The role of mindfulness in distress and quality of life for men with advanced prostate cancer.
Qual Life Res
; 25(12): 3027-3035, 2016 12.
Article
in En
| MEDLINE
| ID: mdl-27315118
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 ANDMETHODS:
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.Key words
Full text:
1
Database:
MEDLINE
Main subject:
Prostatic Neoplasms
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Stress, Psychological
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Sickness Impact Profile
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Mindfulness
Type of study:
Observational_studies
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Prevalence_studies
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Prognostic_studies
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Qualitative_research
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Risk_factors_studies
Limits:
Adult
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Aged
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Aged80
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Humans
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Male
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Middle aged
Language:
En
Year:
2016
Type:
Article