Mattheson, Lauren, Nayoan, Johana, Rivas, Carol, Brett, Jo, Wright, Penny, Butcher, Hugh, Gavin, Anna, Glaser, Adam, Watson, Eila and Wagland, Richard (2019) Loss of self, function, connection and control:: understanding psychological distress in prostate cancer survivors - A qualitative exploration. Oncology Nursing Forum. (In Press)
Abstract
Purpose: to explore the experiences of men with prostate cancer identified as having psychological distress and to identify factors influencing distress.
Participants and setting: 28 men with prostate cancer diagnosed 18-42 months earlier, identified as having psychological distress on survey measures.
Methodologic approach: Semi-structured telephone interviews were conducted. Thematic analysis using a Framework approach was used.
Findings: men with psychological distress had strong perceptions of ‘loss’ towards a) self (identity, sexuality/masculinity, self-confidence), b) function (physical, activities), c) connection (relational, social, community) and d) 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. Nursing and/or peer-led interventions are required.
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