Journal of Behavioral Medicine

, Volume 38, Issue 2, pp 214–223

The importance of perceived stress management skills for patients with prostate cancer in active surveillance

  • Betina Yanez
  • Natalie E. Bustillo
  • Michael H. Antoni
  • Suzanne C. Lechner
  • Jason Dahn
  • Bruce Kava
  • Frank J. Penedo


Little is known about whether and how stress management skills may improve adjustment for men diagnosed with prostate cancer who opt for active surveillance. This study examined whether two types of perceived stress management skills, specifically the ability to relax and confidence in coping, moderated the relationship between prostate cancer (PC) concerns and psychological distress. Participants were 71 ethnically diverse men in active surveillance. Coping confidence moderated the relationship between PC concerns and intrusive thoughts (p < .01). At low levels of coping confidence, PC concerns was positively related to intrusive thoughts, β = .95, p < .001, but not when coping confidence was high, β = .19, p > .05. Coping confidence also moderated the relationship between PC treatment concerns (a subscale of PC concerns) and intrusive thoughts. At low levels of coping confidence, PC treatment concerns was positively associated with intrusive thoughts, β = .73, p < .001, but not when coping confidence was high, β = .20, p > .05. Findings underscore the importance of interventions aimed at improving coping in men undergoing active surveillance.


Oncology Distress Stress management Active surveillance Prostate cancer 

Supplementary material

10865_2014_9594_MOESM1_ESM.doc (68 kb)
Supplementary material 1 (DOC 69 kb)


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Copyright information

© Springer Science+Business Media New York 2014

Authors and Affiliations

  • Betina Yanez
    • 1
    • 2
  • Natalie E. Bustillo
    • 3
  • Michael H. Antoni
    • 5
    • 6
  • Suzanne C. Lechner
    • 4
    • 5
    • 6
  • Jason Dahn
    • 3
  • Bruce Kava
    • 7
  • Frank J. Penedo
    • 1
    • 2
  1. 1.Department of Medical Social Sciences, Feinberg School of MedicineNorthwestern UniversityChicagoUSA
  2. 2.Robert H. Lurie Comprehensive Cancer CenterChicagoUSA
  3. 3.Mental Health and Behavioral Sciences ServicesMiami Veterans Affairs Healthcare SystemMiamiUSA
  4. 4.Department of Psychiatry and Behavioral SciencesUniversity of Miami Miller School of MedicineMiamiUSA
  5. 5.Sylvester Comprehensive Cancer CenterMiamiUSA
  6. 6.Department of PsychologyUniversity of MiamiCoral GablesUSA
  7. 7.Department of Urology, Miller School of MedicineUniversity of MiamiMiamiUSA

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