The efficacy and mechanisms of a guided self-help intervention based on mindfulness in patients with breast cancer: a randomized controlled trial.
Open accessAbstract
BACKGROUND: Mindfulness-based interventions (MBIs) can alleviate psychological distress in patients with cancer. However, face-to-face MBIs may be inconvenient for patients. Therefore, guided self-help interventions may be more accessible. The authors investigated the effects of a guided self-help MBI for depression, anxiety, and sleep disorder symptoms in patients with breast cancer and explored the potential underlying mechanisms. METHODS: One hundred forty-four postoperative patients with breast cancer were randomly assigned to an intervention group (6-week guided self-help MBI; n = 72) or a wait-list control group (routine treatment; n = 72). Self-reported depression, anxiety, sleep disorder symptoms, and rumination and worry as potential mediators were assessed at baseline and postintervention. Outcomes were then assessed at 1-month and 3-month follow-up. The intervention's effects over time and the potential mediating effect were analyzed using generalized estimating equations. The trial was registered at the Chinese Clinical Registry (ChiCTR-IOR-16008073). RESULTS: Significant improvements in depression and sleep disorder symptoms occurred in the intervention group compared with wait-list controls, and the improvements were maintained at 1-month and 3-month follow-up. Changes in rumination and worry mediated the intervention's effects on changes in depression and sleep disorder symptoms. CONCLUSIONS: A guided self-help MBI reduced depressive and sleep disorder symptoms by mitigating rumination and worry in patients with breast cancer. These findings support benefits of this accessible psychological intervention in oncology and provide insight into possible mechanisms of action. The current research contributes to discovering effective and widely accessible means for people with physical health conditions and may remove barriers that otherwise would have precluded participation in face-to-face psychological interventions.
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Mindfulness helps cancer patients cope with and regulate challenging emotions related to their illness.
“It has been shown that mindfulness helps cancer patients cope with and regulate challenging emotions related to their illness (34–36).”
Cites
Baron, R. M., & Kenny, D. A. (1986) · Journal of Personality and Social Psychology · doi:10.1037//0022-3514.51.6.1173 · Cited by 91,542 · see citing works
Baron, R. M., & Kenny, D. A. (1986) · Journal of Personality and Social Psychology · doi:10.1037/0022-3514.51.6.1173 · Cited by 91,532 · see citing works
Bray, F., Ferlay, J., Soerjomataram, I., Siegel, R. L., Torre, L. A., & Jemal, A. (2018) · CA: A Cancer Journal for Clinicians · doi:10.3322/caac.21492 · Cited by 84,109 · see citing works
The PHQ-9: Validity of a brief depression severity measure
Kroenke, K., Spitzer, R. L., & Williams, J. B. W. (2001) · Journal of General Internal Medicine · doi:10.1046/j.1525-1497.2001.016009606.x · Cited by 44,910 · see citing works
A Brief Measure for Assessing Generalized Anxiety Disorder: The GAD-7
Spitzer, R. L., Kroenke, K., Williams, J. B. W., & Löwe, B. (2006) · Archives of Internal Medicine · doi:10.1001/archinte.166.10.1092 · Cited by 31,765 · see citing works
Longitudinal data analysis using generalized linear models
LIANG, K.-Y., & ZEGER, S. L. (1986) · Biometrika · doi:10.1093/biomet/73.1.13 · Cited by 18,550 · see citing works
Nolen-Hoeksema, S., Wisco, B. E., & Lyubomirsky, S. (2008) · Perspectives on Psychological Science · doi:10.1111/j.1745-6924.2008.00088.x · Cited by 5,172 · see citing works
Development and validation of the Penn State Worry Questionnaire
Meyer, T. J., Miller, M. L., Metzger, R. L., & Borkovec, T. D. (1990) · Behaviour Research and Therapy · doi:10.1016/0005-7967(90)90135-6 · Cited by 5,099 · see citing works
Prevention of relapse/recurrence in major depression by mindfulness-based cognitive therapy.
Teasdale, J. D., Segal, Z. V., Williams, J. M. G., Ridgeway, V. A., Soulsby, J. M., & Lau, M. A. (2000) · Journal of Consulting and Clinical Psychology · doi:10.1037/0022-006x.68.4.615 · Cited by 3,236 · see citing works
Mitchell, A. J., Chan, M., Bhatti, H., Halton, M., Grassi, L., Johansen, C., & Meader, N. (2011) · The Lancet Oncology · doi:10.1016/s1470-2045(11)70002-x · Cited by 2,449 · see citing works
Constructive and unconstructive repetitive thought
Watkins, E. R. (2008) · Psychological Bulletin · doi:10.1037/0033-2909.134.2.163 · Cited by 2,421 · see citing works
Sex differences in unipolar depression: Evidence and theory.
Nolen–Hoeksema, S. (1987) · Psychological Bulletin · doi:10.1037/0033-2909.101.2.259 · Cited by 2,001 · see citing works
Effectiveness of a meditation-based stress reduction program in the treatment of anxiety disorders
(1992) · American Journal of Psychiatry · doi:10.1176/ajp.149.7.936 · Cited by 1,941 · see citing works
Athens Insomnia Scale: Validation of an instrument based on ICD-10 criteria
Soldatos, C. R., Dikeos, D. G., & Paparrigopoulos, T. J. (2000) · Journal of Psychosomatic Research · doi:10.1016/s0022-3999(00)00095-7 · Cited by 1,754 · see citing works
Gu, J., Strauss, C., Bond, R., & Cavanagh, K. (2015) · Clinical Psychology Review · doi:10.1016/j.cpr.2015.01.006 · Cited by 1,712 · cited 1× · see citing works
“Various exercises based on mindfulness can be understood as opportunities for exposure and desensitization to internal events and encourage participants to accept their undesirable feelings or thoughts, enabling a more flexible view of difficult experiences rather than repetitively, persistently, or frequently concent…”
BackgroundAnxiety and depression after cancer diagnosis: Prevalence rates by cancer type, gender, and age
Linden, W., Vodermaier, A., MacKenzie, R., & Greig, D. (2012) · Journal of Affective Disorders · doi:10.1016/j.jad.2012.03.025 · Cited by 1,245 · see citing works
Repetitive Negative Thinking as a Transdiagnostic Process
Ehring, T., & Watkins, E. R. (2008) · International Journal of Cognitive Therapy · doi:10.1521/ijct.2008.1.3.192 · Cited by 1,172 · see citing works
Repetitive negative thinking as a transdiagnostic process
Ehring, T., & Watkins, E. (2008) · International Journal of Cognitive Therapy · doi:10.1680/ijct.2008.1.3.192 · Cited by 1,141 · see citing works
Andersson, G., Cuijpers, P., Carlbring, P., Riper, H., & Hedman, E. (2014) · World Psychiatry · doi:10.1002/wps.20151 · Cited by 1,077 · see citing works
Cancer incidence and mortality in China, 2014
Chen, W., Sun, K., Zheng, R., Zeng, H., Zhang, S., Xia, C., Yang, Z., He, L., Zou, X., & He, J. (2018) · Chinese Journal of Cancer Research · doi:10.21147/j.issn.1000-9604.2018.01.01 · Cited by 1,019 · see citing works
Spijkerman, M. P. J., Pots, W. T. M., & Bohlmeijer, E. T. (2016) · Clinical Psychology Review · doi:10.1016/j.cpr.2016.03.009 · Cited by 975 · cited 2× · see citing works
“Moreover, a meta-analysis by Spijkerman et al summarized 15 RCTs and found positive effects of online MBIs on mental health outcomes.(21) However, although those authors studied more specific populations with somatic illnesses, they mostly used nonclinical populations, such as students or employees.”
BackgroundMethodCuijpers, P., Donker, T., van Straten, A., Li, J., & Andersson, G. (2010) · Psychological Medicine · doi:10.1017/s0033291710000772 · Cited by 832 · see citing works
Self-citationNewman, M. G., Szkodny, L. E., Llera, S. J., & Przeworski, A. (2011) · Clinical Psychology Review · doi:10.1016/j.cpr.2010.09.008 · Cited by 480 · see citing works
Piet, J., Würtzen, H., & Zachariae, R. (2012) · Journal of Consulting and Clinical Psychology · doi:10.1037/a0028329 · Cited by 436 · see citing works
A Multidimensional Structure for Repetitive Thought: What's on Your Mind, and How, and How Much?
Segerstrom, S. C., Stanton, A. L., Alden, L. E., & Shortridge, B. E. (2003) · Journal of Personality and Social Psychology · doi:10.1037/0022-3514.85.5.909 · Cited by 415 · see citing works
Jacobsen, P. B., & Jim, H. S. (2008) · CA: A Cancer Journal for Clinicians · doi:10.3322/ca.2008.0003 · Cited by 382 · see citing works
Cavanagh, K., Strauss, C., Forder, L., & Jones, F. (2014) · Clinical Psychology Review · doi:10.1016/j.cpr.2014.01.001 · Cited by 340 · cited 4× · see citing works
“Most published studies of the effects of MBIs using self-help strategies were conducted in developed countries, and only a few studies have used an RCT design in patients with cancer.(20,39,40) The current study extends findings with regard to the effects of a selfhelp MBI in a developing country with relatively limit…”
BackgroundResultInfluentialLung cancer incidence and mortality in C hina, 2009
Chen, W., Zheng, R., Zhang, S., Zou, X., Zhao, P., & He, J. (2012) · Thoracic Cancer · doi:10.1111/1759-7714.12025 · Cited by 309 · see citing works
Zainal, N. Z., Booth, S., & Huppert, F. A. (2013) · Psycho-Oncology · doi:10.1002/pon.3171 · Cited by 279 · see citing works
van Aalderen, J. R., Donders, A. R. T., Giommi, F., Spinhoven, P., Barendregt, H. P., & Speckens, A. E. M. (2012) · Psychological Medicine · doi:10.1017/s0033291711002054 · Cited by 262 · see citing works
Assessing treatments used to reduce rumination and/or worry: A systematic review
Querstret, D., & Cropley, M. (2013) · Clinical Psychology Review · doi:10.1016/j.cpr.2013.08.004 · Cited by 253 · see citing works
Zernicke, K. A., Campbell, T. S., Speca, M., McCabe-Ruff, K., Flowers, S., & Carlson, L. E. (2014) · Psychosomatic Medicine · doi:10.1097/psy.0000000000000053 · Cited by 187 · see citing works
Shahar, B., Britton, W. B., Sbarra, D. A., Figueredo, A. J., & Bootzin, R. R. (2010) · International Journal of Cognitive Therapy · doi:10.1521/ijct.2010.3.4.402 · Cited by 185 · see citing works
Impact of breast cancer treatments on sleep disturbances – A systematic review
Costa, A. R., Fontes, F., Pereira, S., Gonçalves, M., Azevedo, A., & Lunet, N. (2014) · The Breast · doi:10.1016/j.breast.2014.09.003 · Cited by 164 · see citing works
Carlson, L. E., Rouleau, C. R., & Garland, S. N. (2015) · Cancer Management and Research · doi:10.2147/cmar.s64165 · Cited by 157 · see citing works
Coull, G., & Morris, P. G. (2011) · Psychological Medicine · doi:10.1017/s0033291711000900 · Cited by 126 · see citing works
Fish, J., Brimson, J., & Lynch, S. (2016) · Mindfulness · doi:10.1007/s12671-016-0548-2 · Cited by 126 · see citing works
Mind–Body Therapies in Integrative Oncology
Elkins, G. R., Fisher, W. I., & Johnson, A. K. (2010) · Current Treatment Options in Oncology · doi:10.1007/s11864-010-0129-x · Cited by 108 · see citing works
Web-Based Mindfulness Interventions for People With Physical Health Conditions: Systematic Review
Toivonen, K. I., Zernicke, K., & Carlson, L. E. (2017) · Journal of Medical Internet Research · doi:10.2196/jmir.7487 · Cited by 106 · see citing works
Labelle, L. E., Campbell, T. S., & Carlson, L. E. (2010) · Mindfulness · doi:10.1007/s12671-010-0005-6 · Cited by 102 · see citing works
Barriers to the provision of evidence-based psychosocial care in oncology
Schofield, P. E., Carey, M. L., Bonevski, B., & Sanson‐Fisher, R. (2005) · Psycho-Oncology · doi:10.1002/pon.1017 · Cited by 96 · see citing works
Complementary or alternative medicine in cancer care—myths and realities
Deng, G. E., & Cassileth, B. R. (2013) · Nature Reviews Clinical Oncology · doi:10.1038/nrclinonc.2013.125 · Cited by 64 · see citing works
Gunn, K. M., Turnbull, D. A., McWha, J. L., Davies, M., & Olver, I. (2013) · Supportive Care in Cancer · doi:10.1007/s00520-013-1812-9 · Cited by 61 · see citing works
Altschuler, A., Rosenbaum, E., Gordon, P., Canales, S., & Avins, A. L. (2012) · Supportive Care in Cancer · doi:10.1007/s00520-011-1216-7 · Cited by 42 · see citing works
Wang, J., Shen, Q. H., Ding, N., Zhang, T., Yang, Z., Liu, C., Chen, S., Berry, H. L., Yuan, Z., & Yu, J. (2015) · Psycho-Oncology · doi:10.1002/pon.4023 · Cited by 34 · see citing works
Russell, L., Ugalde, A., Milne, D., Austin, D., & Livingston, P. M. (2018) · JMIR Mental Health · doi:10.2196/mental.9645 · Cited by 26 · see citing works
Guided self-help in a brave new world
Delgadillo, J. (2018) · The British Journal of Psychiatry · doi:10.1192/bjp.2017.17 · Cited by 21 · see citing works
Flagged first, then by citations
2 of the 49 references couldn’t be matched to a known paper.
Cited by
Sorted by citations
Carlson, L. E., Ismaila, N., Addington, E. L., Asher, G. N., Atreya, C. E., Balneaves, L. G., Bradt, J., Fuller-Shavel, N., Goodman, J., Hoffman, C. J., et al. (2023) · Journal of Clinical Oncology · doi:10.1200/jco.23.00857 · Cited by 331 · see citing works
Liu, W., Liu, J., Ma, L., & Chen, J. (2022) · Journal of Cancer Research and Clinical Oncology · doi:10.1007/s00432-022-04167-y · Cited by 141 · see citing works
Recent trends in the management of depression in persons with cancer
Panjwani, A. A., & Li, M. (2021) · Current Opinion in Psychiatry · doi:10.1097/yco.0000000000000727 · Cited by 41 · see citing works
Fan, M., Wang, Y., Zheng, L., Cui, M., Zhou, X., & Liu, Z. (2023) · Japanese Journal of Clinical Oncology · doi:10.1093/jjco/hyad101 · Cited by 36 · see citing works
Zhang, T., Ren, Z., Wakefield, C. E., Hui, B. P. H., Akechi, T., Shi, C., Du, X., Chen, W., Lai, L., Zhao, C., et al. (2024) · Clinical Psychology Review · doi:10.1016/j.cpr.2024.102520 · Cited by 41 · see citing works
Liu, Z., Li, M., Jia, Y., Wang, S., Zheng, L., Wang, C., & Chen, L. (2022) · Japanese Journal of Clinical Oncology · doi:10.1093/jjco/hyab198 · Cited by 25 · see citing works
Yao, H., Xiong, M., Cheng, Y.-P., Zhang, Q., Luo, Y., Ding, X., & Zhang, C. (2024) · Frontiers in Psychology · doi:10.3389/fpsyg.2024.1411647 · Cited by 26 · see citing works
Wang, Q., Luan, Y., Liu, D., Dai, J., Wang, H., Zhang, Y., Wang, S., Dong, X., & Bi, H. (2024) · International Journal of Nursing Practice · doi:10.1111/ijn.13204 · Cited by 26 · see citing works
Wolff, J., Seidel, S., Wuelfing, P., Lux, M. P., zu Eulenburg, C., Smollich, M., Baumann, F. T., Seitz, S., Küemmel, S., Thill, M., et al. (2024) · Frontiers in Oncology · doi:10.3389/fonc.2024.1354377 · Cited by 25 · see citing works
Yang, J., Du, Y. N., Shen, H., Shujie, R., Liu, Z., Zheng, D., Shi, Q., Li, Y., & Wei, G. (2022) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph191610284 · Cited by 22 · see citing works
Reangsing, C., Punsuwun, S., & Keller, K. (2023) · Integrative Cancer Therapies · doi:10.1177/15347354231220617 · Cited by 22 · see citing works
Han, J., Cheng, H.-L., Bi, L., & Molasiotis, A. (2023) · Complementary Therapies in Medicine · doi:10.1016/j.ctim.2023.102954 · Cited by 16 · see citing works
Wang, D., Weng, X., & Gao, L. (2021) · Midwifery · doi:10.1016/j.midw.2021.103152 · Cited by 16 · see citing works
Sakki, S. E., Penttinen, H., Hilgert, O., Volanen, S., Saarto, T., & Raevuori, A. (2022) · BMC Women s Health · doi:10.1186/s12905-022-02116-y · Cited by 14 · see citing works
Arefian, M., & Asgari, K. (2025) · European Journal of Oncology Nursing · doi:10.1016/j.ejon.2025.102881 · Cited by 13 · see citing works
Wang, J., Kang, D.-X., Zhang, A., & Li, B. (2024) · World Journal of Psychiatry · doi:10.5498/wjp.v14.i1.8 · Cited by 13 · see citing works
Prenatal Symptom Cluster of Psychopathology and Associations With Mindfulness and Rumination
Sun, Y., Chen, Q., Li, Y., Wang, J., Bazzano, A. N., & Cao, F. (2022) · The Journal of Nervous and Mental Disease · doi:10.1097/nmd.0000000000001485 · Cited by 14 · see citing works
Reynolds, A., & Jahromi, A. H. (2022) · JMIR Perioperative Medicine · doi:10.2196/34651 · Cited by 12 · see citing works
Štánerová, E., Zelenayová, V., & Rajčáni, J. (2025) · Journal of Psychosomatic Research · doi:10.1016/j.jpsychores.2025.112312 · Cited by 18 · see citing works
Beyond Pharmacology: A Narrative Review of Alternative Therapies for Anxiety Disorders
Antos, Z., Zackiewicz, K., Tomaszek, N., Modzelewski, S., & Waszkiewicz, N. (2024) · Diseases · doi:10.3390/diseases12090216 · Cited by 9 · see citing works
Zhang, L., Wu, Y., Jing, S., Liu, X., Ren, T., Liu, X., Dai, Z., Gu, X., Chen, X., Xiao, W., et al. (2023) · American Journal of Infection Control · doi:10.1016/j.ajic.2023.11.012 · Cited by 10 · see citing works
Heinen, J., Bäuerle, A., Schug, C., Krakowczyk, J. B., Strunk, S. E., Wieser, A., Beckord, J., Jansen, C., Dries, S., Pantförder, M., et al. (2022) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2022.1037158 · Cited by 7 · see citing works
Wang, J., Yang, Q., Cui, N., Wu, L., Zhang, X., Sun, Y., Huang, Y., & Cao, F. (2025) · Journal of Medical Internet Research · doi:10.2196/68084 · Cited by 9 · see citing works
Han, J., Shi, M., Bi, L., Wang, L.-L., & Cai, Y.-X. (2023) · Psycho-Oncology · doi:10.1002/pon.6187 · Cited by 5 · see citing works
Bahçivan, O., Estapé, T., & Gutiérrez‐Maldonado, J. (2022) · Frontiers in Psychology · doi:10.3389/fpsyg.2022.863857 · Cited by 6 · see citing works
Xu, L., Guan, A., & Huang, Y. (2025) · Medicine · doi:10.1097/md.0000000000041870 · Cited by 5 · see citing works
Li, Y., Chen, Y. Y., Wang, S. X., Dai, Z. Y., Cui, J. S., Xing, Y. F., Wu, Q., & Fang, Q. (2024) · World Journal of Oncology · doi:10.14740/wjon1817 · Cited by 6 · see citing works
Mafla-España, M. A., & Cauli, O. (2025) · Diseases · doi:10.3390/diseases13030080 · Cited by 3 · see citing works
Role experiences of women with breast cancer as daughters: A qualitative meta-synthesis
Xu, M., Zhang, L., Zhao, M., Zhang, S., Luo, T. L., Zhu, Y., & Han, J. (2024) · Asia-Pacific Journal of Oncology Nursing · doi:10.1016/j.apjon.2024.100599 · Cited by 4 · see citing works
Shao, Y., Shan, X., Li, S., Zhang, X., Chi, K., Xu, Y., & Wei, H. (2024) · PubMed · doi:10.1097/nnr.0000000000000715 · Cited by 4 · see citing works
Li, L., He, Y., Yang, X., & Liu, Y. (2025) · Frontiers in Public Health · doi:10.3389/fpubh.2025.1641075 · Cited by 3 · see citing works
Li, M., Zhao, Y., Guo, Z., Wei, M., Fan, S., Chen, Q., Li, Y., & Zang, Y. (2025) · Behavior Therapy · doi:10.1016/j.beth.2025.09.011 · Cited by 3 · see citing works
Lai, W., Ko, H., Chou, W.-R., Lee, P., & Hsu, M. (2024) · Complementary Therapies in Clinical Practice · doi:10.1016/j.ctcp.2024.101891 · Cited by 3 · see citing works
Sun, Y., Wang, J., Mao, F., Sun, J., Zhang, X., & Cao, F. (2022) · Current Psychology · doi:10.1007/s12144-022-03231-7 · Cited by 3 · see citing works
Guo, X., Hu, J., Xiong, Z., & Xiong, D. (2025) · BMC Psychiatry · doi:10.1186/s12888-025-07519-3 · Cited by 2 · see citing works
Reangsing, C., Punsuwun, S., & Oerther, S. E. (2025) · Journal of Psychosomatic Research · doi:10.1016/j.jpsychores.2025.112110 · Cited by 2 · see citing works
Korecki, J., Ganz, P. A., Partridge, A., Wolff, A. C., Petersen, L., Crespi, C., & Bower, J. (2024) · Psychosomatic Medicine · doi:10.1097/psy.0000000000001340 · Cited by 2 · see citing works
Zhu, J., Liu, M., Lu, Z., Dong, X., Zhou, Y., Kang, Y., Cheng, A. S. K., & Xie, J. (2025) · Journal of Psychiatric Research · doi:10.1016/j.jpsychires.2025.12.027 · Cited by 2 · see citing works
Luo, Y., Huang, Q., Chen, X., Peng, H., Yu, L. J., Chen, L., Zhang, L., & Huang, Y. (2025) · Frontiers in Oncology · doi:10.3389/fonc.2025.1699682 · Cited by 1 · see citing works
Phillips, J. L. H., Hemmerle, M. R., Johnson, R. M., Ennis, H. E., & Jennings, J. J. (2025) · Arthroplasty Today · doi:10.1016/j.artd.2025.101918 · Cited by 1 · see citing works
Wu, K. T. (2026) · Advances in Psychological Science · doi:10.3724/sp.j.1042.2026.0331 · Cited by 1 · see citing works
Jin, H., Men, X., Sun, Y., Sheng, Z., & Wu, L. (2026) · Frontiers in Cardiovascular Medicine · doi:10.3389/fcvm.2026.1617201 · Cited by 1 · see citing works
Tong, M., Qiu, Y., Liu, J., Yue, Y., Gu, J., Zeng, L., Yu, Y., & Yang, F. (2026) · General Hospital Psychiatry · doi:10.1016/j.genhosppsych.2026.03.022 · Cited by 1 · see citing works
Integrative Medicine for Breast Cancer Survivors
Bao, T. (2026) · Seminars in Radiation Oncology · doi:10.1016/j.semradonc.2026.151030 · Cited by 2 · see citing works
Nguyen, T. H. H., Bui, H. T., My, H. H., Tran, T. N., Nguyen, A. C., Nguyen, T. C., Do, Q. T., Nguyen, Q. N. B., & Dang, A. Q. (2026) · SAGE Open Nursing · doi:10.1177/23779608261457726 · Cited by 1 · see citing works
Boyang, D., Jiazhen, C., Liu, Y., Xuelian, C., Mahemuti, N., Wei, W., & Yumei, M. (2026) · Brain Behavior and Immunity Integrative · doi:10.1016/j.bbii.2026.100181 · Cited by 1 · see citing works
Kim, M., Kim, Y. M., Kim, H. K., & Kim, H. S. (2024) · Asian Oncology Nursing · doi:10.5388/aon.2024.24.1.11 · Cited by 1 · see citing works
Zhang, X., Li, Y., Wang, J., Huang, Y., Mao, F., Wu, L., Sun, J., & Cao, F. (2022) · doi:10.2196/preprints.41298
Lei, N., Liu, X., Xu, H., Chen, Z., & Dong, T. (2023) · Iranian Red Crescent Medical Journal · doi:10.32592/ircmj.2023.25.7.2804
The impact of mindfulness on mental health in cancer patients: an integrative review
Martins, G. B., Puziski, A. S., Costa, M., Alves, R. I., & Santiago, T. G. (2023) · Brazilian Journal of Health Review · doi:10.34119/bjhrv6n5-415
Liu, Z., Li, M., Jia, Y., Zheng, L., & Chen, L. (2024) · Research Square · doi:10.21203/rs.3.rs-4825350/v1
Reangsing, C., Punsuwun, S., & Wongsuraprakit, S. (2025) · Journal of Integrative and Complementary Medicine · doi:10.1089/jicm.2024.0943
Sakki, S. E., Penttinen, H., Hilgert, O., Volanen, S.-M., Saarto, T., & Raevuori, A. (2023) · Figshare · doi:10.6084/m9.figshare.22610186
Liu, Z., Li, M., Jia, Y., & Chen, L. (2025) · Journal of Medical Internet Research · doi:10.2196/78337
Lee, Y., Kang, H., & Kim, M. (2026) · Journal of Integrative and Complementary Medicine · doi:10.1177/27683605261456020
Magor, N. R. E., Hendy, A., Ads, S. E. M., Melika, S. W. M., Abdelgawad, S. M. E., Ibrahim, R. K., Alsunitan, R., Elshanshory, M. R., Fonon, N. F., & Elhalafawy, S. (2026) · Frontiers in Medicine · doi:10.3389/fmed.2026.1952564
Vafadar, Z., & Hadizadeh, M. (2026) · International Journal of Cancer Management · doi:10.5812/ijcm-171956
- Authors
- Shao, D., Zhang, H., Cui, N., Sun, J., Li, J., & Cao, F.
- Affiliations
- Shandong University (CN)
- Corresponding author
- Cao, Fenglin
- Venue
- Cancer
- Publisher
- Wiley
- Published
- 2020-12-17
- Volume
- 127
- Issue
- 9
- Pages
- 1377-1386
- ISSN
- 0008-543X (ISSN-L)
- 1097-0142
- OpenAlex
- W3111101139
- Cited by
- 57
- References
- 49
- Citations by year
- 2026: 9 · 2025: 14 · 2024: 12 · 2023: 10 · 2022: 10 · 2021: 2
- FWCI
- 2.19
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Cancer (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Natural Science Foundation of Shandong Province (ZR2017MC070)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Mindfulness and Compassion Interventions
- Health Sciences › Medicine › Oncology › Cancer survivorship and care
- Social Sciences › Psychology › Applied Psychology › Digital Mental Health Interventions
- Keywords
- mindfulness-based interventions, guided self-help, breast cancer, depression, anxiety, rumination, worry, psychological distress, postoperative patients, mediation
- MeSH terms
- Self-Directed Learning as Topic, Rumination, Cognitive, Psychological Distress, Adult, Anxiety, Breast Neoplasms, Depression, Female, Humans, Sleep Initiation and Maintenance Disorders, Middle Aged, Patient Dropouts, Self Care, Socioeconomic Factors, Waiting Lists, Treatment Outcome, Young Adult, Intention to Treat Analysis, Mindfulness
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
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