A randomized clinical trial of group-based cognitive-behavioral stress management in localized prostate cancer: Development of stress management skills improves quality of life and benefit finding

Frank J. Penedo, Ivan Molton, Jason R. Dahn, Biing Jiun Shen, Dave Kinsinger, Lara Traeger, Scott Siegel, Neil Schneiderman, Michael H Antoni

Research output: Contribution to journalArticle

150 Citations (Scopus)

Abstract

Background: Recent literature has indicated that a significant percentage of oncology patients describe finding some benefit (e.g., improved personal growth, sense of meaning, and enhanced interpersonal relationships) in the cancer experience. However, few studies have investigated the role of group-based psychosocial interventions in improving benefit finding (BF), and virtually none have investigated these constructs in men. Purpose: This study examined whether a cognitive-behavioral stress management (CBSM) intervention improves BF and quality of life (QoL) in men recovering from treatment for localized prostate cancer. Methods: Participants in this study were 191 men (M age = 65.1) treated with radiation or radical prostatectomy for clinically localized (i.e., Stage I or II) prostate cancer. Participants were primarily non-Hispanic White (40%) or Hispanic (41%), followed by Black (18%) and other ethnicity (1%), were an average of 65.1 years old (SD = 7.7), and earned an average of $47,800 annually (SD = $41,000). Participants were randomized to either a 10-week group-based cognitive-behavioral stress management intervention or a half-day educational seminar as a control condition. All participants provided demographic information and completed the Positive Contributions Scale-Cancer to assess BF, the Functional Assessment of Cancer Therapy to measure quality of life, and a measure of perceived stress management skills. Structural equation modeling was utilized for all analyses. Results: Results indicated that the CBSM condition led to increases in BF and QoL and that these changes were mediated by the development of stress management skills. Conclusions: Results support the use of group-based cognitive-behavioral interventions in promoting QoL and BF in this population.

Original languageEnglish
Pages (from-to)261-270
Number of pages10
JournalAnnals of Behavioral Medicine
Volume31
Issue number3
DOIs
StatePublished - Jun 8 2006

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Prostatic Neoplasms
Randomized Controlled Trials
Quality of Life
Neoplasms
Prostatectomy
Hispanic Americans
Demography
Radiation
Therapeutics
Growth
Population

ASJC Scopus subject areas

  • Psychology(all)

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A randomized clinical trial of group-based cognitive-behavioral stress management in localized prostate cancer : Development of stress management skills improves quality of life and benefit finding. / Penedo, Frank J.; Molton, Ivan; Dahn, Jason R.; Shen, Biing Jiun; Kinsinger, Dave; Traeger, Lara; Siegel, Scott; Schneiderman, Neil; Antoni, Michael H.

In: Annals of Behavioral Medicine, Vol. 31, No. 3, 08.06.2006, p. 261-270.

Research output: Contribution to journalArticle

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