Following tumor surgery, urinary incontinence challenges prostate cancer patients' functional health.
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Adjustments of functional goals (lines of defense [LoDs]) were examined during rehabilitation from incontinence. A conceptual model proposing stepwise and distinct upward adjustments of LoDs, ranging from minimizing discomfort (lowest LoD) to protecting self-reliance (highest LoD), was investigated. Within 7 months following the onset of incontinence, 175 patients completed questionnaires at 4 occasions. A theory-based hierarchy was imposed on time-invariant latent classes of LoD-endorsements. As incontinence receded, patients transitioned upward through the hierarchy of LoD-classes, matched LoDs to concurrent incontinence levels, and thus promptly claimed independent functioning with physical improvements.
Knoll N, Wiedemann AU, Schultze M, Schrader M, Heckhausen J. Are you the author?
Division of Health Psychology, Department of Educational Sciences and Psychology, Freie Universität Berlin; Division of Methods and Evaluation, Department of Educational Sciences and Psychology, Freie Universität Berlin; Department of Urology, Universitätsklinikum Ulm; Department of Psychology and Social Behavior, University of California.
Reference: Psychol Aging. 2014 Dec;29(4):787-92.