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Cognitive-behavioral stress management improves stress-management skills and quality of life in men recovering from treatment of prostate carcinoma
Article first published online: 18 NOV 2003
Copyright © 2003 American Cancer Society
Volume 100, Issue 1, pages 192–200, 1 January 2004
How to Cite
Penedo, F. J., Dahn, J. R., Molton, I., Gonzalez, J. S., Kinsinger, D., Roos, B. A., Carver, C. S., Schneiderman, N. and Antoni, M. H. (2004), Cognitive-behavioral stress management improves stress-management skills and quality of life in men recovering from treatment of prostate carcinoma. Cancer, 100: 192–200. doi: 10.1002/cncr.11894
- Issue published online: 17 DEC 2003
- Article first published online: 18 NOV 2003
- Manuscript Accepted: 12 SEP 2003
- Manuscript Revised: 9 SEP 2003
- Manuscript Received: 12 AUG 2003
- National Cancer Institute. Grant Number: 1P50CA84944
- cognitive-behavioral stress management;
- prostate carcinoma;
- quality of life;
- group intervention
The current study evaluated the efficacy of a 10-week, group-based, cognitive-behavioral stress management (CBSM) intervention relative to a half-day seminar in improving quality of life (QoL) among men who were treated for localized prostate carcinoma (PC) with either radical prostatectomy (RP) or radiation therapy.
Ninety-two men were assigned randomly to either the 10-week CBSM group intervention or a 1-day seminar (control group). The intervention was designed to improve QoL by helping participants to identify and effectively manage stressful experiences and was focused on the treatment-related sequelae of PC.
A hierarchical regression model was used to predict postintervention QoL. The final model, including all predictors and relevant covariates (i.e., income, baseline QoL, ethnicity, and group condition), explained 62.1% of the variance in QoL scores. Group assignment was a significant predictor (β = − 0.14; P = 0.03) of QoL after the 10-week intervention period, even after controlling for ethnicity, income, and baseline QoL. Post-hoc analyses revealed that individuals in the CBSM intervention condition showed significant improvements in QoL relative to men in the 1-day control seminar. Improved QoL was mediated by greater perceived stress-management skill.
A 10-week cognitive-behavioral group intervention was effective in improving the QoL in men treated for PC, and these changes were associated significantly with intervention-associated increases in perceived stress-management skills. Cancer 2004;100:192–200. © 2003 American Cancer Society.