Cognitive-Behavioral Stress Management Improves Stress-Management Skills and Quality of Life in Men Recovering from Treatment of Prostate Carcinoma

Frank J. Penedo, Jason R. Dahn, Ivan Molton, Jeffrey S. Gonzalez, David Kinsinger, Bernard A. Roos, Charles S Carver, Neil Schneiderman, Michael H Antoni

Research output: Contribution to journalArticle

97 Citations (Scopus)

Abstract

BACKGROUND. 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. METHODS. 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. RESULTS. 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. CONCLUSIONS. 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.

Original languageEnglish
Pages (from-to)192-200
Number of pages9
JournalCancer
Volume100
Issue number1
DOIs
StatePublished - Jan 1 2004

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Prostate
Quality of Life
Carcinoma
Therapeutics
Prostatectomy
Radiotherapy
Control Groups

Keywords

  • Cognitive-behavioral stress management
  • Group intervention
  • Prostate carcinoma
  • Quality of life

ASJC Scopus subject areas

  • Cancer Research
  • Oncology

Cite this

Cognitive-Behavioral Stress Management Improves Stress-Management Skills and Quality of Life in Men Recovering from Treatment of Prostate Carcinoma. / Penedo, Frank J.; Dahn, Jason R.; Molton, Ivan; Gonzalez, Jeffrey S.; Kinsinger, David; Roos, Bernard A.; Carver, Charles S; Schneiderman, Neil; Antoni, Michael H.

In: Cancer, Vol. 100, No. 1, 01.01.2004, p. 192-200.

Research output: Contribution to journalArticle

Penedo, Frank J. ; Dahn, Jason R. ; Molton, Ivan ; Gonzalez, Jeffrey S. ; Kinsinger, David ; Roos, Bernard A. ; Carver, Charles S ; Schneiderman, Neil ; Antoni, Michael H. / Cognitive-Behavioral Stress Management Improves Stress-Management Skills and Quality of Life in Men Recovering from Treatment of Prostate Carcinoma. In: Cancer. 2004 ; Vol. 100, No. 1. pp. 192-200.
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abstract = "BACKGROUND. 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. METHODS. 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. RESULTS. 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. CONCLUSIONS. 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.",
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N2 - BACKGROUND. 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. METHODS. 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. RESULTS. 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. CONCLUSIONS. 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.

AB - BACKGROUND. 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. METHODS. 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. RESULTS. 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. CONCLUSIONS. 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.

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