CAS PS 332 Lecture Notes - Lecture 14: Posttraumatic Stress Disorder, Prostate Cancer, Posttraumatic Growth

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Published on 22 May 2019
Professor
Lecture 14: 4/11/19
Coping with cancer
o Cancer surgery is associated with higher distress and slower rates of
emotional recovery than other surgeries
Side effects of chemotherapy and radiation may include hair loss,
fatigue, loss of appetite, skin rashes
Psychoeducation
What’s normal following treatment
How to improve quality of life
o Dispositional optimism >> active coping & lower distress
o Depression >> risk factor for cancer-related mortality
o Psychotherapy >> improved survival??
o Social context: Social support improves coping (& survival?)
General health
Cancer-related stressors
Social comparison with other people with cancer can impact
cancer coping
Depends on how other individual is perceived (upward
versus downward comparison)
Depends on extent of perceived similarity to comparison
person (upward identification versus upward contrast)
o Masculinity
Cancer-related masculine threat (CMT) symptoms associated
with prostate cancer treatment threaten masculine self-image
High CMT scores related to poorer prostate-related
functioning
Male cancers and cancer patients underrepresented in
media / fewer role models
< 10% of American men opt for active surveillance
Posttraumatic Stress and Growth
o Cancer = life threat
o Posttraumatic Stress (PTS)
Posttraumatic stress disorder (PTSD)
o Self or family
Pediatric cancer: Parents, siblings > patients
o Posttraumatic Growth (PTG)
Positive psychological change resulting from struggle with a highly
challenging life circumstance
A.k.a. benefit finding or thriving
Determining level of care:
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o
o
Cognitive Behavioral Interventions
o Targets:
Stress, Pain relief, Control of aversive reactions to treatment,
Enhancement of emotional well-being, (Social support)
o Techniques:
Relaxation or mindfulness
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