TY - JOUR
T1 - A randomized clinical trial of group-based cognitive-behavioral stress management in localized prostate cancer
T2 - Development of stress management skills improves quality of life and benefit finding
AU - Penedo, Frank J.
AU - Molton, Ivan
AU - Dahn, Jason R.
AU - Shen, Biing Jiun
AU - Kinsinger, Dave
AU - Traeger, Lara
AU - Siegel, Scott
AU - Schneiderman, Neil
AU - Antoni, Michael
N1 - Funding Information:
This study was supported by National Cancer Institute grant 1P50CA84944.
PY - 2006
Y1 - 2006
N2 - 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.
AB - 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.
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U2 - 10.1207/s15324796abm3103_8
DO - 10.1207/s15324796abm3103_8
M3 - Article
C2 - 16700640
AN - SCOPUS:33744762186
VL - 31
SP - 261
EP - 270
JO - Annals of Behavioral Medicine
JF - Annals of Behavioral Medicine
SN - 0883-6612
IS - 3
ER -