Using Mindfulness to Reduce Anxiety During PET/CT Studies

Lorca, Alberto Martínez; Lorca, Manuela Martínez; Criado, Juan José; Aguado, Roberto; Baños, M.C.; Armesilla, María Dolores Cabañas

doi:10.1007/s12671-018-1065-2

Cited by 15 publications

(19 citation statements)

References 24 publications

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“…Our electronic search strategy identified 5686 citations, of which 27 trials met the eligibility criteria ( Figure 1 ). 16 , 18 , 19 , 20 , 21 , 22 , 33 , 34 , 35 , 36 , 37 , 38 , 39 , 40 , 41 , 42 , 43 , 44 , 45 , 46 , 47 , 48 , 49 , 50 , 51 , 52 , 53 , 54 We included 1 additional trial identified through hand searching. One trial by Compen et al 21 randomized patients to in-person MBCT, internet-based MBCT, and usual care cohorts and thus represented 2 separate analyses, for an overall total of 29 mindfulness-based comparisons (3053 participants).…”

Section: Resultsmentioning

confidence: 99%

Association of Mindfulness-Based Interventions With Anxiety Severity in Adults With Cancer

et al. 2020

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IMPORTANCE Mindfulness-based interventions (MBIs), grounded in mindfulness, focus on purposely paying attention to experiences occurring at the present moment without judgment. MBIs are increasingly used by patients with cancer for the reduction of anxiety, but it remains unclear if MBIs reduce anxiety in patients with cancer. OBJECTIVE To evaluate the association of MBIs with reductions in the severity of anxiety in patients with cancer. DATA SOURCES Systematic searches of MEDLINE, Embase, Cochrane Central Register of Controlled Trials, CINAHL, PsycINFO, and SCOPUS were conducted from database inception to May 2019 to identify relevant citations. STUDY SELECTION Randomized clinical trials (RCTs) that compared MBI with usual care, waitlist controls, or no intervention for the management of anxiety in cancer patients were included. Two reviewers conducted a blinded screening. Of 101 initially identified studies, 28 met the inclusion criteria. DATA EXTRACTION AND SYNTHESIS Two reviewers independently extracted the data. The Cochrane Collaboration risk-of-bias tool was used to assess the quality of RCTs, and the Preferred Reporting Items for Systematic Reviews and Meta-analyses reporting guideline was followed. Summary effect measures were reported as standardized mean differences (SMDs) and calculated using a random-effects model. MAIN OUTCOMES AND MEASURES Our primary outcome was the measure of severity of shortterm anxiety (up to 1-month postintervention); secondary outcomes were the severity of mediumterm (1 to Յ6 months postintervention) and long-term (>6 to 12 months postintervention) anxiety, depression, and health-related quality of life of patients and caregivers. RESULTS This meta-analysis included 28 RCTs enrolling 3053 adults with cancer. None of the trials were conducted in children. Mindfulness was associated with significant reductions in the severity of short-term anxiety (23 trials; 2339 participants; SMD, −0.51; 95% CI, −0.70 to −0.33; I 2 = 76%). The association of mindfulness with short-term anxiety did not vary by evaluated patient, intervention, or study characteristics. Mindfulness was also associated with the reduction of medium-term anxiety (9 trials; 965 participants; SMD, −0.43; 95% CI, −0.68 to −0.18; I 2 = 66%). No reduction in long-term anxiety was observed (2 trials; 403 participants; SMD, −0.02; 95% CI, −0.38 to 0.34; I 2 = 68%). MBIs were associated with a reduction in the severity of depression in the short term (19 trials; 1874

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Section: Resultsmentioning

confidence: 99%

Association of Mindfulness-Based Interventions With Anxiety Severity in Adults With Cancer

et al. 2020

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“…In the last few decades, mindfulness-related interventions have been applied extensively both in China and abroad, especially in clinical settings (Hoge et al, 2013;Würtzen et al, 2013;Liu et al, 2019;Buckner et al, 2020); however, they also affect the non-clinical population (Arch and Craske, 2006;Zhu et al, 2019). Recently, Lorca et al (2019) suggested that a single-session mindfulness practice using a meditation recording reduced both subjective and objective anxiety in patients undergoing a PET/ CT study. With the support of a previous study, mindfulness interventions can significantly improve participants' positive emotions (Keng et al, 2011), reduce the self-reported level of anxiety and depression (Hoge et al, 2013;Würtzen et al, 2013;Liu et al, 2019;Zhu et al, 2019;Buckner et al, 2020), and even adjust heart rate (Lorca et al, 2019).…”

Section: Discussionmentioning

confidence: 99%

“…Recently, Lorca et al (2019) suggested that a single-session mindfulness practice using a meditation recording reduced both subjective and objective anxiety in patients undergoing a PET/ CT study. With the support of a previous study, mindfulness interventions can significantly improve participants' positive emotions (Keng et al, 2011), reduce the self-reported level of anxiety and depression (Hoge et al, 2013;Würtzen et al, 2013;Liu et al, 2019;Zhu et al, 2019;Buckner et al, 2020), and even adjust heart rate (Lorca et al, 2019). Our results are consistent with the conclusion that mindfulness interventions can adjust a patient's mood and may have clinical implications for people in quarantine to reduce psychological stress.…”

Section: Discussionmentioning

confidence: 99%

“…After mindfulness interventions, people showed a reduction in anxiety levels (Hoge et al, 2013;Würtzen et al, 2013), depression (Deyo et al, 2009;Würtzen et al, 2013), anger, and an increase in forgiving tendencies, life satisfaction, and life equality (Brown and Ryan, 2003). Regardless of short or long-term mindfulness interventions (Shapiro et al, 2006;Lorca et al, 2019), people in the experimental groups showed promising changes during the interventions compared to the control group.…”

Section: Introductionmentioning

confidence: 99%

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Using Mindfulness to Reduce Anxiety and Depression of Patients With Fever Undergoing Screening in an Isolation Ward During the COVID-19 Outbreak

et al. 2021

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The coronavirus disease 2019 (COVID-19) continues to spread globally. This infectious disease affects people not only physically but also psychologically. Therefore, an effective psychological intervention program needs to be developed to improve the psychological condition of patients screened for fever during this period. This study aimed to investigate the effect of a brief mindfulness intervention on patients with suspected fever in a screening isolation ward awaiting results of the COVID-19 test. The Faces Scale and the Emotional Thermometer Tool were used to investigate 51 patients who were randomly divided into an intervention group and a control group. All patients completed self-rating questionnaires online at the time they entered the isolation ward and before they were informed of the results. The intervention group listened to the mindfulness audios through hospital broadcasts in the isolation ward before their lunch break and while they slept. Compared with the control group, the intervention group’s life satisfaction score increased (F = 4.02, p = 0.051) and the emotional thermometer score decreased (F = 8.89, p = 0.005). The anxiety scores (F = 9.63, p = 0.003) and the needing help scores decreased significantly (F = 4.95, p = 0.031). Distress (F = 1.41, p = 0.241), depression (F = 1.93, p = 0.171), and anger (F = 3.14, p = 0.083) also decreased, but did not reach significance. Brief mindfulness interventions can alleviate negative emotions and improve the life satisfaction of patients in the isolation ward who were screened for COVID-19 during the waiting period.

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“…Another clinical trial also found that mindfulness interventions significantly lowered blood pressure, heart rate, oxygen saturation, and perceived stress in women undergoing breast biopsies [27]. A recent study in 108 cancer patients also showed that a single-session mindfulness practice significantly reduced anxiety levels and lowered heart rates in patients undergoing positron emission tomography-computed tomography scans [28].…”

Section: Discussionmentioning

confidence: 99%

A Technology-Assisted, Brief Mind-Body Intervention to Improve the Waiting Room Experience for Chemotherapy Patients: Randomized Quality Improvement Study

et al. 2019

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BackgroundPatients waiting for chemotherapy can experience stress, anxiety, nausea, and pain. Acupressure and meditation have been shown to control such symptoms.ObjectiveThis study aimed to evaluate the feasibility and effectiveness of an integrative medicine app to educate patients about these self-care tools in chemotherapy waiting rooms.MethodsWe screened and enrolled cancer patients in chemotherapy waiting rooms at two Memorial Sloan Kettering Cancer Center locations. Patients were randomly assigned into an intervention arm in which subjects watched acupressure and meditation instructional videos or a control arm in which they watched a time- and attention-matched integrative oncology lecture video. Before and after watching the videos, we asked the patients to rate four key symptoms: stress, anxiety, nausea, and pain. We performed the analysis of covariance to detect differences between the two arms postintervention while controlling for baseline symptoms.ResultsA total of 223 patients were enrolled in the study: 113 patients were enrolled in the intervention arm and 110 patients were enrolled in the control arm. In both groups, patients showed significant reductions in stress and anxiety from baseline (all P<.05), with the treatment arm reporting greater stress and anxiety reduction than the control arm (1.64 vs 1.15 in stress reduction; P=.01 and 1.39 vs 0.78 in anxiety reduction; P=.002). The majority of patients reported that the videos helped them pass time and that they would watch the videos again.ConclusionsAn integrative medicine self-care app in the waiting room improved patients’ experiences and reduced anxiety and stress. Future research could focus on expanding this platform to other settings to improve patients’ overall treatment experiences.

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Using Mindfulness to Reduce Anxiety During PET/CT Studies

Cited by 15 publications

References 24 publications

Association of Mindfulness-Based Interventions With Anxiety Severity in Adults With Cancer

Association of Mindfulness-Based Interventions With Anxiety Severity in Adults With Cancer

Using Mindfulness to Reduce Anxiety and Depression of Patients With Fever Undergoing Screening in an Isolation Ward During the COVID-19 Outbreak

A Technology-Assisted, Brief Mind-Body Intervention to Improve the Waiting Room Experience for Chemotherapy Patients: Randomized Quality Improvement Study

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