The DOI matches its Crossref record; 68 of the 68 references it cites were found in a registry or an index.
Mindfulness based stress reduction (MBSR(BC)) in breast cancer: evaluating fear of recurrence (FOR) as a mediator of psychological and physical symptoms in a randomized control trial (RCT)
Open accessAbstract
To investigate the mechanism(s) of action of mindfulness based stress reduction (MBSR(BC)) including reductions in fear of recurrence and other potential mediators. Eighty-two post-treatment breast cancer survivors (stages 0-III) were randomly assigned to a 6-week MBSR(BC) program (n = 40) or to usual care group (UC) (n = 42). Psychological and physical variables were assessed as potential mediators at baseline and at 6 weeks. MBSR(BC) compared to UC experienced favorable changes for five potential mediators: (1) change in fear of recurrence problems mediated the effect of MBSR(BC) on 6-week change in perceived stress (z = 2.12, p = 0.03) and state anxiety (z = 2.03, p = 0.04); and (2) change in physical functioning mediated the effect of MBSR(BC) on 6-week change in perceived stress (z = 2.27, p = 0.02) and trait anxiety (z = 1.98, p = 0.05). MBSR(BC) reduces fear of recurrence and improves physical functioning which reduces perceived stress and anxiety. Findings support the beneficial effects of MBSR(BC) and provide insight into the possible cognitive mechanism of action.
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“Yet the QoL was unknown”
From Psychosocial Interventions for Improving the Quality of Life in Breast Cancer Survivors: A Literature Review (2019) · cites this paper as [7]
Experimental — accuracy not yet measuredThe source backs part of the claim, not all of it — or backs it for a different population, condition or comparison.
In the citing paper
“Mindfulness therapy was effectively overcome the psychosocial problems experienced by women with breast cancer [6] [7] [8] [9].”
From Psychosocial Interventions for Improving the Quality of Life in Breast Cancer Survivors: A Literature Review (2019) · cites this paper as [7]
Experimental — accuracy not yet measuredThe cited source says what the claim attributes to it.
In the citing paper
“Experimental groups with MBSR have reduced the fear of recurrence and improved physical function that reduces perceived stress and anxiety, significantly compared to the control group given regular care”
From Psychosocial Interventions for Improving the Quality of Life in Breast Cancer Survivors: A Literature Review (2019) · cites this paper as [7]
In the citing paper
“One such intervention is mindfulness-based stress reduction (MBSR), which has been successful in improving symptoms in a variety of medical conditions [102–105].”
From Positive Psychological Interventions for Patients with Type 2 Diabetes: Rationale, Theoretical Model, and Intervention Development (2015) · cites this paper as [105]
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Cites
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“These analyses were followed by use of the Sobel test (Baron & Kenny, 1986) to examine the indirect effect of potential mediating variables (X2) taking into account the direct effect of MBSR(BC) on the outcomes of interest (i.e. ‘‘a ? b’’ path).”
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“Internal consistency reliability is 0.84–0.86 (Cohen et al., 1983).”
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“Through the MBSR program patients learn to self-regulate awareness and attention (Bishop, 2002) and cultivate non-judging acceptance to implement change (Bishop et al., 2004; Brown et al., 2007; Kabat-Zinn, 1990, 2003).”
BackgroundMindfulness-based interventions in context: Past, present, and future.
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“This training emphasizes a moment-to-moment, nonjudgmental and non-reactive awareness to internal and external experiences, thus reducing rumination and elaboration of distressful experiences (Baer, 2003; Bishop et al., 2004).”
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Cited by
Sorted by citations
Gu, J., Strauss, C., Bond, R., & Cavanagh, K. (2015) · Clinical Psychology Review · doi:10.1016/j.cpr.2015.01.006 · Cited by 1,712
“…have tested RNT constructs as mediators of MBIs, the most frequently assessed outcome was levels of depression (n = 5), followed by stress (n = 2), anxiety (n = 1) and global psychopathological symptoms (n = 1), with one study including measures of both stress and anxiety (Lengacher et al., 2014).”
BackgroundMethodInfluentialLengacher, C. A., Reich, R. R., Paterson, C. L., Ramesar, S., Park, J. Y., Alinat, C., Johnson-Mallard, V., Moscoso, M., Budhrani-Shani, P., Miladinovic, B., et al. (2016) · Journal of Clinical Oncology · doi:10.1200/jco.2015.65.7874 · Cited by 255
Self-citationFear of cancer recurrence: a theoretical review and novel cognitive processing formulation
Fardell, J. E., Thewes, B., Turner, J., Gilchrist, J., Sharpe, L., Smith, A. ‘., Girgis, A., & Butow, P. (2016) · Journal of Cancer Survivorship · doi:10.1007/s11764-015-0512-5 · Cited by 247
deVibe, M., Bjørndal, A., Fattah, S., Dyrdal, G. M., Halland, E., & Tanner-Smith, E. E. (2017) · Campbell Systematic Reviews: Better Evidence for a Better World · doi:10.4073/csr.2017.11 · Cited by 198
Lebel, S., Mutsaers, B., Tomei, C., Leclair, C. S., Jones, G., Petricone‐Westwood, D., Rutkowski, N. A., Ta, V., Trudel, G., Laflamme, S. Z., et al. (2020) · PLoS ONE · doi:10.1371/journal.pone.0234124 · Cited by 235
“Fear of recurrence is often viewed as a multidimensional phenomenon, including emotional components of anxiety and fear, and a cognitive dimension, including worry, preoccupation and intrusive thought [39] E,C”
Background
Metadata
- Authors
- Lengacher, C. A., Shelton, M. M., Reich, R. R., Barta, M. K., Johnson-Mallard, V., Moscoso, M. S., Paterson, C., Ramesar, S., Budhrani, P., Carranza, I., Lucas, J., Jacobsen, P. B., Goodman, M. J., & Kip, K. E.
- Affiliations
- University of South Florida (US)
- Moffitt Cancer Center (US)
- University of Virginia (US)
- Corresponding author
- Lengacher, Cecile A.
- ORCID
- Venue
- Journal of Behavioral Medicine
- Published
- 2012-11-27
- Volume
- 37
- Issue
- 2
- Pages
- 185-195
- ISSN
- 0160-7715 (ISSN-L)
- 1573-3521
- PMC
- PMC3627743
- OpenAlex
- W1968517896
- Cited by
- 117
- References
- 67
- Citations by year
- 2026: 7 · 2025: 7 · 2024: 8 · 2023: 3 · 2022: 15 · 2021: 5 · 2020: 11 · 2019: 11 · 2018: 12 · 2017: 10 · 2016: 11 · 2015: 10 · 2014: 4 · 2013: 1
- FWCI
- 2.37
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Licence
- www.springer.com/tdm (tdm)
- Locations
- Journal of Behavioral Medicine (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institutes of Health
- National Cancer Institute (R21CA109168)
- Topics
- Health Sciences › Medicine › Oncology › Cancer survivorship and care
- Social Sciences › Psychology › Clinical Psychology › Mindfulness and Compassion Interventions
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Cancer Research › Cancer, Stress, Anesthesia, and Immune Response
- Keywords
- mindfulness-based stress reduction, breast cancer survivors, fear of recurrence, perceived stress, state anxiety, trait anxiety, physical function, psychological symptoms, somatic symptoms, mediation
- MeSH terms
- Breast Neoplasms, Fear, Female, Humans, Middle Aged, Recurrence, Stress, Psychological, Treatment Outcome, Mindfulness
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