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An exploration of wellbeing in men diagnosed with prostate cancer undergoing active surveillance: a qualitative study

PURPOSE: There is a growing emphasis on improving quality of life of people with prostate cancer. However, those undergoing active surveillance remain underrepresented in the literature with less known about their unique challenges. Therefore, we aimed to explore their lived experiences post diagnos...

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Autores principales: Eymech, Omar, Brunckhorst, Oliver, Fox, Louis, Jawaid, Anam, Van Hemelrijck, Mieke, Stewart, Robert, Dasgupta, Prokar, Ahmed, Kamran
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer Berlin Heidelberg 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8933126/
https://www.ncbi.nlm.nih.gov/pubmed/35304633
http://dx.doi.org/10.1007/s00520-022-06976-w
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author Eymech, Omar
Brunckhorst, Oliver
Fox, Louis
Jawaid, Anam
Van Hemelrijck, Mieke
Stewart, Robert
Dasgupta, Prokar
Ahmed, Kamran
author_facet Eymech, Omar
Brunckhorst, Oliver
Fox, Louis
Jawaid, Anam
Van Hemelrijck, Mieke
Stewart, Robert
Dasgupta, Prokar
Ahmed, Kamran
author_sort Eymech, Omar
collection PubMed
description PURPOSE: There is a growing emphasis on improving quality of life of people with prostate cancer. However, those undergoing active surveillance remain underrepresented in the literature with less known about their unique challenges. Therefore, we aimed to explore their lived experiences post diagnosis and its effect on their mental, social, and physical wellbeing. METHODS: Qualitative semi-structured interviews were conducted with 13 men undergoing active surveillance for low-risk disease. Thematic analysis was used to inductively co-construct themes through the lens of the biopsychosocial model. RESULTS: Mental wellbeing was strongly affected in our participants due to the overwhelming emotional impact of their diagnosis resulting in an ‘Emotional Diagnostic Disequilibrium’. Informational awareness and education about prostate cancer helped patients with ‘Recognition of the Impact’. Patients experienced an ‘Unsettling Monitoring Cycle’ due to the increased fear and anxiety around PSA monitoring appointments, with some men ignoring their mental wellbeing needs as their disease is ‘A Future Problem’. ‘Concealment of Diagnosis’ left many feeling isolated and highlighted an important coping mechanisms in the ‘Importance of a Social Support Network’ theme. Finally, physical health mostly changed through alterations in health behaviour, leading to ‘A Healthier Lifestyle’ with increasing attribution of physical symptoms to age through ‘Symptomatic Overshadowing’. CONCLUSION: The greatest disease impact on men’s wellbeing was at the time of diagnosis, with a subsequent cyclical anxiety and fear of disease progression prominent around monitoring appointments. Future research should explore ways to better support patients with these issues and at these times, improving their quality of life. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1007/s00520-022-06976-w.
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spelling pubmed-89331262022-03-21 An exploration of wellbeing in men diagnosed with prostate cancer undergoing active surveillance: a qualitative study Eymech, Omar Brunckhorst, Oliver Fox, Louis Jawaid, Anam Van Hemelrijck, Mieke Stewart, Robert Dasgupta, Prokar Ahmed, Kamran Support Care Cancer Original Article PURPOSE: There is a growing emphasis on improving quality of life of people with prostate cancer. However, those undergoing active surveillance remain underrepresented in the literature with less known about their unique challenges. Therefore, we aimed to explore their lived experiences post diagnosis and its effect on their mental, social, and physical wellbeing. METHODS: Qualitative semi-structured interviews were conducted with 13 men undergoing active surveillance for low-risk disease. Thematic analysis was used to inductively co-construct themes through the lens of the biopsychosocial model. RESULTS: Mental wellbeing was strongly affected in our participants due to the overwhelming emotional impact of their diagnosis resulting in an ‘Emotional Diagnostic Disequilibrium’. Informational awareness and education about prostate cancer helped patients with ‘Recognition of the Impact’. Patients experienced an ‘Unsettling Monitoring Cycle’ due to the increased fear and anxiety around PSA monitoring appointments, with some men ignoring their mental wellbeing needs as their disease is ‘A Future Problem’. ‘Concealment of Diagnosis’ left many feeling isolated and highlighted an important coping mechanisms in the ‘Importance of a Social Support Network’ theme. Finally, physical health mostly changed through alterations in health behaviour, leading to ‘A Healthier Lifestyle’ with increasing attribution of physical symptoms to age through ‘Symptomatic Overshadowing’. CONCLUSION: The greatest disease impact on men’s wellbeing was at the time of diagnosis, with a subsequent cyclical anxiety and fear of disease progression prominent around monitoring appointments. Future research should explore ways to better support patients with these issues and at these times, improving their quality of life. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1007/s00520-022-06976-w. Springer Berlin Heidelberg 2022-03-19 2022 /pmc/articles/PMC8933126/ /pubmed/35304633 http://dx.doi.org/10.1007/s00520-022-06976-w Text en © The Author(s) 2022 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) .
spellingShingle Original Article
Eymech, Omar
Brunckhorst, Oliver
Fox, Louis
Jawaid, Anam
Van Hemelrijck, Mieke
Stewart, Robert
Dasgupta, Prokar
Ahmed, Kamran
An exploration of wellbeing in men diagnosed with prostate cancer undergoing active surveillance: a qualitative study
title An exploration of wellbeing in men diagnosed with prostate cancer undergoing active surveillance: a qualitative study
title_full An exploration of wellbeing in men diagnosed with prostate cancer undergoing active surveillance: a qualitative study
title_fullStr An exploration of wellbeing in men diagnosed with prostate cancer undergoing active surveillance: a qualitative study
title_full_unstemmed An exploration of wellbeing in men diagnosed with prostate cancer undergoing active surveillance: a qualitative study
title_short An exploration of wellbeing in men diagnosed with prostate cancer undergoing active surveillance: a qualitative study
title_sort exploration of wellbeing in men diagnosed with prostate cancer undergoing active surveillance: a qualitative study
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8933126/
https://www.ncbi.nlm.nih.gov/pubmed/35304633
http://dx.doi.org/10.1007/s00520-022-06976-w
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