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|Title:||The role of mindfulness in distress and quality of life for men with advanced prostate cancer||Authors:||Berry, Martin ;Chambers, S.K.;Foley, E.;Clutton, S.;McDowell, R.;Occhipinti, S.;Stockler, M.R.;Lepore, S.J.;Frydenberg, M.;Gardiner, R.A.;Davis, I.D.;Smith, D.P.||Affliation:||Central Coast Local Health District
|Issue Date:||Dec-2016||Source:||25(12):3027-3035||Journal title:||Quality of Life Research : An International Journal of Quality of Life Aspects of Treatment, Care and Rehabilitation||Department:||Radiation Oncology||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.||URI:||https://elibrary.cclhd.health.nsw.gov.au/cclhdjspui/handle/1/1050||DOI:||10.1007/s11136-016-1341-3||Pubmed:||https://www.ncbi.nlm.nih.gov/pubmed/27315118||ISSN:||0962-9343||Publicaton type:||Journal Article||Keywords:||Cancer
|Study or Trial:||Clinical Trial|
|Appears in Collections:||Oncology / Cancer|
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