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Publication Date



UM campus only

Degree Type


Degree Name

Master of Science (MS)


Psychology (Arts and Sciences)

Date of Defense


First Committee Member

Michael Antoni - Committee Member

Second Committee Member

Frank Penedo - Mentor

Third Committee Member

Suzanne Lechner - Outside Committee Member


Prostate Cancer (PC) is associated with disease- and treatment-related side effects that can compromise quality of life (QoL). Psychosocial interventions designed to improve adjustment and quality of life (QoL) for post-treatment PC patients have been conducted with mixed results. Intervention effects are typically analyzed using either mean difference scores or a single estimate of growth parameters (e.g., intercept and slope factors) across groups. These methods assume homogeneity within groups. Evidence suggests, however, considerable variability both in the experience of disease-specific outcomes and in the long-term adjustment and emotional well-being of men with PC. The present study used growth mixture modeling (GMM) to explore the effects of a cognitive behavioral stress management (CBSM) intervention on emotional well-being among men recently treated for localized PC. This methodology allowed examination of intervention effects across unobserved subgroups characterized by different trajectories of emotional well-being and identified factors associated with intervention efficacy.


Prostate Cancer; Growth Mixture Modeling