Diversity of Cancer-Related Identities in Long-Term Prostate Cancer Survivors after Radical Prostatectomy

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Název: Diversity of Cancer-Related Identities in Long-Term Prostate Cancer Survivors after Radical Prostatectomy
Autoři: Jahnen, Matthias, Mynzak, Eike, Meissner, Valentin H., Schiele, Stefan, Schulwitz, Helga, Ankerst, Donna P., Gschwend, Jürgen E., Herkommer, Kathleen, Dinkel, Andreas
Zdroj: BMC Cancer
BMC Cancer, Vol 21, Iss 1, Pp 1-10 (2021)
Informace o vydavateli: Research Square Platform LLC, 2021.
Rok vydání: 2021
Témata: Male, Self-Assessment, Time Factors, Research, Prostate cancer, Cancer-related identity, Cancer survivors, Survivorship, Psychosocial adaptation, Cancer Survivors/psychology [MeSH], Age Factors [MeSH], Aged, 80 and over [MeSH], Autobiographies as Topic [MeSH], Aged [MeSH], Socioeconomic Factors [MeSH], Male [MeSH], Prostatic Neoplasms/psychology [MeSH], Prostatic Neoplasms/surgery [MeSH], Neoplasm Recurrence, Local/blood [MeSH], Self-Assessment [MeSH], Humans [MeSH], Logistic Models [MeSH], Middle Aged [MeSH], Cross-Sectional Studies [MeSH], Time Factors [MeSH], Germany [MeSH], Odds Ratio [MeSH], Self Concept [MeSH], Prostatectomy [MeSH], 03 medical and health sciences, 0302 clinical medicine, Cancer Survivors, Germany, Odds Ratio, Humans, 10. No inequality, RC254-282, Aged, Aged, 80 and over, Prostatectomy, ddc:610, Age Factors, Neoplasms. Tumors. Oncology. Including cancer and carcinogens, Prostatic Neoplasms, Middle Aged, Self Concept, ddc, 3. Good health, Autobiographies as Topic, Cross-Sectional Studies, Logistic Models, Socioeconomic Factors, Neoplasm Recurrence, Local
Popis: Background Individuals affected by cancer need to integrate this experience into their personal biography as their life progress after primary therapy, leading to substantial changes in self-perception. This study identified factors uniquely associated with 5 different cancer-related identities in order to improve the understanding of how self-perception in men affected by prostate cancer is associated with certain clinical and psychosocial characteristics. Methods In this cross-sectional study, long-term prostate cancer survivors after radical prostatectomy were asked to choose one of 5 cancer-related identities that described them best. Associations with sociodemographic, clinical, and psychological variables were investigated using multivariable logistic regression. Results 3347 men (mean age 78.1 years) questioned on average 15.6 years after prostatectomy were included. Most men favored the terms “someone who has had cancer” (43.9%) which was associated with a mild disease course, and “patient” (26.3%) which was associated with ongoing therapy and biochemical disease recurrence. Self-descriptions, such as “cancer survivor” (16.8%), “cancer conqueror” (10.9%) and “victim” (2.1%) were less common. “Cancer survivor” was associated with high perceived disease severity (OR: 1.86 [1.44–2.40]). “Cancer survivor” and “cancer conqueror” were related to high benefit finding (OR: 1.89 [1.48–2.40], OR: 1.46 [1.12–1.89] respectively), and only “cancer conqueror” was associated with high well-being (OR: 1.84 [1.35–2.50]). Identification as “victim” was associated with psychological distress and low well-being (OR: 2.22 [1.15–4.31], OR: 0.38 [0.20–0.72] respectively). (all p
Druh dokumentu: Article
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Popis souboru: application/pdf
ISSN: 1471-2407
DOI: 10.21203/rs.3.rs-461944/v1
DOI: 10.1186/s12885-021-08776-7
Přístupová URL adresa: https://europepmc.org/articles/pmc8454161?pdf=render
https://bmccancer.biomedcentral.com/track/pdf/10.1186/s12885-021-08776-7
https://pubmed.ncbi.nlm.nih.gov/34544381
https://doaj.org/article/92f3fcd862fb4848bc8090c26e6f806b
https://europepmc.org/article/PPR/PPR336388
https://www.researchsquare.com/article/rs-461944/v1.pdf?c=1631896549000
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8454161
https://www.researchsquare.com/article/rs-461944/v1
https://bmccancer.biomedcentral.com/articles/10.1186/s12885-021-08776-7
https://nbn-resolving.org/urn:nbn:de:bvb:384-opus4-920822
https://opus.bibliothek.uni-augsburg.de/opus4/frontdoor/index/index/docId/92082
https://doi.org/10.1186/s12885-021-08776-7
https://opus.bibliothek.uni-augsburg.de/opus4/files/92082/s12885-021-08776-7.pdf
https://repository.publisso.de/resource/frl:6463185
https://mediatum.ub.tum.de/1650891
https://mediatum.ub.tum.de/1704515
Rights: CC BY
Přístupové číslo: edsair.doi.dedup.....5fc66ee9ea30241e0824d6a6c609fb68
Databáze: OpenAIRE
Popis
Abstrakt:Background Individuals affected by cancer need to integrate this experience into their personal biography as their life progress after primary therapy, leading to substantial changes in self-perception. This study identified factors uniquely associated with 5 different cancer-related identities in order to improve the understanding of how self-perception in men affected by prostate cancer is associated with certain clinical and psychosocial characteristics. Methods In this cross-sectional study, long-term prostate cancer survivors after radical prostatectomy were asked to choose one of 5 cancer-related identities that described them best. Associations with sociodemographic, clinical, and psychological variables were investigated using multivariable logistic regression. Results 3347 men (mean age 78.1 years) questioned on average 15.6 years after prostatectomy were included. Most men favored the terms “someone who has had cancer” (43.9%) which was associated with a mild disease course, and “patient” (26.3%) which was associated with ongoing therapy and biochemical disease recurrence. Self-descriptions, such as “cancer survivor” (16.8%), “cancer conqueror” (10.9%) and “victim” (2.1%) were less common. “Cancer survivor” was associated with high perceived disease severity (OR: 1.86 [1.44–2.40]). “Cancer survivor” and “cancer conqueror” were related to high benefit finding (OR: 1.89 [1.48–2.40], OR: 1.46 [1.12–1.89] respectively), and only “cancer conqueror” was associated with high well-being (OR: 1.84 [1.35–2.50]). Identification as “victim” was associated with psychological distress and low well-being (OR: 2.22 [1.15–4.31], OR: 0.38 [0.20–0.72] respectively). (all p
ISSN:14712407
DOI:10.21203/rs.3.rs-461944/v1