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BioMed Research International
Volume 2017, Article ID 1467056, 8 pages
Research Article

Influence of Men’s Personality and Social Support on Treatment Decision-Making for Localized Prostate Cancer

1School of Medicine, Department of Family Medicine and Public Health Sciences, Wayne State University, Detroit, MI, USA
2Department of Medicine, Michigan State University, East Lansing, MI, USA
3School of Medicine, Department of Anesthesiology, Wayne State University, Detroit, MI, USA

Correspondence should be addressed to Jinping Xu; ude.enyaw.dem@uxj

Received 31 March 2017; Revised 31 May 2017; Accepted 11 June 2017; Published 12 July 2017

Academic Editor: David B. Samadi

Copyright © 2017 Elyse Reamer et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Background. Optimal treatment for localized prostate cancer (LPC) is controversial. We assessed the effects of personality, specialists seen, and involvement of spouse, family, or friends on treatment decision/decision-making qualities. Methods. We surveyed a population-based sample of men ≤ 75 years with newly diagnosed LPC about treatment choice, reasons for the choice, decision-making difficulty, satisfaction, and regret. Results. Of 160 men (71 black, 89 white), with a mean age of 61 (±7.3) years, 59% chose surgery, 31% chose radiation, and 10% chose active surveillance (AS)/watchful waiting (WW). Adjusting for age, race, comorbidity, tumor risk level, and treatment status, men who consulted friends during decision-making were more likely to choose curative treatment (radiation or surgery) than WW/AS (OR = 11.1, ; 8.7, ). Men who saw a radiation oncologist in addition to a urologist were more likely to choose radiation than surgery (OR = 6.0, ). Men who consulted family or friends (OR = 2.6, ; 3.7, ) experienced greater decision-making difficulty. No personality traits (pessimism, optimism, or faith) were associated with treatment choice/decision-making quality measures. Conclusions. In addition to specialist seen, consulting friends increased men’s likelihood of choosing curative treatment. Consulting family or friends increased decision-making difficulty.