tao-Yuan, Taiwan.
authors.forename: Kuan-Lin
authors.initials: KL
authors.lastname: Liu
authors.affiliation: College of Nursing, National Taipei University of Nursing and Health Sciences, Taipei, Taiwan.
authors.forename: Xuan-Yi
authors.initials: XY
authors.lastname: Huang
authors.affiliation: College of Medicine, School of Nursing, Chang Gung University, Tao-Yuan, Taiwan.
authors.forename: Hsueh-Erh
authors.initials: HE
authors.lastname: Liu
mesh_terms: D000223:Adaptation, Psychological; D000368:Aged; D000369:Aged, 80 and over; D004522:Educational Status; D005500:Follow-Up Studies; D006304:Health Status; D006801:Humans; D008297:Male; D008875:Middle Aged; D011471:Prostatic Neoplasms / Q000523:psychology*; D020018:Sexual Dysfunctions, Psychological / Q000523:psychology; D014549:Urinary Incontinence / Q000523:psychology
keywords: physical symptoms; prostate cancer; psychology; psychosocial adjustment