Mindfulness-Based stress reduction in early palliative care for people with metastatic cancer: A mixed-method study
Open accessAbstract
Objectives To explore the impact of a Mindfulness-Based Stress Reduction (MBSR) intervention for people with metastatic cancer integrated in Early Palliative Care (EPC).Design Mixed-method study.Settings/location EPC Service integrated with Oncology Unit, Carpi General Hospital, Italy from January to October 2017. The MBSR intervention took place inside the hospital.Subjects Study participation was offered to 25 consecutive people referred to the EPC service.Inclusion criteria people with metastatic cancer between 18 and 75 years old; informed consent.Exclusion criteria Performance Status <60% according to Karnofsky scale; active psychiatric disorder. 20 patients were included in the study.Intervention The adapted program consists of 8 meetings for 2.5 h once a week, a 4.5 h session between the 6th and 7th weeks and 0.5 h home practice daily. The following mindfulness practices were included during the training: formal sitting meditation, body scan, light yoga, walking meditation, and Aikido exercises. Participants were provided with materials for home practice. A qualified MBSR instructor conducted the program. Sessions were attended by a clinical psychologist and a physician trained in meditation, together with the palliative nurse as facilitators.Outcome measures Feasibility and acceptability were assessed on 16 participants. In addition, pre-post measures of cancer pain and mood state were collected. Semi-structured, in-depth interviews were conducted on a subset of 8 participants at the end of the study and analysed using the Interpretative-Phenomenological approach.Results MBSR attendance to meetings and adherence to home practice were 75%. MBSR intervention helped participants to develop an accepting attitude in respect to metastatic cancer disease helping them to face anxiety and cancer pain. MBSR improves self-regulation of mood state engendering feelings of compassion MBSR program supports participants in questioning and reconnecting with their values and spiritual beliefs.Conclusions A Mindfulness intervention integrated into EPC setting is feasible, well accepted and could help metastatic cancer patients to control cancer pain together with an opportunity of emotional and spiritual relief.
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In six studies, the interviewees reported feeling more compassionate toward themselves, particularly the bodily changes due to cancer as well as more compassion toward their own (changed) needs and pursuing them.
“In six studies, the interviewees reported feeling more compassionate toward themselves, particularly the bodily changes due to cancer as well as more compassion toward their own (changed) needs and pursuing them (e.g., taking time for themselves). 65-68,70,72”
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 [70]
The Discussion describes a new attitude of self-compassion and kindness, and §3.2.2.3 reports greater acceptance of cancer-related pain. Section 3.2.1 also reports a need to slow down and dedicate time to oneself. The paper does not specifically report compassion toward bodily changes or describe pursuing changed needs as an expression of self-compassion; the six-study count cannot be established from this individual study. (LLM, conf=0.82)
Experimental — accuracy not yet measuredStudy participants across all nine studies described that they repeatedly used the learned skills, such as focusing on the breath or bodily sensations, in concrete situations.
“Study participants across all nine studies described that they repeatedly used the learned skills, such as focusing on the breath or bodily sensations, in concrete situations. 64-72”
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 [70]
Interviewee's reports in seven studies indicated that the MBI promoted acceptance of challenges but also changes as a part of life.
“Interviewee's reports in seven studies indicated that the MBI promoted acceptance of challenges but also changes as a part of life. 64,65,67-71”
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 [70]
In five studies, patients reported a sense of general calm and inner strength.
“In five studies, patients reported a sense of general calm and inner strength. 66-70”
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 [70]
A more miscellaneous aspect identified in six studies was that practicing mindfulness was experienced as a time of contemplation with the self that opened a wider spiritual perspective.
“A more miscellaneous aspect identified in six studies was that practicing mindfulness was experienced as a time of contemplation with the self that opened a wider spiritual perspective 66-70,72”
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 [70]
A third key theme mentioned across all nine studies was the benefit of the mindfulness group itself and shared experiences with other participants.
“A third key theme mentioned across all nine studies was the benefit of the mindfulness group itself and shared experiences with other participants. 64-68,70-72”
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 [70]
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- Authors
- Poletti, S., Razzini, G., Ferrari, R., Ricchieri, M. P., Spedicato, G. A., Pasqualini, A., Buzzega, C., Artioli, F., Petropulacos, K., Luppi, M., & Bandieri, E.
- Affiliations
- Inserm (FR)
- Azienda Unita' Sanitaria Locale Di Modena (IT)
- Regione Emilia-Romagna (IT)
- Corresponding author
- Poletti, Stefano
- ORCID
- Venue
- Complementary Therapies in Medicine
- Publisher
- Elsevier BV
- Published
- 2019-12
- Volume
- 47
- Pages
- 102218
- ISSN
- 0965-2299 (ISSN-L)
- OpenAlex
- W2981253705
- Cited by
- 48
- References
- 56
- Citations by year
- 2026: 5 · 2025: 4 · 2024: 9 · 2023: 7 · 2022: 8 · 2021: 9 · 2020: 5
- FWCI
- 6.42
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Licence
- Locations
- Complementary Therapies in Medicine (acceptedVersion)
- PubMed (publishedVersion)
- HAL (submittedVersion, cc-by-nc)
- IRIS UNIMORE (University of Modena and Reggio Emilia) (submittedVersion, cc-by)
- Padua Research Archive (University of Padova) (submittedVersion, other-oa)
- Funders
- Fondazione Cassa di Risparmio di Modena
- Topics
- Social Sciences › Psychology › Clinical Psychology › Mindfulness and Compassion Interventions
- Health Sciences › Medicine › Oncology › Cancer survivorship and care
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Palliative and Oncologic Care
- Keywords
- mindfulness-based stress reduction, early palliative care, metastatic cancer, cancer pain, mood states, anxiety, feasibility and acceptability, acceptance of illness, self-regulation, spiritual well-being, meditation
- MeSH terms
- Adult, Aged, Female, Humans, Male, Middle Aged, Neoplasm Metastasis, Neoplasms, Palliative Care, Stress, Psychological, Yoga, Martial Arts, Meditation, Mind-Body Therapies, Mindfulness
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