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Mindfulness-Based Cognitive Therapy and Caregivers of Cancer Survivors

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Mindfulness-Based Cognitive Therapy

Abstract

The use of mindfulness-based cognitive therapy (MBCT) is vast, as illustrated throughout this book. The use of MBCT and its related therapies has extended into medical settings, which is appropriate as mindfulness-based stress reduction (MBSR), from which MBCT was based, originated in a medical setting [1, 2]. However, a caregiving population has not been explicitly highlighted in MBCT literature. Existing on the periphery of formalized medical care, informal caregivers experience significant burden in providing care for others (e.g., family and friends). We believe that informal caregivers, specifically those of cancer survivors, would greatly benefit from MBCT treatment as a way to relieve burden and to transition into a “being mode” while providing care. The purpose of this chapter is to introduce the application of MBCT for caregivers of cancer survivors. In this chapter, we detail the rationale for using MBCT with caregivers of cancer survivors, highlighting how MBCT could meet the needs of caregivers of cancer survivors, and how to adapt the current MBCT format [3] to a group of those providing care for cancer survivors. Recommendations based on various clinical concerns, questions for reflection, and resources are also included at the conclusion of this chapter.

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References

  1. Kabat-Zinn J. Full-catastrophe living: Using the wisdom of your body and mind to face stress, pain, and illness. Revth ed. New York, NY: Bantam; 2013.

    Google Scholar 

  2. Smith JE, Richardson J, Hoffman C, Pilkington K. Mindfulness-based stress reduction as supportive therapy in cancer care: systematic review. J Adv Nurs. 2005;52:315–37.

    Article  PubMed  Google Scholar 

  3. Segal ZV, Williams JMG, Teasdale JD. Mindfulness-based cognitive therapy for depression: a new approach to preventing relapse. 2nd ed. New York, NY: The Guilford Press; 2013.

    Google Scholar 

  4. National Alliance for Caregiving & Association of American Retired Persons. Caregiving in the U.S.; 2015. http://www.caregiving.org/caregiving2015/

  5. Family Caregiver Alliance. Selected caregiver statistics. Fact Sheet: Selected Caregiver Statistics. 2005. http://www.caregiver.org

    Google Scholar 

  6. American Cancer Society. Cancer facts and figures 2012. Cancer. 2013. http://www.cancer.org

    Google Scholar 

  7. Girgis A, Lambert S, McElduff P, Bonevski B, Lecathelinais C, Boyes A, et al. Some things change, some things stay the same: a longitudinal analysis of cancer caregivers' unmet supportive care needs. Psychooncology. 2013;22(7):1557–64.

    Article  PubMed  Google Scholar 

  8. Bevans M, Sternberg EM. Caregiving burden, stress, and health effects among family caregivers of adult cancer patients. JAMA. 2012;307:398–403.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  9. Hansen T, Slagsvold B, Ingebretsen R. The strains and gains of caregiving: an examination of the effects of providing personal care to a parent on a range of indicators of psychological well-being. Soc Indic Res. 2013;114(2):323–43. doi:10.1007/s11205-012-0148-z.

    Article  Google Scholar 

  10. Clark MM, Atherton PJ, Lapid MI, Rausch SM, Frost MH, Cheville AL, et al. Caregivers of patients with cancer fatigue: a high level of symptom burden. Am J Hosp Palliat Care. 2014;31(2):121–5. doi:10.1177/1049909113479153.

    Article  PubMed  PubMed Central  Google Scholar 

  11. Kim Y. Emotional and cognitive consequences of adult attachment: the mediating effect of the self. Pers Individ Dif. 2005;39:913–23.

    Article  Google Scholar 

  12. Lawrence DP, Kupelnick B, Miller K, Devine D, Lau J. Evidence report on the occurrence, assessment, and treatment of fatigue in cancer patients. J Natl Cancer Inst. 2004;32:40–50.

    Article  Google Scholar 

  13. Chiu YC, Lee YN, Wang PC, Chang TH, Li CL, Hsu WC, et al. Family caregivers sleep disturbance and its associations with multilevel stressors when caring for patients with dementia. Aging Ment Health. 2014;18:92–101.

    Article  PubMed  Google Scholar 

  14. Hasson-Ohayon I, Goldzweig G, Braun M, Galinsky D. Women with advanced breast cancer and their spouses: diversity of support and psychological distress. Psychooncology. 2010;19(11):1195–204.

    Article  PubMed  Google Scholar 

  15. Kotronoulas G, Wengstrom Y, Kearney N. Sleep patterns and sleep-impairing factors of persons providing informal care for people with cancer a critical review of the literature. Cancer Nurs. 2012;36:1–15.

    Article  Google Scholar 

  16. Cooper C, Balamurali T, Livingston G. A systematic review of the prevalence and covariates of anxiety in caregivers of people with dementia (English). Int Psychogeriatr. 2006;19(2):175–95.

    Article  PubMed  Google Scholar 

  17. Lambert S, Girgis A, Lecathelinais C, Stacey F. Walking a mile in their shoes: anxiety and depression among partners and caregivers of cancer survivors at 6 and 12 months post-diagnosis. Support Care Cancer. 2012;21:75–85.

    Article  PubMed  Google Scholar 

  18. Gaston-Johansson F, Lachica E, Fall-Dickson J, Kennedy M. Psychological distress, fatigue, burden of care, and quality of life in primary caregivers of patients with breast cancer undergoing autologous bone marrow transplantation. Oncol Nurs Forum. 2004;31(6):1161–9.

    Article  PubMed  Google Scholar 

  19. Ownsworth T, Henderson L, Chambers SK. Social support buffers the impact of functional impairments on caregiver psychological well-being in the context of brain tumor and other cancers. Psychooncology. 2010;19(10):1116–22.

    Article  PubMed  Google Scholar 

  20. Wei Y, Chu H, Chen C, Hsueh Y, Chang Y, Chang L, Chou K. Support groups for caregivers of intellectually disabled family members: Effects on physical psychological health and social support. J Clin Nur 2012;21(11–12).

    Google Scholar 

  21. Chien L, Chu H, Guo J, Liao Y, Chang L, Chen C, Chou K. Caregiver support groups in patients with dementia: A meta-analysis. International Journal of Geriatric Psychiatry 2011;26(10):1089–1098.

    Google Scholar 

  22. Schulz R, Sherwood PR. Physical and mental health effects of family caregiving. Am J Nurs. 2008;108(9 Suppl):23–7.

    Article  PubMed  PubMed Central  Google Scholar 

  23. Peacock S, Forbes D, Markle-Reid M, Hawranik P, Morgan D, Jansen L, et al. The positive aspects of the caregiving journey with dementia: using a strengths-based perspective to reveal opportunities. J Appl Gerontol. 2010;29:640–59.

    Article  Google Scholar 

  24. Northouse L, Williams A, Given B, McCorkle R. Psychosocial care for family caregivers of patients with cancer. J Clin Oncol. 2012;30:1227–34.

    Article  PubMed  Google Scholar 

  25. Phillips AC, Gallagher S, Hunt K, Der G, Carroll D. Symptoms of depression in non-routine caregivers: the role of caregiver strain and burden. Br J Clin Psychol. 2009;48:335–46.

    Article  PubMed  Google Scholar 

  26. Yalom ID, Leszcz M. The theory and practice of group psychotherapy. New York, NY: Basic Books; 2005.

    Google Scholar 

  27. Simard S, Thewes B, Humphris G, Dixon M, Hayden C, Mireskandari S, et al. Fear of cancer recurrence in adult cancer survivors: a systematic review of quantitative studies. J Cancer Surviv. 2013;7:300–22.

    Article  PubMed  Google Scholar 

  28. Teasdale JD, Segal ZV, Williams JMG, Ridgeway VA, Soulsby JM, Lau MA. Prevention of relapse/recurrence in major depression by mindfulness-based cognitive therapy. J Consult Clin Psychol. 2000;68:615–23.

    Article  CAS  PubMed  Google Scholar 

  29. Geschwind N, Peeters F, Drukker M, van Os J, Wichers M. Mindfulness training increases momentary positive emotions and reward experience in adults vulnerable to depression: a randomized controlled trial. J Consult Clin Psychol. 2011;79(5):618–28.

    Article  PubMed  Google Scholar 

  30. Haydicky J, Shecter C, Wiener J, Ducharme JM. Evaluation of MBCT for adolescents with ADHD and their parents: impact on individual and family functioning. J Child Fam Stud. 2013;24(1):76–94. doi:10.1007/s10826-013-9815-1.

    Article  Google Scholar 

  31. Kaviani H, Hatami N, Javaheri F. The impact of mindfulness-based cognitive therapy (MBCT) on mental health and quality of life in a sub-clinically depressed population. Arch Psychiatry Psychother. 2012;1:21–8.

    Google Scholar 

  32. Keng S, Smoski MJ, Robins CJ. Effects of mindfulness on psychological health: a review of empirical studies. Clin Psychol Rev. 2011;31:1041–56.

    Article  PubMed  PubMed Central  Google Scholar 

  33. Paller KA, Creery JD, Florczak SM, Weintraub S, Mesulam M, Reber PJ, et al. Benefits of mindfulness training for patients with progressive cognitive decline and their caregivers. Am J Alzheimers Dis Other Demen. 2015;30:257–67.

    Article  PubMed  PubMed Central  Google Scholar 

  34. Kögler M, Brandstätter M, Borasio GD, Fensterer V, Küchenhoff H, Fegg MJ. Mindfulness in informal caregivers of palliative patients. Palliat Support Care. 2013;13:11–8.

    Article  PubMed  Google Scholar 

  35. Lunksy Y, Robinson S, Reid M, Palucka AM. Development of a mindfulness-based coping with stress group for parents of adolescents and adults with developmental disabilities. Mindfulness. 2015. Advance online publication. doi:10.1007/s12671-015-0404-9

    Google Scholar 

  36. Li G, Yuan H, Zhang W. The effects of mindfulness-based stress reduction for family caregivers: systematic review. Arch Psychiatr Nurs. 2015. Advance online publication. doi:10.1016/j.apnu.2015.08.014

    Google Scholar 

  37. Hou RJ, Wong SY, Yip BH, Hung ATF, Lo HH, Chan PHS, et al. The effects of mindfulness-based stress reduction program on the mental health of family caregivers: a randomized controlled trial. Psychother Psychosom. 2014;83:45–53.

    Article  PubMed  Google Scholar 

  38. Whitebird RR, Kreitzer M, Crain AL, Lewis BA, Hanson LR, Enstad CJ. Mindfulness-based stress reduction for family caregivers: a randomized controlled trial. Gerontologist. 2013;53:676–86.

    Article  PubMed  PubMed Central  Google Scholar 

  39. Lengacher CA, Kip KE, Barta M, Post-White J, Jacobsen PB, Groer M, et al. A pilot study evaluating the effect of mindfulness-based stress reduction on psychological status, physical status, salivary cortisol, and interleukin-6 among advanced-stage cancer patients and their caregivers. J Holist Nurs. 2012;30(3):170–85.

    Article  PubMed  Google Scholar 

  40. van den Hurk M, Schellekens J, Molema J, Speckens AE, van der Drift MA. Mindfulness-based stress reduction for lung cancer patients and their partners: results of a mixed methods pilot study. Palliat Med. 2015;29:652–60.

    Article  PubMed  PubMed Central  Google Scholar 

  41. Norouzi M, Golzari M, Sohrabi F. Effectiveness of mindfulness based cognitive therapy on the quality of life, depression and burden of demented women caregivers. Zahedan J Res Med Sci. 2014;16(9):5–11.

    Google Scholar 

  42. Oken BS, Fonareva I, Haas M, Wahbeh H, Lane JB, Zajdel D, et al. Pilot controlled trial of mindfulness meditation and education for dementia caregivers. J Altern Complement Med. 2010;16:1031–8.

    Article  PubMed  PubMed Central  Google Scholar 

  43. Mitchell CG. Patient satisfaction with standard interventions in a managed care context. Res Soc Work Practice. 2001;11:473–484.

    Google Scholar 

  44. Tovote KA, Fleer J, Snippe E, Peeters AC, Emmelkamp PM, Sanderman R, et al. Individual mindfulness-based cognitive therapy and cognitive behavior therapy for treating depressive symptoms in patients with diabetes: results of a randomized controlled trial. Diabetes Care. 2014;37:2427–34.

    Article  PubMed  Google Scholar 

  45. Harding R, Higginson IJ. What is the best way to help caregivers in cancer and palliative care? A systematic literature review of interventions and their effectiveness. Palliat Med. 2003;17:63–74.

    Article  CAS  PubMed  Google Scholar 

  46. Lorenz KA, Lynn J, Dy S, Shugarman LR, Wilkinson A, Mularski RA, et al. Evidence for improving palliative care at the end of life: a systematic review. Ann Intern Med. 2008;148:147–59.

    Article  PubMed  Google Scholar 

  47. Sampson C, Finlay I, Byrne A, Snow V, Nelson A. The practice of palliative care from the perspective of patients and carers. BMJ Support Palliative Care. 2014. Advanced online publication.

    Google Scholar 

  48. Parkenham KI. Caregiving tasks in caring for an adult with mental illness and associations with adjustment outcomes. Int J Behav Med. 2012;19(2):186–98.

    Article  Google Scholar 

  49. Spillers RL, Wellisch DK, Kim Y, Matthews BA, Baker F. Family caregivers and guilt in the context of cancer care. Psychosomatics. 2008;49(6):511–9.

    Article  PubMed  Google Scholar 

  50. Smith EL, Jones FW, Holttum S, Griffiths K. The process of engaging in mindfulness-based cognitive therapy as a partnership: a grounded theory study. Mindfulness. 2015;6:455–66.

    Article  CAS  Google Scholar 

  51. Williams JMG, Teasdale JD, Segal ZV, Kabat-Zinn J. The mindful way through depression: Freeing yourself from chronic unhappiness. New York, NY: The Guilford Press; 2007.

    Google Scholar 

  52. Yabroff K, Kim Y. Time costs associated with informal caregiving for cancer survivors. Cancer. 2009;115(18):4362–73.

    Article  PubMed  Google Scholar 

  53. Zarit HS, Kim K, Femia EE, Almeida DM, Savla J, Molenaar PCM. Effects of adult day care on daily stress of caregivers: a within-person approach. J Gerontol B Psychol Sci Soc Sci. 2011;66B(5):538–46.

    Article  PubMed Central  Google Scholar 

  54. Maex E. The Buddhist roots of mindfulness training: a practitioners view. ConBuddh. 2011;12:165–75.

    Google Scholar 

  55. Ratts MJ, Singh AA, Nassar-McMillan S, Butler SK, McCullough JR. Multicultural and social justice counseling competencies. 2015. http://www.multiculturalcounseling.org/index.php?option = com_content&view = article&id = 205:amcd-endorses-multicultural-and-social-justice-counseling-competencies&catid = 1:latest&Itemid = 123

    Google Scholar 

  56. Association for Spiritual, Ethical, and Religious Values in Counseling. Competencies for addressing spiritual and religious issues in counseling. Alexandria, VA: Author; 2009.

    Google Scholar 

  57. Gladding ST. Groups: A counseling specialty (6th ed.). Upper Saddle River, NJ: Pearson. 2011.

    Google Scholar 

  58. Pinquart M, Sörensen S. Differences between caregivers and noncaregivers in psychological health and physical health: a meta-analysis. Psychol Aging. 2003;18:250–67.

    Article  PubMed  Google Scholar 

  59. Smith G, Williamson G, Miller L, Schulz R. Depression and quality of informal care: a longitudinal investigation of caregiving stressors. Psychol Aging. 2011;26(3):584–91.

    Article  PubMed  PubMed Central  Google Scholar 

  60. Northouse L, Katapodi M, Song L, Zhang L, Mood D. Interventions with family caregivers of cancer patients meta-analysis of randomized trials. CA Cancer J Clin. 2010;60(5):317–39.

    PubMed  PubMed Central  Google Scholar 

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Correspondence to Andrew W. Wood Ph.D. .

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Wood, A.W., Gonzalez, J., Barden, S.M. (2016). Mindfulness-Based Cognitive Therapy and Caregivers of Cancer Survivors. In: Eisendrath, S. (eds) Mindfulness-Based Cognitive Therapy. Springer, Cham. https://doi.org/10.1007/978-3-319-29866-5_18

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  • DOI: https://doi.org/10.1007/978-3-319-29866-5_18

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