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Published on: March 6, 2018
A Qualitative Exploration of Prostate Cancer Survivors Experiencing Psychological Distress: Loss of Self, Function,
Lauren Matheson1, Johana Nayoan2, Carol Rivas3
1Oxford Brookes University.
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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