The role of mindfulness in distress and quality of life for men with advanced prostate cancer
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2016-12-01
Source Title
Quality of Life Research
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SPRINGER
Melbourne Authors
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Medicine (Austin & Northern Health)
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Journal Article
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Chambers, S. K., Foley, E., Clutton, S., McDowall, R., Occhipinti, S., Berry, M., Stockler, M. R., Lepore, S. J., Frydenberg, M., Gardiner, R. A., Davis, I. D. & Smith, D. 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.
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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.