Positive (But Not Negative) Punishment Predicts Anxiety and Depression Among Prostate Cancer Patients: An Exploration of the Behaviour Analytic Model of Depression

2009 ◽  
Vol 26 (4) ◽  
pp. 235-244 ◽  
Author(s):  
Vicki Bitsika ◽  
Christopher F. Sharpley ◽  
David R. H. Christie

AbstractThe relative power of Positive and Negative Punishment as predictors of anxiety and depression was investigated within the gender-specific population of Prostate Cancer patients. As well as being a more powerful predictor of total test scores, Positive Punishment was also a stronger predictor of the presence of clinical levels of anxiety and depression. Examination of the particular Positive Punishment events that were significantly associated with clinical anxiety and depression showed considerable overlap, supporting the concept of a combined anxiety-depression disorder. Suggestions for behavioural interventions with this patient group are made.

Author(s):  
Yalcin Kizilkan ◽  
Samet Senel ◽  
Ali Yasin Ozercan ◽  
Melih Balci ◽  
Unsal Eroglu ◽  
...  

Aim: In this study, we aimed to evaluate the anxiety and depression status of prostate cancer (PCa) patients whose planned operations in the urology clinic of our hospital, which is serving as a pandemic hospital in Turkey have been postponed due to the coronavirus disease 2019 pandemic. Methods: This survey study was conducted at urology clinic of Ankara City Hospital between March 1 and June 1, 2020 and included 24 male patients who agreed to answer the questionnaires (State-Trait Anxiety Inventory [STAI] I and II and Beck Depression Inventory [BDI]). Demographical and clinical data (age, time since diagnosis, total serum prostate specific antigen (PSA) levels, risk groups according to the D’Amico classification system, smoking, alcohol habitus, major surgical history, and comorbidities) of the patients were collected from hospital software. Results: The mean STAI-I score of the patients (46.7 ± 1.4 [44–49]) was significantly higher than their STAI-II score (41.7 ± 2.4 [39–47]) (p < 0.001). The negative correlation between the decrease in age and STAI-I score was found to be statistically significant (r = 0.439, p < 0.05). The mean BDI score of the patients was 4.3 ± 3.2 (0–13), which was compatible with mild depression. There was no statistically significant difference between the time elapsed from diagnosis, PSA levels, smoking and alcohol habitus, major surgical history and comorbidity status, and STAI-I, STAI-II, and BDI scores (p > 0.05). Conclusion: Prostate cancer patients with postponed operations should be guided properly in order to manage their anxiety status especially young patients.


Author(s):  
Daniel A. Galvão ◽  
Robert U. Newton ◽  
Suzanne K. Chambers ◽  
Nigel Spry ◽  
David Joseph ◽  
...  

Abstract Objectives To assess the long-term effects of various exercise modes on psychological distress in men with prostate cancer on androgen deprivation therapy (ADT). Patients and methods 135 prostate cancer patients aged 43–90 years on ADT were randomized to twice weekly supervised impact loading and resistance exercise (ImpRes), supervised aerobic and resistance exercise (AerRes), and usual care/delayed supervised aerobic exercise (DelAer) for 12 months, and completed measures of psychological distress using the Brief Symptom Inventory-18 (BSI-18). BSI-18 provides three subscales for anxiety, depression, and somatisation, as well as the global severity index (GSI) where higher scores indicate higher distress. Results Following the intervention, somatization was not different to baseline, however, there were significant interactions (p < 0.01) for depression, anxiety, and the GSI. In ImpRes, depression was reduced at 12 months compared to baseline and 6 months (0.78 ± 1.39 vs. 1.88 ± 3.24 and 1.48 ± 2.65, p < 0.001), as was the GSI (3.67 ± 4.34 vs. 5.94 ± 7.46 and 4.64 ± 4.73, p < 0.001) with anxiety reduced compared to baseline (1.08 ± 1.54 vs. 1.98 ± 2.56). Depression and the GSI decreased (p < 0.05) in AerRes at 6 months but increased by 12 months, while in DelAer the GSI was reduced at 12 months compared to 6 months (3.78 ± 3.94 vs. 5.25 ± 4.22, p = 0.031). Men with the highest level of anxiety, depression, somatization, and the GSI improved the most with exercise (ptrend < 0.001). Conclusion Various supervised exercise modes (aerobic, resistance and impact loading) are effective in reducing psychological distress in men with prostate cancer on ADT. Those with the highest level of psychological distress improved the most. Supervised exercise should be prescribed to improve psychological health in prostate cancer patients on ADT.


2020 ◽  
Author(s):  
Urška Košir ◽  
Sanja Roškar ◽  
Jennifer Wild ◽  
Lucy Bowes

AbstractObjectivesBaseline data from an ongoing online longitudinal survey were analysed. Three objectives guided our analyses: 1) to describe the self-reported levels of psychological distress among young Slovenian cancer patients and compare it to an international sample, 2) to describe the subjective illness experience of young Slovenian patients, and 3) to highlight areas for improvement in holistic care.MethodSeventy-nine participants, aged 19 - 39 years, answered questionnaires about anxiety, depression, mental defeat, cancer worry, and their experience of learning the diagnosis and being treated. We used visualizations to demonstrate the relationship between anxiety and depression. The qualitative responses were analysed using an inductive thematic approach.ResultsTwenty-eight (35%) participants scored in the clinical range for anxiety and fifteen (19%) for depression. Cancer-related worry was common (85% reported at least one worry). Mental defeat was positively associated with measures of psychological distress. Those who felt negative about learning their diagnosis emphasized the need for more time, empathy, and dignity. Psychological support during illness was seen as crucial.ConclusionAnxiety and depression remain a problem for a subset of patients. Medical professionals working with young people with cancer should encourage a warm atmosphere as they attend to patients’ needs and concerns.


2013 ◽  
Vol 1 (1) ◽  
pp. 3-6
Author(s):  
Jincy Jose ◽  
Blessy Antony ◽  
Usha Ukande

Across the world, there are people who suffer from different types of cancers. These patients suffer problems of anxiety and depression as the commonest psychological problems. Therefore, an exploratory study was conducted to assess the anxiety, depression and coping strategies in diagnosed cancer patients in selected hospital of Indore. Samples of 50 patients both males and females were taken for the study using non-probability purposive sampling technique. Assessment of data was done using standardized tools i.e. Hamilton's anxiety scale, Beck's Depression inventory and a set of 5 open ended questionnaire for the patients. Statistical findings revealed that there was no association between the level of anxiety and the socio demographic variables. The findings of the study revealed that majority of the cancer patients suffer from symptoms of anxiety (23 out of 50 patients, 46%) and depression (19 out of 50 patients, 38%) in their daily life. To adapt to these stressful conditions patients can use a wide range of diversional methods or coping strategies. In the study, it was found that patients used different coping strategies like watching television, engaged in spiritual activities and spending time with friends being the commonest methods.


2017 ◽  
Vol 27 (2) ◽  
pp. e12753 ◽  
Author(s):  
C. H. Chien ◽  
C. K. Chuang ◽  
K. L. Liu ◽  
C. T. Wu ◽  
S. T. Pang ◽  
...  

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