Exploring psychological resilience and demoralisation in prostate cancer survivors
Corresponding Author
Ching Hui Chien
College of Nursing, National Taipei University of Nursing and Health Sciences, Taipei City, Taiwan
Correspondence
Ching Hui Chien, College of Nursing, National Taipei University of Nursing and Health Sciences, No. 365, Ming-te Road, Peitou District. Taipei City 112, Taiwan.
Email: [email protected]
Search for more papers by this authorSee Tong Pang
Division of Urology, Department of Surgery, Chang Gung Memorial Hospital at Linkou, Taoyuan City, Taiwan
School of Medicine, College of Medicine, Chang Gung University, Taoyuan City, Taiwan
Search for more papers by this authorCheng Keng Chuang
Division of Urology, Department of Surgery, Chang Gung Memorial Hospital at Linkou, Taoyuan City, Taiwan
School of Medicine, College of Medicine, Chang Gung University, Taoyuan City, Taiwan
Search for more papers by this authorKuan Lin Liu
Division of Urology, Department of Surgery, Chang Gung Memorial Hospital at Keelung, Keelung City, Taiwan
Search for more papers by this authorChun Te Wu
Division of Urology, Department of Surgery, Chang Gung Memorial Hospital at Linkou, Taoyuan City, Taiwan
School of Medicine, College of Medicine, Chang Gung University, Taoyuan City, Taiwan
Search for more papers by this authorKai Jie Yu
Division of Urology, Department of Surgery, Chang Gung Memorial Hospital at Linkou, Taoyuan City, Taiwan
School of Medicine, College of Medicine, Chang Gung University, Taoyuan City, Taiwan
Department of Chemical Engineering and Biotechnology, National Taipei University of Technology, Taipei City, Taiwan
Search for more papers by this authorXuan Yi Huang
College of Nursing, National Taipei University of Nursing and Health Sciences, Taipei City, Taiwan
Search for more papers by this authorPo Hung Lin
Division of Urology, Department of Surgery, Chang Gung Memorial Hospital at Linkou, Taoyuan City, Taiwan
School of Medicine, College of Medicine, Chang Gung University, Taoyuan City, Taiwan
Graduate Institute of Clinical Medical Sciences, College of Medicine, Chang Gung University, Taoyuan City, Taiwan
Search for more papers by this authorCorresponding Author
Ching Hui Chien
College of Nursing, National Taipei University of Nursing and Health Sciences, Taipei City, Taiwan
Correspondence
Ching Hui Chien, College of Nursing, National Taipei University of Nursing and Health Sciences, No. 365, Ming-te Road, Peitou District. Taipei City 112, Taiwan.
Email: [email protected]
Search for more papers by this authorSee Tong Pang
Division of Urology, Department of Surgery, Chang Gung Memorial Hospital at Linkou, Taoyuan City, Taiwan
School of Medicine, College of Medicine, Chang Gung University, Taoyuan City, Taiwan
Search for more papers by this authorCheng Keng Chuang
Division of Urology, Department of Surgery, Chang Gung Memorial Hospital at Linkou, Taoyuan City, Taiwan
School of Medicine, College of Medicine, Chang Gung University, Taoyuan City, Taiwan
Search for more papers by this authorKuan Lin Liu
Division of Urology, Department of Surgery, Chang Gung Memorial Hospital at Keelung, Keelung City, Taiwan
Search for more papers by this authorChun Te Wu
Division of Urology, Department of Surgery, Chang Gung Memorial Hospital at Linkou, Taoyuan City, Taiwan
School of Medicine, College of Medicine, Chang Gung University, Taoyuan City, Taiwan
Search for more papers by this authorKai Jie Yu
Division of Urology, Department of Surgery, Chang Gung Memorial Hospital at Linkou, Taoyuan City, Taiwan
School of Medicine, College of Medicine, Chang Gung University, Taoyuan City, Taiwan
Department of Chemical Engineering and Biotechnology, National Taipei University of Technology, Taipei City, Taiwan
Search for more papers by this authorXuan Yi Huang
College of Nursing, National Taipei University of Nursing and Health Sciences, Taipei City, Taiwan
Search for more papers by this authorPo Hung Lin
Division of Urology, Department of Surgery, Chang Gung Memorial Hospital at Linkou, Taoyuan City, Taiwan
School of Medicine, College of Medicine, Chang Gung University, Taoyuan City, Taiwan
Graduate Institute of Clinical Medical Sciences, College of Medicine, Chang Gung University, Taoyuan City, Taiwan
Search for more papers by this authorFunding information: This work was supported by the National Science and Technology Council, Taipei City, Taiwan, R.O.C. (Grant NSTC 109–2314-B-227-007).
Abstract
Objective
This study aimed to investigate psychological resilience and demoralisation and their predictors and mediators in prostate cancer survivors (PCSs).
Methods
A cross-sectional research design was used. PCSs (N = 122; mean time since diagnosis = 54.79 months, range in 13 years and 2 months) were recruited using convenience sampling at the outpatient department of a hospital in Taiwan. Data collection was conducted using self-report structured questionnaires, including one for demographic and disease characteristics, the Expanded Prostate Cancer Index Composite, Cancer Survivors' Self-Efficacy Scale, Connor–Davidson Resilience Scale and the Demoralisation Scale.
Results
In PCSs, a lower most-recent level of prostate-specific antigen and higher cancer-specific self-efficacy were associated with better psychological resilience. Further, fewer hormonal, bowel and urinary symptoms and bother; higher cancer-specific self-efficacy; and better psychological resilience were associated with less demoralisation. Cancer-specific self-efficacy was a mediator for the relationship between urinary symptoms and bother and demoralisation, while psychological resilience mediated the relationship between cancer-specific self-efficacy and demoralisation.
Conclusions
The results reveal that cancer-specific self-efficacy is a protective factor against demoralisation and increases psychological resilience in PCSs. Better psychological resilience and fewer physical symptoms and bother are associated with less demoralisation in PCSs.
CONFLICT OF INTEREST
The authors declare no competing interests.
Open Research
DATA AVAILABILITY STATEMENT
The data used in this study are stored and managed by the corresponding author, Ching Hui Chien, to whom readers can direct any questions or need for data. The data are not publicly available due to the consideration of ethics, the researchers shall maintain the privacy of the participants and research data should be used only for academic articles.
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