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The Capital Region of Denmark - a part of Copenhagen University Hospital
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Psychological stress in long-term testicular cancer survivors: a Danish nationwide cohort study

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  3. A person-centered intervention targeting the psychosocial needs of gynecological cancer survivors: a randomized clinical trial

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  4. Depressive symptom trajectories in women affected by breast cancer and their male partners: a nationwide prospective cohort study

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  1. Physical activity, self-rated fitness and stress among 55,185 men and women in the Danish Capital Region Health survey 2017

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  2. Late adverse effects and quality of life in survivors of testicular germ cell tumour

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  3. Adverse health behaviours in long-term testicular cancer survivors: a Danish nationwide study

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  4. Home-based cognitive behavioural therapy for families of young children with cancer (FAMOS): A nationwide randomised controlled trial

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  5. Development of Sarcopenia in Patients With Bladder Cancer: A Systematic Review

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PURPOSE: Long-term cancer survivors may develop psychological late effects. The aim of the present study was to determine prevalence of high level of stress in testicular cancer survivors (TCS) compared with the general population and prevalence of high level of stress among TCS stratified by type of treatment (surveillance, bleomycin, etoposide and cisplatin (BEP), or abdominal radiotherapy (RT)).

METHODS: In this large, nationwide and population-based, cross-sectional study, a total of 2252 TCS filled in a questionnaire between 2014-2016 covering psychological stress (Perceived Stress Scale (PSS)), sociodemographic factors, and physical health variables. Results were compared with a reference population. The reference population consisted of 61,927 men without prior or present cancer and sampled at random from the central population. High level of stress was defined as a PSS score ≥ 16, equivalent to the highest scoring quintile in the reference population. Logistic regression models adjusted for relevant covariates were used to estimate prevalence ratios of high level of stress.

RESULTS: Distribution of TCS was: surveillance, n = 1134; BEP, n = 807; and RT, n = 311 (median time since diagnosis was 19 years). TCS were more likely to have high level of stress compared to the reference population with a prevalence ratio of 1.56 (95% CI, 1.40-1.73). Individually, surveillance, BEP and RT groups had higher level of stress compared to the reference population.

CONCLUSIONS: TCS are more likely to have high level of stress. Screening programs for psychological stress should be considered as part of the follow-up program.

IMPLICATIONS FOR CANCER SURVIVORS: A higher level of stress is observed in TCS irrespective of treatment.

Original languageEnglish
JournalJournal of cancer survivorship : research and practice
Volume14
Issue number1
Pages (from-to)72-79
Number of pages8
ISSN1932-2259
DOIs
Publication statusPublished - Feb 2020

    Research areas

  • Cancer survivor, Germ cell cancer, Late effects, Stress, Testicular cancer

ID: 58485245