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Active surveillance for prostate cancer is a shared journey: the dyadic perspective

Stephanie Hughes Orcid Logo, Hazel Everitt Orcid Logo, Beth Stuart Orcid Logo, Becky Band Orcid Logo

Psychology, Health & Medicine, Pages: 1 - 18

Swansea University Author: Becky Band Orcid Logo

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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...

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Published in: Psychology, Health & Medicine
ISSN: 1354-8506 1465-3966
Published: Informa UK Limited 2024
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URI: https://cronfa.swan.ac.uk/Record/cronfa67857
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spelling v2 67857 2024-09-30 Active surveillance for prostate cancer is a shared journey: the dyadic perspective 06b53a31f254b004de8649a376ce2fbd 0000-0001-5403-1708 Becky Band Becky Band true false 2024-09-30 HSOC 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. Journal Article Psychology, Health &amp; Medicine 0 1 18 Informa UK Limited 1354-8506 1465-3966 Prostate cancer; active surveillance; significant other; qualitative; dyad 29 9 2024 2024-09-29 10.1080/13548506.2024.2407441 COLLEGE NANME Health and Social Care School COLLEGE CODE HSOC Swansea University Another institution paid the OA fee This work was supported by a £2000 donation made by Prostate Cancer Support Organisation [PCaSO]. 2024-10-10T11:57:44.3603604 2024-09-30T12:06:28.7316967 Faculty of Medicine, Health and Life Sciences The Centre for Innovative Ageing Stephanie Hughes 0000-0003-4801-8245 1 Hazel Everitt 0000-0001-7362-8403 2 Beth Stuart 0000-0001-5432-7437 3 Becky Band 0000-0001-5403-1708 4 67857__32580__4fbd20e02b594bbe96b8eb6e06759499.pdf 67857.VoR.pdf 2024-10-10T11:56:33.9348025 Output 1562817 application/pdf Version of Record true © 2024 The Author(s). This is an Open Access article distributed under the terms of the Creative Commons Attribution License. true eng http://creativecommons.org/licenses/by/4.0/
title Active surveillance for prostate cancer is a shared journey: the dyadic perspective
spellingShingle Active surveillance for prostate cancer is a shared journey: the dyadic perspective
Becky Band
title_short Active surveillance for prostate cancer is a shared journey: the dyadic perspective
title_full Active surveillance for prostate cancer is a shared journey: the dyadic perspective
title_fullStr Active surveillance for prostate cancer is a shared journey: the dyadic perspective
title_full_unstemmed Active surveillance for prostate cancer is a shared journey: the dyadic perspective
title_sort Active surveillance for prostate cancer is a shared journey: the dyadic perspective
author_id_str_mv 06b53a31f254b004de8649a376ce2fbd
author_id_fullname_str_mv 06b53a31f254b004de8649a376ce2fbd_***_Becky Band
author Becky Band
author2 Stephanie Hughes
Hazel Everitt
Beth Stuart
Becky Band
format Journal article
container_title Psychology, Health &amp; Medicine
container_volume 0
container_start_page 1
publishDate 2024
institution Swansea University
issn 1354-8506
1465-3966
doi_str_mv 10.1080/13548506.2024.2407441
publisher Informa UK Limited
college_str Faculty of Medicine, Health and Life Sciences
hierarchytype
hierarchy_top_id facultyofmedicinehealthandlifesciences
hierarchy_top_title Faculty of Medicine, Health and Life Sciences
hierarchy_parent_id facultyofmedicinehealthandlifesciences
hierarchy_parent_title Faculty of Medicine, Health and Life Sciences
department_str The Centre for Innovative Ageing{{{_:::_}}}Faculty of Medicine, Health and Life Sciences{{{_:::_}}}The Centre for Innovative Ageing
document_store_str 1
active_str 0
description 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.
published_date 2024-09-29T11:58:49Z
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