Emotional isolation. prevalence and the effect on wellbeing among 50-80-year-old prostate cancer patients

Objective: To investigate to what extent prostate cancer patients confide t heir emotional concerns, and whether having no one to confide in affects we ll-being. Material and methods: A population-based study using epidemiological method s. A questionnaire was mailed to all 431 living prostate cancer patients ag ed 50-80 at the time of selection, diagnosed 1.5-2 years previously in Stoc kholm County, and 435 randomly selected men in the same age group. The ques tionnaire was completed anonymously. The main outcome measures included que stions assessing the extent to which the men could share emotionally taxing feelings with their partner or others and questions assessing well-being. Results: The questionnaire was returned by 79% of the patients and by 73% o f the randomly selected men. Approximately one in five patients had no one to confide in. Of patients living with a partner, only one in 10 confided i n someone other than their partner. Three out of 10 patients living in a re lationship could not confide in their partner. Men having no one to confide in were less content with their life and reported poorer psychological and overall well-being compared with other men. The prostate cancer patients w ere not more likely to have someone to confide in than men in general. Conclusions: The results indicate that a lack of emotional support may be a problem for many prostate cancer patients and that the traditional psychos ocial support offered to most cancer patients in Sweden may not reach male patients. There may be a need for a gender-adapted approach to emotional su pport.