Mindfulness and its efficacy for psychological and biological responses in women with breast cancer

Sarenmalm, Elisabeth Kenne; Mårtensson, Lena; Åndersson, Bengt; Karlsson, Per; Bergh, Ingrid

doi:10.1002/cam4.1052

Cited by 120 publications

(134 citation statements)

References 74 publications

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“…As described in table 3 , the samples of the seven studies were composed only by women aged between 20 and 80 years, totaling 532 participants. All studies used MBSR as the intervention, based on the manual of Kabat-Zinn ( 46 – 52 ) and performed with women diagnosed with breast cancer stage zero to III, ( 47 , 49 ) phase I and II, ( 46 ) phase I, II, III, ( 48 , 51 ) and cancer with metastasis. ( 50 )…”

Section: Resultsmentioning

confidence: 99%

“…Randomized studies [5; (83%)], with the samples split into two groups, comparing the MBSR Group with a control or Usual Care Group (3; (42.8%)]; ( 47 , 49 , 51 ) and with samples divided into three groups, comparing the MBSR Group with a Control Group and a nutritional intervention group [1; (14.3%)], ( 46 ) or with a Control Group and a Metacognitive Treatment Group (MTG) [1; (14.3%)], ( 48 ) or with a Control Group and MBSR + instructor and weekly group sessions [1; (14.3%)]. ( 52 )…”

Section: Resultsmentioning

confidence: 99%

“…Non-randomized study presented a PEDro scale score of 6 points; ( 50 ) the randomized three group studies the score was between 6 and 7 points; ( 47 , 49 , 51 ) and three group studies had 7 points. ( 46 , 48 , 52 )…”

Section: Resultsmentioning

confidence: 99%

“…The three randomized studies containing two intervention groups showed the result that 8 weeks of MBSR practice led to significant decrease of the scores for fatigue, ( 47 , 51 ) anxiety, ( 49 ) and cognitive aspects. ( 51 ) The two randomized studies containing three intervention groups showed that the MBSR improved fatigue, ( 48 ) depression, ( 52 ) anxiety and depression. ( 46 )…”

Section: Resultsmentioning

confidence: 99%

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Mindfulness-Based Stress Reduction on breast cancer symptoms: systematic review and meta-analysis

Castanhel¹,

Liberali²

2018

Einstein (São Paulo)

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Mindfulness-Based Stress Reduction practices increase the capacity for concentration and attention, and these practices are particularly effective for people with breast cancer. To analyze the effects of the application of Mindfulness-Based Stress Reduction on breast cancer symptoms. Systematic review and meta-analysis were carried out. To find suitable studies, the PubMed/ MEDLINE database was searched using the keywords “breast cancer” and “Mindfulness-Based Stress Reduction”. Studies included were published between 2013 and 2017, written in English and showed methodological quality through the PEDro scale (score greater than 3). They also presented empirical evidence, had an experimental study design (randomized or non-randomized), and had full text available. For the meta-analysis, we used a random-effects model, with standardized mean differences and 95% confidence intervals. Seven studies were included, one non-randomized and containing only an intervention group of Mindfulness-Based Stress Reduction, and six randomized including samples of two or three groups. The non-randomized study showed 6 points on the PEDro scale, the randomized studies of two groups 6 to 7 points and studies with three groups showed 7 points. In the meta-analysis of the two randomized studies, the results, although not significant, revealed a moderate effect for Mindfulness-Based Stress Reduction on the outcome of fatigue, with a mean difference of −0.42 (95%CI −0.92- −0.07; p=0.09). Mindfulness-Based Stress Reduction seems to be a promising alternative for treatment of this disease's symptoms.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

See 2 more Smart Citations

Mindfulness-Based Stress Reduction on breast cancer symptoms: systematic review and meta-analysis

Castanhel¹,

Liberali²

2018

Einstein (São Paulo)

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“…Ten studies considered the effect of treatment on anxiety [24,30,32,[50][51][52][53][54][55][56]; twelve studies considered the effect of treatment on depression [24,30,[50][51][52][53][54][55][56][57][58][59][60][61]; ten studies considered the effect of the treatment on mood [24,28,[32][33][34]57,59,63,66,67]; thirteen studies considered the effects of the treatment on the quality of life [25,[32][33][34][51][52][53][54]59,[62][63][64][65][66].…”

Section: Characteristics Of Included Studiesmentioning

confidence: 99%

The Effectiveness of Psychological Treatments in Women with Breast Cancer: A Systematic Review and Meta-Analysis

Guarino

Polini

Forte

et al. 2020

JCM

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Breast cancer is the most prevalent oncological disease among women, and it represents the second oncological cause of death. Many studies have considered the quality of life in people with breast cancer because this condition has high comorbidity with mental distress, anxiety, affective disorders and depression. Psychological interventions can reduce the stressful consequences of both the diagnosis and the medical treatments of breast cancer. However, different methods (e.g., group or individual therapy) and focus (e.g., improving personal skills or increasing emotional well-being) do not help to identify which type of psychological therapy can be more effective in improving quality of life in patients with breast cancer. This study was aimed to systematically review and compare, by means of a meta-analysis, the efficacy of cognitive behavioural, supportive-expressive or psycho-educational treatments in women with breast cancer, focusing on anxiety, depression, mood and quality of life as outcomes. The PRISMA statement was adopted. MEDLINE, PsycINFO, PUBMED and PsycArticles databases were used, and reference lists were examined for additional publications. In the selection of the articles were included studies considering women between 18 and 65 years who were diagnosed with breast cancer at any stage and under any treatment, and who underwent psychological group interventions. At the end of the systematic review, 45 studies met all inclusion criteria and were analysed in the meta-analysis. The overall effect size was medium, especially considering cognitive behavioural therapy and psycho-educational treatments. However, the studies are characterised by high methodological heterogeneity. Despite some limitations, this review and meta-analysis partially confirm the efficiency of cognitive-behavioural and psycho-educational therapies in the improvement of well-being in women with breast cancer.

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Association of Mindfulness-Based Interventions With Anxiety Severity in Adults With Cancer

et al. 2020

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IMPORTANCE Mindfulness-based interventions (MBIs), grounded in mindfulness, focus on purposely paying attention to experiences occurring at the present moment without judgment. MBIs are increasingly used by patients with cancer for the reduction of anxiety, but it remains unclear if MBIs reduce anxiety in patients with cancer. OBJECTIVE To evaluate the association of MBIs with reductions in the severity of anxiety in patients with cancer. DATA SOURCES Systematic searches of MEDLINE, Embase, Cochrane Central Register of Controlled Trials, CINAHL, PsycINFO, and SCOPUS were conducted from database inception to May 2019 to identify relevant citations. STUDY SELECTION Randomized clinical trials (RCTs) that compared MBI with usual care, waitlist controls, or no intervention for the management of anxiety in cancer patients were included. Two reviewers conducted a blinded screening. Of 101 initially identified studies, 28 met the inclusion criteria. DATA EXTRACTION AND SYNTHESIS Two reviewers independently extracted the data. The Cochrane Collaboration risk-of-bias tool was used to assess the quality of RCTs, and the Preferred Reporting Items for Systematic Reviews and Meta-analyses reporting guideline was followed. Summary effect measures were reported as standardized mean differences (SMDs) and calculated using a random-effects model. MAIN OUTCOMES AND MEASURES Our primary outcome was the measure of severity of shortterm anxiety (up to 1-month postintervention); secondary outcomes were the severity of mediumterm (1 to Յ6 months postintervention) and long-term (>6 to 12 months postintervention) anxiety, depression, and health-related quality of life of patients and caregivers. RESULTS This meta-analysis included 28 RCTs enrolling 3053 adults with cancer. None of the trials were conducted in children. Mindfulness was associated with significant reductions in the severity of short-term anxiety (23 trials; 2339 participants; SMD, −0.51; 95% CI, −0.70 to −0.33; I 2 = 76%). The association of mindfulness with short-term anxiety did not vary by evaluated patient, intervention, or study characteristics. Mindfulness was also associated with the reduction of medium-term anxiety (9 trials; 965 participants; SMD, −0.43; 95% CI, −0.68 to −0.18; I 2 = 66%). No reduction in long-term anxiety was observed (2 trials; 403 participants; SMD, −0.02; 95% CI, −0.38 to 0.34; I 2 = 68%). MBIs were associated with a reduction in the severity of depression in the short term (19 trials; 1874

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Mindfulness and its efficacy for psychological and biological responses in women with breast cancer

Cited by 120 publications

References 74 publications

Mindfulness-Based Stress Reduction on breast cancer symptoms: systematic review and meta-analysis

Mindfulness-Based Stress Reduction on breast cancer symptoms: systematic review and meta-analysis

The Effectiveness of Psychological Treatments in Women with Breast Cancer: A Systematic Review and Meta-Analysis

Association of Mindfulness-Based Interventions With Anxiety Severity in Adults With Cancer

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