Mindfulness-Based Stress Reduction for Quality of Life, Psychological Distress, and Cognitive Emotion Regulation Strategies in Patients With Breast Cancer Under Early Chemotherapy—a Randomized Controlled Trial

Abstract

Mindfulness-based interventions (MBIs) have been receiving growing attention in cancer care. This study evaluated the impact of the mindfulness-based stress reduction (MBSR) on quality of life, psychological distress (anxiety and depression), and cognitive emotion regulation strategies in patients with breast cancer under early chemotherapy. A total of 101 patients with breast cancer under early chemotherapy were randomly assigned to either an 8-week MBSR group (n = 50) or a control group (n = 51). The primary outcome was quality of life, measured on Functional Assessment of Cancer Therapy-Breast Cancer. The secondary outcomes were anxiety (Self-rating Anxiety Scale), depression (Self-rating Depression Scale), and cognitive emotion regulation strategies (The Chinese version of Cognitive Emotion Regulation Questionnaire). The participants were assessed at baseline (T0) and week 8 (T1). The data were statistically analyzed by SPSS 21.0. The participants in the MBSR group experienced significantly better outcomes in their quality of life, psychological distress, and cognitive emotion regulation strategies than the control group. The MBSR intervention was demonstrated to improve the positive cognitive emotion regulation strategies and quality of life in patients with breast cancer under early chemotherapy and significantly reduce the patient's anxiety, depression, and negative cognitive emotion regulation strategies, and help the patients to adjust their mental state and promote positive psychology to improve their quality of life.

Evaluation of a Modified Mindfulness-Based Stress Reduction Intervention for Adults with Cerebral Palsy and Anxiety and/or Emotion Regulation Difficulties—A Randomised Control Trial

“…Being able to attend to, experience, and regulate our emotions helps us to feel in control and to respond in a socially acceptable manner to both the pressures and joys of life, which are key aspects for both our individual well-being and our relationships [ 33 , 34 , 35 ]. In line with previous research conducted across a range of populations, this mindfulness intervention was effective in improving emotion regulation, which was sustained at 8 weeks [ 36 , 37 , 38 , 39 ]. Considering the well-recognised relationship between emotion regulation and mood [ 40 ], it was thus unsurprising that improvements in emotion regulation were mirrored by improvements in depression scores post-intervention.…”

Relationship between self-psychological adjustment and post-traumatic growth in patients with lung cancer undergoing chemotherapy: a cross-sectional study

“…Trauma also causes a great sense of uncertainty, which prevents them from adopting a PCER approach to recognising and treating illness. 49 In addition, patients with lung cancer undergoing chemotherapy often experience haemoptysis, pain, infection, hair loss and other symptoms, which lead to an increased fear of the disease and a decreased sense of control over trauma. Eventually, they have low levels of SOC and PCER.…”