Top

Gepubliceerd in:

14-03-2022 | ORIGINAL PAPER

Effects of a Mindfulness Program on Stress and Psychological Outcomes Among Cancer Survivors: a Quasi-Experimental Study

Auteurs: Piyanee Klainin-Yobas, Wee Joo Chng, Neo Kim Emily Ang, Violeta Lopez, Punya Damayanthi Arunoda, Ying Lau

Gepubliceerd in: Mindfulness | Uitgave 4/2022

Abstract

Objectives

Cancer survivors face multiple challenges associated with cancer and its treatments. This study aimed to examine the initial effect of the Mindfulness-Based Psychoeducation for Cancer Survivors (MindCAN) program, which emphasizes the application of mindfulness to cancer-related matters.

Methods

A single group, quasi-experimental study was conducted from 2018 to 2020. A convenience sample was recruited from a tertiary hospital in Singapore. Eligibility criteria included adult cancer survivors who had finished curative treatments from 2 weeks to 2 years. Power analysis was used to estimate an adequate sample size. Participants attended the 8-week, group-based MindCAN program which comprised two components, education and mindfulness practice. Self-reported questionnaires and physiological measures were used to elicit participants’ responses. Data were analyzed using descriptive statistics and analysis of variance.

Results

In total, 61 cancer survivors completed the 8-week sessions. Most participants were Singaporean, female, and Chinese. As compared to pretest scores, participants reported significant reduction in objective stress, subjective stress, anxiety, and depression. They also had significant improvement in perceived relaxation, mindfulness, and psychological well-being. Effect size (η_p²) ranged from medium to large (0.06 to 0.40) across the outcome variables.

Conclusions

Our findings suggested that the MindCAN program had the potential to improve psychological outcomes among cancer survivors. Future randomized controlled trials are required to further test the effectiveness of the MindCAN program.

vorige artikel Individual Differences in Dispositional Mindfulness Predict Attentional Networks and Vigilance Performance

volgende artikel Mindful Awareness Promotes Resilience: Buffered Links Among Childhood Sexual Abuse Severity, Goal-Directed Emotion Dysregulation, and Psychopathology

Alleen toegankelijk voor geautoriseerde gebruikers

American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). American Psychiatric Association.

Berger, A. M., Visovsky, C., Hertzog, M., Holtz, S., & Loberiza, F. R., Jr. (2012). Usual and worst symptom severity and interference with function in breast cancer survivors. The Journal of Supportive Oncology, 10(3), 112–118. https://doi.org/10.1016/j.suponc.2011.11.001CrossRefPubMed

Bonanno, G. A., Westphal, M., & Mancini, A. D. (2011). Resilience to loss and potential trauma. Annual Review of Clinical Psychology, 7, 511–535. https://doi.org/10.1146/annurev-clinpsy-032210-104526CrossRefPubMed

Branstorm, R., Kvillemo, P., & Moslowitz, J. T. (2011). A randomized study of the effects of mindfulness training on psychological well-being and symptoms of stress in patients treated for cancer at 6-month follow-up. International Journal of Behavioral Medicine, 20(2), 535–542. https://doi.org/10.1007/s12529-011-9192-3CrossRef

Brown, K. W., & Ryan, R. M. (2003). The benefits of being present: Mindfulness and its role in psychological well-being. Journal of Personality and Social Psychology, 84, 822–848. https://doi.org/10.1037/0022-3514.84.4.822CrossRefPubMed

National Comprehensive Cancer Network. (2013). NCCN clinical practice guidelines in oncology for distress management [V.2.2013]. www.nccn.org/professionals/physi cian_gls/f_guidelines.asp#supportive

Cancer Institute NSW (2015). Cancer treatment side effects: A guide for Aboriginal health workers. Cancer Institute NSW.

Carlson, L. E., Speca, M., & Segal, Z. V. (2010). Mindfulness-based cancer recovery. New Harbinger.

Cillessen, L., Johannsen, M., Speckens, A. E. M., & Zachariae, R. (2019). Mindfulness-based interventions for psychological and physical health outcomes in cancer patients and survivors: A systematic review and meta-analysis of randomized controlled trials. Psycho-Oncology, 28(12), 2257–2269. https://doi.org/10.1002/pon.5214CrossRefPubMedPubMedCentral

Coffey, K., & Hartman, M. (2008). Mechanisms of action in the inverse relationship between mindfulness and psychological distress. Complementary Health Practice Review, 13, 79–91. https://doi.org/10.1177/1533210108316307CrossRef

J Cohen 1988 Statistical power analysis for the behavioral sciences (2nd edition) Lawrence Erlbaum

Connor, K. M., & Davidson, J. R. T. (2003). Development of a new resilience scale: The Connor-Davidson resilience scale (CD-RISC). Depression and Anxiety, 18(2), 76–82.CrossRefPubMed

Diener, E. (1984). Subjective well-being. Psychological Bulletin, 95, 542–575. https://doi.org/10.1037/0033-2909.95.3.542CrossRefPubMed

Eng, J. W., Kokolus, K. M., Reed, C. B., Hylander, B. L., Ma, W. W., & Repasky, E. A. (2014). A nervous tumor microenvironment: The impact of adrenergic stress on cancer cells, immunosuppression, and immunotherapeutic response. Cancer Immunology, Immunotherapy, 63(11), 1115–1128.CrossRefPubMed

Foley, E., Baillie, A., Huxter, M., Price, M., & Sinclair, E. (2010). Mindfulness-based cognitive therapy for individuals whose lives have been affected by cancer: A randomized controlled trial. Journal of Consulting and Clinical Psychology, 78(1), 72–79. https://doi.org/10.1037/a0017566CrossRefPubMed

Glynn, B. A., Khoo, E. L., MacLeay, H. M. L., Duong, A., Cantave, R., & Poulin, P. A. (2020). Exploring cancer patients’ experiences of an online mindfulness-based program: A qualitative investigation. Mindfulness, 11(7), 1666–1677. https://doi.org/10.1007/s12671-020-01380-zCrossRefPubMedPubMedCentral

John, S. A., Brown, L. F., Beck-Coon, K., Monahan, P. O., Tong, Y., & Kroenke, K. (2015). Randomized controlled pilot study of mindfulness-based stress reduction for persistently fatigued cancer survivors. Psycho-Oncology, 24(8), 885–893. https://doi.org/10.1002/pon.3648CrossRef

J Kabat-Zinn 2013 Full catastrophe living: How to cope with stress, pain and illness using mindfulness meditation Bantam Books

Kenyon, M., Mayer, D. K., & Owens, A. K. (2014). Late and long-term effects of breast cancer treatment and surveillance management for the general practitioner. Journal of Obstetric, Gynecologic, and Neonatal Nursing: JOGNN, 43(3), 382–398. https://doi.org/10.1111/1552-6909.12300CrossRefPubMed

Kingston, T., Collier, S., Hevey, D., McCormick, M. M., Besani, C., Cooney, J., & O’Dwyer, A. M. (2015). Mindfulness-based cognitive therapy for psychooncology patients: An exploratory study. Irish Journal of Psychological Medicine, 32(3), 265–274.CrossRefPubMed

Klainin-Yobas, P., Goei, L. P., Chng, W. J. Ang, N. K. E., Lopez, V., & Lau, Y. (2019, August 2–3). Efficacy of the mindfulness-based psychoeducation programme among adult cancer survivors: The preliminary findings. Conference session. NCIS Annual Research Meeting (NCAM), National University Health System, Singapore.

Krizanova, O., Babula, P., & Pacak, K. (2016). Stress, catecholaminergic system and cancer. Stress, 19, 419–428. https://doi.org/10.1080/10253890.2016.1203415CrossRefPubMed

Lee, S. Y., Klainin-Yobas, P., & Chen, H. C. (2010). Developing a stress management intervention for adult patients with hypertension and ischemic heart disease: A pilot study. [Unpublished Honors thesis, National University of Singapore].

Lengacher, C. A., Johnson-Mallard, V., Post-White, J., Moscoso, M. S., Jacobsen, P. B., Klein, T. W., Widen, R. H., Fitzgerald, S. G., Shelton, M. M., Barta, M., Goodman, M., Cox, C. E., & Kip, K. E. (2009). Randomized controlled trial of mindfulness-based stress reduction (MBSR) for survivors of breast cancer. Psycho-Oncology, 18(12), 1261–1272. https://doi.org/10.1002/pon.1529CrossRefPubMed

Lengascher, C. A., Reich, R. R., Paterson, C. L., Ramesar, S., Park, J. Y., Alinat, C., Johnson-Mallard, V., Moscoso, M., Budhrani-Shani, P., Miladinovic, B., Jacobsen, P. B., Cox, C. C., Goodman, M., & Kip, K. E. (2016). Examination of broad symptom improvement resulting from mindfulness-based stress reduction in breast cancer survivors: A randomized controlled trial. Journal of Clinical Oncology, 34(24), 2027–2035. https://doi.org/10.1200/JCO.2015.65.7874CrossRef

Lim, Y., Klainin-Yobas, P., & Chen, H. C. (2014). Efficacy of relaxation intervention on pain, self-efficacy, and stress-related variables in patients following total knee replacement Surgery. Pain Management Nursing, 15(4), 888–896. https://doi.org/10.1016/j.pmn.2014.02.001CrossRefPubMed

Lovibond, S.H. & Lovibond, P.F. (1995). Manual for the depression anxiety & stress scales. (2nd Ed.). Psychology Foundation.

Stress Market (2011). Stress thermometer SC 911. http://www.cliving.org/SC911/SC911instr.pdf

Mitchell, A. J., Chan, M., Bhatti, H., Halton, M., Grassi, L., Johansen, C., & Meader, N. (2011). Prevalence of depression, anxiety, and adjustment disorder in oncological, haematological, and palliative-care settings: A meta-analysis of 94 interview-based studies. Lancet Oncology, 12(2), 160–174. https://doi.org/10.1016/s1470-2045(11)70002-xCrossRefPubMed

Monti, D. A., Peterson, C., Kunkel, E. J. S., Hauck, W. W., Pequignot, E., Rhodes, L., & Brainard, G. C. (2005). A randomized, controlled trial of mindfulness-based art therapy (MBAT) for women with cancer. Journal of the Psychological, Social and Behavioral Dimensions of Cancer, 15, 363–373. https://doi.org/10.1002/pon.988CrossRef

Oka, T., Oka, K., & Hori, T. (2001). Mechanisms and mediators of psychological stress-induced rise in core temperature. Psychosomatic Medicine, 63(3), 476–486. https://doi.org/10.1097/00006842-200105000-00018CrossRefPubMed

Park, S., Sado, M., Fujisawa, D., Sato, Y., Takeuchi, M., Ninomiya, A., Takahashi, M., Yoshimura, K., Jinno, H., & Takeda, Y. (2018). Mindfulness-based cognitive therapy for Japanese breast cancer patients—A feasibility study. Japan Journal of Clinical Oncology, 48(1), 68–74. https://doi.org/10.1093/jjco/hyx156CrossRef

Pham, Q., Hearn, J., Gao, B., Brown, I., Hamilton, R. J., Berlin, A., Cafazzo, J. A., & Feifer, A. (2020). Virtual care models for cancer survivorship. NPJ Digital Medicine, 3(1), 113, 1–7. https://doi.org/10.1038/s41746-020-00321-3

Podsakoff, P. M., MacKenzie, S. B., & Podsakoff, N. P. (2012). Sources of method bias in social science research and recommendations on how to control it. Annual Review of Psychology, 63, 539–569.CrossRefPubMed

Ryan, R. M., & Deci, E. L. (2001). On happiness and human potentials: A review of research on hedonic and eudaimonic well-being. Annual Review of Psychology, 52, 141–166. https://doi.org/10.1146/annurev.psych.52.1.141CrossRefPubMed

Ryff, C. D., & Keyes, C. L. M. (1995). The structure of psychological well-being revisited. Journal of Personality and Social Psychology, 69, 719–727. https://doi.org/10.1037//0022-3514.69.4.719CrossRefPubMed

Schell, L. K., Monsef, I., Wöckel, A., & Skoetz, N. (2019). Mindfulness-based stress reduction for women diagnosed with breast cancer. Cochrane Database Systematic Review, 3(3), CD011518. https://doi.org/10.1002/14651858.CD011518.pub2

Schumacher, A., Sauerland, C., Silling, G., Berdel, W. E., & Stelljes, M. (2014). Resilience in patients after allogeneic stem cell transplantation. Supportive Care in Cancer, 22(2), 487–493. https://doi.org/10.1007/s00520-013-2001-6CrossRefPubMed

Seiler, A., & Jenewein, J. (2019). Resilience in cancer patients. Frontiers in Psychiatry, 10, 1–35. https://doi.org/10.3389/fpsyt.2019.00208CrossRef

Statulator (2014). Sample size calculator for comparing two independent means. http://statulator.com/SampleSize/ss2PM.html

Tang, Y.-Y., Tang, R., & Gross, J. J. (2019). Promoting psychological well-being through an evidence-based mindfulness training program. Frontiers in Human Neuroscience, 13(237), 1–5. https://doi.org/10.3389/fnhum.2019.00237CrossRef

Turakitwanakan, W., Mekseepralard, C., & Busarakumtragul, P. (2013). Effects of mindfulness meditation on serum cortisol of medical students. Journal of Medical Association Thailand, 96(Suppl 1), S90-95.

Ulrich-Lai, Y. M., & Herman, J. P. (2009). Neural regulation of endocrine and autonomic stress responses. Nature Review Neuroscience, 10, 397–409. https://doi.org/10.1038/nrn2647CrossRef

World Health Organisation. (2020). WHO report on cancer: Setting priorities, investing wisely and provide care for all. https://www.who.int/publications/i/item/who-report-on-cancer-setting-priorities-investing-wisely-and-providing-care-for-all

Wu, H. S., & Harden, J. K. (2015). Symptom burden and quality of life in survivorship: A review of the literature. Cancer Nursing, 38(1), E29–E54. https://doi.org/10.1097/NCC.0000000000000135CrossRefPubMed

Xunlin, N. G., Lau, Y., & Yobas, P. K. (2020). The effectiveness of mindfulness-based interventions among cancer patients and survivors: A systematic review and meta-analysis. Supportive Care in Cancer, 28, 1563–1578. https://doi.org/10.1007/s00520-019-05219-9CrossRefPubMed

Zhang, J., Xu, R., Wang, B., & Wang, J. (2019). Effects of mindfulness-based stress reduction (MBSR) on symptoms variables and health-related quality of life in breast cancer patient: A systematic review and meta-analysis. Supportive Care in Cancer, 27, 771–781. https://doi.org/10.1007/s00520-018-4570-xCrossRefPubMed

Titel: Effects of a Mindfulness Program on Stress and Psychological Outcomes Among Cancer Survivors: a Quasi-Experimental Study
Auteurs: Piyanee Klainin-Yobas
Wee Joo Chng
Neo Kim Emily Ang
Violeta Lopez
Punya Damayanthi Arunoda
Ying Lau
Publicatiedatum: 14-03-2022
Uitgeverij: Springer US
Gepubliceerd in: Mindfulness / Uitgave 4/2022
Print ISSN: 1868-8527
Elektronisch ISSN: 1868-8535
DOI: https://doi.org/10.1007/s12671-022-01852-4

Andere artikelen Uitgave 4/2022

Training Self-compassion: Exploring the Effects on Adolescents’ Physiological and Self-reported Stress Responses

ORIGINAL PAPER

Women, Painful Sex, and Mindfulness

Open Access
ORIGINAL PAPER

Mindful Awareness Promotes Resilience: Buffered Links Among Childhood Sexual Abuse Severity, Goal-Directed Emotion Dysregulation, and Psychopathology

ORIGINAL PAPER

Mindful Parent Training for Parents of Children Aged 3–12 Years with Behavioral Problems: a Scoping Review

REVIEW

Mindfulness-Based Stress Reduction Intervention and Emotional Recovery in Borderline Personality Features: Evidence from Psychophysiological Assessment

ORIGINAL PAPER

A Biobehavioural Approach to Understand How Mindfulness-Based Cognitive Therapy Reduces Dispositional Negative Self-Bias in Recurrent Depression

Open Access
ORIGINAL PAPER