Does self-report mindfulness mediate the effect of Mindfulness-based stress reduction (MBSR) on spirituality and posttraumatic growth in cancer patients?
Abstract
This longitudinal waitlist-controlled study evaluated the effects of Mindfulness-Based Stress Reduction (MBSR) on spirituality, posttraumatic growth (PTG), and mindfulness in cancer patients. The study also assessed whether increased mindfulness mediated the effects of MBSR on spirituality and PTG. Patients were either registered for immediate participation in MBSR (n = 135), or were naturally waiting for the next program (n = 76). Participants completed questionnaires pre-, mid-, and post-MBSR, or waiting period. Hierarchical linear modeling (HLM) was employed to assess changes over time as a function of condition (MBSR vs. waitlist). Mediation was tested using linear regression and bootstrapping. MBSR participants demonstrated increased spirituality, PTG, and mindfulness, relative to controls. Change in all mindfulness facets mediated the effect of MBSR on spirituality and PTG. The development of mindfulness skills through MBSR may facilitate a sense of meaning, peacefulness, connectedness, and personal growth in cancer patients. This investigation contributes to an emerging focus on determining ‘how’ mindfulness-based interventions work.
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Our EEG and part of the physiological data imply that chanting or other popular religious practices, including mindfulness, may indeed help individuals reduce distress and/or prevent emotional reactivity when confronted with negative affect-producing stressors.
“Our EEG and part of the physiological data imply that chanting or other popular religious practices, including mindfulness, may indeed help individuals reduce distress and/or prevent emotional reactivity when confronted with negative affect-producing stressors (Kiken and Shook, 2012; Labelle et al., 2015).”
From Repetitive Religious Chanting Modulates the Late-Stage Brain Response to Fear- and Stress-Provoking Pictures (2017) · cites this paper as Labelle et al., 2015
The sample size was calculated based on continuous responses to the posttraumatic growth inventory used in the study by Labelle et al. (2015) with a medium effect size (0.15) and a two-tailed alpha of 0.05.
“This sample size was calculated based on continuous responses to the posttraumatic growth inventory used in the study by Labelle et al. (2015) [48] with a medium effect size (0.15) and a two-tailed alpha of 0.05.”
Mindfulness-based stress reduction increases posttraumatic growth among participating cancer patients immediately after an eight-week intervention.
“Studies have emphasized that MBSR increases PTG among participating cancer patients immediately after an eight-week intervention [44, 47, 48].”
The sample size was calculated based on continuous responses to the posttraumatic growth inventory used in the study by Labelle et al. (2015) with a medium effect size (0.15) and a two-tailed alpha of 0.05.
“This sample size was calculated based on continuous responses to the posttraumatic growth inventory used in the study by Labelle et al. (2015) [48] with a medium effect size (0.15) and a two-tailed alpha of 0.05.”
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- Authors
- Labelle, L. E., Lawlor-Savage, L., Campbell, T. S., Faris, P., & Carlson, L. E.
- Affiliations
- Alberta Health Services (CA)
- Corresponding author
- Labelle, Laura E.
- Venue
- The Journal of Positive Psychology
- Publisher
- Informa UK Limited
- Published
- 2014-06-30
- Volume
- 10
- Issue
- 2
- Pages
- 153-166
- ISSN
- 1743-9760 (ISSN-L)
- 1743-9779
- OpenAlex
- W2066208154
- Cited by
- 77
- References
- 85
- Citations by year
- 2026: 3 · 2025: 6 · 2024: 5 · 2023: 6 · 2022: 7 · 2021: 7 · 2020: 9 · 2019: 4 · 2018: 4 · 2017: 10 · 2016: 8 · 2015: 8
- FWCI
- 10.22
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- The Journal of Positive Psychology (publishedVersion)
- Funders
- Health Research Board
- Mind and Life Institute
- Alberta Cancer Foundation
- Alberta Innovates - Health Solutions
- 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 stress reduction, mindfulness, spirituality, posttraumatic growth, cancer patients, mediation, mindfulness-based interventions, waitlist control, meaning in life, connectedness, personal growth
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