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      • Systematic Review of Research into the Psychological Aspects of Prostate Cancer in Asia: What do we Know?

        Chambers, Suzanne Kathleen,Hyde, Melissa Karen,Ip, David Fu-Keung,Dunn, Jeffrey Charles,Gardiner, Robert Alexander Asian Pacific Journal of Cancer Prevention 2013 Asian Pacific journal of cancer prevention Vol.14 No.4

        Background: To review the peer reviewed literature on the psychological aspects of the prostate cancer experience of men in Asia. Materials and Methods: Medline and PsycINFO, CINAHL, ProQuest, and Web of Science (1999 - November Week 4, 2012) were searched. Inclusion criteria were: included men with prostate cancer and/or their partners or caregivers who identify as Asian recruited in an Asian country; and assessed health-related quality of life, psychological and social adjustment relating to prostate cancer and published in English after $1^{st}$ January 1999 and prior to $30^{th}$ November, 2012. Study aims; design; quality; level of evidence, and key results were assessed. Results: 43 articles met all inclusion criteria and were retained for initial review. Of these most focussed on health-related QOL with only five evidence Level IV studies from Japan and Taiwan including a specific psychological focus. Of these, one was a cross-sectional case control study; three were cross-sectional descriptive quantitative designs; one was a cross-sectional descriptive qualitative study. From the data available, a substantive sub group of men with prostate cancer (approximately one third) in these countries experience clinically high psychological distress and decision regret. Conclusions: Research on the psychological needs of men with the increasingly prevalent condition of prostate cancer in Asian countries is scant with only a small number of low level evidence descriptive studies identified. Future research to underpin the development and evaluation of effective and culturally relevant psychological and supportive care interventions for such men is urgently needed.

      • Geographic Disparities in Prostate Cancer Outcomes - Review of International Patterns

        Baade, Peter D.,Yu, Xue Qin,Smith, David P.,Dunn, Jeff,Chambers, Suzanne K. Asian Pacific Journal of Cancer Prevention 2015 Asian Pacific journal of cancer prevention Vol.16 No.3

        Background: This study reviewed the published evidence as to how prostate cancer outcomes vary across geographical remoteness and area level disadvantage. Materials and Methods: A review of the literature published from January 1998 to January 2014 was undertaken: Medline and CINAHL databases were searched in February to May 2014. The search terms included terms of 'Prostate cancer' and 'prostatic neoplasms' coupled with 'rural health', 'urban health', 'geographic inequalities', 'spatial', 'socioeconomic', 'disadvantage', 'health literacy' or 'health service accessibility'. Outcome specific terms were 'incidence', 'mortality', 'prevalence', 'survival', 'disease progression', 'PSA testing' or 'PSA screening', 'treatment', 'treatment complications' and 'recurrence'. A further search through internet search engines was conducted to identify any additional relevant published reports. Results: 91 papers were included in the review. While patterns were sometimes contrasting, the predominate patterns were for PSA testing to be more common in urban (5 studies out of 6) and affluent areas (2 of 2), higher prostate cancer incidence in urban (12 of 22) and affluent (18 of 20), greater risk of advanced stage prostate cancer in rural (7 of 11) and disadvantaged (8 of 9), higher survival in urban (8 of 13) and affluent (16 of 18), greater access or use of definitive treatment services in urban (6 of 9) and affluent (7 of 7), and higher prostate mortality in rural (10 of 20) and disadvantaged (8 of 16) areas. Conclusions: Future studies may need to utilise a mixed methods approach, in which the quantifiable attributes of the individuals living within areas are measured along with the characteristics of the areas themselves, but importantly include a qualitative examination of the lived experience of people within those areas. These studies should be conducted across a range of international countries using consistent measures and incorporate dialogue between clinicians, epidemiologists, policy advocates and disease control specialists.

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        The Use of Modified Mindfulness-Based Stress Reduction and Mindfulness-Based Cognitive Therapy Program for Family Caregivers of People Living with Dementia: A Feasibility Study

        Daphne Sze Ki Cheung,Patrick Pui Kin Kor,Cindy Jones,Nathan Davies,Wendy Moyle,Wai Tong Chien,Annie Lai King Yip,Suzanne Chambers,Clare Tsz Kiu Yu,Claudia K.Y. Lai 한국간호과학회 2020 Asian Nursing Research Vol.14 No.4

        Purpose: The aim of this study was to investigate the feasibility and preliminary efficacy of a modifiedmindfulness-based stress reduction (MBSR) program and mindfulness-based cognitive therapy (MBCT)program for reducing the stress, depressive symptoms, and subjective burden of family caregivers ofpeople with dementia (PWD). Methods: A prospective, parallel-group, randomized controlled trial design was adopted. Fifty-sevenparticipants were recruited from the community and randomized into either the modified MBSRgroup (n ¼ 27) or modified MBCT group (n ¼ 26), receiving seven face-to-face intervention sessions formore than 16 weeks. Various psychological outcomes were measured at baseline (T0), immediately afterintervention (T1), and at the 3-month follow-up (T2). Results: Both interventions were found to be feasible in view of the high attendance (more than 70.0%)and low attrition (3.8%) rates. The mixed analysis of variance (ANOVA) results showed positive withingroupeffects on perceived stress (p ¼ .030, Cohen's d ¼ 0.54), depressive symptoms (p ¼ .002,Cohen's d ¼ 0.77), and subjective caregiver burden (p < .001, Cohen's d ¼ 1.12) in both interventionsacross the time points, whereas the modified MBCT had a larger effect on stress reduction, comparedwith the modified MBSR (p ¼ .019). Conclusion: Both the modified MBSR and MBCT are acceptable to family caregivers of PWD. Their preliminaryeffects were improvements in stress, depressive symptoms, and subjective burden. The modifiedMBCT may be more suitable for caregivers of PWD than the MBSR. A future clinical trial is needed toconfirm their effectiveness in improving the psychological well-being of caregivers of PWD.

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