Association of stress management skills and perceived stress with physical and emotional well-being among advanced prostrate cancer survivors following androgen deprivation treatment

Frank J. Penedo, Catherine Benedict, Eric S. Zhou, Mikal Rasheed, Lara Traeger, Bruce Kava, Mark Soloway, Sara J Czaja, Michael H Antoni

Research output: Contribution to journalArticle

15 Citations (Scopus)

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.

Original languageEnglish
Pages (from-to)25-32
Number of pages8
JournalJournal of Clinical Psychology in Medical Settings
Volume20
Issue number1
DOIs
StatePublished - Mar 1 2013

Fingerprint

Androgens
Survivors
Quality of Life
Neoplasms
Therapeutics
Prostatic Neoplasms
Hispanic Americans
African Americans
Fatigue
Regression Analysis
Outcome Assessment (Health Care)

Keywords

  • Emotional well-being
  • Health related quality of life
  • Physical functioning
  • Prostate cancer
  • Prostatic neoplasms
  • Stress management

ASJC Scopus subject areas

  • Clinical Psychology

Cite this

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; Soloway, Mark; Czaja, Sara J; Antoni, Michael H.

In: Journal of Clinical Psychology in Medical Settings, Vol. 20, No. 1, 01.03.2013, p. 25-32.

Research output: Contribution to journalArticle

@article{a907fd063fa84777ae38209745b4f3d0,
title = "Association of stress management skills and perceived stress with physical and emotional well-being among advanced prostrate cancer survivors following androgen deprivation treatment",
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.",
keywords = "Emotional well-being, Health related quality of life, Physical functioning, Prostate cancer, Prostatic neoplasms, Stress management",
author = "Penedo, {Frank J.} and Catherine Benedict and Zhou, {Eric S.} and Mikal Rasheed and Lara Traeger and Bruce Kava and Mark Soloway and Czaja, {Sara J} and Antoni, {Michael H}",
year = "2013",
month = "3",
day = "1",
doi = "10.1007/s10880-012-9308-1",
language = "English",
volume = "20",
pages = "25--32",
journal = "Journal of Clinical Psychology in Medical Settings",
issn = "1068-9583",
publisher = "Springer New York",
number = "1",

}

TY - JOUR

T1 - Association of stress management skills and perceived stress with physical and emotional well-being among advanced prostrate cancer survivors following androgen deprivation treatment

AU - Penedo, Frank J.

AU - Benedict, Catherine

AU - Zhou, Eric S.

AU - Rasheed, Mikal

AU - Traeger, Lara

AU - Kava, Bruce

AU - Soloway, Mark

AU - Czaja, Sara J

AU - Antoni, Michael H

PY - 2013/3/1

Y1 - 2013/3/1

N2 - 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.

AB - 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.

KW - Emotional well-being

KW - Health related quality of life

KW - Physical functioning

KW - Prostate cancer

KW - Prostatic neoplasms

KW - Stress management

UR - http://www.scopus.com/inward/record.url?scp=84875221790&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84875221790&partnerID=8YFLogxK

U2 - 10.1007/s10880-012-9308-1

DO - 10.1007/s10880-012-9308-1

M3 - Article

C2 - 22739661

AN - SCOPUS:84875221790

VL - 20

SP - 25

EP - 32

JO - Journal of Clinical Psychology in Medical Settings

JF - Journal of Clinical Psychology in Medical Settings

SN - 1068-9583

IS - 1

ER -