Cognitive-behavioral stress management improves stress-management skills and quality of life in men recovering from treatment of prostate carcinoma

Cancer. 2004 Jan 1;100(1):192-200. doi: 10.1002/cncr.11894.


Background: The current study evaluated the efficacy of a 10-week, group-based, cognitive-behavioral stress management (CBSM) intervention relative to a half-day seminar in improving quality of life (QoL) among men who were treated for localized prostate carcinoma (PC) with either radical prostatectomy (RP) or radiation therapy.

Methods: Ninety-two men were assigned randomly to either the 10-week CBSM group intervention or a 1-day seminar (control group). The intervention was designed to improve QoL by helping participants to identify and effectively manage stressful experiences and was focused on the treatment-related sequelae of PC.

Results: A hierarchical regression model was used to predict postintervention QoL. The final model, including all predictors and relevant covariates (i.e., income, baseline QoL, ethnicity, and group condition), explained 62.1% of the variance in QoL scores. Group assignment was a significant predictor (beta = - 0.14; P = 0.03) of QoL after the 10-week intervention period, even after controlling for ethnicity, income, and baseline QoL. Post-hoc analyses revealed that individuals in the CBSM intervention condition showed significant improvements in QoL relative to men in the 1-day control seminar. Improved QoL was mediated by greater perceived stress-management skill.

Conclusions: A 10-week cognitive-behavioral group intervention was effective in improving the QoL in men treated for PC, and these changes were associated significantly with intervention-associated increases in perceived stress-management skills.

Publication types

  • Clinical Trial
  • Randomized Controlled Trial
  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Aged
  • Cognitive Behavioral Therapy*
  • Humans
  • Male
  • Middle Aged
  • Prostatectomy / psychology*
  • Prostatic Neoplasms / psychology*
  • Prostatic Neoplasms / radiotherapy
  • Prostatic Neoplasms / surgery*
  • Quality of Life*
  • Stress, Psychological*
  • Treatment Outcome