A Systematic Review of the Association between Psychological Resilience and Improved Psychosocial Outcomes in Prostate Cancer Patients: Could Resilience Training Have a Potential Role?
Purpose: A high incidence of psychosocial problems in prostate cancer patients has been reported including anxiety, depression and distress. These can add to the patients’ disease burden and have been associated with unfavorable cancer treatment outcomes. Interventions designed to address them hav...
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| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
| Published: |
Korean Society for Sexual Medicine and Andrology
2025-01-01
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| Series: | The World Journal of Men's Health |
| Subjects: | |
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| Summary: | Purpose: A high incidence of psychosocial problems in prostate cancer patients has been reported including anxiety, depression
and distress. These can add to the patients’ disease burden and have been associated with unfavorable cancer treatment
outcomes. Interventions designed to address them have found limited success, but psychological resilience (PR) training has
never been formally tested. The measurement of PR in prostate cancer patients has been described and has been associated
with more favorable psychosocial outcomes in these patients but it has never been systematically reviewed. The aim of this
study was to conduct the first systematic review of those studies that have measured it using standardized scales and to determine
the potential for resilience training to help overcome the significant psychosocial problems faced by prostate cancer
patients.
Materials and Methods: We searched the literature to identify articles that measured PR among prostate cancer patients.
Results: Of 384 articles identified by the search criteria, there were 19 studies suitable for inclusion regarding 5,417 patients.
The most commonly-used scale was the original Connor-Davidson Resilience Scale, or an abbreviated version of it. Possible
scores range from 0 to 100, mean scores from these studies ranged from 72.9 to 87.1 (standard deviations varied between
13.2 and 16.3). PR was consistently associated with improved psychological outcomes including depression, anxiety and
distress, although these were measured with a wide variety of methods making it difficult to quantify the effects. There was
also evidence of PR mediating the physical effects of prostate cancer and treatment including urinary symptoms, fatigue and
insomnia.
Conclusions: As resilience training has been successful in other cancer settings, it seems likely that it could improve the significant
adverse psychosocial outcomes that have been reported in prostate cancer patients and trials designed to objectively
test it should be encouraged. |
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| ISSN: | 2287-4208 2287-4690 |