title: How badly did it hit? Self-assessed emotional shock upon prostate cancer diagnosis and psychological well-being: a follow-up at 3, 12, and 24 months after surgery.
abstract: BACKGROUND
  We were interested in examining if there was a link between self-assessed emotional shock by prostate cancer diagnosis and psychological well-being at 3, 12, and 24 months after surgery.
  
  
  METHODS
  Information was derived from patients participating in the LAPAroscopic Prostatectomy Robot Open (LAPPRO) trial, Sweden. We analyzed the association between self-assessed emotional shock upon diagnosis and psychological well-being by calculating odds ratios (ORs).
  
  
  RESULTS
  A total of 2426 patients (75%) reported self-assessed emotional shock by the prostate cancer diagnosis. Median age of study participants was 63. There was an association between emotional shock and low psychological well-being after surgery: adjusted OR 1.7: (95% confidence interval [CI]), 1.4-2.1 at 3 months; adjusted OR 1.3: CI, 1.1-1.7 at 12 months, and adjusted OR 1.4: CI, 1.1-1.8 at 24 months. Among self-assessed emotionally shocked patients, low self-esteem, anxiety, and having no one to confide in were factors more strongly related with low psychological well-being over time.
  
  
  CONCLUSIONS
  Experiencing self-assessed emotional shock by prostate cancer diagnosis may be associated with low psychological well-being for up to two years after surgery. Future research may address this high rate of self-assessed emotional shock after diagnosis with the aim to intervene to avoid this negative experience to become drawn out.
authors.affiliation: a Department of Oncology , Institute of Clinical Sciences, Sahlgrenska Academy at the University of Gothenburg , Gothenburg , Sweden.
authors.forename: Karin
authors.initials: K
authors.lastname: Stinesen Kollberg
authors.affiliation: a Department of Oncology , Institute of Clinical Sciences, Sahlgrenska Academy at the University of Gothenburg , Gothenburg , Sweden.
authors.forename: Ulrica
authors.initials: U
authors.lastname: Wilderäng
authors.affiliation: b Faculty of Nursing, School of Health Sciences , University of Iceland , Reykjavik , Iceland.
authors.forename: Thordis
authors.initials: T
authors.lastname: Thorsteinsdottir
authors.affiliation: c Department of Urology , Institute of Clinical Sciences, Sahlgrenska Academy at the University of Gothenburg , Gothenburg , Sweden.
authors.forename: Jonas
authors.initials: J
authors.lastname: Hugosson
authors.affiliation: d Department of Molecular Medicine and Surgery, Section of Urology , Karolinska Institute , Stockholm , Sweden.
authors.forename: Peter
authors.initials: P
authors.lastname: Wiklund
authors.affiliation: e Department of Urology , Skåne University Hospital, Lund University , Lund , Sweden.
authors.forename: Anders
authors.initials: A
authors.lastname: Bjartell
authors.affiliation: d Department of Molecular Medicine and Surgery, Section of Urology , Karolinska Institute , Stockholm , Sweden.
authors.forename: Stefan
authors.initials: S
authors.lastname: Carlsson
authors.affiliation: c Department of Urology , Institute of Clinical Sciences, Sahlgrenska Academy at the University of Gothenburg , Gothenburg , Sweden.
authors.forename: Johan
authors.initials: J
authors.lastname: Stranne
authors.affiliation: f Department of Surgery , Institute of Clinical Sciences, SSORG - Scandinavian Surgical Outcomes Research Group, Sahlgrenska Academy, University of Gothenburg, Sahlgrenska University Hospital/Östra , Gothenburg , Sweden.
authors.forename: Eva
authors.initials: E
authors.lastname: Haglind
authors.affiliation: a Department of Oncology , Institute of Clinical Sciences, Sahlgrenska Academy at the University of Gothenburg , Gothenburg , Sweden.|g Division of Clinical Cancer Epidemiology, Department of Oncology-Pathology , Karolinska Institute , Stockholm , Sweden.
authors.forename: Gunnar
authors.initials: G
authors.lastname: Steineck
mesh_terms: D001007:Anxiety / Q000453:epidemiology / Q000523:psychology*; D004644:Emotions / Q000502:physiology*; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D015995:Prevalence; D011379:Prognosis; D011468:Prostatectomy; D011471:Prostatic Neoplasms / Q000175:diagnosis* / Q000523:psychology* / Q000601:surgery; D011788:Quality of Life; D012647:Self-Assessment; D011795:Surveys and Questionnaires; D013548:Sweden / Q000453:epidemiology