Department of Psychiatry, University of Melbourne, Melbourne, Australia.
Biopsychosoc Med. 2007 Jan 10;1:2. doi: 10.1186/1751-0759-1-2.
Prostate cancer (PCA) is the most common malignancy and a major cause of death in men but, importantly, a substantial proportion will live for several years following diagnosis. However, they face the prospect of experiencing symptoms, side-effects of treatment and diminished quality of life. The patient's psychological adjustment is particularly complex, given the potential trajectory of the disease, from the point of diagnosis, with its immediate impact, to the phase of palliative care, with its attendant issue of facing mortality. Since a comprehensive review of the literature on psychological adjustment of men with PCA has not yet been done, we have documented relevant research, integrated findings and drawn conclusions, where possible, in order to map out clinical and research implications.
We searched 5 databases for the period 1994 - July 2006, during which most of the work in the field has been done.
We found few studies of substance among the 60 we examined to draw conclusions about psychological adjustment to prostate cancer and its treatment. This is in marked contrast to the picture in breast cancer. While some patterns have emerged, many gaps remain to be filled.
Aspects of methodology need attention, particularly longitudinal, prospective designs, incorporation of control groups and the use of valid and reliable measures. There is scope for qualitative studies as a complement to quantitative research.
前列腺癌（PCA）是男性中最常见的恶性肿瘤和主要死因，但重要的是，相当一部分患者在诊断后会存活数年。然而，他们面临着出现症状、治疗副作用和生活质量下降的前景。考虑到疾病的潜在轨迹，从诊断点开始，立即产生影响，到姑息治疗阶段，伴随着面对死亡的问题，患者的心理调整尤其复杂。由于尚未对男性前列腺癌患者心理调整的文献进行全面审查，因此我们记录了相关研究，综合了研究结果，并在可能的情况下得出了结论，以便为临床和研究提供依据。
我们在 1994 年至 2006 年 7 月期间搜索了 5 个数据库，该期间是该领域大部分工作完成的时间。
在我们检查的 60 项研究中，我们发现几乎没有关于前列腺癌及其治疗的心理调整的实质性研究结果。这与乳腺癌的情况形成鲜明对比。虽然已经出现了一些模式，但仍有许多空白需要填补。
方法学的各个方面需要引起注意，特别是纵向、前瞻性设计、对照组的纳入以及使用有效和可靠的测量方法。定性研究有作为定量研究的补充的空间。
