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This version was published on June 1, 2008
American Journal of Men's Health, Vol. 2, No. 2, 165-171 (2008)
DOI: 10.1177/1557988307312222

Physical and Emotional Predictors of Depression After Radical Prostatectomy

Bryan A. Weber, PhD

University of Florida, Gainesville, bweber{at}ufl.edu

Beverly L. Roberts, PhD

University of Florida, Gainesville

Terry L. Mills, PhD

University of Florida, Gainesville

Neale R. Chumbler, PhD

University of Florida, Gainesville, VA HSR&D/RR&D Rehabilitation Outcomes Research Center, North Florida/South Georgia Veterans Health System Gainesville, FL

Chester B. Algood, MD

University of Florida, Gainesville

Radical prostatectomy commonly results in urinary, sexual, and bowel dysfunction that bothers men and may lead to depressive symptomatology (hereafter depression) that occurs at a rate 4 times greater for men with prostate cancer than healthy counterparts. The purpose of this study was to assess depressive symptoms in men shortly after radical prostatectomy and to identify associated risk factors. Seventy-two men were interviewed 6 weeks after surgery. Measured were depression (Geriatric Depression Scale), self-efficacy (Stanford Inventory of Cancer Patient Adjustment), social support (Modified Inventory of Socially Supportive Behaviors), physical and emotional factors (UCLA Prostate Cancer Index), and social function (SF-36 subscale). Results indicate that men with high self-efficacy and less sexual bother were 45% and 55% less likely to have depressive symptoms, respectively. Findings from this study add to the limited amount of information on the complex relationship between prostate cancer treatment and depression in men.

Key Words: depression • prostate cancer • physical dysfunction and bother • radical prostatectomy • older men's health


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