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To what extent can response shift theory explain the variation in prostate cancer patients' reactions to treatment side-effects? A review.

Donohoe, Jessica E (2011) To what extent can response shift theory explain the variation in prostate cancer patients' reactions to treatment side-effects? A review. Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation, 20 (2). pp. 161-7. ISSN 1573-2649. This article is accessible to all HEFT staff and students via NHS Evidence www.evidence.nhs.uk by using their HEFT Athens login Ids

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Abstract

BACKGROUND

There appears to be a conflict between published literature and in vitro evidence concerning the effects of treatment-induced side-effects on prostate cancer patients. There is an existing body of research which indicates evidence for a phenomenon whereby quality-of-life scores of patients' post-treatment reflect no difference to healthy controls and are perhaps even higher than before treatment, despite the substantial side-effects such as sexual and urinary dysfunction. However, when observing clinical patients at Good Hope Hospital urology clinic, it appears that whilst patients are seemingly unaffected by the threat of sexual and urinary side-effects of treatment at diagnosis, they become increasingly concerned about these consequences following treatment, indicating evidence for a response shift in the opposite direction. This phenomenon is investigated here.

METHODS

Thirteen papers were selected for review and considered in terms of their contribution to research into response shift as a coping process and in particular, response shift in prostate cancer.

RESULTS AND CONCLUSIONS

Based on the existing literature, an underlying model is formulated for the moderation of the extent and direction of prostate cancer patients' response shift, incorporating the function of external influences such as perceived social support.

Item Type: Article
Additional Information: This article is accessible to all HEFT staff and students via NHS Evidence www.evidence.nhs.uk by using their HEFT Athens login Ids
Subjects: QZ Pathology. Oncology
Divisions: Clinical Support > Pathology
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Depositing User: Mr Philip O'Reilly
Date Deposited: 26 Jun 2014 14:40
Last Modified: 26 Jun 2014 14:40
URI: http://www.repository.heartofengland.nhs.uk/id/eprint/362

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