Psychological Characteristics and Quality of Life of Patients with Penile Cancer: Pilot Study on a Russian Sample

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Abstract

Research into the psychological aspects of oncological diseases is nowadays relevant and widespread; however, there are very few studies in patients with penile cancer (PC). Therefore, the purpose of this pilot study is to investigate the psychological characteristics and quality of life of patients with PC for further organization of psychological counseling. The study included 17 male patients (mean age 49.0 ± 3.76 years) of the N.N. Blokhin National Medical Research Center of Oncology. The following techniques were used: Hospital Anxiety and Depression Scale (HADS), Big Five Inventory (BFI), Ways of Coping Questionnaire (WCQ), Purpose in Life Test (PLT), Quality of Life of Cancer Patients (EORTC QLQ-C30). The patients’ overall health status was assessed by D.A. Karnofsky’s scale; a specific psychological structured interview was also conducted. The emotional state of most patients is characterized by low indexes of anxiety and depression. Most of them are purposeful, organized, emotionally stable, unwilling to form trusting relationships. They have high rates of life meaningfulness, a normative level of internality and a decreased “purpose in life” indicator. The patients are not prone to active and conscious overcoming stress compared to healthy men. The indexes of quality of life, as well as the rates of its specific parameters (cognitive, physical and emotional activity) in the studied group of patients exceed the same values in patients with different tumor localizations and are not consistent with the objectively estimated condition. Health-related quality of life is largely determined by the characteristics of patients’ value system, especially in oncological diseases that are related not only to a vital threat, but also to deep personal experiences, including the experience of patients’ male identity.

About the authors

Olga Yu. Shchelkova

Saint Petersburg State University; Bekhterev National Medical Research Centre of Psychiatry and Neurology of the Ministry of Health of the Russian Federation

Author for correspondence.
Email: o.shhelkova@spbu.ru
ORCID iD: 0000-0001-9444-4742

Doctor in Psychology, Full Professor, Acting Head of the Department of Medical Psychology and Psychophysiology, Saint Petersburg State University, Senior Research Associate, V.M. Bekhterev National Research Medical Center for Psychiatry and Neurology, Ministry of Health of the Russian Federation

7/9 Universitetskaya Naberezhnaya, Saint Petersburg, 199034, Russian Federation; 3 Bekhtereva St, Saint Petersburg, 192019, Russian Federation

Ekaterina B. Usmanova

N.N. Blokhin National Medical Research Center of Oncology of the Ministry of Health of the Russian Federation

Email: usmanovakate@yandex.ru
ORCID iD: 0000-0002-4853-308X

PhD in Psychology, Medical Psychologist, Department of Medical Rehabilitation

24 Kashirskoye Shosse, Moscow, 115478, Russian Federation

Maria V. Iakovleva

Saint Petersburg State University

Email: m.v.yakovleva@spbu.ru
ORCID iD: 0000-0001-5035-4382

PhD in Psychology, Associate Professor of the Department of Medical Psychology and Psychophysiology

7/9 Universitetskaya Naberezhnaya, Saint Petersburg, 199034, Russian Federation

Vsevolod B. Matveev

N.N. Blokhin National Medical Research Center of Oncology of the Ministry of Health of the Russian Federation

Email: vsevolodmatveev@mail.ru
ORCID iD: 0000-0001-7748-9527

Doctor in Medicine, Professor, Correspondent Member of the Russian Academy of Science, President of Russian Association of Oncological Urology, Deputy Director on Science and Head of the Department of Urology

24 Kashirskoye Shosse, Moscow, 115478, Russian Federation

Oybek A. Khalmurzaev

N.N. Blokhin National Medical Research Center of Oncology of the Ministry of Health of the Russian Federation

Email: oyka0201@mail.ru
ORCID iD: 0000-0001-7500-1815

PhD in Medicine, Doctor-Oncologist, Research Associate at the Department of Urology

24 Kashirskoye Shosse, Moscow, 115478, Russian Federation

Alexandra A. Yacevich

Lomonosov Moscow State University

Email: yacevich.alexandra@mail.ru
ORCID iD: 0000-0002-4280-6454

5th grade student, Faculty of Medicine

1 Leninskie Gory, Moscow, 119991, Russian Federation

References

  1. Ahmed-Lecheheb, D., & Joly, F. (2016). Ovarian cancer survivors’ quality of life: A systematic review. Journal of Cancer Survivorship, 10(5), 789–801. https://doi.org/10.1007/s11764-016-0525-8
  2. Andryushchenko, A.V., Drobizhev, M.Yu., & Dobrovolskii, A.V. (2003). Sravnitel’naya otsenka shkal CES-D, BDI i HADS v diagnostike depressii v obshchemeditsinskoi praktike. S.S. Korsakov Journal of Neurology and Psychiatry, 103(5), 11–18. (In Russ.)
  3. Arden-Close, E., Gidron, Y., & Moss-Morris, R. (2008). Psychological distress and its correlates in ovarian cancer: A systematic review. Psychooncology, 17(11), 1061–1072. https://doi.org/10.1002/pon.1363
  4. Belozer, A.S., Dorofeykov, V.V., & Petrova, N.N. (2019). Depression, anxiety and cognitive disorder as predictors of quality of life impairment among ovarian cancer patients. Uchenye Zapiski Universiteta Imeni P.F. Lesgafta, (5), 410–418. (In Russ.)
  5. Belyaev, A.M. (2017). Predislovie. Onkopsikhologiya dlya Vrachei i Meditsinskikh Psikhologov (p. 8). Saint Petersburg: Lyubavich Publ. (In Russ.)
  6. Chulkova, V.A., Pestereva, E.V., Semiglazova, T.Y., Ulrich, E.G., & Pestereva, O.A. (2018). Assessment of the psychological status of patients with gynecological cancer in the process of psychological rehabilitation. The Scientific Notes of IPP-SPSMU, 25(1), 62–67. (In Russ.) https://doi.org/10.24884/1607-4181-2018-25-1-62-67
  7. Coba, G., & Patel, T. (2021). Penile cancer: Managing sexual dysfunction and improving quality of life after therapy. Current Urology Reports, 22(2), 8. https://doi.org/10.1007/s11934-020-01022-w
  8. Draeger, D.L., Sievert, K.-D., & Hakenberg, O.W. (2018). Cross-sectional patient-reported outcome measuring of health-related quality of life with establishment of cancer- and treatment-specific functional and symptom scales in patients with penile cancer. Clinical Genitourinary Cancer, 16(6), e1215–1220. https://doi.org/10.1016/j.clgc.2018.07.029
  9. Fayers, P.M., Aaronson, N.K., Bjordal, K., Groenvold, M., Curran, D., & Bottomley, A., on behalf of the EORTC Quality of Life Group. (2001). The EORTC QLQ-C30 Scoring Manual (3rd Edition). Brussels: European Organisation for Research and Treatment of Cancer.
  10. Guens, G.P., Sirota, N.A., Оleinikova, I.N., Shikina, V.E., & Kirkin, V.V. (2018). Distress in Ovarian Cancer Patients. Doctor.Ru, 2(146), 59–62. (In Russ.).
  11. Houédé, N., Rébillard, X., Bouvet, S., Kabani, S., Fabbro-Peray, P., Trétarre, B., & Ménégaux, F. (2020). Impact on quality of life 3 years after diagnosis of prostate cancer patients below 75 at diagnosis: An observational case-control study. BMC Cancer, 20, 757. https://doi.org/10.1186/s12885-020-07244-y
  12. Hwang, K.H., Cho, O.H., & Yoo, Y.S. (2016). Symptom clusters of ovarian cancer patients undergoing chemotherapy, and their emotional status and quality of life. European Journal of Oncology Nursing, 21, 215–222. https://doi.org/10.1016/j.ejon.2015.10.007
  13. Isurina, G.L., Karvasarskii, B.D., Tashlykov, V.A., & Tupitsyn, Yu.Ya. (1994). Razvitie patogeneticheskoi kontseptsii nevrozov i psikhoterapii V.N. Myasishcheva na sovremennom etape. In Teoriya i Praktika Meditsinskoi Psikhologii i Psikhoterapii (pp. 100–109). Saint Petersburg. (In Russ.)
  14. Karnofsky, D.A., & Burchenal, J.H. (1949). The clinical evaluation of chemotherapeutic agents in cancer. In C.M. MacLeod (Ed.), Evaluation of Chemotherapeutic Agents (pp. 191–205). New York: Columbia University Press.
  15. Kieffer, J.M., Djajadiningrat, R.S., Muilekom, E.A. van, Graafland, N.M., Horenblas, S., & Aaronson, N.K. (2014). Quality of life for patients treated for penile cancer. The Journal of Urology, 192(4), 1105–1110. https://doi.org/10.1016/j.juro.2014.04.014
  16. Leontev, D.A. (2006). Test smyslozhiznennykh orientatsii (SZhO) (2nd Edition). Moscow: Smysl Publ. (In Russ.)
  17. Maddineni, S.B., Lau, M.M., & Sangar, V.K. (2009). Identifying the needs of penile cancer sufferers: A systematic review of the quality of life, psychosexual and psychosocial literature in penile cancer. BMC Urology, 9, 8. https://doi.org/10.1186/1471-2490-9-8
  18. McKenzie, L., & Pol, M. van der. (2009). Mapping the EORTC QLQ C-30 onto the EQ-5D instrument: The potential to estimate QALYs without generic preference data. Value Health, 12(1), 167–171. https://doi.org/10.1111/j.1524-4733.2008.00405.x
  19. Mielcarek, P., Nowicka-Sauer, K., & Kozaka, J. (2016). Anxiety and depression in patients with advanced ovarian cancer: A prospective study. Journal of psychosomatic obstetrics and Gynecology, 37(2), 57–67. https://doi.org/10.3109/0167482X.2016.1141891
  20. Oleynikova, I.N., Gens, G.P., Sirota, N.A., Shikina, V.E., Sadikova, O.E., Kirkin, V.V., & Nazarenko, Z.N. (2017). Quality of life and distress in patients with ovarian cancer. Palliative Medicine and Rehabilitation, (2), 25–27. (In Russ.).
  21. Opjordsmoen, S., Waehre, H., Aass, N., & Fossa, S. (1994). Sexuality in patients treated for penile cancer: Patients’ experience and doctors’ judgement. British Journal of Urology, 73, 554–560. https://doi.org/10.1111/j.1464-410X.1994.tb07643.x
  22. Paterson, C., Primeau, C., Bowker, M., Jensen, B., MacLennan, S., Yuan, Y., & N’Dow, J. (2020). What are the unmet supportive care needs of men affected by penile cancer? A systematic review of the empirical evidence. European Journal of Oncology Nursing, 48, 101805. https://doi.org/10.1016/j.ejon.2020.101805
  23. Pervin, L., & John, O. (2001). Psikhologiya lichnosti: Teoriya i issledovaniya. Moscow: Aspekt-Press. (In Russ.)
  24. Roberts, A.L., Huang, T., Koenen, K.C., Kim, Y., Kubzansky, L.D., & Tworoger, S.S. (2019). Posttraumatic stress disorder (PTSD) is associated with increased risk of ovarian cancer: A prospective and retrospective longitudinal cohort study. Cancer Research, 79(19), 5113–5120. https://doi.org/10.1158/0008-5472.CAN-19-1222
  25. Scott, J., & Huskisson, E.C. (1976). Graphic representation of pain. Pain, 2(2), 175–184.
  26. Sekse, R.J., Hufthammer, K.O., & Vika, M.E. (2015). Fatigue and quality of life in women treated for various types of gynecological cancers: A cross-sectional study. Journal of Clinical Nursing, 24(3–4), 546–555. https://doi.org/10.1111/jocn.12647
  27. Shchelkova, O.Yu., & Usmanova, E.B. (2015). Quality of life and psychological characteristics in patients with bone tumor. Vestnik of Saint Petersburg University. Sociology, (3), 64–76. (In Russ.)
  28. Shchelkova, O.Yu., Isurina, G.L., Usmanova, E.B., Iakovleva, M.V., Valiev, A.K., & Kulaga, A.V. (2021). Disease-related stress coping and quality of life in patients with surgically treated spinal tumors. Medico-Biological and Socio-Psychological Problems of Safety in Emergency Situations, (1), 97–106. (In Russ.) https://doi.org/10.25016/2541-7487-2021-0-1-97-106
  29. Sosnowski, R., Wolski, J.K., Zi Talewicz, U., Szyma Ski, M., Baku, A.R., & Demkow, T. (2019). Assessment of selected quality of life domains in patients who have undergone conservative or radical surgical treatment for penile cancer: an observational study. Sexual Health, 16(1), 32–38. https://doi.org/10.1071/SH17119
  30. Troiano, G., & Nante, N. (2018). Quality of life after surgical treatment for penile carcinoma. International Journal of Sexual Health, 30(2), 141–148. https://doi.org/10.1080/19317611.2018.1458766
  31. Usmanova, E.B., Obukhova, O.A., & Shchelkova, O.Yu. (2020). Quality of life and sexual health of patients with malignant ovarian neoplasms. Gynecologic Oncology, 2(34), 77–80. (In Russ.)
  32. Vagaitseva, M.V. (2017). Psikhologicheskie issledovaniya bol’nykh rakom predstatel’noi zhelezy. Onkopsikhologiya dlya Vrachei i Meditsinskikh Psikhologov (pp. 141–147). Saint Petersburg: Lyubavich Publ. (In Russ.)
  33. Vasserman, L.I., Ababkov, V.A., Trifonova, E.A., Isaeva, E.R., & Novozhilova, M.Yu. (2014). Psikhologicheskaya diagnostika sovladayushchego so stressom povedeniya. In L.I. Vasserman, & O.Yu. Shchelkova (Eds.), Psikhologicheskaya Diagnostika Rasstroistv Emotsional’noi Sfery i Lichnosti (pp. 323–345). Saint Petersburg: Skifiya-print. (In Russ.)
  34. Watkins, R.G., Brien, J.P., & Jones, D. (1986). Comparisons of preoperative and postoperative MMPI data in chronic back pain patient. Spine, 11(4), 385–390.
  35. Watts, S., Prescott, Ph., Mason, J., McLeod, N., & Lewith, G. (2015). Depression and anxiety in ovarian cancer: A systematic review and meta-analysis of prevalence rates. BMJ Open, 5, e007618. https://doi.org/10.1136/ bmjopen-2015-007618
  36. Yanichev, D.P. (2006). Kognitivnye aspekty samovospriyatiya lichnostnykh chert u patsientov s nevroticheskoi i nevrozopodobnoi simptomatikoi. Ph.D. in Psychology Thesis Abstract. Saint Petersburg. (In Russ.)
  37. Zigmond, A., & Snaith, R. (1983). The hospital anxiety and depression scale. Acta Psychiatrica Scandinavica, 67(6), 361–370. https://doi.org/10.1111/j.1600-0447.1983.tb09716.x

Copyright (c) 2021 Shchelkova O.Y., Usmanova E.B., Iakovleva M.V., Matveev V.B., Khalmurzaev O.A., Yacevich A.A.

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