Cognitively-Based Compassion Training (CBCT ® ) in Breast Cancer Survivors: A Randomized Clinical Trial Study
Open accessAbstract
Context. Breast cancer (BC) requires a significant psychological adaptation once treatment is finished. There is growing evidence of how compassion training enhances psychological and physical well-being, however, there are very few studies analyzing the efficacy of compassion-based Interventions on BC survivors. Objective. To study the efficacy of the Cognitively-Based Compassion Training (CBCT) protocol in a BC survivor sample on quality of life, psychological well-being, fear of cancer recurrence, self-compassion, and compassion domains and mindfulness facets. Furthermore, enrollment, adherence, and satisfaction with the intervention were also analyzed. Methods. A randomized clinical trial was designed. Participants (n = 56) were randomly assigned to CBCT (n = 28) or a treatment-as-usual control group (TAU; n = 28). Pre-post intervention and 6-month follow-up measures took place to evaluate health-related quality of life, psychological well-being; psychological stress, coping strategies, and triggering cognitions; self-compassion and compassion; and mindfulness in both intervention and wait-list groups. Results. Accrual of eligible participants was high (77%), and the drop-out rate was 16%. Attendance to CBCT sessions was high and practice off sessions exceeded expectations). CBCT was effective in diminishing stress caused by FCR, fostering self-kindness and common humanity, and increasing overall self-compassion scores, mindful observation, and acting with awareness skillsets. Conclusion. CBCT could be considered a promising and potentially useful intervention to diminish stress caused by FCR and enhance self-kindness, common humanity, overall self-compassion, mindful observation, and acting with awareness skillsets. Nevertheless, future randomized trials are needed and a process of deeper cultural adaptation required.
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Mindfulness and compassion-based interventions have been used very effectively in the treatment of people with psychological or physical problems.
“They have been used very effectively in the treatment of people with psychological or physical problems (46) .”
From Mindfulness y duelo: programa MADED, mindfulness para la aceptación del dolor, las emociones y el duelo (2020) · cites this paper as [46]
The Introduction reports benefits of mindfulness-based interventions for breast cancer patients and describes potential benefits of compassion-based interventions. The Discussion reports reduced fear-of-recurrence stress after compassion training in breast cancer survivors, but says it was not efficacious for quality of life compared with usual treatment. These narrower, qualified findings do not establish that both types of intervention have been used “very effectively” to treat people with psychological or physical problems generally. (LLM, conf=0.88)
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- Authors
- Gonzalez-Hernandez, E., Romero, R., Campos, D., Burychka, D., Diego-Pedro, R., Baños, R., Negi, L. T., & Cebolla, A.
- Affiliations
- Universitat de València, València, Spain
- Fundación Instituto Valenciano de Oncología (ES)
- Universitat Jaume I (ES)
- Universitat de València (ES)
- Emory University (US)
- Corresponding author
- Cebolla, Ausiàs
- Venue
- Integrative Cancer Therapies
- Publisher
- SAGE Publications
- Published
- 2018-04-22
- Volume
- 17
- Issue
- 3
- Pages
- 684-696
- ISSN
- 1534-7354 (ISSN-L)
- 1552-695X
- PMC
- PMC6142100
- OpenAlex
- W2800011971
- Cited by
- 97
- References
- 77
- Citations by year
- 2026: 7 · 2025: 11 · 2024: 16 · 2023: 12 · 2022: 22 · 2021: 11 · 2020: 9 · 2019: 9
- FWCI
- 8.52
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Locations
- Integrative Cancer Therapies (publishedVersion, cc-by-nc)
- Europe PMC (PubMed Central) (publishedVersion, cc-by-nc)
- PubMed Central (publishedVersion, cc-by-nc)
- PubMed (publishedVersion)
- Repositori UJI (Universitat Jaume I) (publishedVersion, cc-by-nc)
- LA Referencia (Red Federada de Repositorios Institucionales de Publicaciones Científicas) (submittedVersion, cc-by-nc)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Funders
- University of Arizona
- 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
- breast cancer survivors, fear of cancer recurrence, self-compassion, compassion, mindfulness, psychological well-being, quality of life, psychological stress, coping strategies, intervention adherence, intervention satisfaction
- MeSH terms
- Cancer Survivors, Self-Management, Adaptation, Physiological, Adaptation, Psychological, Adult, Aged, Breast Neoplasms, Cognition, Female, Humans, Middle Aged, Quality of Life, Mindfulness
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