Social constraints and psychological well-being after prostate cancer: A follow-up at 12 and 24 months after surgery

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Objective: Studies indicate that social constraints (barriers to emotional expression) may be a risk factor for psychological morbidity. We aimed to investigate the association between prostate cancer–related social constraints and psychological well-being following prostate cancer surgery. Methods: In a group of 3478 partnered patients, participating in the Laparoscopic Prostatectomy Robot Open trial, a prospective multicenter comparative study of robot-assisted laparoscopic and retropubic radical prostatectomy for prostate cancer, we used log-binomial regression analysis to investigate the links between prostate cancer–related social constraints at 3 months after surgery and psychological well-being at 12 and 24 months. Results: A total of 1086 and 1093 men reported low well-being at 12 and 24 months, respectively. Prostate cancer-related social constraints by partner predicted low psychological well-being at 12 months (adjusted RR: 1.4; 95% CI, 1.1-1.9) and by others (adjusted RR: 1.9; 95% CI, 1.1-3.5). Intrusive thoughts mediated the association. Conclusions: Negative responses from the social environment, especially from partner to talking about the prostate cancer experience affected patients' psychological well-being 2 years after radical prostatectomy. Results emphasize the importance of helping patients mobilize psychosocial resources within their social network, especially among those with a lack of quality psychosocial support.


  • Karin Stinesen Kollberg
  • Thordis Thorsteinsdottir
  • Ulrica Wilderäng
  • Jonas Hugosson
  • Peter Wiklund
  • Anders Bjartell
  • Stefan Carlsson
  • Johan Stranne
  • Eva Haglind
  • Gunnar Steineck
Enheter & grupper
Externa organisationer
  • Sahlgrenska Academy
  • University of Iceland
  • Karolinska Institute
  • Karolinska University Hospital

Ämnesklassifikation (UKÄ) – OBLIGATORISK

  • Urologi och njurmedicin
  • Psykologi


Sidor (från-till)668-675
Antal sidor8
Utgåva nummer2
StatusPublished - 2018 feb 1
Peer review utfördJa