Thinking about one's own death after prostate-cancer diagnosis.
Background: Prostate-cancer diagnosis increases the risk for psychiatric morbidity and suicide. Thoughts about one's own death could indicate need for psychiatric care among men with localized prostate cancer. We studied the prevalence and predictors of thoughts about own death among men with prosta...
| Published in: | Supportive Care in Cancer Vol. 26; no. 5; pp. 1665 - 1674 |
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| Main Authors: | , , , , , |
| Format: | research Journal Article |
| Published: |
Springer Nature
May2018
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| Online Access: | View this record in EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=128766369&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 128766369 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 09414355 O1J jtl: Supportive Care in Cancer issn: 09414355 maglogo: N pubinfo: dt: May2018 vid: 26 iid: 5 pid: 237 pub: Springer Nature place: New York, New York artinfo: ui: 128766369 128766369 NLM29224177 128766369 10.1007/s00520-017-3986-z NLM29224177 128766369 ppf: 1665 ppct: 9 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Thinking about one's own death after prostate-cancer diagnosis. aug: au: Thorsteinsdottir, Thordis K. Valdimarsdottir, Heiddis Stranne, Johan Wilderäng, Ulrica Haglind, Eva Steineck, Gunnar affil: Research Institute in Emergency Care, Landspitali National University Hospital of Iceland, Reykjavik, Iceland sug: subj: Prostatic Neoplasms Psychosocial Factors Male Middle Age Prognosis Prostatic Neoplasms Diagnosis Human Aged Death Prospective Studies Adult Validation Studies Comparative Studies Evaluation Research Multicenter Studies Psychosocial Adjustment to Illness Scale Middle Aged: 45-64 years Aged: 65+ years Adult: 19-44 years Male ab: Background: Prostate-cancer diagnosis increases the risk for psychiatric morbidity and suicide. Thoughts about one's own death could indicate need for psychiatric care among men with localized prostate cancer. We studied the prevalence and predictors of thoughts about own death among men with prostate cancer.Methods: Of the 3930 men in the prospective, multi-centre LAPPRO-trial, having radical prostatectomy, 3154 (80%) answered two study-specific questionnaires, before and three months after surgery. Multivariable prognostic models were built with stepwise regression and Bayesian Model Averaging.Results: After surgery 46% had thoughts about their own death. Extra-prostatic tumor-growth [Adjusted Odds-Ratio 2.06, 95% Confidence Interval 1.66-2.56], university education [OR 1.66, CI 1.35-2.05], uncertainty [OR 2.20, CI 1.73-2.82], low control [OR 2.21, CI 1.68-2.91], loneliness [OR 1.75, CI 1.30-2.35], being a burden [OR 1.59, CI 1.23-2.07], and crying [OR 1.55, CI 1.23-1.96] before surgery predicted thoughts about one's own death after surgery.Conclusions: We identified predictors for thoughts about one's own death after prostate cancer diagnosis and surgery. These factors may facilitate the identification of psychiatric morbidity and those who might benefit from psychosocial support already during primary treatment. pubtype: Academic Journal doctype: research Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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