Karen M. Mustian, Ph.D, M.P.H.

Clinical Specialty

Research Overview

• A Study of the Effects of Exercise on Cancer-Related Fatigue:
  The most common source of distress and quality of life (QOL) impairment during chemotherapy is cancer-related fatigue (CRF). Exercise, particularly aerobic exercise, has shown promise in reducing CRF during chemotherapy. Unfortunately, no definitive, large randomized, controlled trials have been conducted to support these preliminary findings, and the role of resistance exercise has not been fully explored. The proposed study is a multi-center, nationwide randomized clinical trial that will recruit 494 cancer survivors to investigate the effectiveness of the EXCAP (Exercise for Cancer Patients) program, a home-based walking and progressive resistance exercise program, for reducing CRF during chemotherapy.
• Mitochondrial gene expression changes during radiation in prostate cancer:
  The goal of this project is to determine mitochondrial gene expression changes among prostate cancer patients receiving radiation and the association of these changes with exercise, cancer-related fatigue, depression and sleep disruption.
• Aerobic and Resistance Exercise for Cancer-Related Fatigue During Radiation:
  A randomized, 2-arm, controlled clinical trial that will accrue 122 female breast cancer patients receiving radiation therapy. The main study goal is to examine the effect of a home-based walking and progressive resistance exercise intervention on CRF. Secondary goals are to provide preliminary data on the intervention effects on potential etiological factors and independent markers for CRF including loss of skeletal muscle mass, changes in muscle strength, potential dysregulation of inflammatory responses associated with the proteasome ubiquitin pathway, nuclear and mitochondrial gene expression (dysregulation/intoxification), and the use of accelerometer motion data as an objective marker of CRF.
• University of Rochester Cancer Center Research Base for Community Clinical Oncology Program (CCOP):
  An NCI-funded cooperative group program grant, coordinating twenty five affiliated NCI CCOP members that design and implement cancer control protocols for large multi-center clinical oncology trials that impact standard care in clinical oncology.
• The Influence of Home-Based Aerobic and Resistance Exercise on Cancer-Related Fatique, Strength, and Muscle Mass in Prostate Patients during Radiotherapy:
  A randomized controlled phase II clinical trial recruiting 116 prostate cancer patients. The primary objective is to provide efficacy and feasibility data on whether a home-based exercise program improves fatigue, strength and muscle mass in prostate cancer patients receiving radiation therapy.
• Yoga for Persistent Sleep Disturbance in Cancer Survivors:
  A multi-center national randomized clinical trial that will recruit 400 cancer survivors to investigate the efficacy of a 4-week Hatha Yoga program for improving sleep disturbances among cancer survivors experiencing persistent sleep problems during the first year after completing standard treatments (e.g., surgery, chemotherapy, radiation therapy).
• A Study of the Effects of Polarity and Massage Therapy on Cancer-Related Fatigue:
  A randomized 4-week clinical trial comparing the influence of polarity therapy, massage therapy, and standard care on the fatigue, sleep disruption, quality of life, cortisol, and pro-inflammatory cytokine levels of 60 breast cancer patients receiving radiation therapy.
• A Feasibility Pilot Study of a Structured and Supervised Physical Exercise Program To Improve Quality of Life In Women with Metastatic Breast Cancer:
  A clinical trial study investigating the feasibility and efficacy of a structured and supervised physical exercise program for women diagnosed and undergoing treatment for metastatic breast cancer on functional capacity (e.g., cardiovascular, respiratory, musculoskeletal health), fatigue, quality of life, sleep and self-esteem.
• A Feasibility Pilot Study of the Effects of Chemotherapy on Bone Health in Premenopausal Women Being Treated for Early Breast Cancer:
  A clinical trial assessing the 1) natural history of bone mineral loss, 2) historical, biochemical and radiologic markers that will identify those premenopausal women who are at highest risk for clinically important bone loss, (e.g., physical activity patterns, bone turnover markers, blood cell counts, hormone levels, and DEXA scans), 3) validity of standard measures of bone loss used with the general population to determine if they have the same predictive ability in women being treated for early breast cancer in premenopausal women with early stage breast cancer as they undergo chemotherapy. Finally, we plan to obtain information that will permit the design an implementation of a cost effective intervention for the prevention of clinically significant bone loss in this population, such as a physical exercise program.
• BREATHE: BReast cancer Exercise And Total Health Enhancement
  A randomized 12-week clinical trial comparing the effects of Tai Chi exercise and structured support therapy on multidimensional self-esteem, quality of life, self-efficacy, mood, fatigue, health-related fitness, and tumor regulators (e.g. IGF-I, IGFBP-I, IGFBP-III, estrogen).

Selected Honors

Education

• M.P.H.University of Rochester School of Medicine and Dentistry, Rochester, New York, 2008
  Major: Public Health
  Concentration: Clinical Investigation and Epidemiology
  Master's Thesis: Aerobic and Progressive Resistance Exercise, Inflammatory Cytokines, and Cancer-Related Fatigue: Results From A Randomized Controlled Clinical Trial (Funded by NCI)
• Ph.D. University of North Carolina Greensboro, North Carolina, August 2003
  Major: Exercise and Sport Science
  Concentration: Exercise and Sport Psychology/Physiology
  Ph.D. Dissertation: Breast Cancer, Tai Chi Chuan, and Self-Esteem: A Randomized Trial. (funded by the Sally Schindel Cone Women's Studies Fund and the Susan Stout Research Fund)
• Graduate Certificates University of North Carolina Greensboro, North Carolina, May 2003
  Certificate 1: Women's and Gender Studies
  Certificate 2: Gerontology
• M.A. East Carolina University, Greenville, North Carolina, 1993
  Major: Exercise and Sport Science
  Concentration: Biomechanics
  Master's Thesis: 3D Kinematic Contributions to Distance Thrown by Olympic Women Shot Putters. (funded by the International Olympic Committee Medical Commission, United States Track and Field, East Carolina University, and The College of William and Mary).
• B.S. East Carolina University, Greenville, North Carolina, 1991
  Major: Exercise and Sport Science
  Concentration: Pedagogy

Academic Appointments

Major Committees

• Grant Reviewer, National Institutes of Health, National Cancer Center, Community Clinical Oncology Programs, Cooperative Groups, and Research Bases Grant Review Committee (2009)
• Abstract Reviewer, Society of Behavioral Medicine, Annual Meeting. (2009).
• Co-Chair, Society of Behavioral Medicine Evidence-Based Behavioral Medicine Committee, Cancer-Related Fatigue Meta-Analysis (2008-present).
• Member, Society of Behavioral Medicine Guidelines Committee (2008-present).
• Member, Society of Behavioral Medicine Development Committee (2008-present).
• Abstract Reviewer, Society of Behavioral Medicine, Annual Meeting. (2008).
• Grant Reviewer, National Institutes of Health, National Center for Complementary and Alternative Medicine, Grant Review Committee (2008)
• Abstract Reviewer, National Institutes of Health, National Cancer Institute, Cancer Survivorship Conference. (2008)
• Guest Editor, Cancer, Aging in the Context of Cancer Prevention and Control: Perspectives from Behavioral Medicine Special Issue. (2007-2008)
• Member, American College of Sports Medicine, Oncology Exercise Specialist Certification Task Force. (2007 ? 2008)
• Grant Reviewer, National Institutes of Health, National Cancer Institute, Small grants in Cancer Prevention and Control Grant Review Committee (2007-present)
• Executive Member, National Institutes of Health, National Cancer Institute, Symptom Management and Health-Related Quality of Life (SxQOL) Steering Committee (2007-present)
• Permanent Grant Reviewer, American Cancer Society CPPB Research Grant Review Committee (2006-present)
• Grant Reviewer, University of Rochester School of Medicine, Center for Translational Science Institute, Research Grant Review Committee (2006-present)
• Grant Reviewer, National Institutes of Health, National Cancer Center, Community Clinical Oncology Programs, Cooperative Groups, and Research Bases Grant Review Committee (2006)
• Reviewer, Cancer (2006-present)
• Reviewer, Annals of Behavioral Medicine (2006-present)
• Co-Chair and member, Society of Behavioral Medicine Cancer Special Interest Group, USA (2006-present)
• Reviewer, American Journal of Preventive Medicine (2006-present)
• Grant Reviewer, United Kingdom Department of Health Review Committee (2006)
• Ad Hoc Grant Reviewer, American Cancer Society CPPBR Research Grant Review Committee (2006)
• Reviewer, Journal of Sport and Exercise Psychology (2005-present)
• Reviewer, Journal of Physical Activity and Health (2005-present)
• Reviewer, Archives of Internal Medicine (2005-present)
• Reviewer, Diabetes Care (2005-present)
• Reviewer, American Journal of Health Behavior (2005-present)
• Steering committee and member, Society of Behavioral Medicine Cancer Special Interest Group, USA (2004-2005)
• Member, Society of Behavioral Medicine Physical Activity Special Interest Group, USA (2003-present)
• Member, American College of Sports Medicine Cancer Special Interest Group, USA (2003-present)
• Curriculum committee, Susan B. Anthony Institute for Women and Gender Studies, University of Rochester, Rochester, NY (2004-present)
• Executive committee, Be Active Committee, Greensboro, NC (2002-2003)
• Executive committee, Greensboro Fitness Council, Greensboro, NC (2002- 2003)
• Volunteer, Moses Cone Family Practice Center, Physical activity program for obese, low-income, and African American women, Greensboro, NC. (2002)
• Social Director, Graduate Exercise and Sport Science Society, University of North Carolina Greensboro (2002-2003).
• Research committee, Women?s and Gender Studies Department, University of North Carolina at Greensboro WMS (2001-2003)
• Graduate Representative to Faculty, Department of Exercise and Sport Science, University of North Carolina at Greensboro (2001-2002).
• Regional Student Representative, Association for the Advancement of Applied Sport Psychology (2000 ? 2003)
• Coordinator, Graduate Research Colloquium Committee, Department of Exercise and Sport Science, University of North Carolina at Greensboro (2000 ? 2001)
• Student Recruitment Committee, Women?s Studies Department, University of North Carolina Greensboro (2000-2001).
• President, Graduate Exercise and Sport Science Society, University of North Carolina Greensboro (1999-2001).
• Vice-President, North Carolina Community College Health and Physical Education Instructor?s Association (1998-1999).
• Chairperson, Faculty Wellness and Activities Committee, Coastal Carolina Community College Faculty Assembly (1995-1999).
• Health and Fitness Department Instructor Search Committee, Coastal Carolina Community College, (1999).
• North Carolina Community College/University of North Carolina Articulation Agreement Committee for Health Education (1998).
• SACS Self-Study Reaccredidation Committee, Coastal Carolina Community College (1997-1998).
• Dental Division Instructor Search Committee, Coastal Carolina Community College (1996).
• Faculty Advisor, Allied Health Club, Coastal Carolina Community College (1995-1996).

COMMUNITY SERVICE

Board Member and Chair of Wellness, Cancer Action and Gilda?s Club of Rochester New York, Rochester, NY (2006-2007)
• Board Member, Interlakes Oncology Wellness Council, Interlakes Oncology, Rochester, NY (2004-2007)
• Fundraising Co-Chair, Greater Rochester Community Business Forum, NY (2004)
• Vice-President, Rochester Frontrunners, NY (2004)
• Instructor, American Red Cross, Guilford County, NC (1999-2003)
• Triad Business Professional Guild (2003)
• Executive Committee, American Cancer Society Relay for Life, Guilford County, NC (2001-2002).
• Breast Cancer Awareness Week, University of North Carolina Greensboro (2000-2001).
• Mary Helen Mautner Project, Washington, DC (2000)
• Take Back the Night March, University of North Carolina Greensboro (2000-2001).
• Clothesline Project, University of North Carolina Greensboro (2000-2001).
• Chairperson Executive Committee, American Cancer Society Relay for Life, Onslow County North Carolina (1995-1999).
• Instructor, American Red Cross, Onslow County, NC (1994-1999)
• President, Onslow Area Society in Service (1996-1997).
• PRAXIS Program, Coastal Carolina Community College (1995-1999).

Publications

1. Purnell, J.Q., Mustian, K. M., Jean-Pierre, P., Palesh, O., *Peppone, L.J., *Mohile, S., *Darling;, T.V., & Morrow, G.R. (in press). The psychosocial and functional impact of radiation therapy. In P. Rubin, L.S. Constine, L.B. Marks & J. Williams (Eds.), ALERT ? Adverse late effects of cancer treatment. Heidelberg, Germany: Springer: (in press).
2. Morrow, G. R., Roscoe, J. A., Mustian, K. M., Hickok, J. T., Ryan, J., Matteson, S. (2009) Behavioral Interventions for Side Effects Related to Cancer and Cancer Treatments. In S. Miller (Ed.) Handbook of Behavioral Science and Cancer, American Psychological Association.
3. Mustian, K. M., Katula, J. A. & Gill, D. L. (2002). Exercise: Complementary therapy for breast cancer rehabilitation. In R. L. Hall & C. A. Oglesby (Eds.) Exercise and Sport in Feminist Therapy: Reconstructing Modalities and Assessing Outcomes, (pp. 105-118) Hawthorne Press.

1. Mustian, K. M., Roscoe, J. A., Palesh, O. G., Heckler, C. E., Peppone, L., Sprod, L., Usuki, K., Ling, M., Brassachio, R., Morrow, G. R., (2010) Polarity Therapy for Cancer-Related Fatigue in Breast Cancer Patients Receiving Radiation Therapy: A Randomized Controlled Pilot Study. (in press).
2. Palesh, O., Roscoe, J., Mustian, K. M., Roth, T., Savard, J., Ancoli-Israel, S., Heckler, C., Morrow, G. (2009). Prevalence and correlates of sleep disruption in 823 cancer patients: A Prospective URCC CCOP study. Journal of Clinical Oncology (in press).
3. Mustian, K. M., Sprod, L. K., Palesh, O. G., Peppone, L. J., Janelsins, M. C., Mohile, S. G., Carroll, J. (2009) Exercise for the Management of Side Effects and Quality of Life. Current Sports Medicine Reports, 8(6), 1-6.
4. Diefenbach, M., Turner, G., Carpenter, K., Sheldon, L., Mustian, K. M., Gerend, M., Rini, C., Wagner, C., Gritz, E. R., McQueen, A., Patterson, H., Miller, S. (2009) Cancer and patient communication. The Journal of Health Communication 14, 57-65.
5. Mustian, K. M., Peppone, L. J., Palesh, O. G., Janelsins, M. C., Mohile, S. G., Purnell, J. Q. Darling, T. V. (2009) Exercise and Cancer-Related Fatigue. U.S. Oncology, 5(2), 2-6.
6. Quillin, J., Tracy, K., Ancker, J., Mustian, K. M., Ellington, L., Viswanath, V. (2009) Healthcare System Approaches for Cancer Patient Communication. The Journal of Health Communication, 14, 85-94.
7. *Peppone, L. J., Hyland, A., Moysich, K. B., Reid, M. E., Piazza, K. M., Purnell, J. Q., Mustian, K. M., Morrow, G. R. (2009) Examining the association between cigarette smoking and colorectal cancer using historical case?control data. Cancer Epidemiology, 33, 182-188.
8. Mustian, K. M., *Flecksteiner, S. A., *Peppone, L., Palesh, O., Heckler, C., Morrow, G. R., (2009) Radiation exercise home-based aerobic and resistance exercise during radiation therapy: A pilot randomized clinical trial. The Journal of Supportive Oncology, 7(5), 158-167.
9. *Peppone, L. J., Piazza, K. M., Mahoney, M. C., Morrow, G. R., Mustian, K. M., Palesh, O., Hyland, A. (2009) Associations Between Adult and Childhood Secondhand Smoke Exposures with Fecundity and Fetal Loss Among Women who Visited a Cancer Hospital. Tobacco Control, 18(2), 115-120. (PMID: 19039010; PMC Journal ? in process)
10. Bellizzi, K. M., Mustian, K. M., Bowen, D. J., Resnick, B., Miller, S. M. (2008) Aging in the Context of Cancer Prevention and Control: Perspectives from Behavioral Medicine. Cancer, 113(12), 3479-3483. (PMID: 19058144; PMC Journal ? in process)
11. Bellizzi, K. M., Mustian, K. M., Palesh, O. G., Diefenbach, M. (2008) Cancer Survivorship and Aging. Cancer, 113(12), 3530-3539. (PMID: 19058147; PMC Journal ? in process)
12. Mohile S.G., Mustian K.M., Bylow K., Hall W., Dale W. (2008) Management of Complications of Androgen Deprivation Therapy in the Older Man, Critical Reviews in Hematology/Oncology, (2008). Epub ahead of print. (PMID: 18952456; PMC Journal ? in process)
13. Mustian, K. M., Darling, T. V., Janelsins, M. C., Jean-Pierre, P., Roscoe, J. A., Morrow, G. R. (2008) Chemotherapy-Induced Nausea and Vomiting. U.S. Oncology, 4, 19-23. (PMC Journal ? in process)
14. Mustian, K. M., Adams, M.J., Schwartz, R., Lipshultz, S.E., Constine, L.S. (2008) Exercise for Diminishing the Cardiotoxic Effects of Radiation Therapy in Hodgkin?s Disease and Breast Cancer Survivors. In Medical Radiology Volume II: CURED II; 103-115. (PMC Journal ? in process)
15. Palesh, O.G., Zeitzer, J., Conrad, A., Giese-Davis, J., Mustian, K.M., Popek, V., Nga, K., & Spiegel, D. (2008). Vagal regulation, cortisol and sleep disruption in women with metastatic breast cancer. Journal of Clinical Sleep Medicine, 4(5), 441-449. (PMC 2576311)
16. Mustian, K. M., Palesh, O. G., *Flecksteiner, S.A. (2008), Tai Chi Chuan for Breast Cancer Survivors. Medicine and Sport Science, 52; 209-217. (PMID: 18487900; PMC Journal ? in process)
17. Bylow, K., Dale, W., Mustian, K. M., Stadler, W. M., Rodin, M., Hall, W., Lachs, M., *Mohile, S. G., (2008) Falls and physical performance deficits in older patients with prostate cancer undergoing androgen deprivation therapy. Urology 72(2);422-7. (PMID: 18561991; PMC Journal ? in process)
18. Carroll, J., Fiscella, K., Epstein, R., Jean-Pierre, P., Figueroa-Moseley, C., Williams, G.C., Mustian, K.M., Morrow, G.R. (2008) Getting patients to Exercise More: A Systematic Review of Underserved Populations. The Journal of Family Practice, 57(3):170-176. (PMID: 18321453; PMC Journal ? in process)
19. Melton, D., Katula, J., Mustian, K. (2008) The Current State of Personal Training: An Industry Perspective of Personal Trainers in a Small Southeast Community. The Journal of Strength and Conditioning Research, 22(3): 883-889. (PMID: 18438226; PMC Journal ? in process)
20. Mustian, K. M., Morrow, G. R., Carroll, J.K., Figueroa-Mosley, C.D., Jean-Pierre, P., Williams, G.C. (2007) Integrative Nonpharmacologic Behavioral Interventions for the Management of Cancer-Related Fatigue. The Oncologist, 12(1); 52-67. (PMID: 17573456; PMC Journal ? in process)
21. Carroll, J., Kohli, S., Mustian, K. M., Roscoe, J., Morrow, G. R. (2007) Pharmacologic Treatment of Cancer-Related Fatigue. The Oncologist, 12(1); 43-51. (PMID: 17573455; PMC Journal ? in process)
22. Ryan, J. L., Carroll, J., Ryan, E., Mustian, K. M., Fiscella, K., Morrow, R. (2007) Mechanisms of Cancer-Related Fatigue. The Oncologist, 12(1); 22-34. (PMID: 17573453; PMC Journal ? in process)
23. Kohli, S., Griggs, J.J., Roscoe, J.A., Jean-Pierre, P., Bole, C., Mustian, K.M., Zangmeister, J., Smith, K., Gross, H., Morrow, G.R. (2007) Self-Reported cognitive impairment in cancer patients. Journal of Oncology Practice, 3(2);54-59. (PMC Journal ? in process)
24. Jean-Pierre, P., Mustian, K. M., Kohli, S., Roscoe, J., Hickok, J., Morrow, G. (2006) Community-Based Clinical Research Trials for Cancer-Related Fatigue. The Journal of Supportive Oncology, 4(10), 511-516. (PMID: 16553140; PMC Journal ? in process)
25. Morrow G.R, Roscoe J.A., Kaufman ME, Bole, C., Figueroa-Moseley, C., Hofman, M., Mustian, K. M. (2007) Cancer-Related fatigue as a late effect: Severity in relation to diagnosis, therapy, and related symptoms. In: Medical Radiology Volume I: CURED I; 91-99. (PMC Journal ? in process)
26. Mustian, K. M., Katula, J. A., Zhao, H. (2006) A Pilot Study to Assess the Influence of Tai Chi Chuan on functional capacity among breast cancer survivors. The Journal of Supportive Oncology, 4(3), 139-145. (PMID: 16553140; PMC Journal ? in process)
27. Mustian, K. M., Griggs, J. J., Morrow, G. R., Roscoe, J. A., Atkins, J. N., Issel, B., Conrad, M. (2006) Exercise and side effects among 749 patients during and after treatment for cancer: A University of Rochester Cancer Center Community Clinical Oncology Program study. Journal of Supportive Care in Cancer, 14(7), 732-741. (PMID: 16482444; PMC Journal ? in process)
28. Hickok, J. T., Morrow, G. R., Roscoe, J. A., Mustian, K. M., Okunieff, P. (2005) Occurrence, Severity and Longitudinal Course of Twelve Common Symptoms in 1129 Consecutive Patients During Radiotherapy for Cancer. Journal of Pain and Symptom Management 30(5), 433-442. (PMID: 16310617; PMC Journal ? in process)
29. Morrow, G. R, Shelke, A., Roscoe, J. A., Hickok, J; Mustian, K. M. (2005) Management of Cancer-Related Fatigue. Cancer Investigation 23, 229-239. (PMID: 15945509; PMC Journal ? in process)
30. Hickok, J. T., Roscoe, J. A., Morrow, G. R., Mustian, K. M., Okunieff, P. Bole, C.W. (2005) Frequency, severity, clinical course, and correlates of fatigue in 372 patients during five weeks of radiotherapy (RT) for cancer. Cancer 104,1772-8. (PMID: 16116608, PMC Journal ? in process)
31. Yates, J. S., Mustian, K. M., Morrow, G. R., Gillies, L. J., Padmanaban, D., Issell, B., Atkins, J. (2005) Prevalence of complementary and alternative medicine use in cancer patients during adjuvant therapy. Supportive Care in Cancer 13, 806-11. (PMID: 15711946; PMC Journal ? in process)
32. Roscoe, J. A., Morrow, G. R., Hickok, J. T., Mustian, K. M., Griggs, J. J., Matteson, S. E., Bushunow, P., Qazi, R., & Smith, B. (2005) Effect of Paroxetine Hydrochloride (Paxil®) on Fatigue and Depression in Breast Cancer Patients Receiving Chemotherapy. Breast Cancer Research and Treatment, 89(3), 243-9. (PMID: 15754122; PMC Journal ? in process)
33. Roscoe, J. A., Matteson, S. E., Mustian, K. M., Padmanaban, D., Morrow, G., (2005) Treatment of radiotherapy-induced fatigue through a non-pharmacological approach. Integrative Therapies in Cancer 4, 8-13. (PMID: 15695472; PMC Journal ? in process)
34. Mustian, K. M., Katula, J. A., Gill, D. L., Roscoe, J. A., Lang, D., & Murphy, K. (2004) Tai Chi Chuan, health-related quality of life and self-esteem: A randomized trial with breast cancer patients. The Journal of Supportive Care in Cancer 12, 871-876. (PMID: 15599776; PMC Journal ? in process)
35. Roscoe, J. A., Morrow, G. R., Hickok, J. T., Mustian, K. M., Shelke, A. (2004) Biobehavioral Factors in Chemotherapy Induced Nausea and Vomiting. Journal of the National Comprehensive Cancer Network 2(5), 501-508. (PMC Journal ? in process)
36. Hofman, M., Morrow, G., Roscoe, J., Hickok, J., Mustian, K., Moore, D., Wade, J., Fitch T. (2004) Cancer Patients' Expectations of Experiencing Treatment-Related Side Effects: A URCC CCOP Study of 938 Patients from Community Practices. Cancer 101(4), 851-857. (PMID: 15305419; PMC Journal ? in process)
37. Shelke, A., Mustian, K. M., & Morrow, G. (2004) The pathophysiology of treatment-related nausea and vomiting in cancer patients: current models. Indian Journal of Physiology and Pharmacology, 48(3), 256-258. (PMID: 15648398; PMC Journal ? in process)
38. Williams, K. W., Mustian, K. M. & Kovacs, C. (2003). A home-based intervention to improve balance, gait and self-confidence in older adults. Activities, Adaptation & Aging, 27(2), 1-16.
39. Mustian, K. M., Katula, J. A. & Gill, D. L. (2002). Exercise: Complementary therapy for breast cancer rehabilitation. Women and Therapy, 25(2), 105-118.
40. Mustian, K. M., & Katula, J. A. (2001). Survival in the BC outback: Mind-body fusion. Relay for Life: Faces of Relay, Teamwork, It's about being a community that takes up the fight, 2, 10.