ICD-11 adjustment disorder following diagnostic procedures of prostate cancer: A 12-month follow-up study

Evaldas Kazlauskas; Ausvydas Patasius; Monika Kvedaraite; Auguste Nomeikaite; Migle Rudyte; Giedre Smailyte

doi:10.1016/j.jpsychores.2023.111214

ICD-11 adjustment disorder following diagnostic procedures of prostate cancer: A 12-month follow-up study

J Psychosom Res. 2023 May:168:111214. doi: 10.1016/j.jpsychores.2023.111214. Epub 2023 Mar 7.

Authors

Evaldas Kazlauskas¹, Ausvydas Patasius², Monika Kvedaraite³, Auguste Nomeikaite³, Migle Rudyte³, Giedre Smailyte²

Affiliations

¹ Center for Psychotraumatology, Institute of Psychology, Vilnius University, Ciurlionio St. 29, LT-03100 Vilnius, Lithuania. Electronic address: evaldas.kazlauskas@fsf.vu.lt.
² Laboratory of Cancer Epidemiology, National Cancer Institute, P. Baublio St. 3b, LT-08406 Vilnius, Lithuania; Institute of Health Sciences, Faculty of Medicine, Vilnius University, Ciurlionio St. 21, LT-03101 Vilnius, Lithuania.
³ Center for Psychotraumatology, Institute of Psychology, Vilnius University, Ciurlionio St. 29, LT-03100 Vilnius, Lithuania.

PMID: 36905705
DOI: 10.1016/j.jpsychores.2023.111214

Abstract

Objective: The medical procedures in diagnosing or treating prostate cancer may impair adjustment and quality of life. The current prospective study aimed to evaluate the trajectories of symptoms of ICD-11 adjustment disorder in patients diagnosed vs. non-diagnosed with prostate cancer before (T1), after diagnostic procedures (T2), and at 12-month follow-up (3).

Methods: In total, 96 male patients were recruited before prostate cancer diagnostic procedures. The mean age of the study participants at baseline was 63.5 (SD = 8.4), ranging from 47 to 80 years; 64% were diagnosed with prostate cancer. Adjustment disorder symptoms were measured using the Brief Adjustment Disorder Measure (ADNM-8).

Results: The prevalence of ICD-11 adjustment disorder was 15% at T1, 13% at T2, and 3% at T3. The effect of cancer diagnosis was not significant on adjustment disorder. A medium main effect for time was detected on adjustment symptom severity, F(2, 134) = 19.26, p < .001, partial η² = 0.223, with symptoms significantly lower at 12-month follow-up, compared to T1 and T2, p < .001.

Conclusions: The study's findings reveal the increased levels of adjustment difficulties in males undergoing the diagnostic process of prostate cancer.

Keywords: Adjustment disorder; ICD-11; Prostate cancer; Psycho-oncology.

MeSH terms

Adjustment Disorders* / diagnosis
Adjustment Disorders* / epidemiology
Follow-Up Studies
Humans
International Classification of Diseases
Male
Prospective Studies
Prostatic Neoplasms* / diagnosis
Quality of Life