Mental Health Among Prostate Cancer Survivors
Prostate cancer survivorship requires ongoing monitoring for cancer recurrence, the development of new cancers, and chronic health conditions. Much of the research on the quality of life of cancer survivors has been completed in the past decade, with the majority of studies focusing on women with breast cancer.
How does mental health play a role?
The mental health stressors that impact prostate cancer survivorship are multifaceted, involving emotional, social, occupational, and financial spheres that increase anxiety and depression. Mental health screenings need to be better integrated into active cancer treatment and survivorship with referrals to mental health professionals. Social workers and patient navigators can help to identify appropriate and affordable resources to improve patients’ mental health.
Enhancing the quality of mental health services
An Office of Men’s Health at the U.S. Department of Health and Human Services that mirrors the work of the existing Office of Women’s Health could greatly enhance the quality of mental services available to prostate cancer survivors. What we know is that the Office of Women’s Health, established in 1991, has helped to improve the quality of life for thousands of women.
Addressing community needs
An Office of Men’s Health is needed to take further actions that promote mental health awareness. It would also serve to educate men and their families about the importance of early detection of prostate cancer and the use of PSA tests, as well as other tests or treatments that can reduce rates of mortality.
A multidisciplinary team that specializes in the psychological, social, and behavioral dimensions of prostate cancer is one way to advance mental health services and treatment. There is a need for periodic mental health screening using validated instruments across the continuum of cancer care. The American Society of Clinical Oncology is a good resource that uses screening instruments for depression and/or anxiety.
It's time to support our men
Traditional cultural norms in our society make it difficult for men to seek out mental help services. Conceptions about masculinity raise questions about what it means to be a man. The pressures that many men experience when they are not able to conform to rigid notions of masculinity around gender norms often create tension and anxiety. We must all strive to explore both positive and negative consequences of cultural forces that shape ideas about gender in our society.
Becoming part of the conversation
Ultimately men must take more responsibility for the management, treatment, and delivery of mental health services. This will entail the development of a national infrastructure designed to better understand the needs of men and the use of innovative approaches that address positive health-seeking behaviors.
Join the conversation