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Gepubliceerd in: Mindfulness 2/2022

25-11-2021 | ORIGINAL PAPER

The Long-Term and Mediating Effects of Mindfulness Integrated with Body-Mind-Spirit Group Therapy on Depressive Symptoms and Quality of Life Among Non-small Cell Lung Cancer Patients

Auteurs: Fei-Hsiu Hsiao, Zhong-Zhe Lin, Feng-Ying Huang, Yu-Ming Lai, Yu-Ting Chen, Jin-Yuan Shih, Chao-Chi Ho, Chong-Jen Yu, Chia-Chen Hsieh

Gepubliceerd in: Mindfulness | Uitgave 2/2022

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Abstract

Objectives

This study examined the long-term effects of mindfulness integrated with body-mind-spirit (M-BMS) group therapy on depressive symptoms, quality of life (QOL), and meaning in life, and depressive symptoms mediating the effects of mindfulness levels on QOL.

Methods

This study used a randomized controlled trial design. A total of 116 participants between 20 and 65 years old with diagnoses of non-small cell lung cancer (NSCLC) were randomly assigned to either 2 months of BMS group therapy or 2 months of M-BMS group therapy. They completed outcome measures including the Beck Depression Index-II depression scale, the European Organization for Research and Treatment of Cancer Core Cancer Quality of Life Questionnaire and its lung cancer–specific complementary measure, the Five Facet Mindfulness Questionnaire, and the meaning in life questionnaire at several points: baseline (T0), the second month (the end of the intervention) (T1), the fifth month (T2), the eighth month (T3), and the 14th month (T4).

Results

Depressive symptoms significantly reduced across the 14-month follow-ups in the M-BMS group, while there was no significant change in depressive scores in the BMS group. The greater improvements in general QOL symptom distress were in favor of the M-BMS group compared with the BMS group. Moreover, the effect of changes in mindfulness on improving general QOL symptom distress was significantly mediated through a decrease of depressive symptoms.

Conclusions

Integrating mindfulness skills with BMS empowerment strategies could improve lung cancer patients’ symptom distress through mindfulness, effectively regulating depressive symptoms.
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Literatuur
go back to reference Aaronson, N. K., Ahmedzai, S., Bergman, B., Bullinger, M., Cull, A., Duez, N. J., Filiberti, A., Flechtner, H., Fleishman, S. B., de Haes, J. C. J. M., Kaasa, S., Klee, M., Osoba, D., Razavi, D., Rofe, P. B., Schraub, S., Sneeuw, K., Sullivan, M., & Takeda, F. (1993). The European Organization for Research and Treatment of Cancer QLQ-C30: A quality-of-life instrument for use in international clinical trials in oncology. Journal of the National Cancer Institute, 85(5), 365–376.CrossRef Aaronson, N. K., Ahmedzai, S., Bergman, B., Bullinger, M., Cull, A., Duez, N. J., Filiberti, A., Flechtner, H., Fleishman, S. B., de Haes, J. C. J. M., Kaasa, S., Klee, M., Osoba, D., Razavi, D., Rofe, P. B., Schraub, S., Sneeuw, K., Sullivan, M., & Takeda, F. (1993). The European Organization for Research and Treatment of Cancer QLQ-C30: A quality-of-life instrument for use in international clinical trials in oncology. Journal of the National Cancer Institute, 85(5), 365–376.CrossRef
go back to reference Baer, R. A., Smith, G. T., Hopkins, J., Krietemeyer, J., & Toney, L. (2006). Using self-report assessment methods to explore facets of mindfulness [Validation Studies]. Assessment, 13(1), 27–45.CrossRef Baer, R. A., Smith, G. T., Hopkins, J., Krietemeyer, J., & Toney, L. (2006). Using self-report assessment methods to explore facets of mindfulness [Validation Studies]. Assessment, 13(1), 27–45.CrossRef
go back to reference Baraniak, A., & Sheffield, D. (2011). The efficacy of psychologically based interventions to improve anxiety, depression and quality of life in COPD: A systematic review and meta-analysis. Patient Education and Counseling, 83, 29–36.CrossRef Baraniak, A., & Sheffield, D. (2011). The efficacy of psychologically based interventions to improve anxiety, depression and quality of life in COPD: A systematic review and meta-analysis. Patient Education and Counseling, 83, 29–36.CrossRef
go back to reference Boyes, A. W., Girgis, A., D’Este, C. A., Zucca, A. C., Lecathelinais, C., & Carey, M. L. (2013). Prevalence and predictors of the short-term trajectory of anxiety and depression in the first year after a cancer diagnosis: A population-based longitudinal study. Journal of Clinical Oncology, 31(21), 2724–2729. https://doi.org/10.1200/JCO.2012.44.7540CrossRefPubMed Boyes, A. W., Girgis, A., D’Este, C. A., Zucca, A. C., Lecathelinais, C., & Carey, M. L. (2013). Prevalence and predictors of the short-term trajectory of anxiety and depression in the first year after a cancer diagnosis: A population-based longitudinal study. Journal of Clinical Oncology, 31(21), 2724–2729. https://​doi.​org/​10.​1200/​JCO.​2012.​44.​7540CrossRefPubMed
go back to reference Chan, C. L. W. (2001). An eastern body-mind-spirit approach: A training manual with one-second techniques. The University of Hong Kong. Chan, C. L. W. (2001). An eastern body-mind-spirit approach: A training manual with one-second techniques. The University of Hong Kong.
go back to reference De Mol, M., Visser, S., Aerts, J., Lodder, P., van Walree, N., Belderbos, H., & den Oudsten, B. (2020). The association of depressive symptoms, personality traits, and sociodemographic factors with health-related quality of life and quality of life in patients with advanced-stage lung cancer: An observational multi-center cohort study. BMC Cancer, 20(1), 431. https://doi.org/10.1186/s12885-020-06823-3CrossRefPubMedPubMedCentral De Mol, M., Visser, S., Aerts, J., Lodder, P., van Walree, N., Belderbos, H., & den Oudsten, B. (2020). The association of depressive symptoms, personality traits, and sociodemographic factors with health-related quality of life and quality of life in patients with advanced-stage lung cancer: An observational multi-center cohort study. BMC Cancer, 20(1), 431. https://​doi.​org/​10.​1186/​s12885-020-06823-3CrossRefPubMedPubMedCentral
go back to reference Hayes, A. F. (2013). Introduction to mediation, moderation, and conditional process analysis: A regression-based approach. Guilford Press. Hayes, A. F. (2013). Introduction to mediation, moderation, and conditional process analysis: A regression-based approach. Guilford Press.
go back to reference Hsiao, F. H., Jow, G. M., Kuo, W. H., Chang, K. J., Liu, Y. F., Ho, R. T., Ng, S. M., Chan, C. L. W., Lai, Y. M., & Chen, Y. T. (2012). The effects of psychotherapy on psychological well-being and diurnal cortisol patterns in breast cancer survivors. Psychotherapy and Psychosomatics, 81(3), 173–182. https://doi.org/10.1159/000329178CrossRefPubMed Hsiao, F. H., Jow, G. M., Kuo, W. H., Chang, K. J., Liu, Y. F., Ho, R. T., Ng, S. M., Chan, C. L. W., Lai, Y. M., & Chen, Y. T. (2012). The effects of psychotherapy on psychological well-being and diurnal cortisol patterns in breast cancer survivors. Psychotherapy and Psychosomatics, 81(3), 173–182. https://​doi.​org/​10.​1159/​000329178CrossRefPubMed
go back to reference Hsiao, F. H., Jow, G. M., Kuo, W. H., Yang, P. S., Lam, H. B., Chang, K. J., Lee, J. J., Huang, C. S., Lai, Y. M., Chen, Y. T., Liu, Y. F., & Chang, C. H. (2016). The long-term effects of mindfulness added to family resilience-oriented couples support group on psychological well-being and cortisol responses in breast cancer survivors and their partners. Mindfulness, 7, 1365–1376.CrossRef Hsiao, F. H., Jow, G. M., Kuo, W. H., Yang, P. S., Lam, H. B., Chang, K. J., Lee, J. J., Huang, C. S., Lai, Y. M., Chen, Y. T., Liu, Y. F., & Chang, C. H. (2016). The long-term effects of mindfulness added to family resilience-oriented couples support group on psychological well-being and cortisol responses in breast cancer survivors and their partners. Mindfulness, 7, 1365–1376.CrossRef
go back to reference Huang, F. Y., Wu, C. W., Bhikshu, H., Shih, G., Chao, Y. P., & Dai, C. T. (2015). Validation of the Taiwanese version of the Five Facet Mindfulness Questionnaire (T-FFMQ). Psychological Testing, 62(3), 231–260. Huang, F. Y., Wu, C. W., Bhikshu, H., Shih, G., Chao, Y. P., & Dai, C. T. (2015). Validation of the Taiwanese version of the Five Facet Mindfulness Questionnaire (T-FFMQ). Psychological Testing, 62(3), 231–260.
go back to reference Kabat-Zinn, J. (1990). Full catastrophe living: Using the wisdom of your body and mind to face stress, pain, and illness. Delacourt. Kabat-Zinn, J. (1990). Full catastrophe living: Using the wisdom of your body and mind to face stress, pain, and illness. Delacourt.
go back to reference Piet, J., Wurtzen, H., & Zachariae, R. (2012). The effect of mindfulness-based therapy on symptoms of anxiety and depression in adult cancer patients and survivors: A systematic review and meta-analysis. Journal of Consulting and Clinical Psychology, 80(6), 1007–1020. https://doi.org/10.1037/a0028329CrossRefPubMed Piet, J., Wurtzen, H., & Zachariae, R. (2012). The effect of mindfulness-based therapy on symptoms of anxiety and depression in adult cancer patients and survivors: A systematic review and meta-analysis. Journal of Consulting and Clinical Psychology, 80(6), 1007–1020. https://​doi.​org/​10.​1037/​a0028329CrossRefPubMed
go back to reference Pots, M., Veehof, K., & Bohlmeijer, E. T. (2014). The efficacy of mindfulness-based cognitive therapy as a public mental health intervention for adults with mild to moderate depressive symptomatology: A randomized controlled trial. PLOS One, 9(10), e109789.CrossRef Pots, M., Veehof, K., & Bohlmeijer, E. T. (2014). The efficacy of mindfulness-based cognitive therapy as a public mental health intervention for adults with mild to moderate depressive symptomatology: A randomized controlled trial. PLOS One, 9(10), e109789.CrossRef
go back to reference Segal, Z. V., Williams, J. M. G., & Teasdale, J. D. (2002). Mindfulness-based cognitive therapy for depression: A new approach to preventing relapse. Guilford Press. Segal, Z. V., Williams, J. M. G., & Teasdale, J. D. (2002). Mindfulness-based cognitive therapy for depression: A new approach to preventing relapse. Guilford Press.
go back to reference Speca, M., Carlson, L. E., Mackenzie, M. J., & Angen, M. (2006). Mindfulness-Based Stress Reduction (MBSR) as an intervention for cancer patients. In R. A. Baer (Ed.), Mindfulness-based treatment approaches: Clinician’s guide to evidence base and applications (pp. 239–261). Elsevier Academic Press.CrossRef Speca, M., Carlson, L. E., Mackenzie, M. J., & Angen, M. (2006). Mindfulness-Based Stress Reduction (MBSR) as an intervention for cancer patients. In R. A. Baer (Ed.), Mindfulness-based treatment approaches: Clinician’s guide to evidence base and applications (pp. 239–261). Elsevier Academic Press.CrossRef
go back to reference Steger, M. F., Frazier, P., Oishi, S., & Kaler, M. (2006). The meaning in life questionnaire: Assessing the presence of and search for meaning in life. Journal of Counseling Psychology, 53(1), 80–93.CrossRef Steger, M. F., Frazier, P., Oishi, S., & Kaler, M. (2006). The meaning in life questionnaire: Assessing the presence of and search for meaning in life. Journal of Counseling Psychology, 53(1), 80–93.CrossRef
go back to reference Turner, K. (2009). Mindfulness: The present moment in clinical social work. Clinical Social Work Journal, 37(2), 95–103.CrossRef Turner, K. (2009). Mindfulness: The present moment in clinical social work. Clinical Social Work Journal, 37(2), 95–103.CrossRef
Metagegevens
Titel
The Long-Term and Mediating Effects of Mindfulness Integrated with Body-Mind-Spirit Group Therapy on Depressive Symptoms and Quality of Life Among Non-small Cell Lung Cancer Patients
Auteurs
Fei-Hsiu Hsiao
Zhong-Zhe Lin
Feng-Ying Huang
Yu-Ming Lai
Yu-Ting Chen
Jin-Yuan Shih
Chao-Chi Ho
Chong-Jen Yu
Chia-Chen Hsieh
Publicatiedatum
25-11-2021
Uitgeverij
Springer US
Gepubliceerd in
Mindfulness / Uitgave 2/2022
Print ISSN: 1868-8527
Elektronisch ISSN: 1868-8535
DOI
https://doi.org/10.1007/s12671-021-01793-4

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