Undergoing radical treatment for prostate cancer and its impact on wellbeing: A qualitative study exploring men's experiences.

<h4>Introduction</h4>Quality of life in prostate cancer survivorship is becoming increasingly important, with mental and social wellbeing recognised as key components. However, limited global evaluation of psychosocial challenges experienced after treatment exists. Therefore, we aimed to...

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Main Authors: Neel Vyas, Oliver Brunckhorst, Louis Fox, Mieke Van Hemelrijck, Gordon Muir, Robert Stewart, Prokar Dasgupta, Kamran Ahmed
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2022-01-01
Series:PLoS ONE
Online Access:https://doi.org/10.1371/journal.pone.0279250
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author Neel Vyas
Oliver Brunckhorst
Louis Fox
Mieke Van Hemelrijck
Gordon Muir
Robert Stewart
Prokar Dasgupta
Kamran Ahmed
author_facet Neel Vyas
Oliver Brunckhorst
Louis Fox
Mieke Van Hemelrijck
Gordon Muir
Robert Stewart
Prokar Dasgupta
Kamran Ahmed
author_sort Neel Vyas
collection DOAJ
description <h4>Introduction</h4>Quality of life in prostate cancer survivorship is becoming increasingly important, with mental and social wellbeing recognised as key components. However, limited global evaluation of psychosocial challenges experienced after treatment exists. Therefore, we aimed to explore the lived experiences of men who underwent radical treatment, and its psychosocial impact.<h4>Material and methods</h4>This qualitative study was conducted using 19 men who had undergone radical treatment (prostatectomy or radiotherapy) for their cancer. Semi-structured interviews were conducted exploring lived experiences of men after treatment. A Structured thematic analysis of collected data was undertaken, with an inductive co-construction of themes through the lens of the biopsychosocial model. Themes generated were considered within a psychological, social, and physical wellbeing framework.<h4>Results</h4>An initial knowledge gap meant mental wellbeing was strongly impacted initially leading to a 'Diagnostic Blow and the Search for Clarity'. Doubt over individuals' future resulted in 'An Uncertain Future' in many men. Once treatment was completed a 'Reflective journey' began, with men considering their outcomes and decisions made. Social wellbeing was also impacted with many identifying the 'Emotional Repercussions' on their relationships and the impact their diagnosis had on their partner and family. Many subsequently sought to increase their support through 'The Social Network and Advocacy', while physical changes led to an increased need for 'Social Planning'. Finally, physical wellbeing was highlighted by a continual acknowledgement of the 'Natural process of ageing' leading to a reluctancy to seek help, whilst simultaneously attempting to improve existing health via 'The Health Kick'.<h4>Conclusions</h4>Radical treatments have a considerable impact on mental and social wellbeing of individuals. Anxiety after diagnosis and significant uncertainty over individual futures exist, with physical complications of treatment leading to social repercussions. Future research should aim to identify forms of support to improve quality of life of these men.
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spelling doaj-art-5fbf3c1fe7474e5381e04d0a994a2c682025-08-20T03:46:19ZengPublic Library of Science (PLoS)PLoS ONE1932-62032022-01-011712e027925010.1371/journal.pone.0279250Undergoing radical treatment for prostate cancer and its impact on wellbeing: A qualitative study exploring men's experiences.Neel VyasOliver BrunckhorstLouis FoxMieke Van HemelrijckGordon MuirRobert StewartProkar DasguptaKamran Ahmed<h4>Introduction</h4>Quality of life in prostate cancer survivorship is becoming increasingly important, with mental and social wellbeing recognised as key components. However, limited global evaluation of psychosocial challenges experienced after treatment exists. Therefore, we aimed to explore the lived experiences of men who underwent radical treatment, and its psychosocial impact.<h4>Material and methods</h4>This qualitative study was conducted using 19 men who had undergone radical treatment (prostatectomy or radiotherapy) for their cancer. Semi-structured interviews were conducted exploring lived experiences of men after treatment. A Structured thematic analysis of collected data was undertaken, with an inductive co-construction of themes through the lens of the biopsychosocial model. Themes generated were considered within a psychological, social, and physical wellbeing framework.<h4>Results</h4>An initial knowledge gap meant mental wellbeing was strongly impacted initially leading to a 'Diagnostic Blow and the Search for Clarity'. Doubt over individuals' future resulted in 'An Uncertain Future' in many men. Once treatment was completed a 'Reflective journey' began, with men considering their outcomes and decisions made. Social wellbeing was also impacted with many identifying the 'Emotional Repercussions' on their relationships and the impact their diagnosis had on their partner and family. Many subsequently sought to increase their support through 'The Social Network and Advocacy', while physical changes led to an increased need for 'Social Planning'. Finally, physical wellbeing was highlighted by a continual acknowledgement of the 'Natural process of ageing' leading to a reluctancy to seek help, whilst simultaneously attempting to improve existing health via 'The Health Kick'.<h4>Conclusions</h4>Radical treatments have a considerable impact on mental and social wellbeing of individuals. Anxiety after diagnosis and significant uncertainty over individual futures exist, with physical complications of treatment leading to social repercussions. Future research should aim to identify forms of support to improve quality of life of these men.https://doi.org/10.1371/journal.pone.0279250
spellingShingle Neel Vyas
Oliver Brunckhorst
Louis Fox
Mieke Van Hemelrijck
Gordon Muir
Robert Stewart
Prokar Dasgupta
Kamran Ahmed
Undergoing radical treatment for prostate cancer and its impact on wellbeing: A qualitative study exploring men's experiences.
PLoS ONE
title Undergoing radical treatment for prostate cancer and its impact on wellbeing: A qualitative study exploring men's experiences.
title_full Undergoing radical treatment for prostate cancer and its impact on wellbeing: A qualitative study exploring men's experiences.
title_fullStr Undergoing radical treatment for prostate cancer and its impact on wellbeing: A qualitative study exploring men's experiences.
title_full_unstemmed Undergoing radical treatment for prostate cancer and its impact on wellbeing: A qualitative study exploring men's experiences.
title_short Undergoing radical treatment for prostate cancer and its impact on wellbeing: A qualitative study exploring men's experiences.
title_sort undergoing radical treatment for prostate cancer and its impact on wellbeing a qualitative study exploring men s experiences
url https://doi.org/10.1371/journal.pone.0279250
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