Context. Breast cancer (BC) requires a significant psychological
adaptation once treatment is finished. There is growing evidence of how
compassion training enhances psychological and physical well-being, however,
there are very few studies analyzing the efficacy of compassion-based
Interventions on BC survivors. Objective. To study the efficacy
of the Cognitively-Based Compassion Training (CBCT) protocol in a BC survivor
sample on quality of life, psychological well-being, fear of cancer recurrence,
self-compassion, and compassion domains and mindfulness facets. Furthermore,
enrollment, adherence, and satisfaction with the intervention were also
analyzed. Methods. A randomized clinical trial was designed.
Participants (n = 56) were randomly assigned to CBCT (n = 28) or a
treatment-as-usual control group (TAU; n = 28). Pre-post intervention and
6-month follow-up measures took place to evaluate health-related quality of
life, psychological well-being; psychological stress, coping strategies, and
triggering cognitions; self-compassion and compassion; and mindfulness in both
intervention and wait-list groups. Results. Accrual of eligible
participants was high (77%), and the drop-out rate was 16%. Attendance to CBCT
sessions was high and practice off sessions exceeded expectations). CBCT was
effective in diminishing stress caused by FCR, fostering self-kindness and
common humanity, and increasing overall self-compassion scores, mindful
observation, and acting with awareness skillsets. Conclusion.
CBCT could be considered a promising and potentially useful intervention to
diminish stress caused by FCR and enhance self-kindness, common humanity,
overall self-compassion, mindful observation, and acting with awareness
skillsets. Nevertheless, future randomized trials are needed and a process of
deeper cultural adaptation required.