Matheson, Lauren, Nayoan, Johana, Rivas, Carol, Brett, Jo, Wright, Penny, Butcher, Hugh, Gavin, Anna, Glaser, Adam, Watson, Eila and Wagland, Richard (2020) A qualitative exploration of prostate cancer survivors experiencing psychological distress: loss of self, function, connection, and control. Oncology Nursing Forum, 47 (3), 318-330. (doi:10.1188/20.ONF.318-330).
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.
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