Jonathan Rees|Michael Clarke|Dympna Waldron|Ciaran A. O’Boyle|Paul Ewings|Ruaraidh Macdonagh
The measurement of response shift in patients with advanced prostate cancer and their partners
Taunton & Somerset NHS Foundation Trust|Taunton & Somerset NHS Foundation Trust|University Hospital Galway|Royal College of Surgeons in Ireland|Taunton & Somerset NHS Foundation Trust|Taunton & Somerset NHS Foundation Trust
increasing evidence support phenomenon response shift rs quality life qol studies many current qol measures failing allow significant response shift occurs amongst prostate cancer patients necessary allow design future clinical research reassess conclusions previous studies allowed source bias study therefore aimed assess presence rs psychosocial morbidity patients advanced prostate cancer partners55 consecutive advanced prostate cancer patients partners completed prostate cancer patient partner questionnaire ppp shortly diagnosis 3 months 6 months followup visits patients partners also completed thentest order assess rspartners consistently showed greater psychological morbidity patients relation prostate cancer marked general cancer distress gcd subscale p 0001 paired ttest regarding worries treatment p 001 significant rs identified partners patients use thentest technique particularly gcd subscale concerns treatment concerns urinary symptoms itemsthese results suggest presence rs patients advanced prostate cancer partners higher levels psychosocial morbidity noted amongst partners first study identify rs partners calls question interpretation studies assessing changes qol fail allow phenomenon