Mindfulness-Based Cognitive Therapy for Psychological Distress, Fear of Cancer Recurrence, Fatigue, Spiritual Well-Being, and Quality of Life in Patients With Breast Cancer—A Randomized Controlled Trial

Park, Sunre; Sato, Yasuko; Takita, Yuka; Tamura, Noboru; Ninomiya, Akira; Kosugi, Teppei; Sado, Mitsuhiro; Nakagawa, Atsuo; Takahashi, Maiko; Hayashida, Tetsu; Fujisawa, Daisuke

doi:10.1016/j.jpainsymman.2020.02.017

Cited by 123 publications

(113 citation statements)

References 37 publications

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“…[ 16 ] Spiritual well-being in patients is associated with lower pain levels and faster recovery from intercurrent illness. [ 17 , 18 ] Available study results regarding the correlation between spiritual well-being, anxiety, depression and quality of life are mixed, including both significant and non-significant effects. [ 19 – 22 ] Hence, further scientific investigation is required get a deeper insight about the association between these concepts.…”

Section: Introductionmentioning

confidence: 99%

Association between spiritual well-being, quality of life, anxiety and depression in patients with gynaecological cancer in China

et al. 2021

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The physical and psychological condition of patients with gynaecological cancer has received much attention, but there is little research on spirituality in palliative care. This study aimed to investigate spiritual well-being and its association with quality of life, anxiety and depression in patients with gynaecological cancer. A cross-sectional study was conducted in China in 2019 with 705 patients diagnosed with primary gynaecological cancer. European Organisation for Research and Treatment of Cancer quality of life instruments (EORTC QLQ-SWB32 and EORTC QLQ-C30) and the Hospital Anxiety and Depression Scale were used to measure spiritual well-being, quality of life, anxiety and depression. Univariate and multiple linear regression analyses were performed to examine associations between spiritual well-being, quality of life, anxiety and depression. Functioning scales and global health status were positively correlated with spiritual well-being (P < .05). Anxiety and depression were negatively correlated with spiritual well-being (P < .05). Depression (−0.362, P < .001) was the strongest predictor of Existential score. Anxiety (−0.522, P < .001) was the only predictor of Relationship with self. Depression (−0.350, P < .001) and Global health (0.099, P = .011) were the strongest predictors of Relationship with others. Religion (−0.204, P < .001) and Depression (−0.196, P < .001) were the strongest predictors of Relationship with someone or something greater. Global health (0.337, P < .001) and Depression (−0.144, P < .001) were the strongest predictors of Global-SWB. Well spiritual well-being is associated with lower anxiety and depression, and better quality of life. Health providers should provide more spiritual care for non-religious patients and combine spiritual care with psychological counselling to help patients with gynaecological cancer, especially those who have low quality of life or severe symptoms, or experience anxiety or depression.

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Section: Introductionmentioning

confidence: 99%

Association between spiritual well-being, quality of life, anxiety and depression in patients with gynaecological cancer in China

et al. 2021

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“…Benefits were maintained at 2- and 4-month follow-up. 19 min/day (63% adherence) Park et al 2020 37 Japan 74 females with stage I–III breast cancer [average age=53.7 years; 60% married; 46% employed] Waitlist RCT MBCT [8 weekly 2-h classes, no retreat, home practice 20–45 min/day using a compact disc] Not specified HADS and CARS, assessed at baseline, 8 and 12 weeks MBCT participants reported significant improvements in HADS (d=1.17) and fear of recurrence (d: 0.43), compared with controls. Benefits were maintained at follow-up (4 weeks postintervention).…”

Section: Resultsmentioning

confidence: 99%

“… 21 , 22 , 24 , 25 , 28 , 30 , 32 , 33 , 35 , 36 , 39 , 40 Seventeen studies assessed distress as a primary outcome, and four of them screened for distress as part of inclusion criteria. 24 , 26 , 33 , 37 The remaining four studies evaluated fatigue (n=2), 30 , 31 pain (n=1), 35 or sleep disturbance (n=1) 38 as a primary outcome.…”

Section: Resultsmentioning

confidence: 99%

“…Group sizes were reported in eight studies and ranged from 4 to 25 participants per group. 22 , 23 , 25 , 29 , 32 , 34 , 35 , 37 Three studies used an active comparison group: one compared in-person- vs online-MBCT; 33 one MBSR to a structurally equivalent control condition (psychoeducational support); 31 and one compared two mindfulness apps with an educational control group. 39 Fifteen studies indicated groups were led by experienced or certified professional personnel, and eleven of them described the teacher’s credentials [clinical psychologist (n=8), nurse (n=2), medical doctor (n=1)].…”

Section: Resultsmentioning

confidence: 99%

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Mindfulness-Based Interventions in Cancer Survivors: A Systematic Review of Participants’ Adherence to Home Practice

Baydoun¹,

Moran²,

McLennan³

et al. 2021

PPA

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Background Although mindfulness-based interventions (MBIs) have demonstrated efficacy for alleviating psychological distress in cancer survivors, little is known about the extent to which participants adhere to assigned home practice. The purpose of this systematic review was to summarize and appraise the literature on rates and correlates of adherence to mindfulness home practice among cancer survivors. Methods Four databases (PubMed, Psychology and Behavioral Sciences, PsycInfo, and CINAHL) were searched for studies published before October 15, 2020. Articles were included if they evaluated the benefits of an MBI program for adults with cancer. Results Twenty-one studies (N=1811 participants) meeting the inclusion criteria were identified (randomized controlled trials (n=13), non-randomized controlled designs (n=2), single-group studies (n=6)). The pooled adherence rate for participants’ home practice was 60% of the assigned amount, which equated to 27 min per day during the intervention period. There was some evidence for a relationship between home practice of mindfulness techniques and improvements in mood, stress, anxiety, depression, and fear of cancer recurrence (correlation coefficients ranged from 0.33 to 0.67). Factors including marital status, mood disturbance at baseline, intervention modality, and personality traits were evaluated in relation to adherence to home practice, but the current literature was inadequate to evaluate whether a relationship exists. Conclusion Adherence to mindfulness home practice among cancer survivors is suboptimal, and most of the correlates of adherence studied to date are non-modifiable. More research is warranted to scrutinize the role of home practice in mindfulness-based interventions, including assessment of modifiable factors influencing adherence to improve benefits for this population.

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“…Relaxation therapy, mindfulness decompression and other non drug treatment have made some progress. [ 13 , 14 ] Acupuncture and moxibustion, auricular point pressing and acupoint massage have been used in previous studies. Our study is to compare the efficacy of acupoint massage, relaxation therapy and acupoint massage combined with relaxation therapy on patients with postoperative fatigue after LHD surgery.…”

Section: Introductionmentioning

confidence: 99%

Effects of acupoint massage combined with relaxation therapy on patients with postoperative fatigue syndrome after lumbar surgery

et al. 2021

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Background : Lumbar disc herniation (LDH) is a common disease in orthopedics. Surgery is shown to provide significant faster relief of pain compared to conservative therapy. However, due to the influence of surgical trauma, anesthesia and other perioperative stress factors, patients may have complications. Among them, postoperative fatigue syndrome (POFS) is a common complication. Traditional Chinese medicine or integrated traditional Chinese and Western medicine have been proved to be effective in improving postoperative fatigue. Methods : This study is a randomized controlled trial. One hundred eighty Chinese patients with POFS of LDH will be randomly divided into control group, experimental group 1, experimental group 2 and experimental group 3 according to the ratio of 1:1:1:1. The patients in the control group will be treated with conventional treatment after operation, the patients in the experimental group 1 will be treated with acupoint massage, the patients in the experimental group 2 will be treated with relaxation therapy, and the patients in the experimental group 3 will be treated with acupoint massage combined with relaxation therapy. The whole treatment will last for 5 days. The main outcome measures will be fatigue visual analogue scale and identity-consequence fatigue scale, and the secondary outcome measures will be hospital anxiety and depression scale. Discussion : This study is to observe the effects of acupoint massage comblined with relaxation therapy on reducing postoperative fatigue of lumbar disc herniation surgical patients. Trial registration : Chinese Clinical Trial Registry ( http://www.chictr.org.cn/edit.aspx?pid=123978&htm=4 ), No. ChiCTR2100044788. Registered on March 27, 2021.

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Mindfulness-Based Cognitive Therapy for Psychological Distress, Fear of Cancer Recurrence, Fatigue, Spiritual Well-Being, and Quality of Life in Patients With Breast Cancer—A Randomized Controlled Trial

Cited by 123 publications

References 37 publications

Association between spiritual well-being, quality of life, anxiety and depression in patients with gynaecological cancer in China

Association between spiritual well-being, quality of life, anxiety and depression in patients with gynaecological cancer in China

Mindfulness-Based Interventions in Cancer Survivors: A Systematic Review of Participants’ Adherence to Home Practice

Effects of acupoint massage combined with relaxation therapy on patients with postoperative fatigue syndrome after lumbar surgery

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