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- Title
A Qualitative Exploration of Prostate Cancer Survivors Experiencing Psychological Distress: Loss of Self, Function, Connection, and Control.
- Authors
Matheson, Lauren; Nayoan, Johana; Rivas, Carol; Brett, Jo; Wright, Penny; Butcher, Hugh; Gavin, Anna; Glaser, Adam; Watson, Eila; Wagland, Richard
- Abstract
PURPOSE: To explore the experiences of men with prostate cancer identified as having psychological distress and to identify factors influencing distress. PARTICIPANTS & SETTING: 28 men with prostate cancer diagnosed 18-42 months earlier, identified as having psychological distress on survey measures. METHODOLOGIC APPROACH: Semistructured telephone interviews were conducted. Thematic analysis using a framework approach was used. FINDINGS: Men with psychological distress had strong perceptions of loss toward self (identity, sexuality/masculinity, self-confidence), function (physical activities), connection (relational, social, community), and control (future, emotional). Psychological vulnerability appeared heightened in particular groups of men. Maladaptive strategies of emotional concealment, help-seeking avoidance, and withdrawal appeared to contribute to distress. IMPLICATIONS FOR NURSING: Distress in men with prostate cancer is multifaceted. Men with distress should be identified and offered support. Nurse- or peer-led interventions are required.
- Subjects
PSYCHOLOGICAL stress; AGE distribution; ATTITUDE (Psychology); AVOIDANCE (Psychology); CANCER patient psychology; CONCEPTUAL structures; CONFIDENCE; EXPERIENCE; GROUP identity; INTERVIEWING; MARITAL status; MASCULINITY; RESEARCH methodology; PROSTATE tumors; RISK assessment; SELF-management (Psychology); HUMAN sexuality; QUALITATIVE research; THEMATIC analysis; PHYSICAL activity
- Publication
Oncology Nursing Forum, 2020, Vol 47, Issue 3, p318
- ISSN
0190-535X
- Publication type
Article
- DOI
10.1188/20.ONF.318-330