Predictors of long-term distress in female partners of men diagnosed with prostate cancer.

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ID: 59503
2018
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Abstract
Female partners of men with prostate cancer (PCa) experience heightened psychological distress; however, long-term distress for this group is not well described. We examined partner's psychological and cancer-specific distress over 2 years and predictors of change.A cohort of 427 female partners (63% response; mean age 62.6 y) of PCa survivors completed baseline (2-4 y post-PCa treatment) assessments of anxiety, depression, and cancer-specific distress and were followed up at 6, 12, 18, and 24 months. Caregiver burden, threat and challenge appraisal, self-efficacy, and dyadic adjustment were assessed as potential predictors of distress.Over time, 23% to 25% of women reported anxiety; 8% to 11% depression; 5% to 6% high cancer-specific distress. Higher caregiver burden and more threat appraisals were associated with increased distress, anxiety, depression, and cancer-specific distress over time. Higher dyadic adjustment over time and more challenge appraisals at 24 months were associated with less distress, anxiety, and depression. Increased partner self-efficacy was associated with lower distress and depression at baseline.A substantial subgroup of partners experience ongoing anxiety, with depression less prevalent but also persistent. Caregiver burden, partner self-efficacy, threat, and challenge appraisals present as potential supportive care targets.
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hyde2018predictorspsychooncology Use this key to autocite in the manuscript while using SciMatic Manuscript Manager or Thesis Manager
Authors Hyde, Melissa K;Legg, Melissa;Occhipinti, Stefano;Lepore, Stephen J;Ugalde, Anna;Zajdlewicz, Leah;Laurie, Kirstyn;Dunn, Jeff;Chambers, Suzanne K;
Journal psycho-oncology
Year 2018
DOI
10.1002/pon.4617
URL
Keywords
Cancer oncology anxiety depression prostate cancer psychological distress longitudinal caregivers carers partners

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