Skip to main content
main-content
Top

Tip

Swipe om te navigeren naar een ander artikel

Gepubliceerd in: Mindfulness 5/2016

14-05-2016 | ORIGINAL PAPER

The eCALM Trial: eTherapy for Cancer Applying Mindfulness. Exploratory Analyses of the Associations Between Online Mindfulness-Based Cancer Recovery Participation and Changes in Mood, Stress Symptoms, Mindfulness, Posttraumatic Growth, and Spirituality

Auteurs: Kristin A. Zernicke, Tavis S. Campbell, Michael Speca, Kelley McCabe Ruff, Steven Flowers, Rie Tamagawa, Linda E. Carlson

Gepubliceerd in: Mindfulness | Uitgave 5/2016

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

Avenues to increase accessibility of evidence-based psychosocial programs that mitigate cancer-related distress and symptoms are needed, and the internet represents one modality garnering research attention. Mindfulness-Based Cancer Recovery (MBCR) is an evidence-based group psychosocial program adapted to an online “real-time” synchronous format. The objective of this study was to assess the effects of participation in online MBCR on patient-reported outcomes in cancer patients. Participants completed questionnaires before and after the online MBCR program. The intervention consisted of eight weekly 2-hour online classes plus a 6-hour retreat. Mixed model analyses for repeated measures were conducted and subgroup analyses investigated associations of age, sex, and cancer stage on patient-reported outcomes. Standardized subscale change score analyses for mood and stress symptom measures were conducted to evaluate relative improvements over time. Sixty-two distressed participants enrolled. Analyses revealed improvements over time on measures of mood, stress, spirituality, posttraumatic growth, and four of five measured mindfulness facets. Relative to older participants, younger participants showed greater improvements in stress symptoms (p = 0.031), spirituality (p = 0.019), and non-reactivity to experience (p = 0.023). Posttraumatic growth increased more over time in men compared to women (p = 0.005). Within mood and stress symptoms subscales, Vigor, Fatigue, and Sympathetic Arousal had the greatest relative improvements, suggesting improved energy while also inducing relaxation. Results are promising in terms of offering an accessible online MBCR approach to help cope with symptoms associated with cancer and its treatment. Further research into differential effects may allow for greater tailoring to further improve access and ease of use.
Literatuur
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. Assessment, 13(1), 27–45. PubMedCrossRef Baer, R. A., Smith, G. T., Hopkins, J., Krietemeyer, J., & Toney, L. (2006). Using self-report assessment methods to explore facets of mindfulness. Assessment, 13(1), 27–45. PubMedCrossRef
go back to reference Baer, R., Carmody, J., & Hunsinger, M. (2012). Weekly change in mindfulness and perceived stress in mindfulness-based stress reduction program. Journal of Clinical Psychology, 68(7), 755–765. PubMedCrossRef Baer, R., Carmody, J., & Hunsinger, M. (2012). Weekly change in mindfulness and perceived stress in mindfulness-based stress reduction program. Journal of Clinical Psychology, 68(7), 755–765. PubMedCrossRef
go back to reference Barak, A., Klein, B., & Proudfoot, J. G. (2009). Defining Internet-supported therapeutic interventions. Annals of Behavioral Medicine, 38(1), 4–17. PubMedCrossRef Barak, A., Klein, B., & Proudfoot, J. G. (2009). Defining Internet-supported therapeutic interventions. Annals of Behavioral Medicine, 38(1), 4–17. PubMedCrossRef
go back to reference Birnie, K., Garland, S. N., & Carlson, L. E. (2010). Psychological benefits for cancer patients and their partners participating in mindfulness-based stress reduction (MBSR). Psycho-Oncology, 19(9), 1004–1009. PubMedCrossRef Birnie, K., Garland, S. N., & Carlson, L. E. (2010). Psychological benefits for cancer patients and their partners participating in mindfulness-based stress reduction (MBSR). Psycho-Oncology, 19(9), 1004–1009. PubMedCrossRef
go back to reference Brady, M. J., Peterman, A. H., Fitchett, G., Mo, M., & Cella, D. (1999). A case for including spirituality in quality of life measurement in oncology. Psycho-Oncology, 8(5), 417–428. PubMedCrossRef Brady, M. J., Peterman, A. H., Fitchett, G., Mo, M., & Cella, D. (1999). A case for including spirituality in quality of life measurement in oncology. Psycho-Oncology, 8(5), 417–428. PubMedCrossRef
go back to reference Carlson, L. E., & Speca, M. (2010). Mindfulness-based cancer recovery: a step-by-step MBSR approach to help you cope with treatment and reclaim your life. Oakville: New Harbinger. Carlson, L. E., & Speca, M. (2010). Mindfulness-based cancer recovery: a step-by-step MBSR approach to help you cope with treatment and reclaim your life. Oakville: New Harbinger.
go back to reference Carlson, L. E., & Thomas, B. C. (2007). Development of the Calgary Symptoms of Stress Inventory (C-SOSI). International Journal of Behavioral Medicine, 14(4), 249–256. CrossRefPubMed Carlson, L. E., & Thomas, B. C. (2007). Development of the Calgary Symptoms of Stress Inventory (C-SOSI). International Journal of Behavioral Medicine, 14(4), 249–256. CrossRefPubMed
go back to reference Carlson, L. E., Ursuliak, Z., Goodey, E., Angen, M., & Speca, M. (2001). The effects of a mindfulness meditation-based stress reduction program on mood and symptoms of stress in cancer outpatients: 6-month follow-up. Supportive Care in Cancer, 9, 112–123. PubMedCrossRef Carlson, L. E., Ursuliak, Z., Goodey, E., Angen, M., & Speca, M. (2001). The effects of a mindfulness meditation-based stress reduction program on mood and symptoms of stress in cancer outpatients: 6-month follow-up. Supportive Care in Cancer, 9, 112–123. PubMedCrossRef
go back to reference Carlson, L. E., Angen, M., Cullum, J., Goodey, E., Koopmans, J., Lamont, L., et al. (2004). High levels of untreated distress and fatigue in cancer patients. British Journal of Cancer, 90(12), 2297–2304. PubMedCentralPubMed Carlson, L. E., Angen, M., Cullum, J., Goodey, E., Koopmans, J., Lamont, L., et al. (2004). High levels of untreated distress and fatigue in cancer patients. British Journal of Cancer, 90(12), 2297–2304. PubMedCentralPubMed
go back to reference Carlson, L. E., Speca, M., Patel, K. D., & Faris, P. (2007). One year follow-up of psychological, endocrine, immune, and blood pressure outcomes of mindfulness-based stress reduction (MBSR) in breast and prostate cancer outpatients. Brain, Behavior, and Immunity, 21(8), 1038–1049. PubMedCrossRef Carlson, L. E., Speca, M., Patel, K. D., & Faris, P. (2007). One year follow-up of psychological, endocrine, immune, and blood pressure outcomes of mindfulness-based stress reduction (MBSR) in breast and prostate cancer outpatients. Brain, Behavior, and Immunity, 21(8), 1038–1049. PubMedCrossRef
go back to reference Carver, C. S., & Antoni, M. H. (2004). Finding benefit in breast cancer during the year after diagnosis predicts better adjustment 5 to 8 years after diagnosis. Health Psychology, 23, 595–598. PubMedCrossRef Carver, C. S., & Antoni, M. H. (2004). Finding benefit in breast cancer during the year after diagnosis predicts better adjustment 5 to 8 years after diagnosis. Health Psychology, 23, 595–598. PubMedCrossRef
go back to reference Cotton, S. P., Levine, E. G., Fitzpatrick, C. M., Dold, K. H., & Targ, E. (1999). Exploring the relationships among spiritual well-being, quality of life, and psychological adjustment in women with breast cancer. Psycho-Oncology, 8, 429–438. PubMedCrossRef Cotton, S. P., Levine, E. G., Fitzpatrick, C. M., Dold, K. H., & Targ, E. (1999). Exploring the relationships among spiritual well-being, quality of life, and psychological adjustment in women with breast cancer. Psycho-Oncology, 8, 429–438. PubMedCrossRef
go back to reference Deng, G., & Cassileth, B. (2013). Complementary or alternative medicine in cancer care—myths and realities. Nature Reviews. Clinical Oncology, 10(11), 656–664. PubMedCrossRef Deng, G., & Cassileth, B. (2013). Complementary or alternative medicine in cancer care—myths and realities. Nature Reviews. Clinical Oncology, 10(11), 656–664. PubMedCrossRef
go back to reference Faller, H., Schuler, M., Richard, M., Heckl, U., Weis, J., & Kuffner, R. (2013). Effects of psycho-oncologic interventions on emotional distress and quality of life in adult patients with cancer: systematic review and meta-analysis. Journal of Clinical Oncology, 31(6), 782–793. PubMedCrossRef Faller, H., Schuler, M., Richard, M., Heckl, U., Weis, J., & Kuffner, R. (2013). Effects of psycho-oncologic interventions on emotional distress and quality of life in adult patients with cancer: systematic review and meta-analysis. Journal of Clinical Oncology, 31(6), 782–793. PubMedCrossRef
go back to reference Gardner-Nix, J., Backman, S., Barbati, J., & Grummitt, J. (2008). Evaluating distance education of mindfulness-based meditation program for chronic pain management. Journal of Telemedicine and Telecare, 14, 88–92. PubMedCrossRef Gardner-Nix, J., Backman, S., Barbati, J., & Grummitt, J. (2008). Evaluating distance education of mindfulness-based meditation program for chronic pain management. Journal of Telemedicine and Telecare, 14, 88–92. PubMedCrossRef
go back to reference Garland, S., Tamagawa, R., Todd, S., Speca, M., & Carlson, L. (2013). Increased mindfulness is related to improved stress and mood following participation in a mindfulness-based stress reduction program with individuals with cancer. Integrative Cancer Therapies, 12(1), 31–40. PubMedCrossRef Garland, S., Tamagawa, R., Todd, S., Speca, M., & Carlson, L. (2013). Increased mindfulness is related to improved stress and mood following participation in a mindfulness-based stress reduction program with individuals with cancer. Integrative Cancer Therapies, 12(1), 31–40. PubMedCrossRef
go back to reference Gonzalez-Angulo, A. M., Hennessy, B. T., & Mills, G. B. (2010). Future of personalized medicine in oncology: a systems biology approach. Journal of Clinical Oncology, 28, 2777–2783. PubMedPubMedCentralCrossRef Gonzalez-Angulo, A. M., Hennessy, B. T., & Mills, G. B. (2010). Future of personalized medicine in oncology: a systems biology approach. Journal of Clinical Oncology, 28, 2777–2783. PubMedPubMedCentralCrossRef
go back to reference Henderson, V. P., Clemow, L., Massion, A. O., Hurley, T. G., Druker, S., & Hebert, J. R. (2012). The effects of mindfulness-based stress reduction on psychosocial outcomes and quality of life in early-stage breast cancer patients: a randomized trial. Breast Cancer Research and Treatment, 131(1), 99–109. PubMedCrossRef Henderson, V. P., Clemow, L., Massion, A. O., Hurley, T. G., Druker, S., & Hebert, J. R. (2012). The effects of mindfulness-based stress reduction on psychosocial outcomes and quality of life in early-stage breast cancer patients: a randomized trial. Breast Cancer Research and Treatment, 131(1), 99–109. PubMedCrossRef
go back to reference Henoch, I., & Danielson, E. (2009). Existential concerns among patients with cancer and interventions to meet them: an integrative literature review. Psycho-Oncology, 18(3), 225–236. PubMedCrossRef Henoch, I., & Danielson, E. (2009). Existential concerns among patients with cancer and interventions to meet them: an integrative literature review. Psycho-Oncology, 18(3), 225–236. PubMedCrossRef
go back to reference Holland, J. C., Andersen, B., Breitbart, W. S., Buchmann, L. O., Compas, B., Deshields, T. L., et al. (2013). Distress management. Journal of the National Comprehensive Cancer Network, 11(2), 190–209. PubMed Holland, J. C., Andersen, B., Breitbart, W. S., Buchmann, L. O., Compas, B., Deshields, T. L., et al. (2013). Distress management. Journal of the National Comprehensive Cancer Network, 11(2), 190–209. PubMed
go back to reference Howell, D., Hack, T. F., Oliver, T. K., Chulak, T., Mayo, S., Aubin, M., et al. (2011). Survivorship services for adult cancer populations: a pan-Canadian guideline. Current Oncology, 18(6), e265–e281. PubMedPubMedCentralCrossRef Howell, D., Hack, T. F., Oliver, T. K., Chulak, T., Mayo, S., Aubin, M., et al. (2011). Survivorship services for adult cancer populations: a pan-Canadian guideline. Current Oncology, 18(6), e265–e281. PubMedPubMedCentralCrossRef
go back to reference Jacobsen, P. B., Donovan, K. A., Trask, P. C., Fleishman, S. B., Zabora, J., Baker, F., et al. (2005). Screening for psychologic distress in ambulatory cancer patients. Cancer, 103, 1494–1502. PubMedCrossRef Jacobsen, P. B., Donovan, K. A., Trask, P. C., Fleishman, S. B., Zabora, J., Baker, F., et al. (2005). Screening for psychologic distress in ambulatory cancer patients. Cancer, 103, 1494–1502. PubMedCrossRef
go back to reference Krupski, T. L., Kwan, L., Fink, A., Sonn, G. A., Malinski, S., & Litwin, M. S. (2006). Spirituality influences health related quality of life in men with prostate cancer. Psycho-Oncology, 15, 132–142. CrossRef Krupski, T. L., Kwan, L., Fink, A., Sonn, G. A., Malinski, S., & Litwin, M. S. (2006). Spirituality influences health related quality of life in men with prostate cancer. Psycho-Oncology, 15, 132–142. CrossRef
go back to reference Labelle, L., Lawlor-Savage, L., Campbell, T., Faris, P., & Carlson, L. (2015a). Does self-report mindfulness mediate the effect of mindfulness-based stress reduction (MBSR) on spirituality and posttraumatic growth in cancer patients? The Journal of Positive Psychology, 10(2), 153–166. CrossRef Labelle, L., Lawlor-Savage, L., Campbell, T., Faris, P., & Carlson, L. (2015a). Does self-report mindfulness mediate the effect of mindfulness-based stress reduction (MBSR) on spirituality and posttraumatic growth in cancer patients? The Journal of Positive Psychology, 10(2), 153–166. CrossRef
go back to reference Labelle, L., Campbell, T., Faris, P., & Carlson, L. (2015b). Mediators of mindfulness-based stress reduction (MBSR): assessing the timing and sequence of change in cancer patients. Journal of Clinical Psychology, 71(1), 21–40. PubMedCrossRef Labelle, L., Campbell, T., Faris, P., & Carlson, L. (2015b). Mediators of mindfulness-based stress reduction (MBSR): assessing the timing and sequence of change in cancer patients. Journal of Clinical Psychology, 71(1), 21–40. PubMedCrossRef
go back to reference Lechner, S. C., & Antoni, M. H. (2004). Posttraumatic growth and group-based interventions for persons dealing with cancer: what have we learned so far? Psychological Inquiry, 15, 35–41. Lechner, S. C., & Antoni, M. H. (2004). Posttraumatic growth and group-based interventions for persons dealing with cancer: what have we learned so far? Psychological Inquiry, 15, 35–41.
go back to reference Lechner, S.C., Stoelb, B. L., Antoni, M.H. (2008) Group-based therapies for benefit finding in cancer. In S. Joseph and A.P. Linley (Eds.) Trauma, recovery, and growth: positive psychological perspectives on posttraumatic stress. Hoboken, NJ. 207–231. Lechner, S.C., Stoelb, B. L., Antoni, M.H. (2008) Group-based therapies for benefit finding in cancer. In S. Joseph and A.P. Linley (Eds.) Trauma, recovery, and growth: positive psychological perspectives on posttraumatic stress. Hoboken, NJ. 207–231.
go back to reference Ledesma, D., & Kumano, H. (2009). Mindfulness-based stress reduction and cancer: a meta-analysis. Psycho-Oncology, 18(6), 571–579. PubMedCrossRef Ledesma, D., & Kumano, H. (2009). Mindfulness-based stress reduction and cancer: a meta-analysis. Psycho-Oncology, 18(6), 571–579. PubMedCrossRef
go back to reference Linley, P. A., & Joseph, S. (2004). Positive change following trauma and adversity: a review. Journal of Traumatic Stress, 17(1), 11–21. PubMedCrossRef Linley, P. A., & Joseph, S. (2004). Positive change following trauma and adversity: a review. Journal of Traumatic Stress, 17(1), 11–21. PubMedCrossRef
go back to reference Matchim, Y., Armer, J. M., & Stewart, B. R. (2011). Mindfulness-based stress reduction among breast cancer survivors: a literature review and discussion. Oncology Nursing Forum, 38(2), E61–71. PubMedCrossRef Matchim, Y., Armer, J. M., & Stewart, B. R. (2011). Mindfulness-based stress reduction among breast cancer survivors: a literature review and discussion. Oncology Nursing Forum, 38(2), E61–71. PubMedCrossRef
go back to reference McNair, D. A., Lorr, M., & Droppelman, L. F. (1971). Profile of mood states. San Diego: Educational and Industrial Testing Service. McNair, D. A., Lorr, M., & Droppelman, L. F. (1971). Profile of mood states. San Diego: Educational and Industrial Testing Service.
go back to reference Mitchell, A. J. (2007). Pooled results from 38 analyses of the accuracy of distress thermometer and other ultra-short methods of detecting cancer-related mood disorders. Journal of Clinical Oncology, 25(29), 4670–4681. CrossRefPubMed Mitchell, A. J. (2007). Pooled results from 38 analyses of the accuracy of distress thermometer and other ultra-short methods of detecting cancer-related mood disorders. Journal of Clinical Oncology, 25(29), 4670–4681. CrossRefPubMed
go back to reference Morrill, E. F., Brewer, N. T., O’Neill, S. C., Lillie, S. E., Dees, E. C., Carey, L. A., & Rimer, B. K. (2008). The interaction of post‐traumatic growth and post‐traumatic stress symptoms in predicting depressive symptoms and quality of life. Psycho-Oncology, 17(9), 948–953. PubMedCrossRef Morrill, E. F., Brewer, N. T., O’Neill, S. C., Lillie, S. E., Dees, E. C., Carey, L. A., & Rimer, B. K. (2008). The interaction of post‐traumatic growth and post‐traumatic stress symptoms in predicting depressive symptoms and quality of life. Psycho-Oncology, 17(9), 948–953. PubMedCrossRef
go back to reference Musial, F., Bussing, A., Heusser, P., Choi, K., & Ostermann, T. (2011). Mindfulness-based stress reduction for integrative cancer care—a summary of evidence. Forschende Komplementmed, 18, 192–202. CrossRef Musial, F., Bussing, A., Heusser, P., Choi, K., & Ostermann, T. (2011). Mindfulness-based stress reduction for integrative cancer care—a summary of evidence. Forschende Komplementmed, 18, 192–202. CrossRef
go back to reference National Comprehensive Cancer Network. (2002). Practice guidelines in oncology: distress management. National Comprehensive Cancer Network. National Comprehensive Cancer Network. (2002). Practice guidelines in oncology: distress management. National Comprehensive Cancer Network.
go back to reference Peterman, A. H., Fitchett, G., Brady, M. J., Hernandez, L., & Cella, D. (2002). Measuring spiritual well-being in people with cancer: the functional assessment of chronic illness therapy-spiritual well-being scale (FACIT-Sp). Annals of Behavioral Medicine, 24(1), 49–58. PubMedCrossRef Peterman, A. H., Fitchett, G., Brady, M. J., Hernandez, L., & Cella, D. (2002). Measuring spiritual well-being in people with cancer: the functional assessment of chronic illness therapy-spiritual well-being scale (FACIT-Sp). Annals of Behavioral Medicine, 24(1), 49–58. PubMedCrossRef
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 survivors: a systematic review and meta-analysis. Journal of Consulting and Clinical Psychology, 80(6), 1007–1020. PubMedCrossRef Piet, J., Wurtzen, H., & Zachariae, R. (2012). The effect of mindfulness-based therapy on symptoms of anxiety and depression in adult cancer survivors: a systematic review and meta-analysis. Journal of Consulting and Clinical Psychology, 80(6), 1007–1020. PubMedCrossRef
go back to reference Rouleau, C. R., Garland, S. N., & Carlson, L. E. (2015). The impact of mindfulness-based interventions on symptom burden, positive psychological outcomes, and biomarkers in cancer patients. Cancer Management and Research, 7, 121. PubMedPubMedCentral Rouleau, C. R., Garland, S. N., & Carlson, L. E. (2015). The impact of mindfulness-based interventions on symptom burden, positive psychological outcomes, and biomarkers in cancer patients. Cancer Management and Research, 7, 121. PubMedPubMedCentral
go back to reference Shapiro, S. L., Brown, K. W., Thoresen, C., & Plante, T. G. (2011). The moderation of mindfulness-based stress reduction effects by trait mindfulness: results from a randomized controlled trial. Journal of Clinical Psychology, 67(3), 267–277. PubMedCrossRef Shapiro, S. L., Brown, K. W., Thoresen, C., & Plante, T. G. (2011). The moderation of mindfulness-based stress reduction effects by trait mindfulness: results from a randomized controlled trial. Journal of Clinical Psychology, 67(3), 267–277. PubMedCrossRef
go back to reference Shennan, C., Payne, S., & Fenlon, D. (2011). What is the evidence for the use of mindfulness-based interventions in cancer care? A review. Psycho-Oncology, 20(7), 681–697. PubMedCrossRef Shennan, C., Payne, S., & Fenlon, D. (2011). What is the evidence for the use of mindfulness-based interventions in cancer care? A review. Psycho-Oncology, 20(7), 681–697. PubMedCrossRef
go back to reference Speca, M., Carlson, L. E., Goodey, E., & Angen, M. (2000). A randomized, wait-list controlled clinical trial: the effect of a mindfulness meditation-based stress reduction program on mood and symptoms of stress in cancer outpatients. Psychosomatic Medicine, 62(5), 613–622. PubMedCrossRef Speca, M., Carlson, L. E., Goodey, E., & Angen, M. (2000). A randomized, wait-list controlled clinical trial: the effect of a mindfulness meditation-based stress reduction program on mood and symptoms of stress in cancer outpatients. Psychosomatic Medicine, 62(5), 613–622. PubMedCrossRef
go back to reference Stephen, J., Rojubally, A., MacGregor, K., McLeod, D., Speca, M., Taylor-Brown, J., et al. (2013). Evaluation of CancerChatCanada: a program of online support for Canadians affected by cancer. Current Oncology, 20, 39e47. doi: 10.​3747/​co.​20.​1210. Stephen, J., Rojubally, A., MacGregor, K., McLeod, D., Speca, M., Taylor-Brown, J., et al. (2013). Evaluation of CancerChatCanada: a program of online support for Canadians affected by cancer. Current Oncology, 20, 39e47. doi: 10.​3747/​co.​20.​1210.
go back to reference Stephen, J., Collie, K., McLeod, D., Rojubally, A., Fergus, K., Speca, M., et al. (2014). Talking with text: communication in therapist-led, live chat cancer support groups. Social Science & Medicine, 104, 178–186. CrossRef Stephen, J., Collie, K., McLeod, D., Rojubally, A., Fergus, K., Speca, M., et al. (2014). Talking with text: communication in therapist-led, live chat cancer support groups. Social Science & Medicine, 104, 178–186. CrossRef
go back to reference Tallman, B. A., Altmaier, E., & Garcia, C. (2007). Finding benefit from cancer. Journal of Counseling Psychology, 54(4), 481. CrossRef Tallman, B. A., Altmaier, E., & Garcia, C. (2007). Finding benefit from cancer. Journal of Counseling Psychology, 54(4), 481. CrossRef
go back to reference Tamagawa, R., Garland, S., Vaska, M., & Carlson, L. (2012). Who benefits from psychosocial interventions in oncology? A systematic review of psychological moderators of treatment outcome. Journal of Behavioral Medicine, 35(6), 658–673. PubMedCrossRef Tamagawa, R., Garland, S., Vaska, M., & Carlson, L. (2012). Who benefits from psychosocial interventions in oncology? A systematic review of psychological moderators of treatment outcome. Journal of Behavioral Medicine, 35(6), 658–673. PubMedCrossRef
go back to reference Tedeschi, R. G., & Calhoun, L. G. (1996). The posttraumatic growth inventory: measuring the positive legacy of trauma. Journal of Traumatic Stress, 9, 455–471. PubMedCrossRef Tedeschi, R. G., & Calhoun, L. G. (1996). The posttraumatic growth inventory: measuring the positive legacy of trauma. Journal of Traumatic Stress, 9, 455–471. PubMedCrossRef
go back to reference Tedeschi, R. G., & Calhoun, L. G. (2004). Target article: “Posttraumatic growth: Conceptual foundations and empirical evidence”. Psychological Inquiry, 15(1), 1–18. CrossRef Tedeschi, R. G., & Calhoun, L. G. (2004). Target article: “Posttraumatic growth: Conceptual foundations and empirical evidence”. Psychological Inquiry, 15(1), 1–18. CrossRef
go back to reference Thompson, N. J., Walker, E. R., Obolensky, N., Winning, A., Barmon, C., DiIorio, C., & Compton, M. T. (2010). Distance delivery of mindfulness-based cognitive therapy for depression: Project UPLIFT. Epilepsy & Behavior, 19(3), 247–254. CrossRef Thompson, N. J., Walker, E. R., Obolensky, N., Winning, A., Barmon, C., DiIorio, C., & Compton, M. T. (2010). Distance delivery of mindfulness-based cognitive therapy for depression: Project UPLIFT. Epilepsy & Behavior, 19(3), 247–254. CrossRef
go back to reference Visser, A., Garssen, B., & Vingerhoets, A. (2010). Spirituality and well‐being in cancer patients: a review. Psycho-Oncology, 19(6), 565–572. PubMedCrossRef Visser, A., Garssen, B., & Vingerhoets, A. (2010). Spirituality and well‐being in cancer patients: a review. Psycho-Oncology, 19(6), 565–572. PubMedCrossRef
go back to reference Whitford, H. S., & Olver, I. N. (2012). The multidimensionality of spiritual wellbeing: peace, meaning, and faith and their association with quality of life and coping in oncology. Psycho-Oncology, 21(6), 602–610. CrossRefPubMed Whitford, H. S., & Olver, I. N. (2012). The multidimensionality of spiritual wellbeing: peace, meaning, and faith and their association with quality of life and coping in oncology. Psycho-Oncology, 21(6), 602–610. CrossRefPubMed
go back to reference Witek-Janusek, L., Albuquerque, K., Chroniak, K. R., Chroniak, C., Durazo-Arvizu, R., & Mathews, H. L. (2008). Effect of mindfulness-based stress reduction on immune function, quality of life, and coping in women newly diagnosed with early stage breast cancer. Brain, Behavior, and Immunity, 22(6), 969–981. PubMedPubMedCentralCrossRef Witek-Janusek, L., Albuquerque, K., Chroniak, K. R., Chroniak, C., Durazo-Arvizu, R., & Mathews, H. L. (2008). Effect of mindfulness-based stress reduction on immune function, quality of life, and coping in women newly diagnosed with early stage breast cancer. Brain, Behavior, and Immunity, 22(6), 969–981. PubMedPubMedCentralCrossRef
go back to reference Zabora, J., Brintzenhofeszoc, K., Curbow, B., Hooker, C., & Piantadosi, S. (2001). The prevalence of psychological distress by cancer site. Psycho-Oncology, 10, 19–28. PubMedCrossRef Zabora, J., Brintzenhofeszoc, K., Curbow, B., Hooker, C., & Piantadosi, S. (2001). The prevalence of psychological distress by cancer site. Psycho-Oncology, 10, 19–28. PubMedCrossRef
go back to reference Zernicke, K., Campbell, T., Speca, M., McCabe-Ruff, K., Flowers, S., Dirkse, D., & Carlson, L. (2013). The eCALM trial—etherapy for cancer applying mindfulness: online mindfulness-based cancer recovery program for underserved individuals living with cancer in Alberta: protocol development for a randomized wait-list controlled clinical trial. BMC Complementary and Alternative Medicine, 13(34) doi: 10.​1186/​1472-6882-13-34. Zernicke, K., Campbell, T., Speca, M., McCabe-Ruff, K., Flowers, S., Dirkse, D., & Carlson, L. (2013). The eCALM trial—etherapy for cancer applying mindfulness: online mindfulness-based cancer recovery program for underserved individuals living with cancer in Alberta: protocol development for a randomized wait-list controlled clinical trial. BMC Complementary and Alternative Medicine, 13(34) doi: 10.​1186/​1472-6882-13-34.
go back to reference Zernicke, K., Campbell, T., Speca, M., McCabe-Ruff, K., Flowers, S., & Carlson, L. (2014). A randomized wait-list controlled trial of feasibility and efficacy of an online mindfulness-based cancer recovery program: the etherapy for cancer applying mindfulness trial. Psychosomatic Medicine, 76(4), 257–267. PubMedCrossRef Zernicke, K., Campbell, T., Speca, M., McCabe-Ruff, K., Flowers, S., & Carlson, L. (2014). A randomized wait-list controlled trial of feasibility and efficacy of an online mindfulness-based cancer recovery program: the etherapy for cancer applying mindfulness trial. Psychosomatic Medicine, 76(4), 257–267. PubMedCrossRef
go back to reference Zwahlen, D., Hagenbuch, N., Carley, M., Jenewein, J., & Buchi, S. (2010). Posttraumatic growth in cancer patients and partners—effects of role, gender and the dyad on couples’ posttraumatic growth experience. Psycho-Oncology, 19(1), 12–20. PubMedCrossRef Zwahlen, D., Hagenbuch, N., Carley, M., Jenewein, J., & Buchi, S. (2010). Posttraumatic growth in cancer patients and partners—effects of role, gender and the dyad on couples’ posttraumatic growth experience. Psycho-Oncology, 19(1), 12–20. PubMedCrossRef
Metagegevens
Titel
The eCALM Trial: eTherapy for Cancer Applying Mindfulness. Exploratory Analyses of the Associations Between Online Mindfulness-Based Cancer Recovery Participation and Changes in Mood, Stress Symptoms, Mindfulness, Posttraumatic Growth, and Spirituality
Auteurs
Kristin A. Zernicke
Tavis S. Campbell
Michael Speca
Kelley McCabe Ruff
Steven Flowers
Rie Tamagawa
Linda E. Carlson
Publicatiedatum
14-05-2016
Uitgeverij
Springer US
Gepubliceerd in
Mindfulness / Uitgave 5/2016
Print ISSN: 1868-8527
Elektronisch ISSN: 1868-8535
DOI
https://doi.org/10.1007/s12671-016-0545-5