Supportive Care in Cancer

, Volume 20, Issue 6, pp 1183–1192

Mindfulness groups for men with advanced prostate cancer: a pilot study to assess feasibility and effectiveness and the role of peer support

  • Suzanne Kathleen Chambers
  • Elizabeth Foley
  • Elizabeth Galt
  • Megan Ferguson
  • Samantha Clutton
Original Article

Abstract

Purpose

Men diagnosed with advanced prostate cancer experience higher psychological distress and greater unmet supportive care needs than men with localized disease. A mindfulness-based cognitive therapy group intervention was pilot tested for acceptability and effectiveness in this patient group.

Methods

Nineteen men were initially recruited to three groups and 12 completed final assessments. Outcomes assessed included anxiety, depression, cancer-related distress, prostate cancer-specific quality of life, and mindfulness skills at baseline, immediately, and 3 months post-intervention. Satisfaction measures and in-depth interviews were undertaken post-intervention to describe men's personal experiences of the groups.

Results

Significant improvements were observed for anxiety (p = 0.027), avoidance (p = 0.032), and mindfulness skills (p = 0.019), with a trend for a reduction in fear of cancer recurrence (p = 0.062). Effect sizes were moderate to large. A shared group identity, acceptance of, and learning from other group members were key aspects of the group context that contributed to acceptance of progressive disease.

Conclusions

Mindfulness-based group interventions appear to have utility in this patient group and show promise for reducing anxiety, avoidance, and fear of cancer recurrence. Peer learning appeared to be helpful in generating acceptance of advancing disease.

Keywords

Prostate cancer Mindfulness Group intervention Peer support Advanced disease 

Copyright information

© Springer-Verlag 2011

Authors and Affiliations

  • Suzanne Kathleen Chambers
    • 1
    • 2
  • Elizabeth Foley
    • 3
  • Elizabeth Galt
    • 2
  • Megan Ferguson
    • 2
  • Samantha Clutton
    • 2
  1. 1.Griffith Health InstituteGold CoastAustralia
  2. 2.Cancer Council QueenslandBrisbaneAustralia
  3. 3.The University of SydneySydneyAustralia

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