Baseline and follow-up association of the MAX-PC in Men with newly diagnosed prostate cancer

Objective The objective of this paper is to conduct a prospective, longitudinal study employing the Memorial Anxiety Scale for Prostate Cancer (MAX‐PC) to examine the baseline and follow‐up association of prostate cancer (PCa)‐specific anxiety, health‐related quality of life (HRQOL), and PCa aggress...

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Published in:Psycho-oncology (Chichester, England) England), 2015-04, Vol.24 (4), p.451-457
Main Authors: Tavlarides, Andrea M., Ames, Steven C., Thiel, David D., Diehl, Nancy N., Parker, Alexander S.
Format: Article
Language:English
Subjects:
Adult
Aged
Aggressiveness
Anxiety
Anxiety - psychology
cancer
Cohort Studies
Depression - psychology
Follow-Up Studies
Health Status
Humans
Longitudinal Studies
Male
Medical prognosis
Men
Middle Aged
Neoplasm Grading
Neoplasm Staging
Oncology
Prospective Studies
Prostate cancer
Prostatectomy - psychology
Prostatic Neoplasms - pathology
Prostatic Neoplasms - psychology
Prostatic Neoplasms - surgery
Quality of life
Quality of Life - psychology
Registries
surgery
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Summary:Objective The objective of this paper is to conduct a prospective, longitudinal study employing the Memorial Anxiety Scale for Prostate Cancer (MAX‐PC) to examine the baseline and follow‐up association of prostate cancer (PCa)‐specific anxiety, health‐related quality of life (HRQOL), and PCa aggressiveness in men with newly‐diagnosed PCa undergoing prostatectomy at our institution. Methods From our prospective PCa registry, we identified a total of 350 men with newly‐diagnosed PCa who completed the MAX‐PC and the Expanded Prostate Cancer Index Composite (EPIC) at baseline and one‐year following surgery. Scores on both measures were compared with clinical measure and demographics using the Wilcoxon Rank Sum, Fisher's exact, and Cochran‐Armitage Trend tests. Spearman test was used to assess correlation at between the MAX‐PC and EPIC at baseline and one‐year. Results Baseline overall MAX‐PC measures were correlated with measures at one‐year (r = 0.5479, p  6 (p = 0.004), T‐Stage ≥ 2C disease (p = 0.004), and a postoperative prostate‐specific antigen (PSA) > 0.1 (p = 0.002); however, this did not apply to all anxious patients. Baseline EPIC sexual function scores were predictive of follow‐up EPIC sexual function scores as well (r = 0.5790, p 
ISSN:1057-9249
1099-1611
DOI:10.1002/pon.3605