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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
Gosford Hospital
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.
DOI: 10.1007/s11136-016-1341-3
ISSN: 0962-9343
Publicaton type: Journal Article
Keywords: Cancer
Mental Health
Study or Trial: Clinical Trial
Appears in Collections:Oncology / Cancer

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