The Cost of Bottling It Up: Emotion Suppression as a Mediator in the Relationship Between Anger and Depression Among Men with Prostate Cancer

Prostate cancer is a risk factor for major depressive disorder. Recent psycho-oncology research suggests a potential role for male-specific mood-related symptoms in this relationship. Gender socialisation experiences may reinforce men's anger and emotion suppression responses in times of distre...

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Bibliographic Details
Published in:Cancer management and research 2020-02, Vol.12, p.1039-1046
Main Authors: Rice, Simon M, Kealy, David, Ogrodniczuk, John S, Seidler, Zac E, Denehy, Linda, Oliffe, John L
Format: Article
Language:English
Subjects:
Analysis
anger
Cancer diagnosis
Cancer research
depression
Depression (Mood disorder)
emotion suppression
Guilt (Psychology)
Health aspects
Major depressive disorder
Male identity
Mediation
Medical research
Original Research
prostate
Prostate cancer
Psychological aspects
Risk factors
Setting (Literature)
Sleep
Sleep disorders
Suicide
Surgery
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Summary:Prostate cancer is a risk factor for major depressive disorder. Recent psycho-oncology research suggests a potential role for male-specific mood-related symptoms in this relationship. Gender socialisation experiences may reinforce men's anger and emotion suppression responses in times of distress, and anger and emotion suppression may be implicated in pathways to, and maintenance of depression in prostate cancer. Data were collected online from men with a self-reported diagnosis of prostate cancer (N=100; mean age 64.8 years). Respondents provided information regarding diagnosis and treatment, in addition to current experience of major depression and male-specific externalising symptoms. Prostate cancer diagnosis in the last 12 months occurred for 35.4% of the sample. Elevated major depression symptoms were observed for 49% of respondents, with 14% endorsing past 2-week suicide ideation. Parallel mediation analysis (99% CIs) controlling for prostatectomy and active surveillance indicated men's emotion suppression mediated the relationship between anger and depression symptoms ( =0.580). Trichotimised emotion suppression scores with control variables yielded a large multivariate effect (
ISSN:1179-1322
1179-1322
DOI:10.2147/CMAR.S237770