@article{e5434991f4984b95b63d5d549614e25f,
title = "The role of mindfulness in distress and quality of life for men with advanced prostate cancer",
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.",
keywords = "Advanced prostate cancer, Psychological distress, Quality of life",
author = "Chambers, {Suzanne K.} and Elizabeth Foley and Samantha Clutton and Robert McDowall and Stefano Occhipinti and Martin Berry and Stockler, {Martin R.} and Lepore, {Stephen J.} and Mark Frydenberg and Gardiner, {Robert A.} and Davis, {Ian D.} and Smith, {David P.}",
note = "Funding Information: This project was a collaboration between Cancer Council Queensland, Griffith University and the Australian and New Zealand Uro-genital and Prostate (ANZUP) Cancer Trials Group that was funded by an Australian National Health and Medical Research Council Project Grant (ID: APP1024989). SKC had full access to all the data in the study and takes responsibility for the integrity of the data and the accuracy of the data analysis. The sponsors did not participate in the design or conduct of the study; collection, management, analysis, and interpretation of the data; or in the preparation, review, or approval of the manuscript. SKC is an Australian Research Council Future Fellow. IDD is supported by an NHMRC Practitioner Fellowship. We gratefully acknowledge the support of the Prostate Cancer Foundation of Australia and the Urological Society of Australia and New Zealand; of Bill McHugh and Peter Dornan as consumer advisors; of the medical centres that recruited for this trial (Austin Health, Australian Urology Associates, Bankstown Private Practice, Brisbane Urology Clinic, Concord General Repatriation Hospital, Eastern Health, Flinders Medical Centre, Fremantle Hospital, Genisis CancerCare QLD, Greenslopes Hospital, Cancer Council Queensland 13 11 20 Information and Support Service, Highfields Specialist Centre Port Macquarie, John Flynn Hospital, Liverpool Hospital, Lyell-McEwin Hospital, Nepean Hospital, Northern Cancer Institute, Prince of Wales Hospital, Princess Alexandra Hospital, Radiation Oncology Mater Centre, Redcliffe Hospital, Repatriation General Hospital, Royal Brisbane and Women{\textquoteright}s Hospital, Royal Prince Alfred Hospital, Sir Charles Gairdner Hospital, St John of God Hospital, Sydney Adventist Hospital, Townsville Urology, Westmead Hospital, Westmead Private, Whyalla Hospital, and Yaxley Urology); of Tahlee Marian, Sonali Munot, Jan Howell, Cailyn Rogers and Brigid Hanley who facilitated the recruitment of participants in this trial; and of the men who participated in this project. ANZUP is supported by funding through Cancer Australia and Cancer Institute New South Wales. Publisher Copyright: {\textcopyright} 2016, The Author(s).",
year = "2016",
month = dec,
day = "1",
doi = "10.1007/s11136-016-1341-3",
language = "English",
volume = "25",
pages = "3027--3035",
journal = "Quality of Life Research",
issn = "0962-9343",
publisher = "Springer Netherlands",
number = "12",
}