A meta-analysis of the benefits of mindfulness-based stress reduction (MBSR) on psychological function among breast cancer (BC) survivors
Abstract
Background Psychological issue is the most common co-morbidity of women with breast cancer (BC) after receiving treatment. Effective coping with this problem is significant importance. The aim of this meta-analysis is to evaluate the benefits of mindfulness-based stress reduction (MBSR) on psychological distress among breast cancer survivors.Methods PUBMED, EMBASE, and the Cochrane Central Register of Controlled Trials were systematically searched from their inception to June 30, 2014. Two reviewers independently reviewed and extracted the data. The primary outcomes of interest were psychological domains. Review Manager 5.3 was used to pool collected data.Results Nine articles involving 964 participants were identified. Compared with those in control group, patients in MBSR group have a significant improvement on psychological domains: depression [mean difference (MD), 5.09; 95 % confidence interval (CI), 3.63-6.55; P < 0.00001], anxiety (MD, 2.79; 95 % CI, 1.62-3.96; P < 0.00001), stress (MD, 4.10; 95 % CI, 2.46-5.74; P < 0.00001). MBSR can also improve the overall quality of life (QOL) (MD, -1.16; 95 % CI, -2.21 to -0.12; P = 0.03).Conclusions On the basis of our findings, MBSR shows a positive effect on psychological function and QOL of breast cancer survivors. This approach can be recommended to breast cancer patients as a part of their rehabilitation.
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Studies assessing complementary interventions, such as music-based interventions or mindfulness-based stress reduction (MBSR), showed beneficial effects in cancer patients; yet results were often heterogeneous.
“Additionally, studies assessing complementary interventions, such as music-based interventions or mindfulness-based stress reduction (MBSR), showed beneficial effects in cancer patients; yet results were often heterogeneous [80–84].”
Previous systematic reviews evaluated mindfulness-based stress reduction with psychologic symptoms and HRQoL in breast cancer patients, but did not explore other cancer types or other mindfulness-based interventions; since their publication, several randomized clinical trials have been performed.
“Previous systematic reviews have evaluated the associations of mindfulness-based stress reduction (MBSR), a widely used mindfulness-based intervention, with psychologic symptoms and HRQoL among patients with breast cancer.24,25,26,27 These reviews did not explore the association of mindfulness with anxiety in other cancer types and did not examine different types of mindfulness-based interventions”
From Association of Mindfulness-Based Interventions With Anxiety Severity in Adults With Cancer: A Systematic Review and Meta-analysis (2020) · cites this paper as [25]
Previous meta-analyses on MBIs for cancer patients and survivors have been restricted in scope, being either relatively narrow or very broad.
“First, previous meta‐analyses have been restricted in their scope by being either relatively narrow, eg, focusing only on effects of mindfulness‐based stress reduction (MBSR) in breast cancer survivors,13 or very broad, eg, focusing on “mind‐body approaches.”14”
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- Authors
- Huang, H.-P., He, M., Wang, H.-Y., & Zhou, M.
- Affiliations
- Mianyang Central Hospital (CN)
- Corresponding author
- Huang, Hua-ping
- ORCID
- He, Mei
- Venue
- Breast Cancer
- Published
- 2015-03-28
- Volume
- 23
- Issue
- 4
- Pages
- 568-576
- ISSN
- 1340-6868 (ISSN-L)
- 1880-4233
- OpenAlex
- W2044925286
- Cited by
- 105
- References
- 37
- Citations by year
- 2026: 1 · 2025: 6 · 2024: 6 · 2023: 8 · 2022: 13 · 2021: 11 · 2020: 13 · 2019: 16 · 2018: 10 · 2017: 12 · 2016: 5 · 2015: 3
- FWCI
- 1.44
- Type
- journal article
- Language
- en
- Open access
- closed
- Licence
- www.springer.com/tdm (tdm)
- Locations
- Breast Cancer (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Mindfulness and Compassion Interventions
- Health Sciences › Medicine › Oncology › Cancer survivorship and care
- Health Sciences › Medicine › Psychiatry and Mental health › Cancer, Stress, Anesthesia, and Immune Response
- Keywords
- mindfulness-based stress reduction, breast cancer survivors, psychological distress, depression, anxiety, stress, quality of life, psychological functioning, coping, cancer rehabilitation
- MeSH terms
- Anxiety, Breast Neoplasms, Depression, Female, Humans, Quality of Life, Stress, Psychological, Cognitive Behavioral Therapy, Survivors, Mindfulness
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