Top

Gepubliceerd in:

22-06-2021 | ORIGINAL PAPER

Reduced Anxiety Following Mindfulness and Adaptive Working Memory Training in Women with Breast Cancer

Auteurs: Jessica Swainston, Nazanin Derakshan

Gepubliceerd in: Mindfulness | Uitgave 8/2021

Abstract

Objectives

Breast cancer is a life-threatening disease that leaves survivors vulnerable to clinical levels of psychological disorder. Expanding on recent research that indicates both mindfulness and working memory training can reduce levels of emotional vulnerability separately, we investigate how the combined effects of these interventions impact emotion regulation in female survivors of breast cancer.

Methods

Participants completed a 10-day course of either mindfulness-based meditation (Mindfulness), mindfulness-based meditation and working memory training (Mindfulness N-Back), working memory training (N-Back) or, for the control group, a 1-back task (1-back). Assessment of emotional vulnerability took place at pre- and post-intervention, as well as at 1- and 6-month follow-up time points to assess whether any observed effects would persist.

Results

Findings indicated that an independent course of either mindfulness-based meditation or working memory training, as well as a combined course of both, can result in reductions in anxious symptomatology compared to an active control group. Whilst effects were sustained for all experimental training groups (Mindfulness, N-Back, Mindfulness N-Back) at 1-month post-intervention, at 6-month follow-up effects were only apparent for the independent groups (Mindfulness, N-Back).

Conclusions

This study suggests that the engagement of attentional control processes through both independent and combined courses of mindfulness-based meditation and adaptive working memory training can result in sustained reductions in anxiety symptomatology in women diagnosed with breast cancer.

vorige artikel The Wheel of Birth and Death

volgende artikel Compassion-Based Meditation Quality Practice and Its Impact on the Positive Attitudes Toward Others

Ahles, T. A., & Root, J. C. (2018). Cognitive effects of cancer and cancer treatments. Annual Review of Clinical Psychology, 14(1), 425–451. https://doi.org/10.1146/annurev-clinpsy-050817-084903.CrossRefPubMed

Allen, M., Dietz, M., Blair, K. S., van Beek, M., Rees, G., Vestergaard-Poulsen, P., Lutz, A., & Roepstorff, A. (2012). Cognitive-affective neural plasticity following active-controlled mindfulness intervention. The Journal of Neuroscience, 32(44), 15601–15610. https://doi.org/10.1523/JNEUROSCI.2957-12.2012.CrossRefPubMedPubMedCentral

Bennike, I. H., Wieghorst, A., & Kirk, U. (2017). Online-based mindfulness training reduces behavioral markers of mind wandering. Journal of Cognitive Enhancement, 1(2), 172–181. https://doi.org/10.1007/s41465-017-0020-9.CrossRef

Berggren, N., & Derakshan, N. (2013). Attentional control deficits in trait anxiety: Why you see them and why you don’t. Biological Psychology, 92(3), 440–446. https://doi.org/10.1016/j.biopsycho.2012.03.007.CrossRefPubMed

Bishop, S. R., Lau, M., Shapiro, S., Carlson, L., Anderson, N. D., Carmody, J., Segal, Z. V., Abbey, S., Speca, M., Velting, D., & Devins, G. (2006). Mindfulness: A proposed operational definition. Clinical Psychology: Science and Practice, 11(3), 230–241. https://doi.org/10.1093/clipsy.bph077.CrossRef

Blacker, K. J., Negoita, S., Ewen, J. B., & Courtney, S. M. (2017). N-back versus complex span working memory training. Journal of Cognitive Enhancement: Towards the Integration of Theory and Practice, 1(4), 434–454. https://doi.org/10.1007/s41465-017-0044-1.CrossRef

Cancer Research UK. (2020). https://www.cancerresearchuk.org/health-professional/cancer-statistics/statistics-by-cancer-type/breast-cancer/incidence-invasive, Accessed Apr 2020.

Carreira, H., Williams, R., Müller, M., Harewood, R., Stanway, S., & Bhaskaran, K. (2018). Associations between breast cancer survivorship and adverse mental health outcomes: A systematic review. Journal of the National Cancer Institute, 110(12), 1311–1327. https://doi.org/10.1093/jnci/djy177.CrossRefPubMedPubMedCentral

Cipriani, A., Furukawa, T. A., Salanti, G., Chaimani, A., Atkinson, L. Z., Ogawa, Y., Leucht, S., Ruhe, H. G., Turner, E. H., Higgins, J. P. T., Egger, M., Takeshima, N., Hayasaka, Y., Imai, H., Shinohara, K., Tajika, A., Ioannidis, J. P. A., & Geddes, J. R. (2018). Comparative efficacy and acceptability of 21 antidepressant drugs for the acute treatment of adults with major depressive disorder: A systematic review and network meta-analysis. The Lancet, 391(10128), 1357–1366. https://doi.org/10.1016/S0140-6736(17)32802-7.CrossRef

Cohen, N., Margulies, D. S., Ashkenazi, S., Schaefer, A., Taubert, M., Henik, A., Villringer, A., & Okon-Singer, H. (2016). Using executive control training to suppress amygdala reactivity to aversive information. NeuroImage, 125, 1022–1031. https://doi.org/10.1016/j.neuroimage.2015.10.069.CrossRefPubMed

Course-Choi, J., Saville, H., & Derakshan, N. (2017). The effects of adaptive working memory training and mindfulness meditation training on processing efficiency and worry in high worriers. Behaviour Research and Therapy, 89, 1–13. https://doi.org/10.1016/j.brat.2016.11.002.CrossRefPubMed

Davidson, R. J., & Kaszniak, A. W. (2015). Conceptual and methodological issues in research on mindfulness and meditation. The American Psychologist, 70(7), 581–592. https://doi.org/10.1037/a0039512.CrossRefPubMedPubMedCentral

Derakshan, N. (2020). Attentional control and cognitive biases as determinants of vulnerability and resilience in anxiety and depression. In T. Aue & H. Okon-Singer (Eds.), Cognitive biases in health and psychiatric disorders. Academic Press.

Dolcos, F., Katsumi, Y., Moore, M., Berggren, N., de Gelder, B., Derakshan, N., Hamm, A. O., Koster, E. H. W., Ladouceur, C. D., Okon-Singer, H., Pegna, A. J., Richter, T., Schweizer, S., Van den Stock, J., Ventura-Bort, C., Weymar, M., & Dolcos, S. (2020). Neural correlates of emotion-attention interactions: From perception, learning and memory to individual differences and training interventions. Neuroscience and Biobehavioral Reviews. https://doi.org/10.1016/j.neubiorev.2019.08.017.

Economides, M., Martman, J., Bell, M. J., & Sanderson, B. (2018). Improvements in stress, affect, and irritability following brief use of a mindfulness-based smartphone app: A randomized controlled trial. Mindfulness, 9(5), 1584–1593. https://doi.org/10.1007/s12671-018-0905-4.CrossRefPubMedPubMedCentral

Engen, H., & Kanske, P. (2013). How working memory training improves emotion regulation: Neural efficiency, effort, and transfer effects. The Journal of Neuroscience: The Official Journal of the Society for Neuroscience, 33(30), 12152–12153. https://doi.org/10.1523/JNEUROSCI.2115-13.2013.CrossRef

Eysenck, M. W., Derakshan, N., Santos, R., & Calvo, M. G. (2007). Anxiety and cognitive performance: Attentional control theory. Emotion, 7(2), 336–353. https://doi.org/10.1037/1528-3542.7.2.336.CrossRef

Ferrell, B. R., & Hassey Dow, K. (1997). Quality of life among long-term cancer survivors. Oncology, 11(4), 565–568 571; discussion 572, 575–576.PubMed

Gross, J. J. (2013). Emotion regulation: Taking stock and moving forward. Emotion, 13(3), 359–365. https://doi.org/10.1037/a0032135.CrossRefPubMed

Guendelman, S., Medeiros, S., & Rampes, H. (2017). Mindfulness and emotion regulation: Insights from neurobiological, psychological, and clinical studies. Frontiers in Psychology, 8, 220. https://doi.org/10.3389/fpsyg.2017.00220.CrossRefPubMedPubMedCentral

Hagen, K. B., Aas, T., Kvaløy, J. T., Eriksen, H. R., Søiland, H., & Lind, R. (2016). Fatigue, anxiety and depression overrule the role of oncological treatment in predicting self-reported health complaints in women with breast cancer compared to healthy controls. Breast, 28, 100–106. https://doi.org/10.1016/j.breast.2016.05.005.CrossRefPubMed

Haller, H., Winkler, M. M., Klose, P., Dobos, G., Kümmel, S., & Cramer, H. (2017). Mindfulness-based interventions for women with breast cancer: An updated systematic review and meta-analysis. Acta Oncologica, 56(12), 1665–1676. https://doi.org/10.1080/0284186X.2017.1342862.CrossRefPubMed

Härtl, K., Schennach, R., Müller, M., Engel, J., Reinecker, H., Sommer, H., & Friese, K. (2010). Quality of life, anxiety, and oncological factors: A follow-up study of breast cancer patients. Psychosomatics, 51(2), 112–123. https://doi.org/10.1016/S0033-3182(10)70671-X.CrossRefPubMed

Henson, K. E., Brock, R., Charnock, J., Wickramasinghe, B., Will, O., & Pitman, A. (2019). Risk of suicide after cancer diagnosis in England. JAMA Psychiatry, 76(1), 51–60. https://doi.org/10.1001/jamapsychiatry.2018.3181.CrossRefPubMed

Kabat-Zinn, J. (2003). Mindfulness-based interventions in context: Past, present, and future. Clinical Psychology: Science and Practice, 10(2), 144–156. https://doi.org/10.1093/clipsy.bpg016.CrossRef

Kane, M. J., Bleckley, M. K., Conway, A. R., & Engle, R. W. (2001). A controlled-attention view of working-memory capacity. Journal of Experimental Psychology. General, 130(2), 169–183.CrossRef

Koster, E. H. W., Hoorelbeke, K., Onraedt, T., Owens, M., & Derakshan, N. (2017). Cognitive control interventions for depression: A systematic review of findings from training studies. Clinical Psychology Review, 53, 79–92. https://doi.org/10.1016/j.cpr.2017.02.002.CrossRefPubMed

Malinowski, P. (2008). Mindfulness as psychological dimension: Concepts and applications. The Irish Journal of Psychology, 29(1–2), 155–166. https://doi.org/10.1080/03033910.2008.10446281.CrossRef

Mani, M., Kavanagh, D. J., Hides, L., & Stoyanov, S. R. (2015). Review and evaluation of mindfulness-based iPhone apps. JMIR mHealth and uHealth, 3(3), e82. https://doi.org/10.2196/mhealth.4328.CrossRefPubMedPubMedCentral

Mrazek, M. D., Franklin, M. S., Phillips, D. T., Baird, B., & Schooler, J. W. (2013). Mindfulness training improves working memory capacity and GRE performance while reducing mind wandering. Psychological Science, 24(5), 776–781. https://doi.org/10.1177/0956797612459659.CrossRefPubMed

Peckham, A. D., & Johnson, S. L. (2018). Cognitive control training for emotion-related impulsivity. Behaviour Research and Therapy, 105, 17–26. https://doi.org/10.1016/j.brat.2018.03.009.CrossRefPubMedPubMedCentral

Pitman, A., Suleman, S., Hyde, N., & Hodgkiss, A. (2018). Depression and anxiety in patients with cancer. BMJ (Clinical Research Ed.), 361, k1415. https://doi.org/10.1136/bmj.k1415.CrossRef

Plaza García, I., Sánchez, C. M., Espílez, Á. S., García-Magariño, I., Guillén, G. A., & García-Campayo, J. (2017). Development and initial evaluation of a mobile application to help with mindfulness training and practice. International Journal of Medical Informatics, 105, 59–67. https://doi.org/10.1016/j.ijmedinf.2017.05.018.CrossRefPubMed

Podsakoff, P. M., MacKenzie, S. B., Lee, J. Y., & Podsakoff, N. P. (2003). Common method bias in behavioral research: A critical review of the literature and recommended remedies. Journal of Applied Psychology, 88(5), 879–903.CrossRef

Rosen, K. D., Paniagua, S. M., Kazanis, W., Jones, S., & Potter, J. S. (2018). Quality of life among women diagnosed with breast Cancer: A randomized waitlist controlled trial of commercially available mobile app-delivered mindfulness training. Psycho-Oncology, 27(8), 2023–2030. https://doi.org/10.1002/pon.4764.CrossRefPubMed

Shani, R., Tal, S., Zilcha-Mano, S., & Okon-Singer, H. (2019). Can machine learning approaches lead toward personalized cognitive training? Frontiers in Behavioral Neuroscience, 13, 64. https://doi.org/10.3389/fnbeh.2019.00064.CrossRefPubMedPubMedCentral

Simard, S., & Savard, J. (2009). Fear of cancer recurrence inventory: Development and initial validation of a multidimensional measure of fear of cancer recurrence. Supportive Care in Cancer, 17(3), 241–251. https://doi.org/10.1007/s00520-008-0444-y.CrossRefPubMed

Smith, H. R. (2015). Depression in cancer patients: Pathogenesis, implications and treatment. Oncology Letters, 9(4), 1509–1514. https://doi.org/10.3892/ol.2015.2944.CrossRefPubMedPubMedCentral

Sood, A., & Jones, D. T. (2013). On mind wandering, attention, brain networks, and meditation. Explore (New York, N.Y.), 9(3), 136–141. https://doi.org/10.1016/j.explore.2013.02.005.CrossRef

Stark, D. P., & House, A. (2000). Anxiety in cancer patients. British Journal of Cancer, 83(10), 1261–1267. https://doi.org/10.1054/bjoc.2000.1405.CrossRefPubMedPubMedCentral

Swainston, J., & Derakshan, N. (2018). Training cognitive control to reduce emotional vulnerability in breast cancer. Psycho-Oncology, 27(7), 1780–1786. https://doi.org/10.1002/pon.4727.CrossRefPubMed

Tang, Y.-Y., Yang, L., Leve, L. D., & Harold, G. T. (2012). Improving executive function and its neurobiological mechanisms through a mindfulness-based intervention: Advances within the field of developmental neuroscience. Child Development Perspectives, 6(4), 361–366. https://doi.org/10.1111/j.1750-8606.2012.00250.x.CrossRefPubMedPubMedCentral

Teasdale, J. D., Segal, Z., & Williams, J. M. G. (1995). How does cognitive therapy prevent depressive relapse and why should attentional control (mindfulness) training help? Behaviour Research and Therapy, 33(1), 25–39.CrossRef

Teper, R., & Inzlicht, M. (2013). Meditation, mindfulness and executive control: The importance of emotional acceptance and brain-based performance monitoring. Social Cognitive and Affective Neuroscience, 8(1), 85–92. https://doi.org/10.1093/scan/nss045.CrossRefPubMed

Treynor, W., Gonzalez, R., & Nolen-Hoeksema, S. (2003). Rumination reconsidered: A psychometric analysis. Cognitive Therapy and Research, 27(3), 247–259.CrossRef

Wagner, L. I., Sweet, J., Butt, Z., Lai, J., & Cella, D. (2009). Measuring patient self-reported cognitive function: Development of the functional assessment of cancer therapy-cognitive function instrument. Journal of Supportive Oncology, 7(6), W32–W39.

Wang, X., Wang, N., Zhong, L., et al. (2020). Prognostic value of depression and anxiety on breast cancer recurrence and mortality: A systematic review and meta-analysis of 282,203 patients. Molecular Psychiatry, 25, 3186–3197. https://doi.org/10.1038/s41380-02000865-6.CrossRefPubMedPubMedCentral

Weiss, D. S. (2007). The impact of event scale: Revised. In J. P. Wilson & S-K. C. Tang (Eds). Cross-cultural assessment of psychological trauma and PTSD (pp. 219–238). Springer.

Wielgosz, J., Goldberg, S. B., Kral, T. R. A., Dunne, J. D., & Davidson, R. J. (2019). Mindfulness meditation and psychopathology. Annual Review of Clinical Psychology, 15, 285–316. https://doi.org/10.1146/annurev-clinpsy-021815-093423.CrossRefPubMed

Xiu, L., Zhou, R., & Jiang, Y. (2016). Working memory training improves emotion regulation ability: Evidence from HRV. Physiology & Behavior, 155, 25–29. https://doi.org/10.1016/j.physbeh.2015.12.004.CrossRef

Zigmond, A. S., & Snaith, R. P. (1983). The hospital anxiety and depression scale. Acta Psychiatrica Scandinavica, 67(6), 361–370.CrossRef

Titel: Reduced Anxiety Following Mindfulness and Adaptive Working Memory Training in Women with Breast Cancer
Auteurs: Jessica Swainston
Nazanin Derakshan
Publicatiedatum: 22-06-2021
Uitgeverij: Springer US
Gepubliceerd in: Mindfulness / Uitgave 8/2021
Print ISSN: 1868-8527
Elektronisch ISSN: 1868-8535
DOI: https://doi.org/10.1007/s12671-021-01651-3

Andere artikelen Uitgave 8/2021

The Wheel of Birth and Death

ORIGINAL PAPER

Mindfulness-Based Cognitive Therapy vs. Psycho-education for Patients with Anxiety Disorders Who Did Not Achieve Remission Following Adequate Pharmacological Treatment

ORIGINAL PAPER

Compassion-Based Meditation Quality Practice and Its Impact on the Positive Attitudes Toward Others

ORIGINAL PAPER

Effects of Mindfulness-Based Stress Reduction on Health and Social Care Education: a Cohort-Controlled Study

ORIGINAL PAPER

A Meta-Analysis of the Relation Between Self-Compassion and Self-Efficacy

ORIGINAL PAPER

The Buddha’s Pre-awakening Practices and Their Mindful Transformation

Open Access
ORIGINAL PAPER