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The effects of mindfulness-based stress reduction on psychosocial outcomes and quality of life in early-stage breast cancer patients: a randomized trial
Open accessAbstract
The aim of this study was determine the effectiveness of a mindfulness-based stress-reduction (MBSR) program on quality of life (QOL) and psychosocial outcomes in women with early-stage breast cancer, using a three-arm randomized controlled clinical trial (RCT). This RCT consisting of 172 women, aged 20-65 with stage I or II breast cancer consisted of the 8-week MBSR, which was compared to a nutrition education program (NEP) and usual supportive care (UC). Follow-up was performed at three post-intervention points: 4 months, 1, and 2 years. Standardized, validated self-administered questionnaires were adopted to assess psychosocial variables. Statistical analysis included descriptive and regression analyses incorporating both intention-to-treat and post hoc multivariable approaches of the 163 women with complete data at baseline, those who were randomized to MBSR experienced a significant improvement in the primary measures of QOL and coping outcomes compared to the NEP, UC, or both, including the spirituality subscale of the FACT-B as well as dealing with illness scale increases in active behavioral coping and active cognitive coping. Secondary outcome improvements resulting in significant between-group contrasts favoring the MBSR group at 4 months included meaningfulness, depression, paranoid ideation, hostility, anxiety, unhappiness, and emotional control. Results tended to decline at 12 months and even more at 24 months, though at all times, they were as robust in women with lower expectation of effect as in those with higher expectation. The MBSR intervention appears to benefit psychosocial adjustment in cancer patients, over and above the effects of usual care or a credible control condition. The universality of effects across levels of expectation indicates a potential to utilize this stress reduction approach as complementary therapy in oncologic practice.
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“Random sequence generation (selection bias) Unclear risk”
From Psychological interventions for women with non-metastatic breast cancer (2023) · cites this paper as Henderson 2012
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“Incomplete outcome data (attrition bias) All outcomes Low risk”
From Psychological interventions for women with non-metastatic breast cancer (2023) · cites this paper as Henderson 2012
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“In two RCTs a significant between -group effect for meaningfulness 49 and in another RCT a significant between -group effect for the SOC global score 54 were reported, respectively.”
From How do mindfulness-based interventions promote coping and self-efficacy in patients with cancer: A systematic review of qualitative and quantitative data (2024) · cites this paper as [49]
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“The results provide support in favor of the positive effect of MBI on spirituality. 44,47,49,51,62”
From How do mindfulness-based interventions promote coping and self-efficacy in patients with cancer: A systematic review of qualitative and quantitative data (2024) · cites this paper as [49]
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From Psychological interventions for women with non-metastatic breast cancer (2023) · cites this paper as Henderson 2012
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From Psychological interventions for women with non-metastatic breast cancer (2023) · cites this paper as Henderson 2012
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From Psychological interventions for women with non-metastatic breast cancer (2023) · cites this paper as Henderson 2012
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From Psychological interventions for women with non-metastatic breast cancer (2023) · cites this paper as Henderson 2012
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“Blinding of participants and personnel (performance bias) All outcomes Unclear risk”
From Psychological interventions for women with non-metastatic breast cancer (2023) · cites this paper as Henderson 2012
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“Across multiple forms of cancer, patients report increased QoL after mindfulness training, in addition to better sleep quality (in some studies) and decreased anxiety, depression, hostility, and fatigue [48–51].”
From Mindfulness and physical disease: a concise review (2019) · cites this paper as [48]
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Research works printed but not linked: 1
- Lengacher CA, Reich RR, Post-White J, Moscoso MS, Shelton MM, Barta M, Le N, Budhrani P (2011) Mindfulness-based stress reduction in post-treatment breast cancer. J Behav Med. doi: 10.1007/s10865-011-9346-4.:00-000 · DOI
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Meditation Programs for Psychological Stress and Well-being: A Systematic Review and Meta-analysis
Goyal, M., Singh, S., Sibinga, E. M. S., Gould, N. F., Rowland-Seymour, A., Sharma, R., Berger, Z., Sleicher, D., Maron, D. D., Shihab, H. M., et al. (2014) · JAMA Internal Medicine · doi:10.1001/jamainternmed.2013.13018 · Cited by 2,380
Garland, E. L., Farb, N. A., R. Goldin, P., & Fredrickson, B. L. (2015) · Psychological Inquiry · doi:10.1080/1047840x.2015.1064294 · Cited by 810
Greenlee, H., DuPont‐Reyes, M. J., Balneaves, L. G., Carlson, L. E., Cohen, M. R., Deng, G., Johnson, J. A., Mumber, M., Seely, D., Zick, S. M., et al. (2017) · CA A Cancer Journal for Clinicians · doi:10.3322/caac.21397 · Cited by 768
Mishra, S. I., Scherer, R. W., Snyder, C. F., Geigle, P. M., Berlanstein, D. R., & Topaloglu, Ö. (2012) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd008465.pub2 · Cited by 694
Integrative oncology: Addressing the global challenges of cancer prevention and treatment
Mao, J. J. J., Pillai, G. K. G., de Andrade, C. J. C., Ligibel, J. A., Basu, P. S., Cohen, L. G., Khan, I. A., Mustian, K. M., Puthiyedath, R., Dhiman, K. S., et al. (2021) · CA A Cancer Journal for Clinicians · doi:10.3322/caac.21706 · Cited by 471
Metadata
- Authors
- Henderson, V. P., Clemow, L., Massion, A. O., Hurley, T. G., Druker, S., & Hébert, J. R.
- Affiliations
- University of South Carolina (US)
- Columbia University Irving Medical Center (US)
- University of New Mexico (US)
- University of Massachusetts Chan Medical School (US)
- Corresponding author
- Hébert, James R.
- Venue
- Breast Cancer Research and Treatment
- Published
- 2011-09-08
- Volume
- 131
- Issue
- 1
- Pages
- 99-109
- ISSN
- 0167-6806 (ISSN-L)
- 1573-7217
- PMC
- PMC3784652
- OpenAlex
- W2000673757
- Cited by
- 232
- References
- 52
- Citations by year
- 2026: 4 · 2025: 8 · 2024: 18 · 2023: 12 · 2022: 19 · 2021: 16 · 2020: 13 · 2019: 18 · 2018: 19 · 2017: 17 · 2016: 21 · 2015: 27 · 2014: 18 · 2013: 13 · 2012: 8
- FWCI
- 13.43
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Licence
- www.springer.com/tdm (tdm)
- Locations
- Breast Cancer Research and Treatment (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Scholar Commons (University of South Carolina) (submittedVersion)
- Funders
- National Cancer Institute (K05CA136975)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Mindfulness and Compassion Interventions
- Health Sciences › Medicine › Oncology › Cancer survivorship and care
- Social Sciences › Health › Religion, Spirituality, and Psychology
- Keywords
- mindfulness-based stress reduction, early breast cancer, quality of life, psychosocial outcomes, coping, nutrition education, complementary therapy, spirituality, depression, anxiety, hostility, paranoid ideation, FACT-B
- MeSH terms
- Adaptation, Psychological, Adult, Aged, Breast Neoplasms, Female, Humans, Middle Aged, Quality of Life, Surveys and Questionnaires, Relaxation Therapy, Self Care, Social Support, Stress, Psychological, Treatment Outcome, Meditation, Mind-Body Relations, Metaphysical, Young Adult
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