Mindfulness meditation for younger breast cancer survivors: A randomized controlled trial
Open accessAbstract
BACKGROUND: Premenopausal women diagnosed with breast cancer are at risk for psychological and behavioral disturbances after cancer treatment. Targeted interventions are needed to address the needs of this vulnerable group. METHODS: This randomized trial provided the first evaluation of a brief, mindfulness‐based intervention for younger breast cancer survivors designed to reduce stress, depression, and inflammatory activity. Women diagnosed with early stage breast cancer at or before age 50 who had completed cancer treatment were randomly assigned to a 6‐week Mindful Awareness Practices (MAPS) intervention group (n = 39) or to a wait‐list control group (n = 32). Participants completed questionnaires before and after the intervention to assess stress and depressive symptoms (primary outcomes) as well as physical symptoms, cancer‐related distress, and positive outcomes. Blood samples were collected to examine genomic and circulating markers of inflammation. Participants also completed questionnaires at a 3‐month follow‐up assessment. RESULTS: In linear mixed models, the MAPS intervention led to significant reductions in perceived stress ( P = .004) and marginal reductions in depressive symptoms ( P = .094), as well as significant reductions in proinflammatory gene expression ( P = .009) and inflammatory signaling ( P = .001) at postintervention. Improvements in secondary outcomes included reduced fatigue, sleep disturbance, and vasomotor symptoms and increased peace and meaning and positive affect ( P < .05 for all). Intervention effects on psychological and behavioral measures were not maintained at the 3‐month follow‐up assessment, although reductions in cancer‐related distress were observed at that assessment. CONCLUSIONS: A brief, mindfulness‐based intervention demonstrated preliminary short‐term efficacy in reducing stress, behavioral symptoms, and proinflammatory signaling in younger breast cancer survivors. Cancer 2015;121:1231–1240. © 2014 American Cancer Society .
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Mindfulness therapy effectively overcomes the psychosocial problems experienced by women with breast cancer.
“Mindfulness therapy was effectively overcome the psychosocial problems experienced by women with breast cancer [6] [7] [8] [9].”
From Psychosocial Interventions for Improving the Quality of Life in Breast Cancer Survivors: A Literature Review (2019) · cites this paper as [8]
The Results report that a six-week mindfulness intervention reduced perceived stress in breast cancer survivors diagnosed at or before age 50, while improvement in depressive symptoms was only a trend. The Discussion describes the benefits as short-term and says improvements in stress, depression, and other symptoms were not sustained at follow-up. This does not establish that mindfulness therapy overcomes psychosocial problems generally in all women with breast cancer. (LLM, conf=0.88)
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- Authors
- Bower, J. E., Crosswell, A. D., Stanton, A. L., Crespi, C. M., Winston, D., Arevalo, J., Ma, J., Cole, S. W., & Ganz, P. A.
- Affiliations
- University of California, Los Angeles (US)
- Corresponding author
- Bower, Julienne E.
- ORCID
- Venue
- Cancer
- Publisher
- Wiley
- Published
- 2014-12-23
- Volume
- 121
- Issue
- 8
- Pages
- 1231-1240
- ISSN
- 0008-543X (ISSN-L)
- 1097-0142
- PMC
- PMC4393338
- OpenAlex
- W1870147430
- Cited by
- 390
- References
- 51
- Citations by year
- 2026: 28 · 2025: 35 · 2024: 38 · 2023: 35 · 2022: 52 · 2021: 44 · 2020: 28 · 2019: 50 · 2018: 20 · 2017: 30 · 2016: 18 · 2015: 9 · 2014: 1 · 2012: 1
- FWCI
- 9.32
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Cancer (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- eScholarship (California Digital Library) (submittedVersion)
- Funders
- Susan G. Komen for the Cure (20102790)
- Topics
- Health Sciences › Medicine › Oncology › Cancer survivorship and care
- Social Sciences › Psychology › Clinical Psychology › Mindfulness and Compassion Interventions
- Health Sciences › Medicine › Psychiatry and Mental health › Cancer, Stress, Anesthesia, and Immune Response
- Keywords
- mindfulness meditation, breast cancer survivors, premenopausal women, perceived stress, depressive symptoms, inflammation, pro-inflammatory gene expression, cancer-related distress, fatigue, sleep disorders, vasomotor symptoms
- MeSH terms
- Adult, Breast Neoplasms, Female, Humans, Inflammation, Middle Aged, Surveys and Questionnaires, Biomarkers, Tumor, Case-Control Studies, Treatment Outcome, Survivors, Meditation, Mindfulness
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