Mindfulness Predicts Psycho-behavioral Improvement after Breast Cancer Diagnosis: Influence of Childhood Adversity

Janusek, Linda Witek; Tell, Dina; Mathews, Herbert L.

doi:10.1177/0193945920932290

Cited by 6 publications

(5 citation statements)

References 31 publications

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“…It was also found that the differences in psychological well-being between people who had been exposed to ACEs compared to those who had not were similar during the diagnostic and the treatment phase [21]. Additionally, one study found that people with ACEs experienced less social and professional support during cancer treatment [35] and another study [33] showed that they may profit from mindfulness-based therapy.…”

Section: Other Psychological Variables and Mechanismsmentioning

confidence: 99%

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Adverse childhood events and mental health problems in cancer survivors: a systematic review

Hinnen,

von Haeseler,

Tijssens

et al. 2024

Support Care Cancer

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Purpose The purpose of this study was to systematically review the literature on the association between adverse childhood events (ACEs) and mental health problems in cancer survivors. Methods This review was conducted in line with PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines. Four databases (PubMed, PsychINFO, Web of Science, and Cochrane) were searched on 27–08-2023. Results Of the 1413 references yielded by the literature search, 25 papers met inclusion criteria and were reviewed. Most studies were performed in the USA, most included breast cancer survivors, and the number of included participants ranged between 20 and 1343. ACEs were relatively prevalent, with self-report rates ranging between 40 and 95%. Having been exposed to ACEs was a risk factor for heightened levels of emotional distress, anxiety, depressive symptoms, and fatigue during cancer treatment. Results varied depending on the variables included, and per subscale, but were consistent across different cultures and heterogenous patient groups. Conclusion The association between ACE and mental health outcomes was significant in most studies. In order to improve treatment for this vulnerable population, it may be necessary to screen for ACEs before cancer treatment and adjust treatment, for example, by means of trauma-informed care (TIC), which recognizes and responds to the impact of trauma on individuals seeking healthcare.

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Section: Other Psychological Variables and Mechanismsmentioning

confidence: 99%

“…The majority of the 25 studies were conducted in the USA (n = 19, 76.0%) (see Table 2) [15][16][17][18][19][20][21][22][23][24][25][26][27][28][29][30][31][32][33]. The other studies were conducted in the UK [34,35], Brazil [36], Turkey [37],…”

Section: General Characteristics Of the Included Studiesmentioning

confidence: 99%

Adverse childhood events and mental health problems in cancer survivors: a systematic review

Hinnen,

von Haeseler,

Tijssens

et al. 2024

Support Care Cancer

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“…Others have shown that practicing mindfulness improves the immune response to psychological stress, lowering the production of proinflammatory cytokines. 34…”

Section: Mechanisms Of Mindfulnessmentioning

confidence: 99%

Nursing Implications of Mindfulness-Informed Interventions for Stroke Survivors and Their Families

Saban

Tell

Peña

2022

Stroke

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The consequences of stroke can be devastating and include psychological distress, such as anxiety and depression, functional deficits, pain, and cognitive impairment. Symptoms are complex and impact not only the stroke survivor but may also be challenging for family caregivers. Studies have consistently demonstrated that mindfulness-informed interventions (MBI), such as mindfulness-based stress reduction and acceptance and self-compassion therapies, improve symptoms in a wide variety of clinical populations. However, research examining MBIs within the stroke population is in its infancy. Nurses, who have traditionally focused on holistic care delivery are in a unique position to incorporate MBIs throughout the stroke care continuum. In this topical review, we examine the literature related to the use of MBIs in stroke survivors and their family caregivers. We include a critical appraisal of existing literature, discuss nursing implications, and make recommendations for future research. Mindfulness-informed interventions are feasible and acceptable within the stroke population and may be an important complementary treatment to help stroke survivors and their families manage the consequences of stroke. We recommend further research to tailor MBI programs to the unique needs of stroke survivors and their family caregivers. In addition, nurses should consider opportunities to be trained in MBIs and incorporate these programs into their practice and research.

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“…We have shown in two dismantling trials that acceptance is a key component of MBIs for targeting stress perceptions and biology ( Lindsay et al., 2018 ; Chin et al., 2019a ). Moreover, MBIs have been uniquely effective for reducing mental health symptoms among adults with a history of childhood maltreatment ( Earley et al., 2014 ; Joss et al., 2019 ; Kimbrough et al., 2010 ; Kuyken et al., 2015 ; Ma and Teasdale, 2004 ; Williams et al., 2014 ; for a review, see Joss and Teicher, 2021 ) and experiential acceptance is thought to underlie improvements ( Thompson et al., 2011 ; Janusek et al., 2021 ). Whether these effects extend to markers of physical health remains unknown.…”

Section: What Are Mbis?mentioning

confidence: 99%

Mindfulness interventions for offsetting health risk following early life stress: Promising directions

Lindsay

2021

Brain, Behavior, & Immunity - Health

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Early life stress (ELS), common to childhood maltreatment, socioeconomic disadvantage, and racial discrimination, is thought to create a proinflammatory phenotype that increases risk for poor health in adulthood. Systemic change is needed to address the root causes of ELS, but a substantial number of adults are already at increased health risk by virtue of ELS exposure. Interventions that target stress pathways have the potential to interrupt the trajectory from ELS to inflammatory disease risk in adulthood. Mindfulness-based interventions (MBIs), which train acceptance toward present-moment experience, have shown promise for reducing stress and improving a variety of stress-sensitive health outcomes. Although MBIs have primarily been conducted in more advantaged populations, evidence suggests that they may be uniquely effective for improving mental health and health-related quality of life among those with a history of ELS. Whether these effects extend to physical health remains unknown. To shed light on this question, I review evidence that MBIs influence inflammatory markers in at-risk samples, explore the promise of MBIs for improving stress-related health outcomes in diverse at-risk populations, and describe adaptations to MBIs that may increase their acceptability and efficacy in populations exposed to ELS. This prior work sets the stage for well-controlled RCTs to evaluate whether MBIs influence stress and inflammatory pathways among those exposed to ELS and for pragmatic and implementation trials focused on disseminating MBIs to reach these at-risk populations. Overall, the evidence assembled here shows the potential of MBIs for offsetting physical health risk related to ELS.

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Mindfulness Predicts Psycho-behavioral Improvement after Breast Cancer Diagnosis: Influence of Childhood Adversity

Cited by 6 publications

References 31 publications

Adverse childhood events and mental health problems in cancer survivors: a systematic review

Adverse childhood events and mental health problems in cancer survivors: a systematic review

Nursing Implications of Mindfulness-Informed Interventions for Stroke Survivors and Their Families

Mindfulness interventions for offsetting health risk following early life stress: Promising directions

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