By Frank J Penedo, Micha H Antoni, Neil Schneiderman

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Extra resources for Cognitive-Behavioral Stress Management for Prostate Cancer Recovery Facilitator Guide (Treatments That Work)

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When under stress, the immune system (which fights viruses and tumors) doesn’t work as well, as seen in a number of studies. For example, one study showed that people who were under stress were more likely to catch a cold than people who were not under stress, even though both groups of people were exposed to the same cold virus (Cohen, Doyle, & Skoner, ). ■ These hormonal and immunological changes also are typically accompanied by anxiety, depression, loneliness, and social isolation. These psychological effects decrease a person’s well-being.

Explain that although there will be a didactic portion to each session, the real heart of every meeting is the input group members provide regarding their experiences and feelings, not only as they relate to their diagnoses or treatments, but in other areas of their lives that may have been affected by their diagnoses. You may want to use the following dialogue in your discussion: Throughout the program, you will hear us refer to having prostate cancer, or having had prostate cancer. We do not mean to imply that you are ill, or that the cancer was not removed when you had surgery.

Continue breathing deeply, noticing how your abdomen rises and falls with each breath. With every breath, feel yourself becoming more and more relaxed. 4-Muscle-Group Progressive Muscle Relaxation (15 minutes) Review the procedure and general instructions for PMR practice as outlined in session . Introduce the four muscle groups to be used and review the instructions for each group. Demonstrate the muscles to tense. Tell participants that they will tense and relax each group of muscles twice, and after each time, they will have some silent time to enjoy the feeling of relaxation.

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