Short-term effect of internet-delivered mindfulness-based stress reduction on mental health, self-efficacy, and body image among women with breast cancer during the COVID-19 pandemic

Abstract

Background and aimDuring the COVID-19 pandemic, an Internet-Mindfulness-Based Stress Reduction (iMBSR) program was delivered and may be better than an in-person approach. Our study evaluated the effects of iMBSR intervention on mental health, self-efficacy, and body image in women with breast cancer in Taiwan.Materials and methodsSixty-seven women with breast cancer were allocated to a 6-week iMBSR (n = 41) program or a waitlist control group (n = 26), without heterogeneity between group characteristics. Patients from both groups were measured at baseline and postintervention using three scales: Depression, Anxiety, and Stress Scale (DASS-21), General self-efficacy scale, and Body Image Scale. Descriptive dataset analysis, paired t-test, and Student’s t-test were used to evaluate the data.ResultsAlthough iMBSR did not significantly improve depression and stress between groups, iMBSR could improve anxiety (Δmean: −2.0 vs. −0.4, p = 0.041) with medium effect sizes. Significant benefits were found for body image (Δmean: −3.6 vs. 0.9, p = 0.003) and self-efficacy (Δmean: 4.2 vs. 1.5, p = 0.004), with large effect sizes (Cohen’s d = 0.73).ConclusionOur preliminary study supports iMBSR as a program that can improve mental health, body image, and self-efficacy in women with breast cancer. During the COVID-19 pandemic, medical professionals can use Internet-based clinical health education.

Mindfulness‐based interventions for body image dissatisfaction among clinical population: A systematic review and meta‐analysis

“…The final sample for the systematic review included 17 intervention studies published during 2012–2023 (Table 1). Studies were conducted across various countries, including Iran ( n = 8) (Bahreini et al., 2022; Dokaneheei et al., 2016; Givehki et al., 2018; Moghadam et al., 2023; Moradi et al., 2020; Rahmani et al., 2014; Sharbaf Olyaie et al., 2016; Shirazipour, 2022), Sweden ( n = 2) (Fogelkvist et al., 2020; Weineland et al., 2012), Portugal ( n = 2) (Duarte et al., 2017; Pinto‐Gouveia et al., 2017), Australia (Sherman et al., 2018), India (Mukherjee & Ghosh, 2022), Taiwan (Chang et al., 2022), USA (Paterson, 2015) and a multinational study including Australia, New Zealand and United Kingdom (Mifsud et al., 2021).…”

“…A variety of clinical populations belonging to different physical, psychological or psychiatric conditions were investigated in the included studies. Physical conditions included bariatric surgery (Weineland et al., 2012), breast cancer ( n = 8) (Chang et al., 2022; Mifsud et al., 2021; Moghadam et al., 2023; Mukherjee & Ghosh, 2022; Paterson, 2015; Rahmani et al., 2014; Sharbaf Olyaie et al., 2016; Sherman et al., 2018), polycystic ovary syndrome (PCOS) (Moradi et al., 2020) and obesity (Dokaneheei et al., 2016). Psychological or psychiatric conditions included binge eating disorder ( n = 2) (Duarte et al., 2017; Pinto‐Gouveia et al., 2017), eating disorder (Fogelkvist et al., 2020), depression (Shirazipour, 2022), psychosomatic disorder (Givehki et al., 2018) and body dysmorphic disorder (Bahreini et al., 2022).…”

“…MBIs included ACT ( n = 6) (Dokaneheei et al., 2016; Fogelkvist et al., 2020; Givehki et al., 2018; Moradi et al., 2020; Shirazipour, 2022; Weineland et al., 2012), MBSR ( n = 4) (Chang et al., 2022; Mukherjee & Ghosh, 2022; Paterson, 2015; Rahmani et al., 2014), MBCT ( n = 3) (Bahreini et al., 2022; Moghadam et al., 2023; Sharbaf Olyaie et al., 2016), MyCB ( n = 2) (Mifsud et al., 2021; Sherman et al., 2018), Befree ( n = 1) (Pinto‐Gouveia et al., 2017) and CARE ( n = 1) (Duarte et al., 2017). Most studies did not introduce any specific treatment for their control group, while two studies (Mifsud et al., 2021; Sherman et al., 2018) employed expressive writing and one study (Givehki et al., 2018) provided psycho‐education in general psychology to their control group.…”

“…Among the nine quasi-experimental studies, two studies scored 9, interpreted as high quality, while the remaining reports (n = 5) ranged 5-7, indicating moderate quality. Specifically, four studies lacked details regarding the use of multiple measurements of the outcome variable and lack of follow-ups (Bahreini et al, 2022;Chang et al, 2022;Moghadam et al, 2023;Mukherjee & Ghosh, 2022). Also, a study by Dokaneheei et al (2016) lacks specifications on the assessment of outcome measure, use of multiple measurements of the outcome and follow-up, and it is unknown whether the measure of the outcome variable is reliable, leading to a moderate risk of bias.…”

A Novel Smart Belt for Anxiety Detection, Classification, and Reduction Using IIoMT on Students’ Cardiac Signal and MSY

“…Physical movement, meditation, and yogic breathing are some of the elements of the integrated yoga intervention that have been shown to elicit the relaxation response [ 67 ]. Yoga postures, breathing techniques, and their interconnections with mindfulness-based therapies have dramatically enhanced sleep efficiency caused by anxiety-related problems, and cancer sufferers [ 68 ]. Previous research has demonstrated that yoga is an effective stress management approach [ 2 ].…”