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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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“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].”
In the citing paper
“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]
In the citing paper
“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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Salvador, C., Mark, P., Hoenemeyer, T. W., & McDonald, V. (2022) · Complementary Therapies in Clinical Practice · doi:10.1016/j.ctcp.2022.101639 · Cited by 3
Chang, Y., Wu, C.-H., Lupo, R., Botti, S., Conte, L., Vitone, M., Massafra, R., Nunzio, G. D., & Vitale, E. (2024) · Holistic Nursing Practice · doi:10.1097/hnp.0000000000000677 · Cited by 2
Budhrani-Shani, P., Chau, N. G., & Berry, D. L. (2018) · Patient Related Outcome Measures · doi:10.2147/prom.s149978 · Cited by 3
“Past research on MBSR has been conducted primarily among breast and prostate cancer survivors.(29,30) Both investigational and routine clinical psychosocial support for HNC patients are uncommon, precluding QOL benefits for these patients.”
Diplock, B. D., Ellis, J., Perry, J., Sahgal, A., Soliman, H., Moroney, C., Bilodeau, D., & Selchen, S. (2024) · Cancer Survivorship Research & Care · doi:10.1080/28352610.2024.2407120 · Cited by 1
Özmaya, E., Uzun, S., & Aytaç, T. (2024) · Holistic Nursing Practice · doi:10.1097/hnp.0000000000000705 · Cited by 1
Mind-Body-Medizin in der integrativen Onkologie
Dobos, G., Choi, K., Horneber, M., Lange, S., Voiß, P., Kümmel, S., & Paul, A. E. (2017) · Der Onkologe · doi:10.1007/s00761-016-0169-3 · Cited by 1
Hancock, J., Sirbu, C., & Kerr, P. L. (2024) · Advances in neurobiology · doi:10.1007/978-3-031-45493-6_21 · Cited by 1
Balance Changes in Adult Cancer Survivors Participating in a 16-Week Therapeutic Yoga Program
Miller, M. J., Hughes, D. C., Darby, N., Calderón, T., Patel, D. I., Serra, M. C., Ramírez, A. G., Ortíz, A., & Almeida, G. J. (2025) · Integrative Cancer Therapies · doi:10.1177/15347354241313048 · Cited by 1
“6 Integrative approaches that address the whole individual offer a more comprehensive strategy for enhancing the overall health of CS.”
Lebensstilfaktoren und Komplementärmedizin beim Mammakarzinom
Voiß, P., Dobos, G. J., Choi, K., Lange, S., Kümmel, S., & Paul, A. (2017) · Der Gynäkologe · doi:10.1007/s00129-017-4067-6 · Cited by 1
Mindfulness: del optimismo de lo nuevo a la moderación de la ciencia
Aires, U. D. B., Korman, G. P., Garay, C. J., & Aires, U. D. B. (2019) · Revista Mexicana de Investigación en Psicología · doi:10.32870/rmip.v10i2.602 · Cited by 1
Zernicke, K. A. (2015) · Libraries and Cultural Resources (University of Calgary) · doi:10.11575/prism/27180
Mind-Body-Medizin in der integrativen Onkologie
Dobos, G. J., Kümmel, S., Voiß, P., Choi, K., Lange, S., & Paul, A. E. (2016) · Der Gynäkologe · doi:10.1007/s00129-016-3992-0
Coping and stress management training with special focus on women with breast cancer
Kvillemo, P. (2016) · Figshare
Krebs und Stress — Folgen und mögliche Auswege
Dobos, G., Voiß, P., Choi, K., Kümmel, S., & Paul, A. E. (2017) · gynäkologie + geburtshilfe · doi:10.1007/s15013-017-1109-z
Kaur, S., Trujillo, E. B., & Seifried, H. E. (2017) · John Wiley & Sons, Inc. eBooks · doi:10.1002/9781119023647.ch10
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Moore, L. A. (2016) · Mspace (University of Manitoba)
Pinheiro, L. C. (2019) · Carolina Digital Repository (University of North Carolina at Chapel Hill) · doi:10.17615/cyj6-pt59
Cancer Alternative Medicine and Cancer Prevention Research
Chang, A. I., Schwertschkow, A., Greenlee, H., Larkey, L., Bloom-Foster, J., & Mehl‐Madrona, L. (2019) · Springer eBooks · doi:10.1007/978-3-030-15935-1_9
Examining Treatment Acceptability of an Eight-Week Mindfulness-Based Stress Reduction Protocol
Palmer, B. (2021) · TopSCHOLAR (Western Kentucky University)
Siwik, C. J. (2020) · ThinkIR: The University of Louisville's Institutional Repository (University of Louisville) · doi:10.18297/etd/3477
“Dolce far niente” and mindfulness
Dhillon, H., Sasidharan, S., Dhillon, G. K., & Manalikuzhiyil, B. (2022) · MRIMS Journal of Health Sciences · doi:10.4103/mjhs.mjhs_46_21
Η επίδραση της συμβουλευτικής και της άσκησης στην ποιότητα ζωής των καρκινοπαθών
Papastergiou, D. (2021) · doi:10.12681/eadd/50901
Krebs und Stress — Folgen und mögliche Auswege
Dobos, G., Voiß, P., Choi, K., Kümmel, S., & Paul, A. E. (2017) · Uro-News · doi:10.1007/s00092-017-1447-0
Metadata
- 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
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Cancer Research › 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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