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Quality of life and adjustment in men with prostate cancer: Interplay of stress, threat and resilience

PURPOSE: Diagnosis and treatment of prostate cancer can generate many challenges which impact on adjustment, so understanding the psychosocial factors which contribute to individual vulnerability to poor adaptation warrants further investigation. This study investigates stress and masculine identity...

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Autores principales: Groarke, AnnMarie, Curtis, Ruth, Skelton, Jean, Groarke, Jenny M.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Public Library of Science 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7498057/
https://www.ncbi.nlm.nih.gov/pubmed/32941547
http://dx.doi.org/10.1371/journal.pone.0239469
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author Groarke, AnnMarie
Curtis, Ruth
Skelton, Jean
Groarke, Jenny M.
author_facet Groarke, AnnMarie
Curtis, Ruth
Skelton, Jean
Groarke, Jenny M.
author_sort Groarke, AnnMarie
collection PubMed
description PURPOSE: Diagnosis and treatment of prostate cancer can generate many challenges which impact on adjustment, so understanding the psychosocial factors which contribute to individual vulnerability to poor adaptation warrants further investigation. This study investigates stress and masculine identity threat as predictors of quality of life and emotional adjustment in men with localized prostate cancer and the role of resilience as a potential protective psychological factor. METHODS: Participants were invited to complete a survey study via online prostate cancer forums. Participants were 204 men ranging in age from 44–88 years (M = 65.24±7.51) and who were diagnosed with early localized prostate cancer within the previous five years. Measures used included the Perceived Stress Scale, Cancer-Related Masculine Threat Scale and the Conor-Davidson Resilience Scale. Using a cross-sectional online survey design, the extent to which perceived stress, masculine threat and psychological resilience are associated with quality of life, positive and negative affect and distress was assessed. RESULTS: Hierarchical regression analysis demonstrated that perceived stress accounted for 26%-44% of variance on quality of life and adjustment indices, with high stress associated with low mood and poor quality of life. Low masculine threat and high resilience predicted better quality of life and emotional adjustment accounting for between 1–7% of the variance. Resilience moderated the relationship between stress and distress and mediated the association between masculine threat and distress and negative affect. CONCLUSION: Perceived stress was the most powerful predictor in the model and findings suggest it contributes significantly to functional and affective status in survivors of prostate cancer. Psychological resilience is a protective factor which buffers the negative effect of stress and masculine identity threat on emotional adjustment. Findings indicate that men should be screened as part of the diagnostic and treatment process for high perceived stress and low resilience to identify those at risk for poor adjustment during survivorship.
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spelling pubmed-74980572020-09-24 Quality of life and adjustment in men with prostate cancer: Interplay of stress, threat and resilience Groarke, AnnMarie Curtis, Ruth Skelton, Jean Groarke, Jenny M. PLoS One Research Article PURPOSE: Diagnosis and treatment of prostate cancer can generate many challenges which impact on adjustment, so understanding the psychosocial factors which contribute to individual vulnerability to poor adaptation warrants further investigation. This study investigates stress and masculine identity threat as predictors of quality of life and emotional adjustment in men with localized prostate cancer and the role of resilience as a potential protective psychological factor. METHODS: Participants were invited to complete a survey study via online prostate cancer forums. Participants were 204 men ranging in age from 44–88 years (M = 65.24±7.51) and who were diagnosed with early localized prostate cancer within the previous five years. Measures used included the Perceived Stress Scale, Cancer-Related Masculine Threat Scale and the Conor-Davidson Resilience Scale. Using a cross-sectional online survey design, the extent to which perceived stress, masculine threat and psychological resilience are associated with quality of life, positive and negative affect and distress was assessed. RESULTS: Hierarchical regression analysis demonstrated that perceived stress accounted for 26%-44% of variance on quality of life and adjustment indices, with high stress associated with low mood and poor quality of life. Low masculine threat and high resilience predicted better quality of life and emotional adjustment accounting for between 1–7% of the variance. Resilience moderated the relationship between stress and distress and mediated the association between masculine threat and distress and negative affect. CONCLUSION: Perceived stress was the most powerful predictor in the model and findings suggest it contributes significantly to functional and affective status in survivors of prostate cancer. Psychological resilience is a protective factor which buffers the negative effect of stress and masculine identity threat on emotional adjustment. Findings indicate that men should be screened as part of the diagnostic and treatment process for high perceived stress and low resilience to identify those at risk for poor adjustment during survivorship. Public Library of Science 2020-09-17 /pmc/articles/PMC7498057/ /pubmed/32941547 http://dx.doi.org/10.1371/journal.pone.0239469 Text en © 2020 Groarke et al http://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Research Article
Groarke, AnnMarie
Curtis, Ruth
Skelton, Jean
Groarke, Jenny M.
Quality of life and adjustment in men with prostate cancer: Interplay of stress, threat and resilience
title Quality of life and adjustment in men with prostate cancer: Interplay of stress, threat and resilience
title_full Quality of life and adjustment in men with prostate cancer: Interplay of stress, threat and resilience
title_fullStr Quality of life and adjustment in men with prostate cancer: Interplay of stress, threat and resilience
title_full_unstemmed Quality of life and adjustment in men with prostate cancer: Interplay of stress, threat and resilience
title_short Quality of life and adjustment in men with prostate cancer: Interplay of stress, threat and resilience
title_sort quality of life and adjustment in men with prostate cancer: interplay of stress, threat and resilience
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7498057/
https://www.ncbi.nlm.nih.gov/pubmed/32941547
http://dx.doi.org/10.1371/journal.pone.0239469
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