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  • 1
    Online Resource
    Online Resource
    The importance of sexuality, changes in erectile functioning and its association with self-esteem in men with localized prostate cancer: data from an observational study
    Springer Science and Business Media LLC ; 2019
    In:  BMC Urology Vol. 19, No. 1 ( 2019-12)
    Details
    In: BMC Urology, Springer Science and Business Media LLC, Vol. 19, No. 1 ( 2019-12)
    Type of Medium: Online Resource
    ISSN: 1471-2490
    URL: Article
    DOI: 10.1186/s12894-019-0436-x
    Language: English
    Publisher: Springer Science and Business Media LLC
    Publication Date: 2019
    detail.hit.zdb_id: 2059857-9
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  • 2
    Online Resource
    Online Resource
    Time pressure predicts decisional regret in men with localized prostate cancer: data from a longitudinal multicenter study
    Springer Science and Business Media LLC ; 2021
    In:  World Journal of Urology Vol. 39, No. 10 ( 2021-10), p. 3755-3761
    Details
    In: World Journal of Urology, Springer Science and Business Media LLC, Vol. 39, No. 10 ( 2021-10), p. 3755-3761
    Abstract: A substantial proportion of men with localized prostate cancer (lPCa) later regret their treatment decision. We aimed to identify factors contributing to decisional regret. Methods We conducted a longitudinal study, in which men with lPCa were surveyed at four measurement points: T0 (baseline) = prior to treatment; T1 = 6; T2 = 12; T3 = 18 months after baseline. χ 2 -tests and independent t -tests were used to compare men undergoing different treatments [Active Surveillance (AS) vs. local treatment]. Logistic regression models were fitted to investigate the associations between predictors ( time pressure, information provided by the urologist, impairment of erectile functioning, satisfaction with sexual life ) and the criterion decisional regret . Results At baseline, the sample included N  = 176 men (AS: n  = 100; local treatment: n  = 76). At T2 and T3, men after local therapies reported higher regret than men under AS. Decisional regret at T3 was predicted by time pressure at baseline (OR 2.28; CI 1.04–4.99; p   〈  0.05), erectile dysfunction at T2 and T3 (OR 3.40; CI 1.56–7.42; p   〈  0.01), and satisfaction with sexual life at T1–T3 (OR 0.44; CI 0.20–0.96; p   〈  0.05). Conclusions Time pressure, erectile dysfunction, and satisfaction with sexual life predict decisional regret in men with lPCa. Mitigating time pressure and realistic expectations concerning treatment side effects may help to prevent decisional regret in PCa survivors. Trial registration number DRKS00009510; date of registration: 2015/10/28.
    Type of Medium: Online Resource
    ISSN: 0724-4983 , 1433-8726
    URL: Article
    DOI: 10.1007/s00345-021-03727-0
    Language: English
    Publisher: Springer Science and Business Media LLC
    Publication Date: 2021
    detail.hit.zdb_id: 1463303-6
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  • 3
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    Online Resource
    Facetten des Arzt-Patienten-Gesprächs in der Urologischen Praxis – Handlungsempfehlungen aus der Psychoonkologie
    Georg Thieme Verlag KG ; 2020
    In:  Onkologische Welt Vol. 11, No. 02 ( 2020-04), p. 90-96
    Details
    In: Onkologische Welt, Georg Thieme Verlag KG, Vol. 11, No. 02 ( 2020-04), p. 90-96
    Abstract: Tumorerkrankungen werden von vielschichtigen Ängsten und psychischen Belastungen begleitet, mit denen der behandelnde Urologe konfrontiert wird. Dieser Beitrag beleuchtet Facetten des Arzt-Patienten-Gesprächs aus einer psychoonkologischen Perspektive. Dazu gehören die Risikowahrnehmung, subjektive Krankheitsvorstellungen, Lebensstiländerungen, Sexualität und ganz zentral der Umgang mit der Angst. Auf der Grundlage von neueren Forschungsergebnissen werden Anregungen für die Gesprächsführung gegeben. Der Beitrag zeigt aber auch Grenzen des Arzt-Patienten-Gesprächs. Eine professionelle psychoonkologische Unterstützung ist indiziert, wenn durch die Krebserkrankung psychische Krisen ausgelöst oder tieferliegende Konflikte wieder aktiviert werden. Sie kann auch hilfreich sein, wenn manche Probleme einfach mehr Zeit und Ruhe erfordern, als im Praxisalltag verfügbar ist. Deshalb erfolgt abschließend ein Überblick über weiterführende psychoonkologische Interventionen und Unterstützungsangebote für Krebspatienten.
    Type of Medium: Online Resource
    ISSN: 1869-0874 , 2567-5796
    URL: Article
    DOI: 10.1055/a-1090-6204
    Language: German
    Publisher: Georg Thieme Verlag KG
    Publication Date: 2020
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  • 4
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    Online Resource
    Illness representations, coping and anxiety among men with localized prostate cancer over an 18‐months period: A parallel vs. level‐contrast mediation approach
    Wiley ; 2022
    In:  Psycho-Oncology Vol. 31, No. 2 ( 2022-02), p. 227-237
    Details
    In: Psycho-Oncology, Wiley, Vol. 31, No. 2 ( 2022-02), p. 227-237
    Abstract: Men diagnosed with localized prostate cancer (lPCa) are confronted with the decision for a treatment strategy, potentially experiencing treatment side effects and psychological distress. The Common Sense Model proposes that coping with such challenges is related to illness representations: Beliefs regarding consequences, coherence, timeline, and controllability of the illness. We analyzed the interplay of illness representations, coping and anxiety over an 18‐month period among men with lPCa undergoing different treatment options (Active Surveillance, curative treatment). Methods In this longitudinal study, 183 men (age M  = 66.83) answered a questionnaire before starting treatment, and 6, 12, and 18 months later. We analyzed time trajectories with growth curve modeling and conducted mediation analyses to evaluate the influence of coping on the association of illness representations and anxiety. Using a novel methodological approach, we compared a classic parallel mediation model with a level‐contrast approach for the correlated mediators problem‐ and emotion‐focused coping. Results Independent of treatment ( b  = 1.31, p  = 0.200) men reported an elevated level of anxiety after diagnosis which declined considerably within the following 6 months ( b  = −1.87, p  = 0.009). The perceived seriousness of consequences was significantly associated with greater anxiety, at baseline ( β  = 0.471) and over time (all β  ≥ 0.204). This association was mediated by coping: Using more emotion‐than problem‐focused coping was associated with higher anxiety. Conclusions Receiving a lPCa diagnosis is associated with a phase of increased anxiety. In order to reduce anxiety, information provision should be accompanied by developing concrete action plans to enable problem‐focused coping strategies.
    Type of Medium: Online Resource
    ISSN: 1057-9249 , 1099-1611
    URL: Issue
    URL: Article
    DOI: 10.1002/pon.v31.2
    DOI: 10.1002/pon.5798
    Language: English
    Publisher: Wiley
    Publication Date: 2022
    detail.hit.zdb_id: 1495115-0
    SSG: 5,2
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  • 5
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    Online Resource
    Paradigmatic Approach to Support Personalized Counseling With Digital Health (iKNOW)
    JMIR Publications Inc. ; 2023
    In:  JMIR Formative Research Vol. 7 ( 2023-4-21), p. e41179-
    Details
    In: JMIR Formative Research, JMIR Publications Inc., Vol. 7 ( 2023-4-21), p. e41179-
    Abstract: iKNOW is the first evidence-based digital tool to support personalized counseling for women in Germany with a hereditary cancer risk. The counseling tool is designed for carriers of pathogenic gBRCA (germline breast cancer gene) variants that increase the lifetime risk of breast and ovarian cancer. Carriers of pathogenic variants are confronted with complex, individualized risk information, and physicians must be able to convey this information in a comprehensible way to enable preference-sensitive health decisions. In this paper, we elaborate on the clinical, regulatory, and practical premises of personalized counseling in Germany. By operationalizing these premises, we formulate 5 design principles that, we suggest, are specific enough to develop a digital tool (eg, iKNOW), yet wide-ranging enough to inform the development of counseling tools for personalized medicine more generally: (1) digital counseling tools should implement the current standard of care (eg, based on guidelines); (2) digital counseling tools should help to both standardize and personalize the counseling process (eg, by enabling the preference-sensitive selection of counseling contents from a common information base); (3) digital counseling tools should make complex information easy to access both cognitively (eg, by using evidenced-based risk communication formats) and technically (eg, by means of responsive design for various devices); (4) digital counseling tools should respect the counselee’s data privacy rights (eg, through strict pseudonymization and opt-in consent); and (5) digital counseling tools should be systematically and iteratively evaluated with the users in mind (eg, using formative prototype testing to ensure a user-centric design and a summative multicenter, randomized controlled trial). On the basis of these paradigmatic design principles, we hope that iKNOW can serve as a blueprint for the development of more digital innovations to support personalized counseling approaches in cancer medicine.
    Type of Medium: Online Resource
    ISSN: 2561-326X
    URL: Article
    DOI: 10.2196/41179
    Language: English
    Publisher: JMIR Publications Inc.
    Publication Date: 2023
    detail.hit.zdb_id: 2941716-8
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  • 6
    Online Resource
    Online Resource
    Facetten des Arzt-Patienten-Gesprächs in der Urologischen Praxis – Handlungsempfehlungen aus der Psychoonkologie
    Georg Thieme Verlag KG ; 2019
    In:  Aktuelle Urologie Vol. 50, No. 02 ( 2019-04), p. 172-178
    Details
    In: Aktuelle Urologie, Georg Thieme Verlag KG, Vol. 50, No. 02 ( 2019-04), p. 172-178
    Abstract: Tumorerkrankungen werden von vielschichtigen Ängsten und psychischen Belastungen begleitet, mit denen der behandelnde Urologe konfrontiert wird. Dieser Beitrag beleuchtet Facetten des Arzt-Patienten-Gesprächs aus einer psychoonkologischen Perspektive. Dazu gehören die Risikowahrnehmung, subjektive Krankheitsvorstellungen, Lebensstiländerungen, Sexualität und ganz zentral der Umgang mit der Angst. Auf der Grundlage von neueren Forschungsergebnissen werden Anregungen für die Gesprächsführung gegeben. Der Beitrag zeigt aber auch Grenzen des Arzt-Patienten-Gesprächs. Eine professionelle psychoonkologische Unterstützung ist indiziert, wenn durch die Krebserkrankung psychische Krisen ausgelöst oder tieferliegende Konflikte wieder aktiviert werden. Sie kann auch hilfreich sein, wenn manche Probleme einfach mehr Zeit und Ruhe erfordern, als im Praxisalltag verfügbar ist. Deshalb erfolgt abschließend ein Überblick über weiterführende psychoonkologische Interventionen und Unterstützungsangebote für Krebspatienten.
    Type of Medium: Online Resource
    ISSN: 0001-7868 , 1438-8820
    URL: Article
    DOI: 10.1055/a-0808-1738
    RVK:
    XA 17482
    Language: German
    Publisher: Georg Thieme Verlag KG
    Publication Date: 2019
    detail.hit.zdb_id: 2038466-X
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