Cited by 194Cancer survivorship and careMindfulness and Compassion InterventionsCancer, Stress, Anesthesia, and Immune Response

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Mindfulness‐based cancer recovery and supportive‐expressive therapy maintain telomere length relative to controls in distressed breast cancer survivors

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Carlson, Linda E., Beattie, Tara L., Giese‐Davis, Janine, Faris, Peter, Tamagawa, Rie, Fick, Laura J., Degelman, Erin S., Speca, Michael·2015·Cancer

DOI 10.1002/cncr.29063

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Abstract

BACKGROUND: Group psychosocial interventions including mindfulness-based cancer recovery (MBCR) and supportive-expressive group therapy (SET) can help breast cancer survivors decrease distress and influence cortisol levels. Although telomere length (TL) has been associated with breast cancer prognosis, the impact of these two interventions on TL has not been studied to date. METHODS: The objective of the current study was to compare the effects of MBCR and SET with a minimal intervention control condition (a 1-day stress management seminar) on TL in distressed breast cancer survivors in a randomized controlled trial. MBCR focused on training in mindfulness meditation and gentle Hatha yoga whereas SET focused on emotional expression and group support. The primary outcome measure was relative TL, the telomere/single-copy gene ratio, assessed before and after each intervention. Secondary outcomes were self-reported mood and stress symptoms. RESULTS: Eighty-eight distressed breast cancer survivors with a diagnosis of stage I to III cancer (using the American Joint Committee on Cancer (AJCC) TNM staging system) who had completed treatment at least 3 months prior participated. Using analyses of covariance on a per-protocol sample, there were no differences noted between the MBCR and SET groups with regard to the telomere/single-copy gene ratio, but a trend effect was observed between the combined intervention group and controls (F [1,84], 3.82; P = .054; η(2) = .043); TL in the intervention group was maintained whereas it was found to decrease for control participants. There were no associations noted between changes in TL and changes in mood or stress scores over time. CONCLUSIONS: Psychosocial interventions providing stress reduction and emotional support resulted in trends toward TL maintenance in distressed breast cancer survivors, compared with decreases in usual care.

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Additional file 3 of The effects of meditation on length of telomeres in healthy individuals: a systematic review
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Additional file 3 of Psychometric properties of the Chinese version of Five Facet Mindfulness Questionnaire—short form in cancer patients: a Bayesian structural equation modeling approach
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Additional file 2 of The effects of meditation on length of telomeres in healthy individuals: a systematic review
Dasanayaka, N. N., Sirisena, N. D., & Samaranayake, N. (2021) · Figshare · doi:10.6084/m9.figshare.14642993
Additional file 5 of The effects of meditation on length of telomeres in healthy individuals: a systematic review
Dasanayaka, N. N., Sirisena, N. D., & Samaranayake, N. (2021) · Figshare · doi:10.6084/m9.figshare.14643002
Additional file 7 of The effects of meditation on length of telomeres in healthy individuals: a systematic review
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Additional file 2 of Psychometric properties of the Chinese version of Five Facet Mindfulness Questionnaire—short form in cancer patients: a Bayesian structural equation modeling approach
Fong, T. C. T., Wan, A. H. Y., Wong, V. P. Y., & Ho, R. T. H. (2021) · Figshare · doi:10.6084/m9.figshare.13889215
Additional file 8 of The effects of meditation on length of telomeres in healthy individuals: a systematic review
Dasanayaka, N. N., Sirisena, N. D., & Samaranayake, N. (2021) · Figshare · doi:10.6084/m9.figshare.14643011
Additional file 1 of The effects of meditation on length of telomeres in healthy individuals: a systematic review
Dasanayaka, N. N., Sirisena, N. D., & Samaranayake, N. (2021) · Figshare · doi:10.6084/m9.figshare.14642990
Additional file 1 of Psychometric properties of the Chinese version of Five Facet Mindfulness Questionnaire—short form in cancer patients: a Bayesian structural equation modeling approach
Fong, T. C. T., Wan, A. H. Y., Wong, V. P. Y., & Ho, R. T. H. (2021) · Figshare · doi:10.6084/m9.figshare.13889212
Additional file 6 of The effects of meditation on length of telomeres in healthy individuals: a systematic review
Dasanayaka, N. N., Sirisena, N. D., & Samaranayake, N. (2021) · Figshare · doi:10.6084/m9.figshare.14643005
Additional file 1 of The modulatory role of internet-supported mindfulness-based cognitive therapy on extracellular vesicles and psychological distress in people who have had cancer: a protocol for a two-armed randomized controlled study
Pereira, D. R., Silva, E., Carvalho-Maia, C., Monteiro‐Reis, S., Lourenço, C., Calisto, R., Teixeira, R. J., Carlson, L. E., Bart, G., Vainio, S. J., et al. (2022) · Figshare · doi:10.6084/m9.figshare.19128911
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Authors: Carlson, L. E., Beattie, T. L., Giese‐Davis, J., Faris, P., Tamagawa, R., Fick, L. J., Degelman, E. S., & Speca, M.
Affiliations: Alberta Health Services (CA)
University of Calgary (CA)
Corresponding author: Carlson, Linda E.
ORCID: Carlson, Linda E.
Giese‐Davis, Janine
Faris, Peter
Speca, Michael
Venue: Cancer
Publisher: Wiley
Published: 2014-11-03
Volume: 121
Issue: 3
Pages: 476-484
ISSN: 0008-543X (ISSN-L)
1097-0142
DOI: 10.1002/cncr.29063
OpenAlex: W2150614340
Cited by: 194
References: 49
Citations by year: 2026: 9 · 2025: 12 · 2024: 12 · 2023: 12 · 2022: 18 · 2021: 23 · 2020: 18 · 2019: 18 · 2018: 27 · 2017: 15 · 2016: 21 · 2015: 8 · 2014: 1
FWCI: 7.23
Type: journal article
Language: en
Open access: hybrid
doi.org
Licence: cc-by-nc-nd
creativecommons.org/licenses/by-nc-nd/3.0/ (vor)
Locations: Cancer (publishedVersion, cc-by-nc-nd)
PubMed (publishedVersion)
Libraries and Cultural Resources (University of Calgary) (submittedVersion, cc-by-nc-nd)
Funders: Alberta Cancer Foundation (25010)
Canadian Breast Cancer Research Alliance (17728)
Topics: Health Sciences › Medicine › Oncology › Cancer survivorship and care
Social Sciences › Psychology › Clinical Psychology › Mindfulness and Compassion Interventions
Life Sciences › Biochemistry, Genetics and Molecular Biology › Cancer Research › Cancer, Stress, Anesthesia, and Immune Response
Keywords: supportive-expressive group therapy, telomere length, breast cancer survivors, psychological distress, psychosocial interventions, stress reduction, hatha yoga, mindfulness meditation, emotional expression, mood, cortisol
MeSH terms: Breast Neoplasms, Female, Humans, Hydrocortisone, Longitudinal Studies, Middle Aged, Psychotherapy, Yoga, Telomere, Survivors, Meditation, Mindfulness

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Mindfulness‐based cancer recovery and supportive‐expressive therapy maintain telomere length relative to controls in distressed breast cancer survivors

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