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

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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.


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.


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.


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.

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  1. Baade PD, Youlden DR, Krnjacki LJ (2009) International epidemiology of prostate cancer: geographical distribution and secular trends. Mol Nutr Food Res 53:171–184

    Article  PubMed  CAS  Google Scholar 

  2. Australian Institute of Health and Welfare, Australasian Association of Cancer Registries (2008) Cancer in Australia: an overview, 2008. Cat. No. CAN 42. AIHW, Canberra

    Google Scholar 

  3. Surveillance, Epidemiology and End Results (SEER) Program (2009) Limited-Use Data (1973–2006). Released April 2009. National Cancer Institute, DCCPS, Surveillance Research Program, Cancer Statistics Branch. Available from: Accessed 7 Oct 2010

  4. Wilt TJ et al (2008) Systematic review: comparative effectiveness and harms of treatments for clinically localized prostate cancer. Ann Intern Med 148:435–448

    PubMed  Google Scholar 

  5. Australian Cancer Network Management of Metastatic Prostate Cancer Working Party (2010) Clinical practice guidelines for the management of locally advanced and metastatic prostate cancer. Cancer Council Australia and Australian Cancer Network, Sydney

    Google Scholar 

  6. Steginga SK et al (2001) The supportive care needs of men with prostate cancer. Psychooncology 10:66–75

    Article  PubMed  CAS  Google Scholar 

  7. Eton DT, Lepore SJ (2002) Prostate cancer and health-related quality of life: a review of the literature. Psychooncology 11:307–326

    Article  PubMed  Google Scholar 

  8. Bloch S et al (2007) Psychological adjustment of men with prostate cancer: a review of the literature. Biopsychosoc Med 1:2

    Article  PubMed  Google Scholar 

  9. Bill-Axelson A et al (2010) Suicide risk in men with prostate-specific antigen-detected early prostate cancer: a nationwide population-based cohort study from PCBaSe Sweden. Eur Urol 57:390–395

    Article  PubMed  Google Scholar 

  10. Grossman P et al (2004) Mindfulness-based stress reduction and health benefits. A meta-analysis. J Psychosom Res 57:35–43

    Article  PubMed  Google Scholar 

  11. Dobkin PL (2008) Mindfulness-based stress reduction: what processes are at work? Complement Ther Clin Pract 14:8–16

    Article  PubMed  Google Scholar 

  12. McKenzie MJ et al (2007) A qualitative study of self perceived effects of mindfulness based stress reduction in a psychosocial oncology setting. Stress Health 23:59–69

    Article  Google Scholar 

  13. Ledesma D, Kumano H (2009) Mindfulness-based stress reduction and cancer: a meta-analysis. Psychooncology 18:571–579

    Article  PubMed  Google Scholar 

  14. Chambers SK et al (2011) A systematic review of psychosocial interventions for men with prostate cancer and their partners. Patient Educ Couns (in press)

  15. Jorm AF (1994) Characteristics of Australians who reported consulting a psychologist for a health problem: an analysis of data from the 1989–90 National Health Survey. Aust Psychol 29:212–215

    Article  Google Scholar 

  16. Cartwright D, Hughson S (2007) Lifeline Calls: Help-seeking behaviours in rural men. Profile/04. Lifeline Australia. Available from: Accessed 14 Oct 2010

  17. Harris I et al (2006) Attitudes towards complementary and alternative medicine among pharmacy faculty and students. Am J Pharm Educ 70:129

    Article  PubMed  Google Scholar 

  18. Segal ZV, Williams JMG, Teasdale JD (2002) Mindfulness-based cognitive therapy for depression: a new approach to preventing relapse. Guilford Press, New York

    Google Scholar 

  19. Kabat-Zinn J (1990) Full catastrophe living: using the wisdom of your body and mind to face stress, pain, and illness. Delacorte, New York

    Google Scholar 

  20. Zigmond AS, Snaith RP (1983) The hospital anxiety and depression scale. Acta Psychiatr Scand 67:361–370

    Article  PubMed  CAS  Google Scholar 

  21. Dunn J et al (2011) Benefit finding after cancer: the role of optimism, intrusive thinking and social environment. J Health Psyc 16(1):169–177

    Article  Google Scholar 

  22. Horowitz M, Wilner N, Alvarez W (1979) Impact of Event Scale: a measure of subjective stress. Psychosom Med 41:209–218

    PubMed  CAS  Google Scholar 

  23. Weiss DS, Marmar CR (1997) The Impact of Events Scale—revised. In: Wilson JP, Keane TM (eds) Assessing Psychological Trauma and PTSD. The Guildford Press, New York, pp 399–411

    Google Scholar 

  24. Roth AJ et al (2003) The Memorial Anxiety Scale for Prostate Cancer: validation of a new scale to measure anxiety in men with prostate cancer. Cancer 97:2910–2918

    Article  PubMed  Google Scholar 

  25. Creamer M, Bell R, Failla S (2003) Psychometric properties of the Impact of Event Scale—revised. Behav Res Ther 41:1489–1496

    Article  PubMed  Google Scholar 

  26. Wei JT et al (2000) Development and validation of the Expanded Prostate Cancer Index Composite (EPIC) for comprehensive assessment of health-related quality of life in men with prostate cancer. Urology 56:899–905

    Article  PubMed  CAS  Google Scholar 

  27. Cella DF et al (1993) The Functional Assessment of Cancer Therapy scale: development and validation of the general measure. J Clin Oncol 11:570–579

    PubMed  CAS  Google Scholar 

  28. Baer RA et al (2006) Using self-report assessment methods to explore facets of mindfulness. Assessment 13:27–45

    Article  PubMed  Google Scholar 

  29. Baer RA et al (2008) Construct validity of the Five Facet Mindfulness Questionnaire in meditating and nonmeditating samples. Assessment 15:329–342

    Article  PubMed  Google Scholar 

  30. Schmider E et al (2010) Is it really robust? Reinvestigating the robustness of ANOVA against violations of the normal distribution assumption. Methodology 6:147–151

    Google Scholar 

  31. Zimmerman DW (2000) Statistical significance levels of nonparametric tests biased by heterogenous variances of treatment groups. J Gen Psychol 127:354–364

    Article  PubMed  CAS  Google Scholar 

  32. Smith JA, Osborn M (2003) Qualitative psychology: a practical guide to research methods. In: Smith JA (ed) Interpretative phenomenological analysis. Sage Publications, Thousand Oaks, USA, pp 51–80

    Google Scholar 

  33. Riessman CK (2008) Narrative methods for the human sciences. Sage Publications, Los Angeles

    Google Scholar 

  34. Cohen J (1988) Statistical power for the behavioral sciences, 2nd edn. Erlbaum, Hillsdale, NJ

    Google Scholar 

  35. Helgeson VS et al (1999) Education and peer discussion group interventions and adjustment to breast cancer. Arch Gen Psychiatry 56:340–347

    Article  PubMed  CAS  Google Scholar 

  36. Sanson-Fisher R et al (2000) The unmet supportive care needs of patients with cancer. Cancer 88:226–237

    Article  PubMed  CAS  Google Scholar 

  37. Chambers SK et al (2008) ProsCan for men: randomised controlled trial of a decision support intervention for men with localised prostate cancer. BMC Cancer 8:207

    Article  PubMed  Google Scholar 

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We gratefully acknowledge the contribution of beyondblue: the national depression initiative and the Cancer Council Queensland in the funding of this project.



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Correspondence to Suzanne Kathleen Chambers.

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Chambers, S.K., Foley, E., Galt, E. et al. Mindfulness groups for men with advanced prostate cancer: a pilot study to assess feasibility and effectiveness and the role of peer support. Support Care Cancer 20, 1183–1192 (2012).

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