The role of mindfulness in distress and quality of life for men with advanced prostate cancer.

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Bibliographic Details
Title:	The role of mindfulness in distress and quality of life for men with advanced prostate cancer.
Authors:	Chambers, Suzanne, Foley, Elizabeth, Clutton, Samantha, McDowall, Robert, Occhipinti, Stefano, Berry, Martin, Stockler, Martin, Lepore, Stephen, Frydenberg, Mark, Gardiner, Robert, Davis, Ian, Smith, David, Chambers, Suzanne K (AUTHOR), Stockler, Martin R (AUTHOR), Lepore, Stephen J (AUTHOR), Gardiner, Robert A (AUTHOR), Davis, Ian D (AUTHOR), Smith, David P (AUTHOR)
Source:	Quality of Life Research. Dec2016, Vol. 25 Issue 12, p3027-3035. 9p. 5 Charts.
Subjects:	Mindfulness, Quality of life, Prostate cancer patients, Prostate cancer, Psychological distress, Psychology, Physiology, Prostate tumors, Research funding, Support groups, Sickness Impact Profile, Psychological stress, Cross-sectional method, Psychological factors
Abstract:	Objective: To examine the extent to which mindfulness skills influence psychological distress and health-related quality of life (HRQOL) in men with metastatic or castration-resistant biochemical progression of prostate cancer.Patients and Methods: A cross-sectional survey of 190 men (46 % response; mean age 71 years, SD = 8.7, range 40-91 years) with advanced prostate cancer, assessed psychological and cancer-specific distress, HRQOL. Mindfulness skills were assessed as potential predictors of adjustment outcomes.Results: Overall, 39 % of men reported high psychological distress. One third had accessed psychological support previously although only 10 % were under current psychological care. One quarter had accessed a prostate cancer support group in the past six months. Higher HRQOL and lower cancer-specific and global psychological distress were related to non-judging of inner experience (p < 0.001). Higher HRQOL and lower psychological distress were related to acting with awareness (p < 0.001). Lower distress was also related to higher non-reactivity to inner experience and a lower level of observing (p < 0.05).Conclusions: Men with advanced prostate cancer are at risk of poor psychological outcomes. Psychological flexibility may be a promising target for interventions to improve adjustment outcomes in this patient group.Clinical Trial Registry: Trial Registration: ACTRN12612000306819. [ABSTRACT FROM AUTHOR]
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Database:	Psychology and Behavioral Sciences Collection

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