The role of mindfulness in distress and quality of life for men with advanced prostate cancer
Open accessAbstract
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.
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Among patients with prostate cancer, the FFMQ observe subscale had an unexpected positive relationship with distress.
“Among patients with prostate cancer, the observe subscale had an unexpected positive relationship with distress, leading authors to question if this subscale accurately captures the quality of noticing experiences.14”
From Preliminary validation of the Cognitive Affective Mindfulness Scale–Revised in cancer populations (2024) · cites this paper as [14]
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Cites
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“Finally, psychological flexibility is proposed to be stable over time, but importantly appears to be amenable to psychological intervention and as such a potential intervention target [17].”
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Self-citation
- Authors
- 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.
- Affiliations
- Griffith University (AU)
- Cancer Council Queensland (AU)
- Gosford Hospital (AU)
- The University of Sydney (AU)
- Temple University (US)
- Monash Health (AU)
- Edith Cowan University (AU)
- Eastern Health (AU)
- Corresponding author
- Chambers, Suzanne K.
- ORCID
- Venue
- Quality of Life Research
- Published
- 2016-06-17
- Volume
- 25
- Issue
- 12
- Pages
- 3027-3035
- ISSN
- 0962-9343 (ISSN-L)
- 1573-2649
- PMC
- PMC5102949
- OpenAlex
- W2431927059
- Cited by
- 31
- References
- 12
- Citations by year
- 2024: 4 · 2023: 3 · 2022: 1 · 2021: 8 · 2020: 7 · 2019: 2 · 2018: 1 · 2017: 4
- FWCI
- 3.12
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Locations
- Quality of Life Research (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- Monash University Research Portal (Monash University) (submittedVersion, other-oa)
- Griffith Research Online (submittedVersion, cc-by)
- Australasian Journal of Paramedicine (submittedVersion)
- Minerva Access (University of Melbourne) (submittedVersion, cc-by)
- TUScholarShare (Temple University) (submittedVersion, cc-by)
- The Sydney eScholarship Repository (The University of Sydney) (submittedVersion)
- Funders
- Australian National Health and Medical Research Council (APP1024989)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Mindfulness and Compassion Interventions
- Health Sciences › Medicine › Oncology › Cancer survivorship and care
- Social Sciences › Health › Religion, Spirituality, and Psychology
- Keywords
- mindfulness, psychological distress, health-related quality of life, advanced prostate cancer, castration-resistant prostate cancer, metastatic prostate cancer, psychological flexibility, acting with awareness, observation, psychological support, psychological adjustment
- MeSH terms
- Adult, Aged, Aged, 80 and over, Cross-Sectional Studies, Humans, Male, Middle Aged, Prostatic Neoplasms, Self-Help Groups, Stress, Psychological, Sickness Impact Profile, Mindfulness
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