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Cited by 241Mindfulness and Compassion InterventionsCancer survivorship and careReligion, Spirituality, and Psychology

The DOI matches its Crossref record; 42 of the 42 references it cites were found in a registry or an index.

Mindfulness-Based Cognitive Therapy for Psychological Distress, Fear of Cancer Recurrence, Fatigue, Spiritual Well-Being, and Quality of Life in Patients With Breast Cancer—A Randomized Controlled Trial

Open access
Park, Sunre, Sato, Yasuko, Takita, Yuka, Tamura, Noriko, Ninomiya, Akira, Kosugi, Teppei, Sado, Mitsuhiro, Nakagawa, Atsuo, Takahashi, Maiko, Hayashida, Tetsu, Fujisawa, Daisuke·2020·Journal of Pain and Symptom Management
DOI 10.1016/j.jpainsymman.2020.02.017
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Abstract

Context Mindfulness-based interventions have been receiving growing attention in cancer care.Objectives The purpose of this randomized controlled trial is to examine the effectiveness of mindfulness-based cognitive therapy (MBCT) for psychological distress (anxiety and depression), fear of cancer recurrence (FCR), fatigue, spiritual well-being, and quality of life (QOL) in Japanese ambulatory patients with Stage I-III breast cancer.Methods A total of 74 patients were randomly assigned to either an eight-week MBCT intervention group (n = 38) or a wait-list control group (n = 36). The primary outcome was psychological distress, measured on Hospital Anxiety and Depression Scale. The secondary outcomes were FCR (Concerns About Recurrence Scale-overall anxiety subscale), fatigue (Brief Fatigue Inventory), spiritual well-being (Functional Assessment of Chronic Illness Therapy-Spiritual), QOL (Functional Assessment of Cancer Therapy-General), and mindfulness skills (Five Facet Mindfulness Questionnaire). The participants were assessed at baseline (T0), Week 8 (T1), and Week 12 (T2). The results were analyzed using a intention-to-treat linear mixed model.Results The participants in the MBCT group experienced significantly better outcomes in their psychological distress (Cohen's d = 1.17; P < 0.001), FCR (d = 0.43; P < 0.05), fatigue (d = 0.66; P < 0.01), spiritual well-being (d = 0.98; P < 0.001), and QOL (d = 0.79; P < 0.001) compared with the control group. The difference remained significant at T2 (four weeks after completion of the intervention).Conclusion MBCT was demonstrated to improve well-being that encompasses psychological, physical, and spiritual domains in Japanese patients with nonmetastatic breast cancer. The favorable effect was maintained up to four weeks after the completion of the intervention.

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Authors
Park, S., Sato, Y., Takita, Y., Tamura, N., Ninomiya, A., Kosugi, T., Sado, M., Nakagawa, A., Takahashi, M., Hayashida, T., & Fujisawa, D.
Affiliations
  • Keio University (JP)
  • Tokyo Medical Center (JP)
  • Tokyo Kasei University (JP)
Corresponding author
Park, Sunre
ORCID
Venue
Journal of Pain and Symptom Management
Publisher
Elsevier BV
Published
2020-08
Volume
60
Issue
2
Pages
381-389
ISSN
0885-3924 (ISSN-L)
DOI
10.1016/j.jpainsymman.2020.02.017
OpenAlex
W3007255206
Cited by
241
References
42
Citations by year
2026: 43 · 2025: 72 · 2024: 56 · 2023: 37 · 2022: 23 · 2021: 10
FWCI
6.99
Type
journal article
Language
en
Open access
Licence
Locations
  • Journal of Pain and Symptom Management (publishedVersion)
  • PubMed (publishedVersion)
  • Institutional Repositories DataBase (IRDB) (submittedVersion)
Funders
  • Keio Gijuku Academic Development Funds
  • Japan Society for the Promotion of Science (JP15K09875)
Topics
  • Social Sciences › Psychology › Clinical Psychology › Mindfulness and Compassion Interventions
  • Health Sciences › Medicine › Oncology › Cancer survivorship and care
  • Social Sciences › Health › Religion, Spirituality, and Psychology
Keywords
mindfulness-based cognitive therapy, breast cancer, psychological distress, anxiety, depression, fear of cancer recurrence, cancer-related fatigue, spiritual well-being, quality of life, mindfulness skills, Japanese patients, non-metastatic breast cancer
MeSH terms
Psychological Distress, Breast Neoplasms, Fatigue, Fear, Female, Humans, Neoplasm Recurrence, Local, Quality of Life, Cognitive Behavioral Therapy, Mindfulness

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