Highlights
- •Effects of resourcefulness on health-related mental and physical quality of life are identified among PC survivors.
- •Resourcefulness plays beneficial roles as mediators from pain to depressive symptoms, PQOL and MQOL, respectively, in PC survivors.
- •Resourcefulness has an impact to reduce depressive symptoms in PC survivors.
Abstract
Objective
This study aimed to identify the determinants of depressive symptoms (DSs) and health-related
quality of life (HRQOL) in survivors of prostate cancer (PC).
Methods
This study used a descriptive, correlational design to assess a sample of 133 individuals
with PC. The participants were face-to-face interviewed to collect demographic data
and disease characteristics, assess self-control schedule, and survey health status.
Correlation analysis, Student's t-test, ANOVA, and regression analysis were applied.
Results
Over half the patients had depressive symptoms, and 96.1% had erectile dysfunction.
Lack of resourcefulness was found to decrease PC-specific quality of life (PCQOL)
and physical quality of life (PQOL). The participants who were more resourceful showed
a better mental quality of life (MQOL) and PQOL (r = 0.53**; r = 0.41**) and fewer DSs (r = −0.52**). Most participants were stage II and IV, and there were significantly different
effects on PQOL and MQOL related to cancer stage. Regarding the different outcomes
of various therapies, the findings suggested that survivors of PC who underwent radical
prostatectomy were more likely to have a better MQOL than those who underwent other
treatments. In addition, resourcefulness had mediating effects on pain, PQOL/MQOL,
and DSs in the patients with PC.
Conclusions
Good mental health and resourcefulness can help patients with PC reduce pain and enhance
positive thinking and may augment PQOL and MQOL.
Keywords
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Article info
Publication history
Published online: April 25, 2017
Accepted:
April 22,
2017
Received in revised form:
April 17,
2017
Received:
December 4,
2016
Identification
Copyright
© 2017 Elsevier Inc. All rights reserved.
