Effectiveness of Mindfulness-Based Stress Reduction in Mood, Breast- and Endocrine-Related Quality of Life, and Well-Being in Stage 0 to III Breast Cancer: A Randomized, Controlled Trial
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Purpose: To assess the effectiveness of mindfulness-based stress reduction (MBSR) for mood, breast- and endocrine-specific quality of life, and well-being after hospital treatment in women with stage 0 to III breast cancer. Patients and Methods: A randomized, wait-listed, controlled trial was carried out in 229 women after surgery, chemotherapy, and radiotherapy for breast cancer. Patients were randomly assigned to the 8-week MBSR program or standard care. Profile of Mood States (POMS; primary outcome), Functional Assessment of Cancer Therapy–Breast (FACT-B), Functional Assessment of Cancer Therapy–Endocrine Symptoms (FACT-ES) scales and the WHO five-item well-being questionnaire (WHO-5) evaluated mood, quality of life, and well-being at weeks 0, 8, and 12. For each outcome measure, a repeated-measures analysis of variance model, which incorporated week 0 measurements as a covariate, was used to compare treatment groups at 8 and 12 weeks. Results: There were statistically significant improvements in outcome in the experimental group compared with control group at both 8 and 12 weeks (except as indicated) for POMS total mood disturbance (and its subscales of anxiety, depression [8 weeks only], anger [12 weeks only], vigor, fatigue, and confusion [8 weeks only]), FACT-B, FACT-ES, (and Functional Assessment of Cancer Therapy subscales of physical, social [8 weeks only], emotional, and functional well-being), and WHO-5. Conclusion: MSBR improved mood, breast- and endocrine-related quality of life, and well-being more effectively than standard care in women with stage 0 to III breast cancer, and these results persisted at three months. To our knowledge, this study provided novel evidence that MBSR can help alleviate long-term emotional and physical adverse effects of medical treatments, including endocrine treatments. MBSR is recommended to support survivors of breast cancer.
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Mindfulness training based on flow meditation can help alleviate the adverse physical and emotional effects of medical treatments.
“Thus, and in line with other studies using the MBSR technique (Haller et al., 2017; Hoffman et al., 2012), mindfulness training based on flow meditation can help alleviate the adverse effects (physical and emotional) of medical treatments.”
From Improving Psychosocial Functioning in Mastectomized Women Through a Mindfulness-Based Program: Flow Meditation. (2020) · cites this paper as Hoffman et al., 2012
The sample was comparable to those with cancer in a study evaluating the effectiveness of mindfulness on well-being in a similar setting.
“Comparisons of available demographic data of those with cancer in a study evaluating the effectiveness of mindfulness on well‐being in a similar setting, suggest the sample was comparable.”
From Mindfulness for the self-management of negative coping, rumination and fears of compassion in people with cancer: An exploratory study (2023) · cites this paper as [53]
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- Authors
- Hoffman, C. J., Ersser, S. J., Hopkinson, J. B., Nicholls, P. G., Harrington, J. E., & Thomas, P. W.
- Affiliations
- University of Hull (GB)
- University of Nottingham (GB)
- Venue
- Journal of Clinical Oncology
- Published
- 2012-04-20
- Volume
- 30
- Issue
- 12
- Pages
- 1335-1342
- ISSN
- 0732-183X (ISSN-L)
- 1527-7755
- OpenAlex
- W2124295124
- Cited by
- 398
- References
- 37
- Citations by year
- 2026: 16 · 2025: 17 · 2024: 24 · 2023: 34 · 2022: 37 · 2021: 33 · 2020: 25 · 2019: 27 · 2018: 28 · 2017: 23 · 2016: 31 · 2015: 30 · 2014: 35 · 2013: 19 · 2012: 14
- FWCI
- 35.56
- Type
- journal article
- Language
- en
- Open access
- Licence
- other-oa
- Locations
- Journal of Clinical Oncology (publishedVersion)
- PubMed (publishedVersion)
- Repository@Hull (Worktribe) (University of Hull) (acceptedVersion, other-oa)
- Repository@Hull (Worktribe) (University of Hull) (submittedVersion, cc-by)
- ORCA Online Research @Cardiff (Cardiff University) (submittedVersion)
- 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 › Women's cancer prevention and management
- Keywords
- mindfulness-based stress reduction, breast cancer, mood, quality of life, well-being, endocrine therapy side effects, breast cancer survivors, anxiety, depression, fatigue, FACT-B, FACT-ES, WHO-5
- MeSH terms
- Adaptation, Psychological, Adult, Affect, Aged, Aged, 80 and over, Anxiety Disorders, Breast Neoplasms, Depression, Female, Humans, Mastectomy, Middle Aged, Neoplasm Staging, Preoperative Care, Quality of Life, Reference Values, Stress, Psychological, Waiting Lists, Treatment Outcome, Patient Satisfaction, Risk Assessment, Meditation
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