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Psychological distress in spouses of men treated for early-stage prostate carcinoma†
Article first published online: 27 APR 2005
Copyright © 2005 American Cancer Society
Volume 103, Issue 11, pages 2412–2418, 1 June 2005
How to Cite
Eton, D. T., Lepore, S. J. and Helgeson, V. S. (2005), Psychological distress in spouses of men treated for early-stage prostate carcinoma. Cancer, 103: 2412–2418. doi: 10.1002/cncr.21092
The current study is dedicated to the memory of Renee Elizabeth Rhodes, our friend and colleague, who left us too soon on July 18, 2004.
- Issue published online: 18 MAY 2005
- Article first published online: 27 APR 2005
- Manuscript Accepted: 9 FEB 2005
- Manuscript Revised: 11 JAN 2005
- Manuscript Received: 6 AUG 2004
- National Institutes of Health. Grant Number: CA68354
- prostate carcinoma;
- quality of life;
- social environment;
The authors examined levels and predictors of psychological distress in the wives of men treated for early-stage prostate carcinoma (PCa).
Patients with PCa (N = 165) and spouses were interviewed to assess general and cancer-specific distress. Social and intrapersonal factors of spouses as well as clinical characteristics and quality of life of patients were assessed as potential predictors of spouses' distress.
Spouses reported more cancer-specific distress than did patients (P < 0.001), but did not differ from patients in general distress. Several spouse-reported factors predicted higher spouses' distress, including less education (P < 0.005), worse marriage quality and less social support (Ps < 0.005), more negative social interaction with the patient (Ps < 0.001), lower self-esteem (Ps < 0.001), less positive coping (Ps < 0.005), searching for meaning (P < 0.001), not finding meaning (P < 0.005), and greater illness uncertainty (Ps < 0.001). Patients' bowel function and mental health also predicted greater spouses' distress (Ps < 0.005).
The findings indicated that overall distress in spouses of early-stage patients with PCa was modest, and it was more likely to be predicted by psychosocial than medical factors. Cancer 2005. © 2005 American Cancer Society.