Mindfulness based stress reduction in post-treatment breast cancer patients: An examination of symptoms and symptom clusters
Abstract
To investigate prevalence and severity of symptoms and symptom clustering in breast cancer survivors who attended MBSR(BC). Women were randomly assigned into MBSR(BC) or Usual Care (UC). Eligible women were ≥ 21 years, had been diagnosed with breast cancer and completed treatment within 18 months of enrollment. Symptoms and interference with daily living were measured pre- and post-MBSR(BC) using the M.D. Anderson Symptom Inventory. Symptoms were reported as highly prevalent but severity was low. Fatigue was the most frequently reported and severe symptom among groups. Symptoms clustered into 3 groups and improved in both groups. At baseline, both MBSR(BC) and the control groups showed similar mean symptom severity and interference; however, after the 6-week post-intervention, the MBSR(BC) group showed statistically-significant reduction for fatigue and disturbed sleep (P < 0.01) and improved symptom interference items, compared to the control group. For the between-group comparisons, 11 of 13 symptoms and 5 of 6 interference items had lower means in the MBSR(BC) condition than the control condition. These results suggest that MBSR(BC) modestly decreases fatigue and sleep disturbances, but has a greater effect on the degree to which symptoms interfere with many facets of life. Although these results are preliminary, MBSR intervention post-treatment may effectively reduce fatigue and related interference in QOL of breast cancer survivors.
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Among individuals with cancer, mindfulness-based interventions have been shown to improve depression, anxiety, fatigue, sleep, and overall physical functioning in randomized trials.
“Among individuals with cancer, mindfulness-based interventions have been shown to improve depression, anxiety, fatigue, sleep, and overall physical functioning in randomized trials [15, 23, 24]”
From Mindfulness, Experiential Avoidance, and Recovery From Hematopoietic Stem Cell Transplantation. (2019) · cites this paper as [15]
The way in which individuals approach and manage difficult thoughts, emotions, and physical sensations has been shown to hinder or facilitate psychological functioning, including the development of traumatic stress symptoms, and to affect the experience and expression of physical symptoms.
“The way in which individuals approach and manage difficult thoughts, emotions, and physical sensations has been shown to hinder or facilitate psychological functioning, including the development of traumatic stress symptoms, and to affect the experience and expression of physical symptoms [12-16]”
From Mindfulness, Experiential Avoidance, and Recovery From Hematopoietic Stem Cell Transplantation. (2019) · cites this paper as [15]
There is evidence associated with the effectiveness of MBSR on psychological problems such as quality of life, sleep disturbance disorders, mood disorders, fatigue, and stress level in different medical conditions including rheumatoid arthritis, fibromyalgia, cancer, chronic pain, and multiple sclerosis.
“There are some evidence associated with the effectiveness of MBSR on psychological problems, such as quality of life, sleep disturbance disorders, mood disorders, fatigue, and stress level in different medical conditions, including rheumatoid arthritis,[16] fibromyalgia,[17] cancer,[18] chronic pain,[19] and multiple sclerosis.[202122]”
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- Authors
- Lengacher, C. A., Reich, R. R., Post-White, J., Moscoso, M., Shelton, M. M., Barta, M., Le, N., & Budhrani, P.
- Affiliations
- University of South Florida (US)
- Moffitt Cancer Center (US)
- Corresponding author
- Lengacher, Cecile A.
- Venue
- Journal of Behavioral Medicine
- Published
- 2011-04-20
- Volume
- 35
- Issue
- 1
- Pages
- 86-94
- ISSN
- 0160-7715 (ISSN-L)
- 1573-3521
- OpenAlex
- W1998480712
- Cited by
- 170
- References
- 61
- Citations by year
- 2026: 4 · 2025: 7 · 2024: 8 · 2023: 13 · 2022: 9 · 2021: 13 · 2020: 7 · 2019: 12 · 2018: 12 · 2017: 12 · 2016: 11 · 2015: 22 · 2014: 20 · 2013: 14 · 2012: 4
- FWCI
- 6.29
- Type
- journal article
- Language
- en
- Open access
- closed
- Licence
- www.springer.com/tdm (tdm)
- Locations
- Journal of Behavioral Medicine (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Cancer Institute (R21CA109168, R21 CA109168-01A2.)
- Topics
- Health Sciences › Medicine › Oncology › Cancer survivorship and care
- Social Sciences › Psychology › Clinical Psychology › Mindfulness and Compassion Interventions
- Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Cancer-related cognitive impairment studies
- Keywords
- mindfulness-based stress reduction, breast cancer survivors, post-treatment symptoms, symptom clusters, fatigue, sleep disorders, symptom interference, quality of life, usual care comparison
- MeSH terms
- Adult, Aged, Breast Neoplasms, Female, Humans, Middle Aged, Quality of Life, Severity of Illness Index, Stress, Psychological, Yoga, Treatment Outcome, Survivors, Meditation, Mind-Body Relations, Metaphysical
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