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

106 Scopus citations

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

Keywords

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

ASJC Scopus subject areas

  • Cancer Research
  • Oncology

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