{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,17]],"date-time":"2026-08-17T14:52:15Z","timestamp":1786978335475,"version":"build-2736575974"},"reference-count":40,"publisher":"Wiley","issue":"11","license":[{"start":{"date-parts":[[2017,2,10]],"date-time":"2017-02-10T00:00:00Z","timestamp":1486684800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Psycho-Oncology"],"published-print":{"date-parts":[[2017,11]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>Negative intrusive thoughts about one's prostate cancer have been associated with depressive mood and impaired quality of life among prostate cancer patients. However, little is known about possible predictors for negative intrusive thoughts among this group. We aimed to identify health\u2010 and care\u2010related predictors for such thoughts among a population of men newly diagnosed with prostate cancer and undergoing radical prostatectomy.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>In the LAPPRO\u2010trial, 3154 men (80%) answered study\u2010specific questionnaires at admission and 3\u00a0months after surgery. Questions concerned socio\u2010demographics, health, uncertainty, preparedness for symptoms, and the outcome\u2014negative intrusive thoughts. Associations between variables were analyzed by log\u2010binominal and multivariable approach.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The strongest predictor of negative intrusive thoughts at admission to surgery was uncertainty of cure, followed by binge drinking, poor physical health, antidepressant medication, not being prepared for urinary symptoms, age under 55, and physical pain. Reporting it not probable to obtain urinary symptoms after surgery lowered the odds. Negative intrusive thoughts before surgery were the strongest predictor for such thoughts 3\u00a0months later followed by uncertainty of cure, physical pain, younger age, living alone, and poor self\u2010reported physical health.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Our findings showed an association of preoperative uncertainty of cure as well as low preparedness for well\u2010known surgery\u2010induced symptoms with higher occurrence of negative intrusive thoughts about prostate cancer. Future studies should examine if interventions designed to have healthcare professionals inform patients about their upcoming prostatectomy reduce patients' negative intrusive thoughts and thereby, improve their psychological well\u2010being.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/pon.4359","type":"journal-article","created":{"date-parts":[[2016,12,27]],"date-time":"2016-12-27T14:36:40Z","timestamp":1482849400000},"page":"1749-1757","source":"Crossref","is-referenced-by-count":6,"title":["Care\u2010related predictors for negative intrusive thoughts after prostate cancer diagnosis\u2014data from the prospective LAPPRO trial"],"prefix":"10.1002","volume":"26","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3585-006X","authenticated-orcid":false,"given":"Thordis","family":"Thorsteinsdottir","sequence":"first","affiliation":[{"name":"Division of Clinical Cancer Epidemiology, Department of Oncology, Institute of Clinical Sciences Sahlgrenska Academy at University of Gothenburg  Gothenburg Sweden"},{"name":"Faculty of Nursing, School of Health Sciences University of Iceland  Reykjav\u00edk Iceland"},{"name":"Research Institute in Emergency Care Landspitali University Hospital  Reykjav\u00edk Iceland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Heiddis","family":"Valdimarsdottir","sequence":"additional","affiliation":[{"name":"Department of Oncological Sciences Mount Sinai School of Medicine  New York NY USA"},{"name":"Department of Psychology Reykjavik University  Reykjavik Iceland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Arna","family":"Hauksdottir","sequence":"additional","affiliation":[{"name":"Center for Public Health Sciences, School of Health Sciences University of Iceland  Reykjavik Iceland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Johan","family":"Stranne","sequence":"additional","affiliation":[{"name":"Department of Urology Sahlgrenska University Hospital  Gothenburg Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ulrica","family":"Wilder\u00e4ng","sequence":"additional","affiliation":[{"name":"Division of Clinical Cancer Epidemiology, Department of Oncology, Institute of Clinical Sciences Sahlgrenska Academy at University of Gothenburg  Gothenburg Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eva","family":"Haglind","sequence":"additional","affiliation":[{"name":"Department of Surgery, Institute of Clinical Sciences Sahlgrenska Academy at University of Gothenburg, SSORG \u2010 Scandinavian Surgical Outcomes Research Group, Sahlgrenska University Hospital\/\u00d6stra  Gothenburg Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gunnar","family":"Steineck","sequence":"additional","affiliation":[{"name":"Division of Clinical Cancer Epidemiology, Department of Oncology, Institute of Clinical Sciences Sahlgrenska Academy at University of Gothenburg  Gothenburg Sweden"},{"name":"Division of Clinical Cancer Epidemiology, Department of Oncology\u2013Pathology Karolinska Institutet  Stockholm 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