Skip to main content
main-content
Top

Tip

Swipe om te navigeren naar een ander artikel

Gepubliceerd in: Mindfulness 2/2018

22-08-2017 | ORIGINAL PAPER

Mindfulness and Cancer Patients’ Emotional States: a Latent Profile Analysis Among Newly Diagnosed Cancer Patients

Auteurs: Kevin F. Y. Lam, Haikel A. Lim, Ee Heok Kua, Konstadina Griva, Rathi Mahendran

Gepubliceerd in: Mindfulness | Uitgave 2/2018

Log in om toegang te krijgen
share
DELEN

Deel dit onderdeel of sectie (kopieer de link)

  • Optie A:
    Klik op de rechtermuisknop op de link en selecteer de optie “linkadres kopiëren”
  • Optie B:
    Deel de link per e-mail

Abstract

Variable-centred approaches indicate that mindfulness might protect against psychological distress. Person-centred approaches, such as latent profile analysis (LPA), provide researchers with additional tools to identify profiles of mindfulness based on individuals’ patterns of response to each facet of the construct. Recent studies using LPA in non-cancer populations suggest that individuals demonstrate one of four profiles of mindfulness: low mindfulness, judgmentally observing, non-judgmentally aware, or high mindfulness. However, it is not known whether such profiles hold true in cancer or Asian populations. The present cross-sectional study therefore sought to identify profiles of mindfulness in a cohort of newly diagnosed cancer patients in Asia, and examined their associations with sociodemographic and medical variables, and depressive and anxious symptoms. A total of 212 patients (M age = 49.26, SD = 9.30 years; 68% female; 60% Chinese) completed the short form of the Five Facet Mindfulness Questionnaire and the Hospital Anxiety and Depression Scale. In line with previous research, four profiles of mindfulness were identified using LPA: low mindfulness (51%), judgmentally observing (24%), non-judgmentally aware (7%), and high mindfulness (18%). As compared to the high mindfulness profile, the non-judgmentally aware profile was associated with male gender and lower education; both the low mindfulness and the judgmentally observing profiles were associated with higher levels of depressive and anxious symptoms. A majority of patients demonstrated profiles characterised by globally low levels of mindfulness and which were associated with higher levels of emotional distress. A consideration of these profiles might allow clinicians to provide more targeted interventions to cancer patients.
Literatuur
go back to reference Bohlmeijer, E., ten Klooster, P. M., Fledderus, M., Veehof, M., & Baer, R. (2011). Psychometric properties of the five facet mindfulness questionnaire in depressed adults and development of a short form psychometric properties of the five facet mindfulness questionnaire in depressed adults and development of a short form. Assessment, 18(3). https://​doi.​org/​10.​1177/​1073191111408231​. Bohlmeijer, E., ten Klooster, P. M., Fledderus, M., Veehof, M., & Baer, R. (2011). Psychometric properties of the five facet mindfulness questionnaire in depressed adults and development of a short form psychometric properties of the five facet mindfulness questionnaire in depressed adults and development of a short form. Assessment, 18(3). https://​doi.​org/​10.​1177/​1073191111408231​.
go back to reference Boyle, C. C., Stanton, A. L., Ganz, P. A., Crespi, C. M., & Bower, J. E. (2017). Improvements in emotion regulation following mindfulness meditation: Effects on depressive symptoms and perceived stress in younger breast cancer survivors. Journal of Consulting and Clinical Psychology, 85(4), 397–402. https://​doi.​org/​10.​1037/​ccp0000186. Boyle, C. C., Stanton, A. L., Ganz, P. A., Crespi, C. M., & Bower, J. E. (2017). Improvements in emotion regulation following mindfulness meditation: Effects on depressive symptoms and perceived stress in younger breast cancer survivors. Journal of Consulting and Clinical Psychology, 85(4), 397–402. https://​doi.​org/​10.​1037/​ccp0000186.
go back to reference Fogarty, F. A., Lu, L. M., Sollers, J. J., Krivoschekov, S. G., Booth, R. J., & Consedine, N. S. (2015). Why it pays to be mindful: trait mindfulness predicts physiological recovery from emotional stress and greater differentiation among negative emotions. Mindfulness, 6(2), 175–185. https://​doi.​org/​10.​1007/​s12671-013-0242-6. Fogarty, F. A., Lu, L. M., Sollers, J. J., Krivoschekov, S. G., Booth, R. J., & Consedine, N. S. (2015). Why it pays to be mindful: trait mindfulness predicts physiological recovery from emotional stress and greater differentiation among negative emotions. Mindfulness, 6(2), 175–185. https://​doi.​org/​10.​1007/​s12671-013-0242-6.
go back to reference Ho, R. T. H., Fong, T. C. T., Lo, P. H. Y., Ho, S. M. Y., Lee, P. W. H., Leung, P. P. Y., et al. (2016). Randomized controlled trial of supportive-expressive group therapy and body-mind-spirit intervention for Chinese non-metastatic breast cancer patients. Supportive Care in Cancer, 24(12), 4929–4937. https://​doi.​org/​10.​1007/​s00520-016-3350-8. Ho, R. T. H., Fong, T. C. T., Lo, P. H. Y., Ho, S. M. Y., Lee, P. W. H., Leung, P. P. Y., et al. (2016). Randomized controlled trial of supportive-expressive group therapy and body-mind-spirit intervention for Chinese non-metastatic breast cancer patients. Supportive Care in Cancer, 24(12), 4929–4937. https://​doi.​org/​10.​1007/​s00520-016-3350-8.
go back to reference Johannsen, M., O’Connor, M., O’Toole, M. S., Jensen, A. B., & Zachariae, R. (2017). Mindfulness-based cognitive therapy and persistent pain in women treated for primary breast cancer: exploring possible statistical mediators—results from a randomized controlled trial. The Clinical Jurnal of Pain. https://​doi.​org/​10.​1097/​AJP.​0000000000000510​. Johannsen, M., O’Connor, M., O’Toole, M. S., Jensen, A. B., & Zachariae, R. (2017). Mindfulness-based cognitive therapy and persistent pain in women treated for primary breast cancer: exploring possible statistical mediators—results from a randomized controlled trial. The Clinical Jurnal of Pain. https://​doi.​org/​10.​1097/​AJP.​0000000000000510​.
go back to reference Lo, Y., Mendell, N. R., & Rubin, D. B. (2001). Testing the number of components in a normal mixture. Biometrika, 88(3), 767–778. CrossRef Lo, Y., Mendell, N. R., & Rubin, D. B. (2001). Testing the number of components in a normal mixture. Biometrika, 88(3), 767–778. CrossRef
go back to reference Mahendran, R., Lim, H. A., & Tan, J. Y. S. (2014). The relationship between hope, resilience, optimism, and psychiatric co-morbidities in cancer patients: the HOPE study overview. Annals, Academy of Medicine, Singapore, 43(10), S45. Mahendran, R., Lim, H. A., & Tan, J. Y. S. (2014). The relationship between hope, resilience, optimism, and psychiatric co-morbidities in cancer patients: the HOPE study overview. Annals, Academy of Medicine, Singapore, 43(10), S45.
go back to reference Medvedev, O. N., Siegert, R. J., Kersten, P., & Krägeloh, C. U. (2017). Improving the precision of the five facet mindfulness questionnaire using a Rasch approach improving the precision of the five facet mindfulness questionnaire using a Rasch approach. Mindfulness. https://​doi.​org/​10.​1007/​s12671-016-0676-8. Medvedev, O. N., Siegert, R. J., Kersten, P., & Krägeloh, C. U. (2017). Improving the precision of the five facet mindfulness questionnaire using a Rasch approach improving the precision of the five facet mindfulness questionnaire using a Rasch approach. Mindfulness. https://​doi.​org/​10.​1007/​s12671-016-0676-8.
go back to reference 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. The Lancet Oncology, 12(2), 160–174. https://​doi.​org/​10.​1016/​S1470-2045(11)70002-X. 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. The Lancet Oncology, 12(2), 160–174. https://​doi.​org/​10.​1016/​S1470-2045(11)70002-X.
go back to reference Muthén, B. O. (2004). Latent variable analysis: growth mixture modeling and related techniques for longitudinal data. In D. Kaplan (Ed.), Handbook of quantitative methodology for the social sciences (pp. 345–368). Newbury Park: SAGE Publications. Muthén, B. O. (2004). Latent variable analysis: growth mixture modeling and related techniques for longitudinal data. In D. Kaplan (Ed.), Handbook of quantitative methodology for the social sciences (pp. 345–368). Newbury Park: SAGE Publications.
go back to reference National Registry of Diseases Office. (2014). Singapore cancer registry interim annual report: Trends in cancer incidence in Singapore 2010–2014. Singapore, Singapore. National Registry of Diseases Office. (2014). Singapore cancer registry interim annual report: Trends in cancer incidence in Singapore 2010–2014. Singapore, Singapore.
go back to reference Piet, J., Würtzen, 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/​a0028329. Piet, J., Würtzen, 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/​a0028329.
go back to reference Poulin, P. A., Romanow, H. C., Rahbari, N., Small, R., Smyth, C. E., Hatchard, T., et al. (2016). The relationship between mindfulness, pain intensity, pain catastrophizing, depression, and quality of life among cancer survivors living with chronic neuropathic pain. Supportive Care in Cancer, 24(10), 4167–4175. https://​doi.​org/​10.​1007/​s00520-016-3243-x. Poulin, P. A., Romanow, H. C., Rahbari, N., Small, R., Smyth, C. E., Hatchard, T., et al. (2016). The relationship between mindfulness, pain intensity, pain catastrophizing, depression, and quality of life among cancer survivors living with chronic neuropathic pain. Supportive Care in Cancer, 24(10), 4167–4175. https://​doi.​org/​10.​1007/​s00520-016-3243-x.
go back to reference Sahdra, B. K., Ciarrochi, J., Parker, P. D., Basarkod, G., Bradshaw, E. L., & Baer, R. (2017). Are people mindful in different ways? Disentangling the quantity and quality of mindfulness in latent profiles and exploring their links to mental health and life effectiveness. European Journal of Personality. https://​doi.​org/​10.​1002/​per.​2108. Sahdra, B. K., Ciarrochi, J., Parker, P. D., Basarkod, G., Bradshaw, E. L., & Baer, R. (2017). Are people mindful in different ways? Disentangling the quantity and quality of mindfulness in latent profiles and exploring their links to mental health and life effectiveness. European Journal of Personality. https://​doi.​org/​10.​1002/​per.​2108.
go back to reference Schellekens, M. P. J., Karremans, J. C., van der Drift, M. A., Molema, J., van den Hurk, D. G. M., Prins, J. B., & Speckens, A. E. M. (2017). Are mindfulness and self-compassion related to psychological distress and communication in couples facing lung cancer? A dyadic approach. Mindfulness, 8(2), 325–336. https://​doi.​org/​10.​1007/​s12671-016-0602-0. Schellekens, M. P. J., Karremans, J. C., van der Drift, M. A., Molema, J., van den Hurk, D. G. M., Prins, J. B., & Speckens, A. E. M. (2017). Are mindfulness and self-compassion related to psychological distress and communication in couples facing lung cancer? A dyadic approach. Mindfulness, 8(2), 325–336. https://​doi.​org/​10.​1007/​s12671-016-0602-0.
go back to reference Tran, U. S., Glück, T. M., & Nader, I. W. (2013). Investigating the five facet mindfulness questionnaire (FFMQ): construction of a short form and evidence of a two-factor higher order structure of mindfulness. Journal of Clinical Psychology, 69(9), 951–965. https://​doi.​org/​10.​1002/​jclp.​21996. Tran, U. S., Glück, T. M., & Nader, I. W. (2013). Investigating the five facet mindfulness questionnaire (FFMQ): construction of a short form and evidence of a two-factor higher order structure of mindfulness. Journal of Clinical Psychology, 69(9), 951–965. https://​doi.​org/​10.​1002/​jclp.​21996.
go back to reference Vuong, Q. H. (1989). Likelihood ratio tests for model selection and non-nested hypotheses. Econometrica: Journal of the Econometric Society, 307–333. Vuong, Q. H. (1989). Likelihood ratio tests for model selection and non-nested hypotheses. Econometrica: Journal of the Econometric Society, 307–333.
Metagegevens
Titel
Mindfulness and Cancer Patients’ Emotional States: a Latent Profile Analysis Among Newly Diagnosed Cancer Patients
Auteurs
Kevin F. Y. Lam
Haikel A. Lim
Ee Heok Kua
Konstadina Griva
Rathi Mahendran
Publicatiedatum
22-08-2017
Uitgeverij
Springer US
Gepubliceerd in
Mindfulness / Uitgave 2/2018
Print ISSN: 1868-8527
Elektronisch ISSN: 1868-8535
DOI
https://doi.org/10.1007/s12671-017-0794-y