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Cited by 25Cancer survivorship and careHealth and Well-being StudiesChildhood Cancer Survivors' Quality of Life

Association of Stress Management Skills and Perceived Stress with Physical and Emotional Well-Being Among Advanced Prostrate Cancer Survivors Following Androgen Deprivation Treatment

Penedo, Frank J., Benedict, Catherine, Zhou, Eric S., Rasheed, Mikal, Traeger, Lara, Kava, Bruce R., Soloway, Mark, Czaja, Sara +1 more·2013·Journal of Clinical Psychology in Medical Settings
DOI 10.1007/s10880-012-9308-1
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Abstract

Advanced prostate cancer (APC) is associated with disruptions that compromise health related quality of life (HRQOL). Treatment often includes androgendeprivation therapy (ADT), which results in a range of side effects (e.g., fatigue, urinary dysfunction) that further impact HRQOL. Despite these challenges, there are limited evaluations of the impact of stress and stress management skills on HRQOL among APC survivors on ADT. This study evaluated relationships among stress, stress management skills, and HRQOL, and it was hypothesized that better stress management skills would relate to greater physical and emotional well-being by mitigating perceived stress levels. Participants (N = 77) were 69.7 years old (SD = 9.8), 18.6 months post-treatment (SD = 17.5), and ethnically diverse (65 % Non-Hispanic White, 13 % Hispanic, 21 % African-American). Measures included the Measure of Current Status for stress management skills, the Perceived Stress Scale for perceived stress, and the Medical Outcomes Study-Short Form (MOS SF-36; physical functioning and emotional well-being subscales) for HRQOL. Direct effects and mediation models were evaluated to determine the relationships between perceived stress, stress management skills, and HRQOL domains, controlling for relevant covariates. Stress management skills and perceived stress were significantly associated with physical functioning (β = .24, p < .05 and β = -.43, p < .01, respectively) and emotional well-being (β = .35, p < .01 and β = -.64, p < .01, respectively). Regression analyses supported the hypothesis that reduced perceived stress mediated the relationship between stress management skills and both physical functioning and emotional well-being. These results demonstrate that one way stress management skills may impact HRQOL is by lessening ongoing perceptions of stress.

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Authors
Penedo, F. J., Benedict, C., Zhou, E. S., Rasheed, M., Traeger, L., Kava, B. R., Soloway, M., Czaja, S., & Antoni, M. H.
Affiliations
  • Northwestern University (US)
  • University of Miami (US)
  • Massachusetts General Hospital (US)
Corresponding author
Benedict, Catherine
ORCID
Venue
Journal of Clinical Psychology in Medical Settings
Publisher
Springer Science and Business Media LLC
Published
2012-06-28
Volume
20
Issue
1
Pages
25-32
ISSN
  • 1068-9583 (ISSN-L)
  • 1573-3572
DOI
10.1007/s10880-012-9308-1
OpenAlex
W1985653919
Cited by
25
References
41
Citations by year
2025: 2 · 2024: 1 · 2023: 1 · 2022: 1 · 2021: 1 · 2020: 2 · 2019: 2 · 2018: 1 · 2017: 1 · 2016: 5 · 2015: 3 · 2014: 3 · 2013: 2
FWCI
1.27
Type
journal article
Language
en
Open access
closed
Licence
www.springer.com/tdm (tdm)
Locations
  • Journal of Clinical Psychology in Medical Settings (publishedVersion)
  • PubMed (publishedVersion)
Funders
National Cancer Institute (R01CA157809)
Topics
  • Health Sciences › Medicine › Oncology › Cancer survivorship and care
  • Social Sciences › Psychology › Clinical Psychology › Health and Well-being Studies
  • Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Childhood Cancer Survivors' Quality of Life
Keywords
advanced prostate cancer, androgen deprivation therapy, stress management skills, perceived stress, health-related quality of life, physical function, emotional well-being, cancer survivors
MeSH terms
Activities of Daily Living, Adaptation, Psychological, Aged, Androgen Antagonists, Humans, Male, Middle Aged, Neoplasm Staging, Prostatic Neoplasms, Quality of Life, Sick Role, Stress, Psychological, Survivors, Antineoplastic Agents, Hormonal

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