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., Davis, Ian D. and Smith, David P. (2016) The role of mindfulness in distress and quality of life for men with advanced prostate cancer. Quality of Life Research, 25 12: 3027-3035. doi:10.1007/s11136-016-1341-3

Author Chambers, Suzanne K.
Foley, Elizabeth
Clutton, Samantha
McDowall, Robert
Occhipinti, Stefano
Berry, Martin
Stockler, Martin R.
Lepore, Stephen J.
Frydenberg, Mark
Gardiner, Robert A.
Davis, Ian D.
Smith, David P.
Title The role of mindfulness in distress and quality of life for men with advanced prostate cancer
Journal name Quality of Life Research   Check publisher's open access policy
ISSN 1573-2649
Publication date 2016-11-01
Year available 2016
Sub-type Article (original research)
DOI 10.1007/s11136-016-1341-3
Open Access Status DOI
Volume 25
Issue 12
Start page 3027
End page 3035
Total pages 9
Place of publication Dordrecht, Netherlands
Publisher Springer Netherlands
Language eng
Formatted 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
Keyword Advanced prostate cancer
Psychological distress
Quality of life
Q-Index Code C1
Q-Index Status Provisional Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Article (original research)
Collections: UQ Centre for Clinical Research Publications
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Created: Tue, 11 Oct 2016, 12:39:49 EST by System User on behalf of Learning and Research Services (UQ Library)