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1000
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Abstract/Summary
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Background: Individuals affected by cancer need to integrate this experience into their personal biography as their life continues 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: Three thousand three hundred forty-seven men (mean age 78.1 years) surveyed 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. The self-descriptions '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 a positive depression screening and low well-being (OR: 2.22 [1.15-4.31], OR: 0.38 [0.20-0.72] respectively) (all p < 0.05). Conclusions: Although long-term survival is common among men affected by PCa, they display a large diversity in cancer-related identities, which are associated with unique clinical and psychological characteristics. These cancer-related identities and their distinctive properties are associated with psychological well-being even after a long follow-up.
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1000
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Hinweis
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DeepGreen-ID: dd6d379ea2034886b8698700a9d7dbd5 ; metadata provieded by: DeepGreen (https://www.oa-deepgreen.de/api/v1/), LIVIVO search scope life sciences (http://z3950.zbmed.de:6210/livivo), Crossref Unified Resource API (https://api.crossref.org/swagger-ui/index.html), to.science.api (https://frl.publisso.de/), ZDB JSON-API (beta) (https://zeitschriftendatenbank.de/api/), lobid - Dateninfrastruktur für Bibliotheken (https://lobid.org/resources/search)
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