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Cited by 170Cancer survivorship and careMindfulness and Compassion InterventionsReligion, Spirituality, and Psychology

Randomized‐controlled trial of mindfulness‐based cancer recovery versus supportive expressive group therapy among distressed breast cancer survivors (MINDSET): long‐term follow‐up results

Open access
Carlson, Linda E., Tamagawa, Rie, Stephen, Joanne, Drysdale, Elaine, Zhong, Lihong, Speca, Michael·2016·Psycho-Oncology
DOI 10.1002/pon.4150
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Abstract

Background: Mindfulness‐based cancer recovery (MBCR) and supportive expressive group therapy (SET) are two well‐validated psychosocial interventions, but they have not been directly compared, and little is known about long‐term outcomes. This comparative effectiveness study measured the effects of these two interventions immediately following the groups and for 1 year thereafter in distressed breast cancer survivors. Methods: Two hundred fifty‐two distressed Stage I–III breast cancer survivors were randomized into either MBCR or SET. Women completed questionnaires addressing mood, stress symptoms, quality of life, social support, spirituality and post‐traumatic growth before and after the interventions, and 6 and 12 months later. Results: Immediately following the intervention, women in MBCR reported greater reduction in mood disturbance (primarily fatigue, anxiety and confusion) and stress symptoms including tension, sympathetic arousal and cognitive symptoms than those in SET. They also reported increased emotional and functional quality of life, emotional, affective and positive social support, spirituality (feelings of peace and meaning in life) and post‐traumatic growth (appreciation for life and ability to see new possibilities) relative to those in SET, who also improved to a lesser degree on many outcomes. Effect sizes of the time × group interactions were small to medium, and most benefits were maintained over 12 months of follow‐up. Conclusions: This study is the first and largest to demonstrate sustained benefits of MBCR in distressed breast cancer survivors relative to an active control. MBCR was superior to SET for improving psychological well‐being with lasting benefits over 1 year, suggesting these women gained long‐lasting and efficacious tools to cope with cancer. Trial Registration: Registered on clinicaltrials.gov number NCT00390169, October 2006. Copyright © 2016 John Wiley & Sons, Ltd.

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  • Little is known about participant trajectories beyond the 8-week program, as most follow-ups are less than 1 year and are rarely more than 3 years.

    “However, little is known about participant trajectories beyond the 8-week program, as most follow-ups are less than 1 year and are rarely more than 3 years [161, 162].”

    From The varieties of contemplative experience: A mixed-methods study of meditation-related challenges in Western Buddhists (2017) · cites this paper as [162]

    The Introduction (page not available) says few studies have investigated longer-term effects of mindfulness-based interventions and describes follow-ups at 6 months, 1 year, and, in one study, 2 years. It supports the general point that longer-term trajectories are understudied, but does not establish that most follow-ups are under 1 year or rarely exceed 3 years. (LLM, conf=0.84)

    Experimental — accuracy not yet measured

  • Mindfulness therapy provides more significant improvements than other therapies such as supportive-expressive group therapy and standard support in distressed women with breast cancer.

    “Mindfulness therapy also provides more significant improvements compared to other therapies such as supportive-expressive group therapy [9] and support standards in distressed women with breast cancer [6].”

    From Psychosocial Interventions for Improving the Quality of Life in Breast Cancer Survivors: A Literature Review (2019) · cites this paper as [9]

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1 of the 32 references couldn’t be matched to a known paper.

Research works printed but not linked: 1

  1. [16]16. Brady MJ, Peterman AH, Fitchett G, Mo M, Cella D. A case for including spirituality in quality of life measurement in oncology. Psy- cho-oncology 1999;09(8):417-428.

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Authors
Carlson, L. E., Tamagawa, R., Stephen, J., Drysdale, E., Zhong, L., & Speca, M.
Affiliations
  • University of Calgary (CA)
  • BC Cancer Agency (CA)
  • Department of Psychosocial Oncology Tom Baker Cancer Centre Calgary Alberta Canada
Corresponding author
Carlson, Linda E.
ORCID
Venue
Psycho-Oncology
Publisher
Wiley
Published
2016-05-18
Volume
25
Issue
7
Pages
750-759
ISSN
  • 1057-9249 (ISSN-L)
  • 1099-1611
DOI
10.1002/pon.4150
OpenAlex
W2408203670
Cited by
170
References
32
Citations by year
2026: 14 · 2025: 15 · 2024: 8 · 2023: 15 · 2022: 27 · 2021: 16 · 2020: 15 · 2019: 26 · 2018: 12 · 2017: 17 · 2016: 3
FWCI
10.42
Type
journal article
Language
en
Open access
Licence
onlinelibrary.wiley.com/termsAndConditions#vor (vor)
Locations
  • Psycho-Oncology (publishedVersion)
  • PubMed (publishedVersion)
Funders
Canadian Breast Cancer Research Alliance
Topics
  • Health Sciences › Medicine › Oncology › Cancer survivorship and care
  • Social Sciences › Psychology › Clinical Psychology › Mindfulness and Compassion Interventions
  • Social Sciences › Health › Religion, Spirituality, and Psychology
Keywords
supportive-expressive group therapy, breast cancer survivors, psychological distress, mood disturbance, stress symptoms, quality of life, social support, spirituality, posttraumatic growth, long-term outcomes, psychosocial interventions, coping with cancer
MeSH terms
Adaptation, Psychological, Adult, Aged, Breast Neoplasms, Female, Follow-Up Studies, Humans, Middle Aged, Psychotherapy, Group, Quality of Life, Stress, Psychological, Survivors, Meditation, Mindfulness

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