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The role of mindfulness in distress and quality of life for men with advanced prostate cancer
Chambers, Suzanne K. Foley, Elizabeth Clutton, Samantha McDowall, Robert Occhipinti, Stefano Berry, Martin Stockler, Martin R. Lepore, Stephen J. Frydenberg, Mark Gardiner, Robert A.
Chambers, Suzanne K.
Foley, Elizabeth
Clutton, Samantha
McDowall, Robert
Occhipinti, Stefano
Berry, Martin
Stockler, Martin R.
Lepore, Stephen J.
Frydenberg, Mark
Gardiner, Robert A.
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
Keywords
quality of life, advanced prostate cancer, psychological distress
Date
2016
Type
Journal article
Journal
Quality of Life Research
Book
Volume
25
Issue
12
Page Range
3027-3035
Article Number
ACU Department
Faculty of Health Sciences
Collections
Relation URI
Source URL
Event URL
Open Access Status
Published as ‘gold’ (paid) open access
License
CC BY 4.0
File Access
Open