Department of Urology, Klinikum rechts der Isar, School of Medicine, Technical University of Munich, Ismaninger Str. 22, 81675, Munich, Germany.
Department of Psychosomatic Medicine and Psychotherapy, Klinikum rechts der Isar, School of Medicine, Technical University of Munich, Langerstr.3, 81675, Munich, Germany.
J Cancer Surviv. 2024 Apr;18(2):509-520. doi: 10.1007/s11764-022-01256-2. Epub 2022 Sep 13.
To identify factors associated with cancer-related self-perception after being affected by prostate cancer (PCa) and radical prostatectomy.
Men affected by PCa and radical prostatectomy were asked to choose one of 5 cancer-related identities ("patient," "victim," "someone who has had cancer," "cancer survivor," and "cancer conqueror"). Associations with clinical data, functional outcome (continence and sexual activity), and psychological factors were assessed.
One thousand seven hundred seventy-two men were included. Most men perceived themselves as "someone who has had cancer" (46.8%) which was associated with no cancer recurrence (OR: 0.54 [0.36-0.81]) and low cancer-related distress (OR: 0.69 [0.53-0.89]) or "patient" (35.4%) which was associated with ongoing therapy (OR: 2.59 [1.59-4.22]) and biochemical disease recurrence (OR: 1.91 [1.28-2.85]). Self-perception, as "cancer survivor" (7.8%), "cancer conqueror" (8.2%), or "victim" (1.8%), was less common. "Cancer survivor" was associated with high perceived disease severity (OR: 2.07 [1.33-3.24]) and incontinence (1.99 [1.27-3.12]). "Cancer survivor" and "cancer conqueror" were related to high benefit finding (OR: 2.05 [1.30-3.23], OR: 1.89 [1.27-2.81], respectively); only "cancer conqueror" was associated with higher quality of life (OR: 1.38 [1.21-1.58]).
Self-perception in men affected by PCa can vary widely and is associated with distinct characteristics that reflect the experienced severity of the disease, therapy side effects, and psychological well-being.
The assessment of cancer-related self-perception can give important insights when evaluating men affected by PCa who need assistance in coping with their disease.
确定与前列腺癌 (PCa) 和根治性前列腺切除术影响后与癌症相关的自我认知相关的因素。
受 PCa 和根治性前列腺切除术影响的男性被要求从 5 种与癌症相关的身份中选择一种（“患者”、“受害者”、“曾经患有癌症的人”、“癌症幸存者”和“癌症征服者”）。评估与临床数据、功能结果（控尿和性功能）和心理因素的关联。
共纳入 1772 名男性。大多数男性将自己视为“曾经患有癌症的人”（46.8%），这与无癌症复发（OR：0.54 [0.36-0.81]）和低癌症相关的困扰（OR：0.69 [0.53-0.89]）相关，或者“患者”（35.4%），与正在进行的治疗（OR：2.59 [1.59-4.22]）和生化疾病复发（OR：1.91 [1.28-2.85]）相关。自我认知为“癌症幸存者”（7.8%）、“癌症征服者”（8.2%）或“受害者”（1.8%）的情况较少见。“癌症幸存者”与疾病严重程度高（OR：2.07 [1.33-3.24]）和尿失禁（1.99 [1.27-3.12]）相关。“癌症幸存者”和“癌症征服者”与高获益发现相关（OR：2.05 [1.30-3.23]，OR：1.89 [1.27-2.81]）；只有“癌症征服者”与更高的生活质量相关（OR：1.38 [1.21-1.58]）。
受 PCa 影响的男性的自我认知差异很大，与反映疾病严重程度、治疗副作用和心理健康的独特特征相关。
评估与癌症相关的自我认知可以为评估需要帮助应对疾病的受 PCa 影响的男性提供重要见解。
