Analysis of distress in patients undergoing radical prostatectomy: A multicenter prospective study

To analyze the degree of psychological distress experienced pre- and postoperatively in patients who underwent radical prostatectomy after being diagnosed with prostate cancer. Patients diagnosed with prostate cancer who underwent radical prostatectomy without history of psychiatric disorders were i...

Full description

Saved in:
Bibliographic Details
Published in:Investigative and clinical urology 2024, 65(1), , pp.40-52
Main Authors: Kim, Duk Yoon, Ryu, Jae Hyun, Yoo, Tag Keun, Kim, Yun Beom, Jung, Tae Young, Ko, Woo Jin, Yang, Eun Kyoung
Format: Article
Language:English
Subjects:
anxiety
depression
Humans
insomnia
Male
Original
Postoperative Period
Prospective Studies
prostatectomy
Prostatectomy - psychology
Prostatic Neoplasms - surgery
Psychological Distress
비뇨기과학
Citations: Items that this one cites
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:To analyze the degree of psychological distress experienced pre- and postoperatively in patients who underwent radical prostatectomy after being diagnosed with prostate cancer. Patients diagnosed with prostate cancer who underwent radical prostatectomy without history of psychiatric disorders were included in this study. The degree of psychological distress was evaluated using hospital anxiety and depression scale (HADS) and distress thermometer (DT) questionnaires preoperatively and at 1, 3, 6, and 12 months postoperatively. Distress was high preoperatively and decreased over the entire period. In addition, HADS-anxiety and HADS-depression scores showed an improved severity, shifting from an abnormal state to a borderline state in some patients. However, the DT score, including emotional problems, spiritual concerns, physical problems, family problems, and practical problems, was slightly higher at 1 month postoperatively compared to preoperatively. Furthermore, even at 12 months postoperatively, about one fifth of patients surveyed had a DT score of 4 or higher, requiring psychiatric intervention. Before and after radical prostatectomy, a significant number of patients complained of distress such as anxiety, depression, and insomnia, and they needed help from a specialist because of psychological distress even 12 months postoperatively. Therefore, a close evaluation of the patient's psychological distress and supportive treatment are needed during the entire pre- and postoperative period.
ISSN:2466-0493
2466-054X
DOI:10.4111/icu.20230286