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The period of recovery following a lung-cancer surgery presents unique challenges and psychological demands. The study utilized ecological momentary assessments (EMA) to repeatedly sample mindfulness states in a sample of mindfulness-untrained individuals following hospital discharge. Intra- and inter- individual variability was assessed to examine cancer patients’ natural capacity to exhibit mindfulness states during two weeks of recovery. Fifty nine stage I lung cancer patients (61% women, mean age = 66.1, SD = 7.9) completed EMA twice a day for two weeks. Mean level of mindfulness in the sample was low and equaled .49 (SD = .51) on the 5 point scale, with older participants being less likely to endorse mindful states. Net variability in mindfulness, defined as the person-based standard deviation in momentary scores, equaled .42 (SD = .26), ranging for 0 to 1.3 and indicating very modest variability for most participants. Results of the multi-level variance partitioning model revealed 41.4% of variance in mindfulness scores at the inter-individual, 2.4% on the temporal (i.e., .2% weekly and 2.2% daily), and 56.2% on the momentary levels. Findings indicate that, for cancer patients recovering from surgery, the innate ability to exhibit mindfulness is limited. From the methodological standpoint, consideration of intra-individual variability has implications for conceptualization and design of EMA studies.
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American Cancer Society. (2014). Cancer prevalence: How many people have cancer? Retrieved from http://www.cancer.org/cancer/cancerbasics/cancer-prevalence
American Lung Association. (2016). Lung Cancer Fact Sheet. Retrieved from http://www.lung.org/lung-health-and-diseases/lung-disease-lookup/lung-cancer/resourcelibrary/lung-cancer-fact-sheet.html on October 27, 2016
Baer, R. A. (2011). Measuring mindfulness. Contemporary Buddhism, 12, 241–261. https://doi.org/10.1080/14639947.2011.564842 CrossRef
Bishop, S. R., Segal, Z. V., Lau, M., Anderson, N. D., Carlson, L., Shapiro, S.,… Devins, G. (2004). The Toronto Mindfulness Scale: Development and Validation. Unpublished manuscript.
Bohlmeijer, E., Prenger, R., Taal, E., & Cuijpers, P. (2010). The effects of mindfulness-based stress reduction therapy on mental health of adults with a chronic medical disease: A meta-analysis. Journal of Psychosomatic Research, 68, 539–544. https://doi.org/10.1016/j.jpsychores.2009.10.005 CrossRefPubMed
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/10.1037/0022-35220.127.116.112 CrossRefPubMed
Carlson, L., Campbell, T., Garland, S., & Grossman, P. (2007). Associations among salivary cortisol, melatonin, catecholamines, sleep quality and stress in women with breast cancer and healthy controls. Journal of Behavioral Medicine, 30, 45–58. https://doi.org/10.1007/s10865-006-9082-3 CrossRefPubMed
de Deleeuw, J., & Meijer, E. (Eds.). (2007). Handbook of multilevel analysis. New York: Springer.
Ebner-Priemer, U. W., & Trull, T. J. (2009a). Ambulatory assessment: An innovative and promising approach for clinical psychology. European Psychologist, 14, 109–119. CrossRef
Flores, R. M., Park, B. J., Dycoco, J., Aronova, A., Hirth, Y., Rizk, N. P., et al. (2009). Lobectomy by video-assisted thoracic surgery (VATS) versus thoracotomy for lung cancer. The Journal of Thoracic And Cardiovascular Surgery, 138, 11–18. https://doi.org/10.1016/j.jtcvs.2009.03.030 CrossRefPubMed
Goldstein, J. (2002). One dharma: The emerging western Buddhism. San Francisco: Harper Collins.
Gotink, R. A., Hermans, K. S. F. M., Geschwind, N., De Nooij, R., De Groot, W. T., Anne, E. M., et al. (2016). Mindfulness and mood stimulate each other in an upward spiral: A mindful walking intervention using experience sampling. Mindfulness, 7, 1114–1122. https://doi.org/10.1007/s12671-016-0550-8 CrossRefPubMedPubMedCentral
Grossman, P., & Van Dam, N. (2011). Mindfulness, by any other name…: Trials and tribulations of Sati in Western psychology and science. Contemporary Buddhism, 12, 219–239. CrossRef
Gunaratana, B. H. (1996). Mindfulness in plain English: Revised and expanded. Somerville, MA: Wisdom Publications.
Institute of Medicine (US) Committee on Psychosocial Services to Cancer Patients/Families in a Community Setting. (2008). Cancer care for the whole patient: Meeting psychosocial health needs. Washington, DC: National Academies Press. Retrieved from http://www.ncbi.nlm.nih.gov/books/NBK4011/
Kabat-Zinn, J. (2003). Mindfulness-based interventions in context: Past, present, and future. Clinical Psychology: Science and Practice, 10, 144–156.
La Rovere, M. T., Pinna, G. D., Maestri, R., Mortara, A., Capomolla, S., Febo, O., et al. (2003). Short-term heart rate variability strongly predicts sudden cardiac death in chronic heart failure patients. Circulation, 107, 565–570. https://doi.org/10.1161/01.CIR.0000047275.25795.17 CrossRefPubMed
Larsen, R. J. (1987). The stability of mood variability: A spectral analytic approach to daily mood assessments. Journal of Personality and Social Psychology, 8, 23–38.
Larson, R., & Csikszentmihalyi, M. (1983). The experience sampling method. New Directions for Methodology of Social & Behavioral Science, 15, 41–56.
Moore, R. C., Depp, C. A., Wetherell, J. L., & Lenze, E. J. (2016). Ecological momentary assessment versus standard assessment instruments for measuring mindfulness, depressed mood, and anxiety among older adults. Journal of Psychiatric Research, 75, 116–123. https://doi.org/10.1016/j.jpsychires.2016.01.011 CrossRefPubMedPubMedCentral
Nesselroade, J. R. (1988). Some implications of the trait-state distinction for the study of development across the life span: The case of personality research. In P. B. Baltes, D. L. Featherman, & R. M. Lerner (Eds.), Life-span development and behavior (Vol. 8, pp. 163–189). Hillsdale, NJ: Lawrence Erlbaum Associates.
Nesselroade, J. R. (1991). The warp and the woof of the developmental fabric. In R. Downs, L. Liben, & D. S. Palermo (Eds.), Visions of aesthetics, the environment, & development: The legacy of Joachim F. Wohlwill (pp. 213–240). Hillsdale, NJ: Lawrence Erlbaum Associates.
Nesselroade, J. R., & Ram, N. (2004). Studying intraindividual variability: What we have learned that will help us understand lives in context. Research in Human Development, 1, 9–29. CrossRef
Piaget, J. (1964). Part I: Cognitive development in children: Piaget development and learning. Journal of Research in Science Teaching, 2, 176–186. CrossRef
Rodriguez, G. (2008). Multilevel generalized linear models. In J. de Leeuw & E. Meijer (Eds.), Handbook of multilevel analysis (pp. 335–376). New York: Springer. CrossRef
Sauer, S., Walach, H., Schmidt, S., Hinterberger, T., Lynch, S., Bussing, A., et al. (2013). Assessment of mindfulness: Review on state of the art. Mindfulness, 4, 3–17. CrossRef
Schellekens, M. P. J., van den Hurk, D. G. M., Prins, J. B., Molema, J., Donders, A. R. T., Woertman, W. H., et al. (2014). Study protocol of a randomized controlled trial comparing Mindfulness-Based Stress Reduction with treatment as usual in reducing psychological distress in patients with lung cancer and their partners: The MILON study. BMC Cancer, 14, 1–20. https://doi.org/10.1186/1471-2407-14-3 CrossRef
Shiyko, M.P., Perkins, S., & Caldwell, L. (in press). Feasibility and Adherence Paradigm to Ecological Momentary Assessments in Urban Minority Youth. Psychological Assessment.
Shiyko, M. P., & Ram, N. (2011). Conceptualizing and estimating process speed in studies employing ecological momentary assessment designs: A multilevel variance decomposition approach. Multivariate Behavioral Research, 46, 875–899. https://doi.org/10.1080/00273171.2011.625310 CrossRefPubMedPubMedCentral
Smith, J. E., Richardson, J., Hoffman, C., & Pilkington, K. (2005). Mindfulness-based stress reduction as supportive therapy in cancer care: Systematic review. Journal of Advanced Nursing, 52, 315–327. https://doi.org/10.1111/j.1365-2648.2005.03592.x CrossRefPubMed
Smyth, J. M., & Stone, A. A. (2003). Ecological momentary assessment research in behavioral medicine. Journal of Happiness Studies, 4, 35–52. CrossRef
Stone, A. A., & Shiffman, S. (1994). Ecological momentary assessment (EMA) in behavioral medicine. Annals of Behavioral Medicine, 16, 199–202. CrossRef
Tamagawa, R., Giese-Davis, J., Speca, M., Doll, R., Stephen, J., & Carlson, L. E. (2013). Trait mindfulness, repression, suppression, and self-reported mood and stress symptoms among women with breast cancer. Journal of Clinical Psychology, 69, 264–277. https://doi.org/10.1002/jclp.21939 CrossRefPubMed
Trull, T. J., & Ebner-Priemer, U. W. (2009). Using experience sampling methods/ecological momentary assessment (ESM/EMA) in clinical assessment and clinical research: Introduction to the special section. Psychological Assessment, 21, 457–462. https://doi.org/10.1037/a0017653 CrossRefPubMedPubMedCentral
van’t Spijker, A., Trijsburg, R. W., & Duivenvoorden, H. J. (1997). Psychological sequelae of cancer diagnosis: A meta-analytical review of 58 studies after 1980. Psychosomatic Medicine, 59, 280–293. CrossRef
Vilardaga, R., McDonell, M., Leickly, E., & Ries, R. (2014). Ecological momentary assessments: A contextual behavioral approach to studying mindfulness and acceptance in psychosis.
Wallace, B. A. (1999). The Buddhist tradition of Samatha: Methods for refining and examining consciousness. Journal of Consciousness Studies, 6, 175–187.
Weinstein, N., Brown, K. W., & Ryan, R. M. (2009). A multi-method examination of the effects of mindfulness on stress attribution, coping, and emotional well-being. Journal of Research in Personality, 43, 374–385. https://doi.org/10.1016/j.jrp.2008.12.008 CrossRef
Wenze, S. J., & Miller, I. W. (2010). Use of ecological momentary assessment in mood disorders research. Clinical Psychology Review, 30, 794–804. https://doi.org/10.1016/j.cpr.2010.06.007 CrossRefPubMed
- Intra-individual study of mindfulness: ecological momentary perspective in post-surgical lung cancer patients
Mariya P. Shiyko
Paul B. Greene
Jack E. Burkhalter
- Springer US
Journal of Behavioral Medicine
Print ISSN: 0160-7715
Elektronisch ISSN: 1573-3521