Cited by 398Mindfulness and Compassion InterventionsCancer survivorship and careWomen's cancer prevention and management

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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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Hoffman, Caroline J., Ersser, Steven J., Hopkinson, Jane B., Nicholls, Peter G., Harrington, Julia E., Thomas, Peter W.·2012·Journal of Clinical Oncology

DOI 10.1200/jco.2010.34.0331

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Abstract

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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BackgroundInfluential
Mediators of Mindfulness-Based Stress Reduction (MBSR): Assessing the Timing and Sequence of Change in Cancer Patients
Labelle, L. E., Campbell, T. S., Faris, P., & Carlson, L. E. (2015) · Journal of Clinical Psychology · doi:10.1002/jclp.22117 · Cited by 90
“In cancer settings, results from nine randomized controlled trials (RCTs) indicate a beneficial effect of MBIs on symptoms of stress, mood disturbance, depression, anxiety, perceived stress, quality of life, physical functioning, sleep, fatigue, energy, spirituality, meaning, and positive states of mind (Branstrom, Kv…”
BackgroundResult
The Safety of Mindfulness-Based Interventions: a Systematic Review of Randomized Controlled Trials
Wong, S. Y. S., Chan, J. Y. C., Zhang, D., Lee, E. K. P., & Tsoi, K. K. F. (2018) · Mindfulness · doi:10.1007/s12671-018-0897-0 · Cited by 92
A randomized pilot trial of a positive affect skill intervention (lessons in linking affect and coping) for women with metastatic breast cancer
Cheung, E. O., Cohn, M. A., Dunn, L. B., Melisko, M. E., Morgan, S., Penedo, F. J., Salsman, J. M., Shumay, D. M., & Moskowitz, J. T. (2017) · Psycho-Oncology · doi:10.1002/pon.4312 · Cited by 90
Beneficial effect of mindfulness-based art therapy in patients with breast cancer—a randomized controlled trial.
Jang, S.-H., Kang, S.-Y., Lee, H.-J., & Lee, S.-Y. (2016) · EXPLORE · doi:10.1016/j.explore.2016.06.003 · Cited by 87
Mindfulness-Based Stress Reduction as a Stress Management Intervention for Cancer Care: A Systematic Review
Rush, S. E., & Sharma, M. (2017) · Journal of Evidence-Based Complementary & Alternative Medicine · doi:10.1177/2156587216661467 · Cited by 89
“The most common outcome measure was a score on the Profile of Mood States, which was utilized by 4 studies.(63,65,68,72) Other common measures used were the Five-Facet Mindfulness Questionnaire,(62,63,72) the Perceived Stress Scale,(62,64,73) the Functional Assessment of Cancer Therapy,(65,67,68) and the Symptoms Chec…”
BackgroundMethod
Investigating efficacy of two brief mind–body intervention programs for managing sleep disturbance in cancer survivors: a pilot randomized controlled trial
Nakamura, Y., Lipschitz, D. L., Kuhn, R., Kinney, A. Y., & Donaldson, G. W. (2013) · Journal of Cancer Survivorship · doi:10.1007/s11764-012-0252-8 · Cited by 102
“Several recent studies investigated the efficacy and utility of MBSR in managing persisting symptoms in cancer patients and posttreatment survivors [7, 18–25].”
Background
Effects of mindfulness-based stress reduction on anxiety symptoms in young people: A systematic review and meta-analysis
Zhou, X., Guo, J., Lu, G., Chen, C., Xie, Z., Liu, J., & Zhang, C. (2020) · Psychiatry Research · doi:10.1016/j.psychres.2020.113002 · Cited by 84
Mindfulness-based stress reduction can alleviate cancer- related fatigue: A meta-analysis
Xie, C., Dong, B., Wang, L., Jing, X., Wu, Y., Lin, L., & Tian, L. (2020) · Journal of Psychosomatic Research · doi:10.1016/j.jpsychores.2019.109916 · Cited by 84
Psychosocial benefits of a novel mindfulness intervention versus standard support in distressed women with breast cancer
Monti, D. A., Kash, K. M., Kunkel, E. J., Moss, A., Mathews, M., Brainard, G., Anne, R., Leiby, B. E., Pequinot, E., & Newberg, A. B. (2013) · Psycho-Oncology · doi:10.1002/pon.3320 · Cited by 79
Evidence-Based Interventions for Cancer- and Treatment-Related Cognitive Impairment
Ah, D. M. V., Jansen, C. E., & Allen, D. H. (2014) · Clinical journal of oncology nursing · doi:10.1188/14.cjon.s3.17-25 · Cited by 80
“In a randomized, controlled trial with 229 breast cancer survivors, Hoffman et al. (2012) evaluated an eight-week program.”
Why It Pays to be Mindful: Trait Mindfulness Predicts Physiological Recovery from Emotional Stress and Greater Differentiation among Negative Emotions
Fogarty, F. A., Lu, L. M., Sollers, J. J., Krivoschekov, S. G., Booth, R. J., & Consedine, N. S. (2013) · Mindfulness · doi:10.1007/s12671-013-0242-6 · Cited by 102
Targeting Depressive Symptoms in Younger Breast Cancer Survivors: The Pathways to Wellness Randomized Controlled Trial of Mindfulness Meditation and Survivorship Education
Bower, J. E., Partridge, A. H., Wolff, A. C., Thorner, E. D., Irwin, M. R., Joffe, H., Petersen, L., Crespi, C. M., & Ganz, P. A. (2021) · Journal of Clinical Oncology · doi:10.1200/jco.21.00279 · Cited by 81
The effect of cancer treatment on cognitive function.
Asher, A., & Myers, J. S. (2015) · PubMed · Cited by 77
The mindful moms training: development of a mindfulness-based intervention to reduce stress and overeating during pregnancy
Vieten, C., Laraia, B. A., Kristeller, J. L., Adler, N. E., Coleman‐Phox, K., Bush, N. R., Wahbeh, H., Duncan, L. G., & Epel, E. S. (2018) · BMC Pregnancy and Childbirth · doi:10.1186/s12884-018-1757-6 · Cited by 81
Does self-report mindfulness mediate the effect of Mindfulness-based stress reduction (MBSR) on spirituality and posttraumatic growth in cancer patients?
Labelle, L. E., Lawlor-Savage, L., Campbell, T. S., Faris, P., & Carlson, L. E. (2015) · The Journal of Positive Psychology · doi:10.1080/17439760.2014.927902 · Cited by 77
“Previous randomized controlled trials of MBSR in cancer patients found that those who attended more sessions and meditated more at home had better outcomes than those who did not (Hoffman et al., 2012; Lengacher et al., 2009; Speca, Carlson, Goodey, & Angen, 2000).”
Background
Test of mindfulness and hope components in a psychological intervention for women with cancer recurrence.
Thornton, L. M., Cheavens, J. S., Heitzmann, C. A., Dorfman, C. S., Wu, S. M., & Andersen, B. L. (2014) · Journal of Consulting and Clinical Psychology · doi:10.1037/a0036959 · Cited by 74
“…interventions have been used to successfully reduce symptoms of depression and anxiety and improve mood and quality-of-life with a variety of clinical samples (Hofmann, Sawyer, Witt, & Oh, 2010), including cancer patients (Carlson et al., 2013; Hoffman et al., 2012; Shennan, Payne, & Fenlon, 2011).”
Effects of a 12-week supervised resistance training program, combined with home-based physical activity, on physical fitness and quality of life in female breast cancer survivors: the EFICAN randomized controlled trial
Soriano‐Maldonado, A., Díez‐Fernández, D. M., Esteban‐Simón, A., Rodríguez-Pérez, M. A., Artés-Rodríguez, E., Casimiro-Artés, M. Á., Moreno-Martos, H., Toro-de-Federico, A., Hachem-Salas, N., Bartholdy, C. R., et al. (2022) · Journal of Cancer Survivorship · doi:10.1007/s11764-022-01192-1 · Cited by 85
The next generation of mindfulness-based intervention research: what have we learned and where are we headed?
Rosenkranz, M. A., Dunne, J. D., & Davidson, R. J. (2019) · Current Opinion in Psychology · doi:10.1016/j.copsyc.2018.12.022 · Cited by 81
The influence of psychological interventions on surgical outcomes: a systematic review
Lanini, I., Amass, T. H., Calabrisotto, C. S., Fabbri, S., Falsini, S., Adembri, C., Filippo, A. D., Romagnoli, S., & Villa, G. (2022) · Journal of Anesthesia Analgesia and Critical Care · doi:10.1186/s44158-022-00057-4 · Cited by 69
Mindfulness, cognitive behavioural and behaviour‐based therapy for natural and treatment‐induced menopausal symptoms: a systematic review and meta‐analysis
van Driel, C. M. G., Stuursma, A., Schroevers, M. J., Mourits, M., & de Bock, G. H. (2018) · BJOG An International Journal of Obstetrics & Gynaecology · doi:10.1111/1471-0528.15153 · Cited by 68
Meditation, Health and Scientific Investigations: Review of the Literature
Sampaio, C. V. S., Lima, M. G., & Ladeia, A. M. T. (2016) · Journal of Religion and Health · doi:10.1007/s10943-016-0211-1 · Cited by 68
Effect of Relaxation With Guided Imagery on The Physical and Psychological Symptoms of Breast Cancer Patients Undergoing Chemotherapy
Chen, S., Wang, H., Yang, H., & Chung, U. (2015) · Iranian Red Crescent Medical Journal · doi:10.5812/ircmj.31277 · Cited by 65
Impact of mindfulness-based teacher training on MBSR participant well-being outcomes and course satisfaction.
Ruijgrok-Lupton, P. E., Crane, R. S., & Dorjee, D. (2018) · Mindfulness · doi:10.1007/s12671-017-0750-x · Cited by 64
“2012), similar to significant increases in WBI-5 values measured in a randomised controlled trial on well-being for breast cancer patients following an MBSR program (Hoffman et al. 2012).”
Background
Health-related quality of life and mental well-being of healthy and diseased persons in 8 countries: Does stringency of government response against early COVID-19 matter?
Long, D., Haagsma, J. A., Janssen, M. F., Yfantopoulos, J., Lubetkin, E. I., & Bonsel, G. J. (2021) · SSM - Population Health · doi:10.1016/j.ssmph.2021.100913 · Cited by 67
“Coefficients that reached the minimal important difference (Hoffman et al., 2012; McClure et al., 2017) were considered worthy of interpretation.”
Psychological distress and eustress in cancer and cancer treatment: Advances and perspectives
Wu, Y., Zhou, L., Zhang, X., Yang, X., Niedermann, G., & Xue, J. (2022) · Science Advances · doi:10.1126/sciadv.abq7982 · Cited by 69
The Comparative Impact of Mindfulness-Based Cancer Recovery (MBCR) and Cognitive Behavior Therapy for Insomnia (CBT-I) on Sleep and Mindfulness in Cancer Patients
Garland, S. N., Rouleau, C. R., Campbell, T. S., Samuels, C. H., & Carlson, L. E. (2015) · EXPLORE · doi:10.1016/j.explore.2015.08.004 · Cited by 64
Mind-Body Practices in Cancer Care
Chaoul, A., Milbury, K., Sood, A. K., Prinsloo, S., & Cohen, L. G. (2014) · Current Oncology Reports · doi:10.1007/s11912-014-0417-x · Cited by 61
Mindfulness-based interventions and cognitive function among breast cancer survivors: a systematic review
Cifu, G., Power, M. C., Shomstein, S., & Arem, H. E. (2018) · BMC Cancer · doi:10.1186/s12885-018-5065-3 · Cited by 61
Mindfulness-Based Movement: A Polyvagal Perspective
Lucas, A. R., Klepin, H. D., Porges, S. W., & Rejeski, W. J. (2016) · Integrative Cancer Therapies · doi:10.1177/1534735416682087 · Cited by 67
Examining Mediators and Moderators of Yoga for Women With Breast Cancer Undergoing Radiotherapy
Ratcliff, C. G., Milbury, K., Chandwani, K. D., Chaoul, A., Perkins, G. H., Nagarathna, R., Haddad, R., Nagendra, H. R., Raghuram, N. V., Spelman, A. R., et al. (2016) · Integrative Cancer Therapies · doi:10.1177/1534735415624141 · Cited by 59
The mindfulness-based stress reduction program for improving sleep quality in cancer survivors: A systematic review and meta-analysis
Suh, H.-W., Jeong, H. Y., Hong, S., Kim, J. W., Yoon, S. W., Lee, J. Y., & Chung, S.-Y. (2021) · Complementary Therapies in Medicine · doi:10.1016/j.ctim.2021.102667 · Cited by 57
Yoga into Cancer Care
Agarwal, R. P., & Maroko-Afek, A. (2018) · International Journal of Yoga · doi:10.4103/ijoy.ijoy_42_17 · Cited by 57
Development and preliminary evaluation of a telephone-based mindfulness training intervention for survivors of critical illness
Cox, C. E., Porter, L. S., Buck, P. J., Hoffa, M., Jones, D., Walton, B., Hough, C. L., & Greeson, J. M. (2014) · Annals of the American Thoracic Society · doi:10.1513/annalsats.201308-283oc · Cited by 56
Validation of the Polish version of WHO-5 as a screening instrument for depression in adults with diabetes
Cichoń, E., Kiejna, A., Kokoszka, A., Gondek, T. M., Rajba, B., Lloyd, C. E., & Sartorius, N. (2019) · Diabetes Research and Clinical Practice · doi:10.1016/j.diabres.2019.107970 · Cited by 64
Effectiveness of a nurse-led Mindfulness-based Tai Chi Chuan (MTCC) program on Posttraumatic Growth and perceived stress and anxiety of breast cancer survivors
Zhang, J.-Y., Li, S., Meng, L.-N., & Zhou, Y.-Q. (2022) · European Journal of Psychotraumatology · doi:10.1080/20008198.2021.2023314 · Cited by 55
Cognitive behavioral therapy for reducing fear of cancer recurrence (FCR) among breast cancer survivors: a systematic review of the literature
Park, S.-Y., & Lim, J.-W. (2022) · BMC Cancer · doi:10.1186/s12885-021-08909-y · Cited by 53
“Recently, several studies found that mindfulness-based interventions were effective as coping strategies that diminish anxiety, stress, and general mood and enhance quality of life for BCSs [31, 32].”
Background
Effects of Mindfulness-Based Therapy for Cancer Patients: A Systematic Review and Meta-analysis
Lin, L., Lin, L., Tzeng, G.-L., Huang, Y.-H., Tai, J.-F., Chen, Y., Wu, C.-J., Chen, P.-H., Lin, P., & Hung, P. (2022) · Journal of Clinical Psychology in Medical Settings · doi:10.1007/s10880-022-09862-z · Cited by 52
A prospective study of quality of life in breast cancer patients undergoing radiation therapy
Xiao, C., Miller, A. H., Felger, J. C., Mister, D., Liu, T., & Torres, M. A. (2016) · Advances in Radiation Oncology · doi:10.1016/j.adro.2016.01.003 · Cited by 52
“This relationship has been shown in many other studies, especially studies using psychosocial behavioral interventions to reduce stress.(39,40) Although the majority of these studies did not directly use the perceived stress measurements, they used measurements related to mental or emotional health for the outcome mea…”
Result
Effects of Qigong on Depression: A Systemic Review
Oh, B., Choi, S. M., Inamori, A., Rosenthal, D., & Yeung, A. (2013) · Evidence-based Complementary and Alternative Medicine · doi:10.1155/2013/134737 · Cited by 55
Coping Strategies and Interventions for Cognitive Changes in Patients with Cancer
Ah, D. M. V., Storey, S., Jansen, C. E., & Allen, D. H. (2013) · Seminars in Oncology Nursing · doi:10.1016/j.soncn.2013.08.009 · Cited by 50

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)
ORCID: Hoffman, Caroline J.
Ersser, Steven J.
Hopkinson, Jane B.
Harrington, Julia E.
Thomas, Peter W.
Venue: Journal of Clinical Oncology
Publisher: American Society of Clinical Oncology (ASCO)
Published: 2012-04-20
Volume: 30
Issue: 12
Pages: 1335-1342
ISSN: 0732-183X (ISSN-L)
1527-7755
DOI: 10.1200/jco.2010.34.0331
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: green
hull-repository.worktribe.com
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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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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