The role of mindfulness in distress and quality of life for men with advanced prostate cancer

Journal article


Chambers, Suzanne K., Foley, Elizabeth, Clutton, Samantha, McDowall, Robert, Occhipinti, Stefano, Berry, Martin, Stockler, Martin R., Lepore, Stephen J., Frydenberg, Mark, Gardiner, Robert A., Davis, Ian D. and Smith, David P.. (2016). The role of mindfulness in distress and quality of life for men with advanced prostate cancer. Quality of Life Research. 25(12), pp. 3027-3035. https://doi.org/10.1007/s11136-016-1341-3
AuthorsChambers, Suzanne K., Foley, Elizabeth, Clutton, Samantha, McDowall, Robert, Occhipinti, Stefano, Berry, Martin, Stockler, Martin R., Lepore, Stephen J., Frydenberg, Mark, Gardiner, Robert A., Davis, Ian D. and Smith, David P.
Abstract

Objective
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.

Patients and methods
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.

Results
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).

Conclusions
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.

Clinical Trial Registry
Trial Registration: ACTRN12612000306819

Keywordsquality of life; advanced prostate cancer; psychological distress
Year2016
JournalQuality of Life Research
Journal citation25 (12), pp. 3027-3035
PublisherSpringer Netherlands
ISSN0962-9343
Digital Object Identifier (DOI)https://doi.org/10.1007/s11136-016-1341-3
Scopus EID2-s2.0-84975142406
Open accessPublished as ‘gold’ (paid) open access
Research or scholarlyResearch
Page range3027-3035
FunderNational Health and Medical Research Council
Publisher's version
License
File Access Level
Open
Output statusPublished
Publication dates
Online17 Jun 2016
Publication process dates
Accepted09 Jun 2016
Deposited09 Sep 2021
Grant IDNHMRC/1024989
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