Prostate Cancer Anxiety Helped with Stress ManagementStress management counseling appears to benefit men who have all or part of their prostate removed (radical prostatectomy) to treat early-stage prostate cancer, according to a study in the Journal of Clinical Oncology. ![]() "We know that for men with early-stage prostate cancer, the time when they are making treatment decisions is very stressful," says senior author Dr. Lorenzo Cohen, at the University of Texas MD Anderson Cancer Center. "A radical prostatectomy is not without possible, very personal, consequences, including urinary incontinence and erectile dysfunction," he says. "Patients may also be worried about the uncertainty that the surgery will cure their cancer." Stress Counseling Worked BestThe study included 159 patients who were assigned to receive one of three therapies. The first consisted of two 60- to 90-minute sessions of pre-surgical stress management counseling and brief booster sessions the morning of surgery, and 48 hours following surgery; the second had two 60- to 90-minute sessions of individual supportive attention sessions and boosters similar to the stress management group; the third involved standard care (no therapy). In the short term (one week before and the morning of surgery), men in the stress management group had the lowest levels of mood disturbance (distress, anxiety, depression), followed by those in the supportive attention group. There was a statistically significant difference between men in the stress management group and those in the standard care group, who had the highest levels of mood disturbance. In the long term (six weeks and 12 months after surgery), the men in the stress management group reported the highest levels of physical functioning and quality of life. Again, the difference between the men in the stress management group and those in the standard care group was statistically significant. Addressing Concerns Before TreatmentDr. Cohen says,"Before we can suggest that stress management is useful prior to surgery for all men undergoing a radical prostatectomy, we need to better understand the mechanism behind our findings, as well as understand for whom this type of intervention will be the most useful." "However, that said, all diagnosed with cancer treatment should be encouraged to participate in any stress management program, be it mind-body or cognitive in nature," he adds. "We know that they are safe and may improve patients' well-being and help them adjust to a cancer diagnosis." Always consult your physician for more information. Online Resources(Our Organization is not responsible for the content of Internet sites.) |
June 2009Prostate Cancer Anxiety Helped with Stress Management Addressing Concerns Before Treatment Prostate Cancer and Mental Health Prostate Cancer and Mental HealthEvery person is different, and not all men diagnosed with prostate cancer have the same experience, thoughts, or feelings. However, some common feelings and concerns may be present. The prostate gland is critical to a man's sexual function; the possibility and actual diagnosis of prostate cancer can instill fear and anxiety for patients since it threatens their masculinity. Treatment considerations vary, as do their effects on sexual function. It is normal to be scared, angry, or depressed when given this diagnosis. The good news is that prostate cancer is very treatable. Each patient, together with their partner or family, should try their best to communicate about the diagnosis of prostate cancer, how it makes them feel, what their expectations are, what their fears are, etc. Take the time for you and those you love to become informed. Above all, become an advocate for your personal healthcare. Don't be afraid to ask for help. It is normal to feel helpless, alone, or isolated when you have been diagnosed with prostate cancer. Consider going to a support group. You will find numerous other men who understand your situation because they have been there themselves. Bring your partner or a friend as a support person, if you choose. You will be amazed at how much information you can gain from those who have "been there" and by the amount of stress eliminated in the knowledge that others truly do understand. Ask your physician where the prostate cancer support groups are in your area. The following are some suggestions for helping the men in your life who may have or could have prostate cancer at some point in time: Keep the lines of communication open. It is easy for someone with a diagnosis of prostate cancer to become depressed, or to be in a state of denial. It is also normal for you to be sad, angry, or in denial of the diagnosis. Open communication is critical during a stressful time like this. Strengthen your relationship by talking about how you feel. Educate yourself. Understanding the diagnosis will help you to be supportive and understand what your loved one is going through. Ask questions. A silly question is only the one not asked. Take notes and put them in your notebook with your medical records. Accompany your partner so that you can both hear what is being said. And, above all, ask questions. Attend a support group together. Meeting others who have already gone through what you are going through is one of the best ways to alleviate feelings of helplessness and isolation. Always consult your physician for more information. |