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Loss of self, function, connection and control:: understanding psychological distress in prostate cancer survivors - A qualitative exploration

Loss of self, function, connection and control:: understanding psychological distress in prostate cancer survivors - A qualitative exploration
Loss of self, function, connection and control:: understanding psychological distress in prostate cancer survivors - A qualitative exploration
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.
0190-535X
Mattheson, Lauren
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Nayoan, Johana
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Rivas, Carol
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Brett, Jo
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Wright, Penny
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Butcher, Hugh
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Gavin, Anna
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Glaser, Adam
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Watson, Eila
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Wagland, Richard
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Mattheson, Lauren
c699dfbf-0445-4aea-ac46-ba4980511a73
Nayoan, Johana
458079ad-4bf0-4053-97e9-77e34a3fe077
Rivas, Carol
040bfbc1-0aef-4826-ab58-e85743fea9d4
Brett, Jo
0b0cee91-6b1a-48d7-83e5-a58bb1472bd7
Wright, Penny
6ff24015-f755-4d1b-b584-dd1f8e55c238
Butcher, Hugh
e092a262-86c3-4a08-8724-328932cc682d
Gavin, Anna
9d4c3e4d-810d-4c53-b9f3-250f3ef8b478
Glaser, Adam
cd9ec1e8-f9ed-4451-a404-b8a93c2b3089
Watson, Eila
6113ed91-1c25-41b9-8034-deb56db98424
Wagland, Richard
16a44dcc-29cd-4797-9af2-41ef87f64d08

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)

Record type: Article

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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Loss of self, function, connection and control understanding psychological distress in prostate cancer survivors - A qualitative exploration
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Accepted/In Press date: 4 November 2019

Identifiers

Local EPrints ID: 435935
URI: http://eprints.soton.ac.uk/id/eprint/435935
ISSN: 0190-535X
PURE UUID: b9e6e21d-4d11-4e3d-977f-e4b2f6ac5c14
ORCID for Richard Wagland: ORCID iD orcid.org/0000-0003-1825-7587

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Date deposited: 25 Nov 2019 17:30
Last modified: 17 Mar 2024 03:20

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Contributors

Author: Lauren Mattheson
Author: Johana Nayoan
Author: Carol Rivas
Author: Jo Brett
Author: Penny Wright
Author: Hugh Butcher
Author: Anna Gavin
Author: Adam Glaser
Author: Eila Watson
Author: Richard Wagland ORCID iD

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