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01-04-2014

Mindfulness based stress reduction (MBSR(BC)) in breast cancer: evaluating fear of recurrence (FOR) as a mediator of psychological and physical symptoms in a randomized control trial (RCT)

Auteurs: Cecile A. Lengacher, Melissa M. Shelton, Richard R. Reich, Michelle K. Barta, Versie Johnson-Mallard, Manolete S. Moscoso, Carly Paterson, Sophia Ramesar, Pinky Budhrani, Irina Carranza, Jean Lucas, Paul B. Jacobsen, Matthew J. Goodman, Kevin E. Kip

Gepubliceerd in: Journal of Behavioral Medicine | Uitgave 2/2014

Abstract

To investigate the mechanism(s) of action of mindfulness based stress reduction (MBSR(BC)) including reductions in fear of recurrence and other potential mediators. Eighty-two post-treatment breast cancer survivors (stages 0–III) were randomly assigned to a 6-week MBSR(BC) program (n = 40) or to usual care group (UC) (n = 42). Psychological and physical variables were assessed as potential mediators at baseline and at 6 weeks. MBSR(BC) compared to UC experienced favorable changes for five potential mediators: (1) change in fear of recurrence problems mediated the effect of MBSR(BC) on 6-week change in perceived stress (z = 2.12, p = 0.03) and state anxiety (z = 2.03, p = 0.04); and (2) change in physical functioning mediated the effect of MBSR(BC) on 6-week change in perceived stress (z = 2.27, p = 0.02) and trait anxiety (z = 1.98, p = 0.05). MBSR(BC) reduces fear of recurrence and improves physical functioning which reduces perceived stress and anxiety. Findings support the beneficial effects of MBSR(BC) and provide insight into the possible cognitive mechanism of action.

vorige artikel Using a combined protection motivation theory and health action process approach intervention to promote exercise during pregnancy

volgende artikel Improving secondary stroke self-care among underserved ethnic minority individuals: a randomized clinical trial of a pilot intervention

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Titel: Mindfulness based stress reduction (MBSR(BC)) in breast cancer: evaluating fear of recurrence (FOR) as a mediator of psychological and physical symptoms in a randomized control trial (RCT)
Auteurs: Cecile A. Lengacher
Melissa M. Shelton
Richard R. Reich
Michelle K. Barta
Versie Johnson-Mallard
Manolete S. Moscoso
Carly Paterson
Sophia Ramesar
Pinky Budhrani
Irina Carranza
Jean Lucas
Paul B. Jacobsen
Matthew J. Goodman
Kevin E. Kip
Publicatiedatum: 01-04-2014
Uitgeverij: Springer US
Gepubliceerd in: Journal of Behavioral Medicine / Uitgave 2/2014
Print ISSN: 0160-7715
Elektronisch ISSN: 1573-3521
DOI: https://doi.org/10.1007/s10865-012-9473-6

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