Marital status and perceived stress in men with advanced prostate cancer: A randomized-controlled trial of cognitive behavioral stress management.
Marital status and perceived stress in men with advanced prostate cancer: A randomized-controlled trial of cognitive behavioral stress management.
复制标题
晚期前列腺癌男性的婚姻状况和感知压力：认知行为压力管理的随机对照试验。
DOI：
10.1016/j.jpsychores.2023.111198
复制
发表时间：
2023
影响因子：
4.7
通讯作者：
Penedo,FrankJ
中科院分区：
文献类型：
--
作者：
Walsh,EmilyA;Boland,CodyL;Popok,PaulaJ;Pedreira,PatriciaB;Fox,RinaS;Moreno,PatriciaI;Yanez,Betina;Penedo,FrankJ
ObjectiveRelationship status predicts numerous outcomes among medical populations. Few interventions evaluate the role of marital status on response to psychosocial treatment, and no such studies exist within advanced prostate cancer (APC). This study examined whether marital status modified the effect of a cognitive behavioral stress management (CBSM) intervention on perceived stress.MethodsMen with APC (N= 190) were randomized to 10-week CBSM or a health promotion (HP) intervention (#NCT03149185). The Perceived Stress Scale assessed perceived stress at baseline and 12-month follow-up. Medical status and sociodemographics were captured at enrollment.ResultsParticipants were mostly White (59.5%), non-Hispanic (97.4%), heterosexual (97.4%) men, 66.8% of whom were partnered. Neither condition nor marital status predicted perceived stress change at follow-up. However, a significant interaction was found between condition and marital status (p= 0.014; Cohen's f = 0.07), such that partnered men who received CBSM and unpartnered men who received HP reported greater reductions in perceived stress.ConclusionThis is the first study to assess the impact of marital status on psychosocial intervention effects among men with APC. Partnered men derived greater benefit from a cognitive-behavioral intervention and unpartnered men equally benefitted from a HP intervention. Further research is necessary to understand the mechanisms underlying these relationships.
