Feasibility, acceptability and preliminary psychological benefits of mindfulness meditation training in a sample of men diagnosed with prostate cancer on active surveillance: results from a randomized controlled pilot trial

Victorson, David; Hankin, Vered; Burns, James; Weiland, Rebecca; Maletich, Carly; Sufrin, Nathaniel; Schuette, Stephanie; Gutierrez, Bruriah; Brendler, Charles B.

doi:10.1002/pon.4135

Cited by 51 publications

(72 citation statements)

References 37 publications

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“…The 23 CTs included a total of 2,965 patients with a mean sample size of 129. 42 - 60 , 62 - 64 Of these, 21 studies reported post-treatment data, with 16 of these reporting relevant follow-up data. Two additional studies reported long-term (follow-up) data only.…”

Section: Resultsmentioning

confidence: 99%

Effect of Psychological Intervention on Fear of Cancer Recurrence: A Systematic Review and Meta-Analysis

Tauber

O’Toole

Dinkel

et al. 2019

JCO

277

261

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PURPOSE Fear of cancer recurrence (FCR) is a significantly distressing problem that affects a substantial number of patients with and survivors of cancer; however, the overall efficacy of available psychological interventions on FCR remains unknown. We therefore evaluated this in the present systematic review and meta-analysis. METHODS We searched key electronic databases to identify trials that evaluated the effect of psychological interventions on FCR among patients with and survivors of cancer. Controlled trials were subjected to meta-analysis, and the moderating influence of study characteristics on the effect were examined. Overall quality of evidence was evaluated using the GRADE system. Open trials were narratively reviewed to explore ongoing developments in the field (PROSPERO registration no.: CRD42017076514). RESULTS A total of 23 controlled trials (21 randomized controlled trials) and nine open trials were included. Small effects (Hedges’s g) were found both at postintervention ( g = 0.33; 95% CI, 0.20 to 0.46; P < .001) and at follow-up ( g = 0.28; 95% CI, 0.17 to 0.40; P < .001). Effects at postintervention of contemporary cognitive behavioral therapies (CBTs; g = 0.42) were larger than those of traditional CBTs ( g = 0.24; β = .22; 95% CI, .04 to .41; P = .018). At follow-up, larger effects were associated with shorter time to follow-up (β = −.01; 95% CI, −.01 to −.00; P = .027) and group-based formats (β = .18; 95% CI, .01 to .36; P = .041). A GRADE evaluation indicated evidence of moderate strength for effects of psychological intervention for FCR. CONCLUSION Psychological interventions for FCR revealed a small but robust effect at postintervention, which was largely maintained at follow-up. Larger postintervention effects were found for contemporary CBTs that were focused on processes of cognition—for example, worry, rumination, and attentional bias—rather than the content, and aimed to change the way in which the individual relates to his or her inner experiences. Future trials could investigate how to further optimize and tailor interventions to individual patients’ FCR presentation.

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Section: Resultsmentioning

confidence: 99%

Effect of Psychological Intervention on Fear of Cancer Recurrence: A Systematic Review and Meta-Analysis

Tauber

O’Toole

Dinkel

et al. 2019

JCO

277

261

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“…Studies with an active control condition ( k = 9) tended to use attention and/or time‐matched designs, such as scripted calls inviting participants to describe their experiences of cancer diagnosis, treatment, and survivorship . One study gave participants randomized to the control condition a book describing mindfulness skills . The remainder of studies ( k = 10) used inactive control groups, such as waitlist control designs or usual care.…”

Section: Resultsmentioning

confidence: 99%

“…61 One study gave participants randomized to the control condition a book describing mindfulness skills. 72 The remainder of studies ( k = 10) used inactive control groups, such as waitlist control designs or usual care.…”

Section: Resultsmentioning

confidence: 99%

“…Although these protocols were often brief and individually delivered, they varied greatly in length as well as emphasis on skills for developing adaptive appraisals (eg, cognitive restructuring) versus those for reducing body‐checking or assurance‐seeking (eg, exposure‐based behavioral exercises). Notably, consistency between trials was most evident for manualized interventions, such as the Managing Uncertainty in Cancer Studies and those using Mindfulness‐Based Stress Reduction …”

Section: Discussionmentioning

confidence: 99%

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Mind‐body interventions for fear of cancer recurrence: A systematic review and meta‐analysis

et al. 2018

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“…However, there are tools or potential interventions providers can share with their patients to help them process psychosocial stressors associated with their cancer diagnosis and management, including instruction in mindfulness meditation, cognitive-behavioral stress management, and diet and exercise lifestyle interventions [24–26]. A study of one such lifestyle intervention conducted in California, US, found that men felt the program supported feelings of optimism, hope and well-being [27].…”

Section: Discussionmentioning

confidence: 99%

Qualitative insights into how men with low-risk prostate cancer choosing active surveillance negotiate stress and uncertainty

Mader

Lyons

et al. 2017

BMC Urol

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BackgroundActive surveillance is a management strategy for men diagnosed with early-stage, low-risk prostate cancer in which their cancer is monitored and treatment is delayed. This study investigated the primary coping mechanisms for men following the active surveillance treatment plan, with a specific focus on how these men interact with their social network as they negotiate the stress and uncertainty of their diagnosis and treatment approach.MethodsThematic analysis of semi-structured interviews at two academic institutions located in the northeastern US. Participants include 15 men diagnosed with low-risk prostate cancer following active surveillance.ResultsThe decision to follow active surveillance reflects the desire to avoid potentially life-altering side effects associated with active treatment options. Men on active surveillance cope with their prostate cancer diagnosis by both maintaining a sense of control over their daily lives, as well as relying on the support provided them by their social networks and the medical community. Social networks support men on active surveillance by encouraging lifestyle changes and serving as a resource to discuss and ease cancer-related stress.ConclusionsSupport systems for men with low-risk prostate cancer do not always interface directly with the medical community. Spousal and social support play important roles in helping men understand and accept their prostate cancer diagnosis and chosen care plan. It may be beneficial to highlight the role of social support in interventions targeting the psychosocial health of men on active surveillance.

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Feasibility, acceptability and preliminary psychological benefits of mindfulness meditation training in a sample of men diagnosed with prostate cancer on active surveillance: results from a randomized controlled pilot trial

Cited by 51 publications

References 37 publications

Effect of Psychological Intervention on Fear of Cancer Recurrence: A Systematic Review and Meta-Analysis

Effect of Psychological Intervention on Fear of Cancer Recurrence: A Systematic Review and Meta-Analysis

Mind‐body interventions for fear of cancer recurrence: A systematic review and meta‐analysis

Qualitative insights into how men with low-risk prostate cancer choosing active surveillance negotiate stress and uncertainty

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