Journal
CURRENT ONCOLOGY
Volume 28, Issue 5, Pages 3900-3917Publisher
MDPI
DOI: 10.3390/curroncol28050333
Keywords
prostate cancer; treatment regret; quality of life; cancer survivorship; emotional well-being; functional well-being; spiritual well-being; social well-being; patient autonomy
Categories
Funding
- Dalhousie Medical Research Foundation (DMRF)
- Research Nova Scotia
- Scotia Scholars Award
- BRIC NS Student Award
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This study examined the well-being of 367 men with a history of prostate cancer, finding that a portion of them experienced poor social/family, emotional, functional, and spiritual well-being. Treatment regret, mental and physical health indicators had an impact on men's well-being, with treatment regret, low household income, and poor physical and sexual function leading to decreased well-being. Good mental health was found to be protective against poor social/family, emotional, functional, and spiritual well-being.
Prostate cancer (PCa) patients and survivors are at high risk of mental health illness. Here, we examined the contribution of treatment regret, mental and physical health indicators to the social/family, emotional, functional and spiritual well-being of PCa survivors. The study assessed 367 men with a history of PCa residing in the Maritimes Canada who were surveyed between 2017 and 2021. The outcomes were social/family, emotional, functional and spiritual well-being (FACT-P,FACIT-Sp). Predictor variables included urinary, bowel and sexual function (UCLA-PCI), physical and mental health (SF-12), and treatment regret. Logistic regression analyses were controlled for age, income, and survivorship time. Poor social/family, emotional, functional and spiritual well-being was identified among 54.4%, 26.5%, 49.9% and 63.8% of the men in the sample. Men who reported treatment regret had 3.62, 5.58, or 4.63 higher odds of poor social/family, emotional, and functional well-being, respectively. Men with low household income had 3.77 times higher odds for poor social/well-being. Good mental health was a protective factor for poor social/family, emotional, functional, or spiritual well-being. Better physical and sexual health were protective factors for poor functional well-being. Seeking to promote PCa patients' autonomy in treatment decisions and recognizing this process' vulnerability in health care contexts is warranted.
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