The Long-Term Effects of Mindfulness Added to Family Resilience-Oriented Couples Support Group on Psychological Well-Being and Cortisol Responses in Breast Cancer Survivors and Their Partners

Hsiao, Fei‐Hsiu; Jow, Guey–Mei; Kuo, Wen‐Hung; Yang, Po‐Sheng; Lam, Hung-Bun; Chang, King‐Jen; Lee, Jie-Jen; Huang, Chiun‐Sheng; Lai, Yuming; Chen, Yuting; Yu-fen, Liu; Chang, Chin‐Hao

doi:10.1007/s12671-016-0578-9

Cited by 30 publications

(58 citation statements)

References 37 publications

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“…The overall percentage of female participants was 69.3%. The studies’ interventions were grouped into the following 6 categories: mindfulness 15 -23 (9 studies, k = 11), psychotherapy 4,24 -30 (8), narrative 31 -37 (7), psychoeducational 38 -42 (5), prosocial 43,44 (2), and spiritual reminiscence 45,46 (2). Forty-two percent of the studies used active control groups, with the rest utilizing passive or waitlist controls.…”

Section: Resultsmentioning

confidence: 99%

“…Four intervention categories had studies with both active and passive control groups. The mindfulness studies with active control groups 16,18,20,21 ( k = 5) had an average effect size (SMD) = 0.165 (CI –0.175 to 0.506), Q = 13.9 (p < .001), while the mindfulness studies with a passive control group 15,17,19,22,23 ( k = 6) had an average effect size (SMD) = 1.565 (CI 0.435 to 2.70), Q = 79.8 (p < .0001). The psychoeducational study with an active control group 38 had an average effect size (SMD) = 0.181 (CI –0.399 to 0.760) Q = 0.0 (p < .0001), the psychoeducational studies with passive control groups 39 -42 (4) had an average effect size (SMD) = 0.829 (CI 0.052 to 1.606), Q = 36.6 (p < .0001).…”

Section: Resultsmentioning

confidence: 99%

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A Meta-Analytic Review of Interventions That Promote Meaning in Life

Manco

Hamby

2021

Am J Health Promot

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Objective: Increasing meaning in life (MiL) among people experiencing disease or adversity may improve coping and resilience. The purpose of this review is to characterize the effects of MiL interventions. Data Source: A systematic search of PubMed, PsycInfo, and Google Scholar was conducted encompassing the following parameters: meaning in life, purpose in life, or sense of purpose with randomized controlled trials. Study Inclusion & Exclusion Criteria: Randomized controlled trials (RCTs) of interventions with at least one outcome that measured improvement in MiL and were published in English between January 2000 and January 2020. Data Extraction & Synthesis: 33 randomized controlled trials ( k = 35) were identified. Data were coded by authors and a research assistant for intervention type, control group type, and risk of bias. The random effects model of Review Manager 5.3 was used to produce SMD and evaluate heterogeneity. Results: The effect size for studies with a passive control group was SMD = 0.85 (95% CI 0.54 to 1.17) and for studies with an active control group was SMD = .032 (95% CI 0.09 to 0.55). Mindfulness programs produced the largest effect size (1.57) compared to passive controls, while narrative programs produced the largest effect relative to active controls (0.61). There was considerable heterogeneity in most estimates. Conclusion: Several interventions increase MiL, including some that are relatively brief and do not require licensed professionals.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

A Meta-Analytic Review of Interventions That Promote Meaning in Life

Manco

Hamby

2021

Am J Health Promot

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“…For the characteristics of the studies see Table 2. Nineteen of these studies utilized a meditation program based on mindfulness and used focused attention (FA) type meditation, while one used mind-body (M-B) (Hsiao et al, 2016) and the other study a body-mind (B-M) intervention (Fan et al, 2013). Only five studies (24%) took saliva samples on more days: one of them sampled one per day, while two sampled four and another two on five occasions during the day.…”

Section: Effect Of Meditation On Salivary Cortisolmentioning

confidence: 99%

“…There were no effects of gender distribution, the age of the participants or the total time of the intervention. In case of the elapsed time after the intervention we excluded one study (Hsiao et al, 2016) because it was an outlier in this regard (the latest sampling was after one year). The effect was non-significant (see Table 6 and Figure 6).…”

Section: Effect Of Meditation On Salivary Cortisolmentioning

confidence: 99%

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Meditation interventions efficiently reduce cortisol levels of at-risk samples: a meta-analysis

Koncz

Demetrovics

Takács

2020

Health Psychology Review

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Previous meta-analytic results showed beneficial effects of meditation interventions for cortisol levels. In the present meta-analysis we tested whether effects are larger for those who might be in need of such stress reduction programs due to a risk for elevated cortisol levels as compared to no-risk samples. We included RCTs that measured change in cortisol levels. Based on 10 studies using blood samples meditation interventions had a significant, medium effect from pre-to post-test compared to the control group. Upon closer inspection, this effect was only present for at-risk samples, that is, patients with a somatic illness. In the 21 studies using saliva samples the effect was small and not significant, but there was a marginally significant effect for groups living in stressful life situations. This pattern may suggest that that meditation interventions are most beneficial for at-risk populations. These interventions might provide people with strategies of stress management that can contribute to wellbeing. Preliminary results suggest that benefits of meditation interventions might not fade with time.

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Mindfulness facets predict quality of life and sleep disturbance via physical and emotional distresses in Chinese cancer patients: A moderated mediation analysis

Fong

2020

Psycho-Oncology

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ObjectiveColorectal cancer survivors are at risk of symptom burden and emotional distress. Dispositional mindfulness has been linked with better sleep quality and quality of life (QoL) in these patients. This longitudinal study aimed to examine the associations among mindfulness facets, symptom burden, emotional distress, and functional outcomes.MethodsStudy sample of this three‐wave, 2‐month survey was 127 Chinese colorectal cancer survivors. The participants completed the Five Facet Mindfulness Questionnaire, Memorial Symptom Assessment Scale, Perceived Stress Scale, Hospital Anxiety and Depression Scale, Pittsburgh Sleep Quality Index, and SF‐12 health survey. Moderated mediation analyses examined the direct and indirect effects of mindfulness facets on QoLs and sleep quality via symptom burden and emotional distress, using acting with awareness as a moderator.ResultsThe mindfulness facets had no significant direct effects on functional outcomes 2 months later. Awareness and nonreacting showed significant and positive indirect effects on physical and mental QoL via symptom burden and emotional distress 1 month later, respectively. Awareness, nonjudging, and nonreacting significantly predicted better sleep quality indirectly via emotional distress. Nonreacting showed stronger indirect effects on the functional outcomes among patients with greater awareness.ConclusionsThis study demonstrates longitudinal linkages between dispositional mindfulness and functioning in cancer survivors via symptom burden and emotional distress. Acting with awareness and nonreacting are the two facets that displayed clinical relevance in predicting better sleep quality and QoL.

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The Long-Term Effects of Mindfulness Added to Family Resilience-Oriented Couples Support Group on Psychological Well-Being and Cortisol Responses in Breast Cancer Survivors and Their Partners

Cited by 30 publications

References 37 publications

A Meta-Analytic Review of Interventions That Promote Meaning in Life

A Meta-Analytic Review of Interventions That Promote Meaning in Life

Meditation interventions efficiently reduce cortisol levels of at-risk samples: a meta-analysis

Mindfulness facets predict quality of life and sleep disturbance via physical and emotional distresses in Chinese cancer patients: A moderated mediation analysis

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