The anxiety depression pathway among men following a prostate cancer diagnosis : Cross-sectional interactions between anger responses and loneliness
Journal article
Rice, Simon M., Kealy, David, Ogrodniczuk, John S., Seidler, Zac E., Montaner, Gabriela, Chambers, Suzanne and Oliffe, John L.. (2021). The anxiety depression pathway among men following a prostate cancer diagnosis : Cross-sectional interactions between anger responses and loneliness. American Journal of Men's Health. 15(3), pp. 1-9. https://doi.org/10.1177/15579883211023699
Authors | Rice, Simon M., Kealy, David, Ogrodniczuk, John S., Seidler, Zac E., Montaner, Gabriela, Chambers, Suzanne and Oliffe, John L. |
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Abstract | Anger has been a largely neglected emotion in prostate cancer research and intervention. This paper highlights the role of anger in the anxiety depression pathway among men with prostate cancer, and whether its impact is dependent on loneliness. Data are presented from a sample of men with prostate cancer (N = 105, M = 69.12 years, prostatectomy = 63.8%) and analysed using conditional process analysis. Dimensions of anger were evaluated as parallel mediators in bi-directional anxiety and depression pathways. Loneliness was evaluated as a conditional moderator of identified significant mediation relationships. Moderate severity depression (16.5%) was endorsed more frequently than moderate severity anxiety (8.6%, p = .008), with 19.1% of the sample reporting past two-week suicide ideation. Consistent with hypotheses, anger-related social interference (but not other dimensions of anger) significantly mediated the anxiety-depression pathway, but not the reverse depression-anxiety pathway. This indirect effect was conditional on men experiencing loneliness. Sensitivity analyses indicated the observed moderated mediation effect occurred for affective, but not somatic symptoms of depression. Findings support anger-related social interference (as opposed to anger frequency, intensity, duration or antagonism) as key to explaining the previously established anxiety-depression pathway. Results underscore the need for enhanced psychosocial supports for men with prostate cancer, with a particular focus on relational aspects. Supporting men with prostate cancer to adaptively process and manage their anger in ways that ameliorate negative social consequences will likely enhance their perceived social support quality, which may in turn better facilitate post-diagnosis recovery and emotional adjustment. |
Keywords | prostate cancer; anger; depression; anxiety; help-seeking; social support |
Year | 2021 |
Journal | American Journal of Men's Health |
Journal citation | 15 (3), pp. 1-9 |
Publisher | SAGE Publications |
ISSN | 1557-9883 |
Digital Object Identifier (DOI) | https://doi.org/10.1177/15579883211023699 |
PubMed ID | 34142615 |
Scopus EID | 2-s2.0-85108138455 |
PubMed Central ID | PMC8216379 |
Open access | Published as ‘gold’ (paid) open access |
Research or scholarly | Research |
Page range | 1-9 |
Funder | National Health and Medical Research Council (NHMRC) |
Publisher's version | License File Access Level Open |
Output status | Published |
Publication dates | |
Online | 01 May 2021 |
Publication process dates | |
Accepted | 17 May 2021 |
Deposited | 05 Nov 2021 |
Grant ID | NHMRC/1158881 |
https://acuresearchbank.acu.edu.au/item/8wzz9/the-anxiety-depression-pathway-among-men-following-a-prostate-cancer-diagnosis-cross-sectional-interactions-between-anger-responses-and-loneliness
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Publisher's version
OA_Rice_2021_The_anxiety_depression_pathway_among_men.pdf | |
License: CC BY-NC 4.0 | |
File access level: Open |
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