Autoestima, ansiedade e depressão em homens submetidos à prostatectomia radical

Abstract

Prostate cancer is the second most common cancer between men, and, despite the high incidence rate, has a good prognosis if diagnosed and treated early. Radical prostatectomy is considered the gold standard treatment, but it can cause complications, such as urinary incontinence, erectile dysfunction, urethral stenosis and injury of the rectum. It might also lead to psychological effects, due to the prostate cancer diagnosis itself and also surgical complications, which can cause symptoms of anxiety and depression, as well as loss of self-esteem. Therefore, this study aimed to evaluate self-esteem, anxiety and depression among men who went through radical prostatectomy. This was a cross sectional study with a quantitative approach. The sample consisted of 40 men who had been submitted to radical prostatectomy from 3 months to 5 years prior to this analysis, and which were treated in two different outpatient services. Two instruments were used for data collection, an instrument of socio-demographic, clinical and economic analysis, the Rosenberg self-esteem scale, in order to evaluate self-esteem, and the Hospital Anxiety and Depression Scale (HADS), to evaluate anxiety and depression. The average age of the men who volunteered to this study was 65.42 years (±6.66), with average post-prostatectomy time of 21.85 months (±12.91). They presented high self-esteem rate (24.37 ± 3.92) and low anxiety (4.96 ± 3.14) and depression (3.70 ± 3.03) scores. The group with men who were between 50 and 59 years old showed lower self-esteem rates (20.86, p = 0,014). The individuals who had been diagnosed with depression had higher average age (74.00, p = 0.037) and lower self-esteem (13.00, p = 0.005). It was also observed negative correlation, of moderate magnitude, and with statistical significance, between self-esteem and the following factors: time after prostatectomy (r = -0.326), anxiety (r = -0.385) and depression. There was also a positive correlation, of moderate magnitude, between anxiety and depression (r = 0.529), with statistically significant. It is possible to conclude that these men achieved good self-esteem, anxiety and depression, and also that these variables are correlated. Only self-esteem, however, presented correlation with the post prostatectomy time.

Prostate cancer is the second most common cancer between men, and, despite the high incidence rate, has a good prognosis if diagnosed and treated early. Radical prostatectomy is considered the gold standard treatment, but it can cause complications, such as urinary incontinence, erectile dysfunction, urethral stenosis and injury of the rectum. It might also lead to psychological effects, due to the prostate cancer diagnosis itself and also surgical complications, which can cause symptoms of anxiety and depression, as well as loss of self-esteem. Therefore, this study aimed to evaluate self-esteem, anxiety and depression among men who went through radical prostatectomy. This was a cross sectional study with a quantitative approach. The sample consisted of 40 men who had been submitted to radical prostatectomy from 3 months to 5 years prior to this analysis, and which were treated in two different outpatient services. Two instruments were used for data collection, an instrument of socio-demographic, clinical and economic analysis, the Rosenberg self-esteem scale, in order to evaluate self-esteem, and the Hospital Anxiety and Depression Scale (HADS), to evaluate anxiety and depression. The average age of the men who volunteered to this study was 65.42 years (±6.66), with average post-prostatectomy time of 21.85 months (±12.91). They presented high self-esteem rate (24.37 ± 3.92) and low anxiety (4.96 ± 3.14) and depression (3.70 ± 3.03) scores. The group with men who were between 50 and 59 years old showed lower self-esteem rates (20.86, p = 0,014). The individuals who had been diagnosed with depression had higher average age (74.00, p = 0.037) and lower self-esteem (13.00, p = 0.005). It was also observed negative correlation, of moderate magnitude, and with statistical significance, between self-esteem and the following factors: time after prostatectomy (r = -0.326), anxiety (r = -0.385) and depression. There was also a positive correlation, of moderate magnitude, between anxiety and depression (r = 0.529), with statistically significant. It is possible to conclude that these men achieved good self-esteem, anxiety and depression, and also that these variables are correlated. Only self-esteem, however, presented correlation with the post prostatectomy time.

Prostate cancer is the second most common cancer between men, and, despite the high incidence rate, has a good prognosis if diagnosed and treated early. Radical prostatectomy is considered the gold standard treatment, but it can cause complications, such as urinary incontinence, erectile dysfunction, urethral stenosis and injury of the rectum. It might also lead to psychological effects, due to the prostate cancer diagnosis itself and also surgical complications, which can cause symptoms of anxiety and depression, as well as loss of self-esteem. Therefore, this study aimed to evaluate self-esteem, anxiety and depression among men who went through radical prostatectomy. This was a cross sectional study with a quantitative approach. The sample consisted of 40 men who had been submitted to radical prostatectomy from 3 months to 5 years prior to this analysis, and which were treated in two different outpatient services. Two instruments were used for data collection, an instrument of socio-demographic, clinical and economic analysis, the Rosenberg self-esteem scale, in order to evaluate self-esteem, and the Hospital Anxiety and Depression Scale (HADS), to evaluate anxiety and depression. The average age of the men who volunteered to this study was 65.42 years (±6.66), with average post-prostatectomy time of 21.85 months (±12.91). They presented high self-esteem rate (24.37 ± 3.92) and low anxiety (4.96 ± 3.14) and depression (3.70 ± 3.03) scores. The group with men who were between 50 and 59 years old showed lower self-esteem rates (20.86, p = 0,014). The individuals who had been diagnosed with depression had higher average age (74.00, p = 0.037) and lower self-esteem (13.00, p = 0.005). It was also observed negative correlation, of moderate magnitude, and with statistical significance, between self-esteem and the following factors: time after prostatectomy (r = -0.326), anxiety (r = -0.385) and depression. There was also a positive correlation, of moderate magnitude, between anxiety and depression (r = 0.529), with statistically significant. It is possible to conclude that these men achieved good self-esteem, anxiety and depression, and also that these variables are correlated. Only self-esteem, however, presented correlation with the post prostatectomy time.