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Rigshospitalet - 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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  1. To eat is to practice-managing eating problems after head and neck cancer

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

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

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  4. Do we reach the patients with the most problems? Baseline data from the WebCan study among survivors of head-and-neck cancer, Denmark

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  1. Sexual Function and Quality of Life in a National Cohort of Survivors of Bilateral Testicular Cancer

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  2. Clinical characteristics and quality of life, depression, and anxiety in adults with neurofibromatosis type 1: A nationwide study

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  3. Luteinizing Hormone Receptor Is Expressed in Testicular Germ Cell Tumors: Possible Implications for Tumor Growth and Prognosis

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  4. Mortality and admission to intensive care units after febrile neutropenia in patients with cancer

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  5. Prospective molecular and morphological assessment of testicular prepubertal-type teratomas in postpubertal men

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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