The effects of mindfulness-based stress reduction on objective and subjective sleep parameters in women with breast cancer: a randomized controlled trial: MBSR and objective and subjective sleep parameters
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OBJECTIVE: The purpose of this study was to investigate the effects of mindfulness-based stress reduction for breast cancer survivors (MBSR(BC)) on multiple measures of objective and subjective sleep parameters among breast cancer survivors (BCS). METHODS: Data were collected using a two-armed randomized controlled design among BCS enrolled in either a 6-week MBSR(BC) program or a usual care (UC) group with a 12-week follow-up. The present analysis is a subset of the larger parent trial (ClinicalTrials.gov Identifier: NCT01177124). Seventy-nine BCS participants (mean age 57 years), stages 0-III, were randomly assigned to either the formal (in-class) 6-week MBSR(BC) program or UC. Subjective sleep parameters (SSP) (i.e., sleep diaries and the Pittsburgh Sleep Quality Index (PSQI)) and objective sleep parameters (OSP) (i.e., actigraphy) were measured at baseline, 6 weeks, and 12 weeks after completing the MBSR(BC) or UC program. RESULTS: Results showed indications of a positive effect of MBSR(BC) on OSP at 12 weeks on sleep efficiency (78.2% MBSR(BC) group versus 74.6% UC group, p = 0.04), percent of sleep time (81.0% MBSR(BC) group versus 77.4% UC group, p = 0.02), and less number waking bouts (93.5 in MBSR(BC) group versus 118.6 in the UC group, p < 0.01). Small nonsignificant improvements were found in SSP in the MBSR(BC) group from baseline to 6 weeks (PSQI total score, p = 0.09). No significant relationship was observed between minutes of MBSR(BC) practice and SSP or OSP. CONCLUSIONS: These data suggest that MBSR(BC) may be an efficacious treatment to improve objective and subjective sleep parameters in BCS.
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Mindfulness practice has demonstrated improvements in uncertainty intolerance, fatigue, and sleep disturbance in other cancer patient samples.
“Mindfulness practice has demonstrated improvements in these areas in other cancer patient samples,19,42,43”
From Implementation Readiness and Initial Effects of a Brief Mindfulness Audio Intervention Compared With a Brief Music Control During Daily Radiation Therapy for Prostate Cancer: A Randomized Pilot Study. (2024) · cites this paper as [43]
The Mindfulness-Based Stress Reduction section reports reduced fatigue and sleep disturbance in breast cancer survivors, and the Results report improved objective sleep measures. Our copy does not report improvement in intolerance of uncertainty, so it supports only part of the attributed claim. (LLM, conf=0.88)
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- Authors
- Lengacher, C. A., Reich, R. R., Paterson, C. L., Jim, H. S., Ramesar, S., Alinat, C. B., Budhrani, P. H., Farias, J. R., Shelton, M. M., Moscoso, M. S., Park, J. Y., & Kip, K. E.
- Affiliations
- University of South Florida (US)
- Moffitt Cancer Center (US)
- Dana Farber Institute; Harvard Medical School; Boston MA USA
- Corresponding author
- Lengacher, Cecile A.
- ORCID
- Venue
- Psycho-Oncology
- Publisher
- Wiley
- Published
- 2014-06-18
- Volume
- 24
- Issue
- 4
- Pages
- 424-432
- ISSN
- 1057-9249 (ISSN-L)
- PMC
- PMC4487655
- OpenAlex
- W1589395696
- Cited by
- 119
- References
- 50
- Citations by year
- 2026: 7 · 2025: 10 · 2024: 11 · 2023: 8 · 2022: 4 · 2021: 12 · 2020: 7 · 2019: 11 · 2018: 16 · 2017: 9 · 2016: 10 · 2015: 12 · 2014: 1
- FWCI
- 12.59
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Psycho-Oncology (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Digital Commons - University of South Florida (University of South Florida) (submittedVersion)
- Funders
- National Cancer Institute (3R01CA131080-02S1)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Mindfulness and Compassion Interventions
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and related disorders
- Health Sciences › Medicine › Oncology › Cancer survivorship and care
- Keywords
- mindfulness-based stress reduction, breast cancer survivors, sleep quality, actigraphy, Pittsburgh Sleep Quality Index, sleep efficiency, women
- MeSH terms
- Aged, Breast Neoplasms, Carcinoma, Female, Humans, Sleep Initiation and Maintenance Disorders, Middle Aged, Sleep, Stress, Psychological, Treatment Outcome, Actigraphy, Self Report, Mindfulness
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