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Habits and self-assessed quality of life, negative intrusive thoughts and depressed mood in patients with prostate cancer: a longitudinal study

Journal article
Authors David Bock
Eva Angenete
A. Bjartell
S. Carlsson
Gunnar Steineck
Johan Stranne
T. Thorsteinsdottir
P. Wiklund
Eva Haglind
Published in Scandinavian Journal of Urology
Volume 51
Issue 5
Pages 353-359
ISSN 2168-1805
Publication year 2017
Published at Institute of Clinical Sciences, Department of Surgery
Institute of Clinical Sciences, Department of Oncology
Institute of Clinical Sciences, Department of Urology
Institute of Medicine, Department of Public Health and Community Medicine, Health Metrics
Pages 353-359
Language en
Keywords Alcohol consumption, physical activity, prostate cancer, quality of life, radical prostatectomy, smoking, radical prostatectomy, alcohol-consumption, physical-activity, randomized-trial, surgery, suicide, survivors, outcomes, cohort, audit, Urology & Nephrology
Subject categories Cancer and Oncology, Surgery, Urology and Nephrology


Objective: The aim of this study was to evaluate the association of self-assessed preoperative physical activity, alcohol consumption and smoking with self-assessed quality of life, negative intrusive thoughts and depressed mood after radical prostatectomy.Materials and methods: The Laparoscopic Prostatectomy Robot Open (LAPPRO) trial was a prospective, controlled, non-randomized longitudinal trial of patients (n=4003) undergoing radical prostatectomy at 14 centers in Sweden. Validated patient questionnaires were collected at baseline, and 3, 12 and 24 months after surgery.Results: Preoperative medium or high physical activity or low alcohol consumption or non-smoking was associated with a lower risk of depressed mood. High alcohol consumption was associated with increased risk of negative intrusive thoughts. Postoperatively, quality of life and negative intrusive thoughts improved gradually in all groups. Depressed mood appeared to be relatively unaffected.Conclusions: Evaluation of preoperative physical activity, tobacco and alcohol consumption habits can be used to identify patients with a depressed mood in need of psychological support before and immediately after surgery. Quality of life and intrusive thoughts improved postoperatively.

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