Identifying how and for whom cognitive-behavioral stress management improves emotional well-being among recent prostate cancer survivors

Lara Traeger, Frank J. Penedo, Catherine Benedict, Jason R. Dahn, Suzanne C Lechner, Neil Schneiderman, Michael H Antoni

Research output: Contribution to journalArticle

23 Citations (Scopus)

Abstract

Objective The outcomes of a 10-week cognitive-behavioral stress management (CBSM) group intervention were evaluated in prostate cancer survivors. A model was tested in which CBSM-related improvements in emotional well-being were attained through changes in men's perceptions of their condition, as conceptualized by information processing explanations of self-regulation theory. The model also tested whether life stress and treatment-related side effects moderated intervention effects. Methods Men treated for localized prostate cancer (n = 257) within the past 18 months were randomized to CBSM or a half-day psycho-educational seminar. At pre-intervention and 12-week follow-up, emotional well-being, illness perceptions, life stress, and sexual and urinary function were assessed using validated questionnaires. Results After controlling for covariates, CBSM participants showed greater improvements in emotional well-being relative to control participants (β = 0.13, p < 0.05). For men reporting higher stress upon study entry, CBSM-related improvements were partially explained by changes in some, but not all, illness perceptions. Sexual and urinary dysfunction did not influence CBSM-related gains. Conclusions Prostate cancer perceptions may be an important target for enhancing emotional well-being, particularly for men experiencing general life stress. However, interventions that explicitly target mental representations of cancer may be needed to modify perceptions of the disease.

Original languageEnglish
Pages (from-to)250-259
Number of pages10
JournalPsycho-Oncology
Volume22
Issue number2
DOIs
StatePublished - Feb 1 2013

Fingerprint

Survivors
Prostatic Neoplasms
Psychological Stress
Automatic Data Processing
Neoplasms
Therapeutics

Keywords

  • cancer
  • illness perceptions
  • oncology
  • prostate carcinoma
  • psychosocial intervention

ASJC Scopus subject areas

  • Oncology
  • Psychiatry and Mental health
  • Experimental and Cognitive Psychology

Cite this

Identifying how and for whom cognitive-behavioral stress management improves emotional well-being among recent prostate cancer survivors. / Traeger, Lara; Penedo, Frank J.; Benedict, Catherine; Dahn, Jason R.; Lechner, Suzanne C; Schneiderman, Neil; Antoni, Michael H.

In: Psycho-Oncology, Vol. 22, No. 2, 01.02.2013, p. 250-259.

Research output: Contribution to journalArticle

Traeger, Lara ; Penedo, Frank J. ; Benedict, Catherine ; Dahn, Jason R. ; Lechner, Suzanne C ; Schneiderman, Neil ; Antoni, Michael H. / Identifying how and for whom cognitive-behavioral stress management improves emotional well-being among recent prostate cancer survivors. In: Psycho-Oncology. 2013 ; Vol. 22, No. 2. pp. 250-259.
@article{c0c1e5bf08db47fcbcdfbc1a73175a5d,
title = "Identifying how and for whom cognitive-behavioral stress management improves emotional well-being among recent prostate cancer survivors",
abstract = "Objective The outcomes of a 10-week cognitive-behavioral stress management (CBSM) group intervention were evaluated in prostate cancer survivors. A model was tested in which CBSM-related improvements in emotional well-being were attained through changes in men's perceptions of their condition, as conceptualized by information processing explanations of self-regulation theory. The model also tested whether life stress and treatment-related side effects moderated intervention effects. Methods Men treated for localized prostate cancer (n = 257) within the past 18 months were randomized to CBSM or a half-day psycho-educational seminar. At pre-intervention and 12-week follow-up, emotional well-being, illness perceptions, life stress, and sexual and urinary function were assessed using validated questionnaires. Results After controlling for covariates, CBSM participants showed greater improvements in emotional well-being relative to control participants (β = 0.13, p < 0.05). For men reporting higher stress upon study entry, CBSM-related improvements were partially explained by changes in some, but not all, illness perceptions. Sexual and urinary dysfunction did not influence CBSM-related gains. Conclusions Prostate cancer perceptions may be an important target for enhancing emotional well-being, particularly for men experiencing general life stress. However, interventions that explicitly target mental representations of cancer may be needed to modify perceptions of the disease.",
keywords = "cancer, illness perceptions, oncology, prostate carcinoma, psychosocial intervention",
author = "Lara Traeger and Penedo, {Frank J.} and Catherine Benedict and Dahn, {Jason R.} and Lechner, {Suzanne C} and Neil Schneiderman and Antoni, {Michael H}",
year = "2013",
month = "2",
day = "1",
doi = "10.1002/pon.2074",
language = "English",
volume = "22",
pages = "250--259",
journal = "Psycho-Oncology",
issn = "1057-9249",
publisher = "John Wiley and Sons Ltd",
number = "2",

}

TY - JOUR

T1 - Identifying how and for whom cognitive-behavioral stress management improves emotional well-being among recent prostate cancer survivors

AU - Traeger, Lara

AU - Penedo, Frank J.

AU - Benedict, Catherine

AU - Dahn, Jason R.

AU - Lechner, Suzanne C

AU - Schneiderman, Neil

AU - Antoni, Michael H

PY - 2013/2/1

Y1 - 2013/2/1

N2 - Objective The outcomes of a 10-week cognitive-behavioral stress management (CBSM) group intervention were evaluated in prostate cancer survivors. A model was tested in which CBSM-related improvements in emotional well-being were attained through changes in men's perceptions of their condition, as conceptualized by information processing explanations of self-regulation theory. The model also tested whether life stress and treatment-related side effects moderated intervention effects. Methods Men treated for localized prostate cancer (n = 257) within the past 18 months were randomized to CBSM or a half-day psycho-educational seminar. At pre-intervention and 12-week follow-up, emotional well-being, illness perceptions, life stress, and sexual and urinary function were assessed using validated questionnaires. Results After controlling for covariates, CBSM participants showed greater improvements in emotional well-being relative to control participants (β = 0.13, p < 0.05). For men reporting higher stress upon study entry, CBSM-related improvements were partially explained by changes in some, but not all, illness perceptions. Sexual and urinary dysfunction did not influence CBSM-related gains. Conclusions Prostate cancer perceptions may be an important target for enhancing emotional well-being, particularly for men experiencing general life stress. However, interventions that explicitly target mental representations of cancer may be needed to modify perceptions of the disease.

AB - Objective The outcomes of a 10-week cognitive-behavioral stress management (CBSM) group intervention were evaluated in prostate cancer survivors. A model was tested in which CBSM-related improvements in emotional well-being were attained through changes in men's perceptions of their condition, as conceptualized by information processing explanations of self-regulation theory. The model also tested whether life stress and treatment-related side effects moderated intervention effects. Methods Men treated for localized prostate cancer (n = 257) within the past 18 months were randomized to CBSM or a half-day psycho-educational seminar. At pre-intervention and 12-week follow-up, emotional well-being, illness perceptions, life stress, and sexual and urinary function were assessed using validated questionnaires. Results After controlling for covariates, CBSM participants showed greater improvements in emotional well-being relative to control participants (β = 0.13, p < 0.05). For men reporting higher stress upon study entry, CBSM-related improvements were partially explained by changes in some, but not all, illness perceptions. Sexual and urinary dysfunction did not influence CBSM-related gains. Conclusions Prostate cancer perceptions may be an important target for enhancing emotional well-being, particularly for men experiencing general life stress. However, interventions that explicitly target mental representations of cancer may be needed to modify perceptions of the disease.

KW - cancer

KW - illness perceptions

KW - oncology

KW - prostate carcinoma

KW - psychosocial intervention

UR - http://www.scopus.com/inward/record.url?scp=84873408925&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84873408925&partnerID=8YFLogxK

U2 - 10.1002/pon.2074

DO - 10.1002/pon.2074

M3 - Article

C2 - 21932396

AN - SCOPUS:84873408925

VL - 22

SP - 250

EP - 259

JO - Psycho-Oncology

JF - Psycho-Oncology

SN - 1057-9249

IS - 2

ER -