Low Social Well-Being in Advanced and Metastatic Prostate Cancer: Effects of a Randomized Controlled Trial of Cognitive Behavioral Stress Management.
Background: Social well-being impacts cancer patients' health-related quality of life (HRQOL) and coping style. This secondary analysis was conducted to examine whether advanced prostate cancer survivors who had experienced low social well-being would benefit from a web-based cognitive behavioral st...
| Publicado en: | International Journal of Behavioral Medicine Vol. 32; no. 6; pp. 799 - 813 |
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| Autores principales: | , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Springer Nature
Dec2025
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=191134136&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 191134136 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 10705503 7M2 jtl: International Journal of Behavioral Medicine issn: 10705503 maglogo: N pubinfo: dt: Dec2025 vid: 32 iid: 6 pid: 237 pub: Springer Nature place: New York, New York artinfo: ui: 191134136 175539503 191134136 191134136 10.1007/s12529-024-10270-w 191134136 ppf: 799 ppct: 14 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Low Social Well-Being in Advanced and Metastatic Prostate Cancer: Effects of a Randomized Controlled Trial of Cognitive Behavioral Stress Management. aug: au: Gong, Rui Heller, Aaron Patricia I. Moreno Betina Yanez Penedo, Frank J. affil: https://ror.org/02dgjyy92 Department of Medicine, University of Miami Miller School of Medicine, Miami, FL, USA sug: subj: Cancer Survivors Psychosocial Factors Prostatic Neoplasms Psychosocial Factors Neoplasm Metastasis Prostatic Neoplasms Therapy Internet-Based Intervention Stress Management Methods Cognitive Therapy Psychological Well-Being Evaluation Quality of Life Evaluation Human Male Adult Middle Age Aged Cancer Patients Secondary Analysis Random Assignment Descriptive Statistics Coping Anxiety Fear Prostate-Specific Antigen Neoplasm Recurrence, Local Scales Symptom Burden Adult: 19-44 years Middle Aged: 45-64 years Aged: 65+ years Male ab: Background: Social well-being impacts cancer patients' health-related quality of life (HRQOL) and coping style. This secondary analysis was conducted to examine whether advanced prostate cancer survivors who had experienced low social well-being would benefit from a web-based cognitive behavioral stress management (CBSM) intervention. Method: APC survivors (N = 192) who had received androgen deprivation therapy (ADT) were randomized to a 10-week CBSM or a health promotion (HP) control condition. A subsample of participants (n = 61) with low pre-intervention SWB (measured by social support from and relationship satisfaction with family and friends) was included in the study. Multilevel models compared participants' PC-specific quality of life (sexual, hormonal, urinary), affect-based psychosocial burden (cancer-related anxiety and distress), and coping strategies at baseline, 6 months, and 12 months. Covariates were included in all models as appropriate. Results: Participants randomized to the CBSM condition showed significantly greater improvements in fear of cancer recurrence and cancer-related intrusive thoughts than those in the HP control condition. A significant condition by time interaction was also found, indicating that CBSM improved participants' PC-related fear in both short- (6 months) and long-term (12 months). However, the CBSM intervention did not significantly impact APC-related symptom burden. Only for the urinary domain, clinically meaningful changes (CBSM vs HP) were observed. In addition, all participants, regardless of condition, reported less coping (e.g., emotion-, problem- and avoidance-focused) over time. Conclusion: As predicted, the CBSM intervention improved several affect-based psychosocial outcomes for APC survivors with low baseline SWB. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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