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- Title
The role of mindfulness in distress and quality of life for men with advanced prostate cancer.
- Authors
Chambers, Suzanne; Foley, Elizabeth; Clutton, Samantha; McDowall, Robert; Occhipinti, Stefano; Berry, Martin; Stockler, Martin; Lepore, Stephen; Frydenberg, Mark; Gardiner, Robert; Davis, Ian; Smith, David; Chambers, Suzanne K; Stockler, Martin R; Lepore, Stephen J; Gardiner, Robert A; Davis, Ian D; Smith, David P
- Abstract
<bold>Objective: </bold>To examine the extent to which mindfulness skills influence psychological distress and health-related quality of life (HRQOL) in men with metastatic or castration-resistant biochemical progression of prostate cancer.<bold>Patients and Methods: </bold>A cross-sectional survey of 190 men (46 % response; mean age 71 years, SD = 8.7, range 40-91 years) with advanced prostate cancer, assessed psychological and cancer-specific distress, HRQOL. Mindfulness skills were assessed as potential predictors of adjustment outcomes.<bold>Results: </bold>Overall, 39 % of men reported high psychological distress. One third had accessed psychological support previously although only 10 % were under current psychological care. One quarter had accessed a prostate cancer support group in the past six months. Higher HRQOL and lower cancer-specific and global psychological distress were related to non-judging of inner experience (p < 0.001). Higher HRQOL and lower psychological distress were related to acting with awareness (p < 0.001). Lower distress was also related to higher non-reactivity to inner experience and a lower level of observing (p < 0.05).<bold>Conclusions: </bold>Men with advanced prostate cancer are at risk of poor psychological outcomes. Psychological flexibility may be a promising target for interventions to improve adjustment outcomes in this patient group.<bold>Clinical Trial Registry: </bold>Trial Registration: ACTRN12612000306819.
- Subjects
MINDFULNESS; QUALITY of life; PROSTATE cancer patients; PROSTATE cancer; PSYCHOLOGICAL distress; PSYCHOLOGY; PHYSIOLOGY; PROSTATE tumors; RESEARCH funding; SUPPORT groups; SICKNESS Impact Profile; PSYCHOLOGICAL stress; CROSS-sectional method; PSYCHOLOGICAL factors
- Publication
Quality of Life Research, 2016, Vol 25, Issue 12, p3027
- ISSN
0962-9343
- Publication type
journal article
- DOI
10.1007/s11136-016-1341-3