SUPPLEMENT ABSTRACTS
BPOS Poster Presentations
Exercise, body image issues and masculinity
in prostate cancer (PCa): comparing PCa
patients undergoing androgen deprivation
therapy (ADT) to ADT-naïve PCa patients and
age-matching controls
Caterina Gentili
1
; Stuart McClean
2
; Lucy Hackshaw-McGeagh
3
;
Amit Bahl
4
; Raj Persad
5
; Diana Harcourt
1
1
Centre for Appearance Research, University of the West of England,
Bristol, UK;
2
Centre for Public Health and Wellbeing Research, University
of the West of England, Bristol, UK;
3
NIHR Bristol Biomedical Research
Centre, Bristol, UK;
4
University Hospitals Bristol NHS Trust, Bristol, UK;
5
North Bristol NHS Trust, Bristol, UK
Background: Androgen Deprivation Therapy (ADT) is a well-
established treatment for prostate cancer (PCa). Side effects, which
can affect appearance and masculinity, might be counterbalanced by
exercise. Despite its physical and psychological benefits, exercise
rates among PCa patients are low.
Aims: This study investigated the association between body image
issues and exercise in patients on ADT. We hypothesized that:
1. Patients on ADT will present higher body image concerns, fear of
negative appearance (FNAE) and physical performance evaluation
(FNPPE), masculinity issues, and lower functionality appreciation
when compared to ADT-naïve patients and controls.
2. Considering only patients on ADT, FNAE and FNPPE will predict
higher masculinity issues, body image concerns, and lower functional-
ity appreciation. These relationships will be mediated by low exercise
frequency.
Methods: 60 PCa patients undergoing ADT, 60 ADT-naïve patients,
and 60 age-matching cancer-free men completed a questionnaires
package online. H1 was tested with a MANOVA and H2 with linear
regressions.
Results: We found no significant difference between groups on any
of the outcomes (p = 0.28). In the ADT group, FNAE and FNPPE sig-
nificantly predicted body image concerns (p<.001) and masculinity
issues (p < .001), but were not associated with functionality apprecia-
tion (p = .66, p = .34). None of these relationships were mediated by
exercise.
Conclusions: The results suggest that ADT is not associated with ++
negative body image. Future research should investigate the protec-
tive factors preventing body image issues in PCa. FNAE and FNPPE
predicted poorer body image outcomes but exercise frequency did
not contribute to this relationship. Future research should further
explore exercise barriers in PCa.
A life interrupted: An interpretative
phenomenological analysis of young people
and their family/significant other living with
malignant melanoma
Wendy McInally
Edinburgh Napier University, Edinburgh, UK
Background: Incidence of malignant melanoma is increasing interna-
tionally. In the United Kingdom, it is the fifth most common cancer
among young people, and in Scotland, 14 young people aged 15 to
24 years are diagnosed with the disease each year. Despite improve-
ments in survival rates, prognosis is known to be poor if diagnosis is
delayed. However, there is little international evidence around the
experiences of young people living with malignant melanoma and that
of their family/significant other.
Aims: To explore the experiences of young people and their
family/significant other living with malignant melanoma within
Scotland.
Methods: A qualitative exploratory study was conducted,
underpinned by Interpretive Phenomenological Analysis (IPA). Due
to the relatively small numbers of young people in Scotland diag-
nosed with malignant melanoma each year, five young people were
purposively sampled from three National Health Service Boards
across Scotland based on where they were receiving treatment.
Each young person and a family/significant other nominated by
them were interviewed (n = 10) either individually (n = 4) or as a
dyad (n = 6).
Results: Data analysis suggests that four major super-ordinate themes
encapsulate the experience of young people living with malignant
melanoma and that of their family/significant other: (1) ‘Is it Serious’,
(2) ‘Too Much too Young’, (3) ‘Not the Same’, (4) ‘Time to Live’.
Conclusions: Despite the seriousness of the disease and growing
numbers there were reasons to suggest that young people and their
family/significant other may be experiencing fragmented services,
insufficient support, leading to poorer experiences of living with this
cancer.
DOI: 10.1002/pon.5335
©2020 The Authors. Psycho‐Oncology © 2020 John Wiley & Sons, Ltd.
10 Psycho-Oncology. 2020;29(S2):10–25. wileyonlinelibrary.com/journal/pon