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Table 4 Radical prostatectomy (RP) and psychological adjustment

From: Psychological adjustment of men with prostate cancer: a review of the literature

Study Design Characteristics of the sample Major findings
Pietroff et al. (2001) • Retrospective, questionnaire – based inquiry, comparing those with (25%) and without PSA recurrence, an average 3 years post-surgery
• UCLA Prostate Cancer Index and the RAND 36-item Health Survey used
• 348 patients with localized disease • Small difference only on QOL between the 2 groups; generally, men well adjusted
• PSA-recurrence group, unexpectedly had higher scores on emotional well-being
Rosetti and Terrone (1996) • Retrospective inquiry (EORTC) 1 – 15 years after RP • 161 patients, of whom "over 80%" did not have metastases • Minimal overall psychological impact
• 90% satisfied with surgery, and would opt to have it again
Heathcote et al. (1998) • Retrospective inquiry 1–6 years after surgery
• QOL measure constructed by authors
• 140 patients who had no evidence of recurrent or residual disease • 90% satisfied with treatment, despite impotence in 40% of sample
Meyer et al. (2003) • Retrospective inquiry (ED – QOL)a median 7 years after surgery • 89 patients with localized disease • Most patients felt adverse effects, including anger, guild and sadness associated with impotence.
• 75% of men had lowered self-esteem to some degree
Ficarra et al. (2000) • Retrospective inquiry an average 2 years after surgery; inclusion of control group of men who had RP for benign prostatic hyperplasia.
• General Health Questionnaire and the Hospital Depression and Anxiety Scale
• 30 patients with localized disease • Cancer patients had significantly higher levels of anxiety
• Depression levels similar in 2 groups; minimal in each group
Randorf-Klym and Colling (2003) • Retrospective inquiry 1–2 years following surgery
• QOL measure constructed by authors
• 88 patients • Perceived social support, self-esteem and health locus of control predicted post-surgery QOL
• Suppression of anger and depression non-predictors