Journal article 34 views 7 downloads
Active surveillance for prostate cancer is a shared journey: the dyadic perspective
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Hazel Everitt ,
Beth Stuart ,
Becky Band
Psychology, Health & Medicine, Pages: 1 - 18
Swansea University Author:
Becky Band
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© 2024 The Author(s). This is an Open Access article distributed under the terms of the Creative Commons Attribution License.
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DOI (Published version): 10.1080/13548506.2024.2407441
Abstract
Active surveillance for prostate cancer monitors disease progression, with a view to actively treat only if progression is evident. Living with an untreated cancer can negatively impact psychological wellbeing. Partners can influence decisions to convert to active treatment in the absence of disease...
| Published in: | Psychology, Health & Medicine |
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| ISSN: | 1354-8506 1465-3966 |
| Published: |
Informa UK Limited
2024
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| Online Access: |
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| URI: | https://cronfa.swan.ac.uk/Record/cronfa67857 |
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| Abstract: |
Active surveillance for prostate cancer monitors disease progression, with a view to actively treat only if progression is evident. Living with an untreated cancer can negatively impact psychological wellbeing. Partners can influence decisions to convert to active treatment in the absence of disease progression, it is, therefore, important to consider partner reactions and responses to prostate cancer treatment options. We explored the experiences of men on active surveillance and their partners and the impact partner feelings, responses and reactions to active surveillance have on the patient. Semi-structured personal communication were conducted with nine male–female couples (n = 18). All male participants were on active surveillance for prostate cancer. Data was analysed using an adapted version of the Collaco et al. (2021) Framework Method for dyadic data analysis. Dyads function as an interconnected unit with interlinked emotional responses. Differing feelings about active surveillance within the couple were common; men prioritised avoidance of active treatment side effects, partners prioritised minimising the chance of disease progression. Partner inclusion is important, but they sometimes felt excluded by their partners and/or health care professionals. More support is needed for this population. Dyadic support is bidirectional and complex with partners often less comfortable with active surveillance than their partners. More research is needed to explore how partners can be better included and supported. |
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| Keywords: |
Prostate cancer; active surveillance; significant other; qualitative; dyad |
| College: |
Faculty of Medicine, Health and Life Sciences |
| Funders: |
This work was supported by a £2000 donation made by Prostate Cancer Support Organisation [PCaSO]. |
| Start Page: |
1 |
| End Page: |
18 |