Mindfulness-based stress reduction in relation to quality of life, mood, symptoms of stress and levels of cortisol, dehydroepiandrosterone sulfate (DHEAS) and melatonin in breast and prostate cancer outpatients

Carlson, Linda E.; Speca, Michael; Patel, Kamala D.; Goodey, Eileen

doi:10.1016/s0306-4530(03)00054-4

Cited by 600 publications

(400 citation statements)

References 73 publications

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“…developed and manualized MBCR 32 specifically to meet the needs of oncology populations, and its efficiency has been validated in previous studies. [33][34][35][36][37][38][39] Facilitators were clinical psychologists and a nurse who were fully trained in mindfulness-based stress reduction and had led groups in previous MBCR trials. Participants attended 8 weekly group sessions of 90 minutes in duration, and a six-hour retreat between weeks 6 and 7.…”

Section: Interventionsmentioning

confidence: 99%

Mindfulness‐based cancer recovery and supportive‐expressive therapy maintain telomere length relative to controls in distressed breast cancer survivors

Carlson

Beattie

Giese‐Davis

et al. 2014

Cancer

Self Cite

142

109

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BACKGROUND: Group psychosocial interventions including mindfulness-based cancer recovery (MBCR) and supportive-expressive group therapy (SET) can help breast cancer survivors decrease distress and influence cortisol levels. Although telomere length (TL) has been associated with breast cancer prognosis, the impact of these two interventions on TL has not been studied to date. METHODS: The objective of the current study was to compare the effects of MBCR and SET with a minimal intervention control condition (a 1-day stress management seminar) on TL in distressed breast cancer survivors in a randomized controlled trial. MBCR focused on training in mindfulness meditation and gentle Hatha yoga whereas SET focused on emotional expression and group support. The primary outcome measure was relative TL, the telomere/single-copy gene ratio, assessed before and after each intervention. Secondary outcomes were self-reported mood and stress symptoms. RESULTS: Eighty-eight distressed breast cancer survivors with a diagnosis of stage I to III cancer (using the American Joint Committee on Cancer (AJCC) TNM staging system) who had completed treatment at least 3 months prior participated. Using analyses of covariance on a per-protocol sample, there were no differences noted between the MBCR and SET groups with regard to the telomere/single-copy gene ratio, but a trend effect was observed between the combined intervention group and controls (F [1,84], 3.82; P 5 .054; h 2 5 .043); TL in the intervention group was maintained whereas it was found to decrease for control participants. There were no associations noted between changes in TL and changes in mood or stress scores over time. CONCLUSIONS: Psychosocial interventions providing stress reduction and emotional support resulted in trends toward TL maintenance in distressed breast cancer survivors, compared with decreases in usual care. Cancer 2015;121:476-84.

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Section: Interventionsmentioning

confidence: 99%

Mindfulness‐based cancer recovery and supportive‐expressive therapy maintain telomere length relative to controls in distressed breast cancer survivors

Carlson

Beattie

Giese‐Davis

et al. 2014

Cancer

Self Cite

142

109

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“…For example, research in mindfulness-based interventions has found decreased depressive relapse (Teasdale et al, 2000), decreased anxiety (J. Miller, Fletcher, & Kabat-Zinn, 1995), enhanced immunological and physiological functioning in cancer patients (Carlson, Speca, Patel, & Goodey, 2004), increased sleep quality (S. L. Shapiro, Bootzin, Lopez, Figueredo, & Schwartz, 2003), and more rapid clearing of psoriasis (Kabat-Zinn et al, 1998).…”

Section: Cognitive Balancementioning

confidence: 99%

Mental balance and well-being: Building bridges between Buddhism and Western psychology.

Wallace

Shapiro

2006

American Psychologist

464

339

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has focused primarily on the diagnosis and treatment of mental disease, and only recently has scientific attention turned to understanding and cultivating positive mental health (Seligman & Csikszentmihalyi, 2000). The Buddhist tradition, on the other hand, has concerned itself over the past 2,500 years with cultivating exceptional states of mental well-being as well as identifying and treating problems of the mind (Smith, 1991). Toward a DialogueAlthough the records of the Buddha's discourses and later commentarial literature within the Buddhist tradition do not elaborate on the theme of "mental health" as such, they do discuss the nature and causes of mental imbalances and techniques for achieving mental well-being. This article draws on centuries of Buddhist experiential and theoretical inquiry to show how a dialogue with Western psychology can be mutually enriching and particularly relevant to current psychological interest in exploring the nature of positive mental health.This article specifically focuses on Buddhism, because it is widely considered the most psychological of all spiritual traditions (Smith, 1991). Buddhism is fundamentally concerned with identifying the inner causes of human suffering, the possibility of freedom from suffering, and the means to realize such freedom. Unlike many religions, it does not begin with arousing faith in a supernatural being but rather with investigating the nature of human experience (Wallace, 1999(Wallace, , 2003. Buddhism presents a worldview that is thoroughly integrated with a discipline of experiential inquiry into the nature of the mind and related phenomena, and it includes empirical, analytical, and religious elements (Segall, 2003). Thus, it can be relevant to philosophical and psychological theory and practice because of its intensive exploration of the mind and its psychological methods to cultivate sustained well-being.To help open up collaborative dialogue between Buddhism and Western psychology, this article introduces a fourfold model of well-being, drawing from Buddhist teachings as well as Western psychology and research. We begin by introducing a definition of well-being, derived from core insights of the Buddha as well as current Western psychological theory and research. We then describe an innovative model of how to cultivate mental well-being, focusing on four types of mental balance: conative, attentional, cognitive, and affective. The model draws on traditional Buddhist theory as well as relevant Western psychological research to demonstrate how dialogue and empirical study can enrich both traditions. Nature and Types of BuddhismAlthough the Buddhist tradition stems from the teachings attributed to the historical Buddha, over the past 2,500 years it has become assimilated with a wide range of cultures throughout Asia, resulting in an equally wide range of sacred writings, theories, and practices. Broadly speaking, Buddhism is commonly classified in terms of Southeast Asian Theravada Buddhism, East Asian Mahayana Buddhism, and Indo-Tibetan Ma...

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“…Additionally, Carlson and colleagues [165,166] reported improvements in CRF from preintervention to postintervention among 59 patients with breast or prostate cancer participating in an 8-week MBSR program. Both intervention programs were modeled after the Massachusetts Medical Center program headed by Kabat-Zinn [163].…”

Section: Mbsrmentioning

confidence: 99%

Integrative Nonpharmacologic Behavioral Interventions for the Management of Cancer-Related Fatigue

et al. 2007

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Mindfulness-based stress reduction in relation to quality of life, mood, symptoms of stress and levels of cortisol, dehydroepiandrosterone sulfate (DHEAS) and melatonin in breast and prostate cancer outpatients

Cited by 600 publications

References 73 publications

Mindfulness‐based cancer recovery and supportive‐expressive therapy maintain telomere length relative to controls in distressed breast cancer survivors

Mindfulness‐based cancer recovery and supportive‐expressive therapy maintain telomere length relative to controls in distressed breast cancer survivors

Mental balance and well-being: Building bridges between Buddhism and Western psychology.

Integrative Nonpharmacologic Behavioral Interventions for the Management of Cancer-Related Fatigue

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