Improving Symptoms and Quality of Life of Female Cancer Survivors: a Randomized Controlled Study
Abstract
Background Surgeons, along with the Centers for Disease Control and Prevention, emphasize the importance of managing symptoms and improving the quality of life of cancer survivors. A 2008 meta-analysis of mindfulness-based stress reduction (MBSR) concluded that this technique might improve patients' adjustment to their disease. However, randomized controlled trials using standardized measures for evaluating MBSR are limited. The primary objective of this study was to evaluate, using valid and reliable measures, the effects of a unique, interactive, 8-week cancer recovery and wellness program on symptoms and quality of life of female cancer survivors. Methods Sixty-eight female cancer patients were randomized into either an intervention or waitlisted control group. Patients were evaluated using the Symptoms Checklist (SCL-90-R), the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire (EORTC QLQ-30), and the Symptoms of Stress Inventory (SOSI). Results Of the participants, 70.6% were breast cancer survivors. Mean age was 57.5 years (treatment group) and 56.4 years (control group). Between-group demographic differences were not significant (P > 0.6). The treatment group improved significantly on the EORTC QLQ-30 (P = 0.005), on six of the eight SOSI subscales (P ≤ 0.049), and on both SCL-90-R subscales (P ≤ 0.023), while the control group did not improve on any of these measures (P > 0.2). Conclusion The MBSR-based cancer recovery and wellness intervention improved the symptoms and quality of life of this largely breast cancer survivor population across a variety of cancer symptoms and quality-of-life measures.
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Women were overrepresented in the trials with mixed cancer populations.
“Women were overrepresented in the trials with mixed cancer populations,21,49,51,53 and 43% of included trials were done in patients with breast cancer who had completed curative treatment.”
From Association of Mindfulness-Based Interventions With Anxiety Severity in Adults With Cancer: A Systematic Review and Meta-analysis (2020) · cites this paper as [49]
The effect size for men in the gender-inclusive trials was not reported separately.
“The effect size for men in the gender-inclusive trials was not reported separately.21,49,51,53”
From Association of Mindfulness-Based Interventions With Anxiety Severity in Adults With Cancer: A Systematic Review and Meta-analysis (2020) · cites this paper as [49]
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Mindfulness-based therapies for cancer patients and families: a systematic review
Torricelli, L., Rabitti, E., Cafaro, V., Cavuto, S., Vincenzo, F. D., Cavuoto, M., Turola, E., & Leo, S. D. (2022) · BMJ Supportive & Palliative Care · doi:10.1136/bmjspcare-2021-003392 · Cited by 3 · see citing works
VanLandingham, H. B., Ellison, R. L., Turchmanovych-Hienkel, N., Alfonso, D., Oh, A., Kaseda, E. T., Basurto, K. S., Tse, P. K. Y., & Khan, H. M. (2024) · The Clinical Neuropsychologist · doi:10.1080/13854046.2024.2343147 · Cited by 3 · see citing works
“Regardless of gender, a cancer diagnosis is extremely distressing and is often accompanied by stress, depression, anxiety, sleep disturbances, fear of cancer reoccurrence, and lower QoL, which may lead to disruptions in various domains of functioning (Holzner et al., 2001; Lerman et al., 2012).”
Fasoi, G., Bourazani, M., Papatheodorou, D., Vlachou, E. D., Toylia, G., Kaba, E., Λάλου, Π., Sotnikova, C., & Kelesi, Μ. (2020) · Health & Research Journal · doi:10.12681/healthresj.25628 · Cited by 2 · see citing works
Ataç, M. (2021) · Journal of Psychiatric Nursing · doi:10.14744/phd.2021.68736 · Cited by 3 · see citing works
“Çalışmalarda meme kanserli hastaların yaşam kalitesini değerlendirmek için: üç çalışmada Meme Kanserinin Fonksiyonel Değerlendirilmesi-Yaşam kalitesi aracı (FACT-B);[36] bir araştırmada Avrupa Kanser Yaşam Kalitesi Anketi Araştırma ve Tedavi Organizasyonu - Meme Kanseri Modül (EORTC QLQBR23);[38] bir araştırmada hayat…”
Marchand, L. R., Lewin, D., & Kozak, L. E. (2021) · OBM Integrative and Complementary Medicine · doi:10.21926/obm.icm.2101007 · Cited by 2 · see citing works
“In cancer patients, studies have shown mindfulness is associated with improvements in mood and a reduction of stress [36] and improvements in quality of life [37].”
BackgroundInternal and External Validity
Kazdin, A. E. (2021) · Cambridge University Press eBooks · doi:10.1017/9781108993647.003 · Cited by 1 · see citing works
Sexual Functioning and Body Image in Younger Breast Cancer Survivors
Paterson, C. L. (2015) · Digital Commons - University of South Florida (University of South Florida) · Cited by 1 · see citing works
Case-Control and Cohort Designs
Kazdin, A. E. (2021) · Cambridge University Press eBooks · doi:10.1017/9781108993647.008 · Cited by 1 · see citing works
Null Hypothesis Significance Testing
Kazdin, A. E. (2021) · Cambridge University Press eBooks · doi:10.1017/9781108993647.014 · Cited by 1 · see citing works
Garland, S. N. (2012) · Libraries and Cultural Resources (University of Calgary) · doi:10.5072/prism/27123 · Cited by 1 · see citing works
Paving the road for early breast cancer presentation
Dewi, T. K. (2021) · doi:10.26481/dis.20211117td · Cited by 1 · see citing works
Zernicke, K. A. (2015) · Libraries and Cultural Resources (University of Calgary) · doi:10.11575/prism/27180
Oppmerksomt nærværsbasert stressreduksjon (MBSR) for tilleggsvansker ved brystkreft
Dundas, I., Sandland, L. M., & Eik, E. T. (2014) · Nordic journal of nursing research · doi:10.1177/010740831403400108
“Tre av disse hadde et randomisert design, (15, 18, 22), tre var ikke- randomiserte gruppestudier (14, 16, 23), fire hadde pre-post design (24-27) og to var kvalitative intervju studier (28, 29).”
BackgroundMethodInfluentialLifestyle Practices and Its Influence on Quality Of Life among Breast Cancer Survivors
Omar, Z. B. (2014) · International Journal of Public Health Research
An Overview of Non-pharmacological Therapies for Palliative Cancer Care
Kravits, K. G. (2012) · Evidence-based anticancer complementary and alternative medicine · doi:10.1007/978-94-007-5833-9_1
QUALIDADE DE VIDA EM MULHERES ACOMETIDAS COM CÂNCER DE MAMA
Menezes, M. O., Silva, L. D. S. L., Sandes, S. M. D. S., Chagas, A. V., & Bittencourt, C. D. C. S. (2021) · Saúde com · doi:10.22481/rsc.v16i3.4738
Kazdin, A. E. (2021) · Cambridge University Press eBooks · doi:10.1017/9781108993647.001
Construct and Data-Evaluation Validity
Kazdin, A. E. (2021) · Cambridge University Press eBooks · doi:10.1017/9781108993647.004
Single-Case Experimental Research Designs
Kazdin, A. E. (2021) · Cambridge University Press eBooks · doi:10.1017/9781108993647.009
Kazdin, A. E. (2021) · Cambridge University Press eBooks · doi:10.1017/9781108993647.007
Cautions, Negative Effects, and Replication
Kazdin, A. E. (2021) · Cambridge University Press eBooks · doi:10.1017/9781108993647.016
Selecting Measures for Research
Kazdin, A. E. (2021) · Cambridge University Press eBooks · doi:10.1017/9781108993647.011
Kazdin, A. E. (2021) · Cambridge University Press eBooks · doi:10.1017/9781108993647.021
Kazdin, A. E. (2021) · Cambridge University Press eBooks · doi:10.1017/9781108993647.013
Kazdin, A. E. (2021) · Cambridge University Press eBooks · doi:10.1017/9781108993647.022
Ideas that Begin the Research Process
Kazdin, A. E. (2021) · Cambridge University Press eBooks · doi:10.1017/9781108993647.005
Kazdin, A. E. (2021) · Cambridge University Press eBooks · doi:10.1017/9781108993647.020
Kazdin, A. E. (2021) · Cambridge University Press eBooks · doi:10.1017/9781108993647.025
Presenting and Analyzing the Data
Kazdin, A. E. (2021) · Cambridge University Press eBooks · doi:10.1017/9781108993647.015
Kazdin, A. E. (2021) · Cambridge University Press eBooks · doi:10.1017/9781108993647.024
Kazdin, A. E. (2021) · Cambridge University Press eBooks · doi:10.1017/9781108993647.018
Kazdin, A. E. (2021) · Cambridge University Press eBooks · doi:10.1017/9781108993647.002
Assessment: Types of Measures and Their Use
Kazdin, A. E. (2021) · Cambridge University Press eBooks · doi:10.1017/9781108993647.012
Experimental Research Using Group Designs
Kazdin, A. E. (2021) · Cambridge University Press eBooks · doi:10.1017/9781108993647.006
Ethical Issues and Guidelines for Research
Kazdin, A. E. (2021) · Cambridge University Press eBooks · doi:10.1017/9781108993647.017
Communication of Research Findings
Kazdin, A. E. (2021) · Cambridge University Press eBooks · doi:10.1017/9781108993647.019
Tejada-Simon, M. V., & Lodhi, S. (2022) · OBM Integrative and Complementary Medicine · doi:10.21926/obm.icm.2201009
“For example, cancer patients have seen improvements in mood, stress, and fatigue when dealing with physical and mental symptoms [21, 22].”
- Authors
- Lerman, R., Jarski, R., Rea, H., Gellish, R., & Vicini, F.
- Affiliations
- Oakland University (US)
- Corresponding author
- Lerman, Ruth
- ORCID
- Vicini, Frank
- Venue
- Annals of Surgical Oncology
- Published
- 2011-09-13
- Volume
- 19
- Issue
- 2
- Pages
- 373-378
- ISSN
- 1068-9265 (ISSN-L)
- 1534-4681
- OpenAlex
- W2056507376
- Cited by
- 101
- References
- 20
- Citations by year
- 2024: 5 · 2022: 5 · 2021: 34 · 2020: 6 · 2019: 4 · 2018: 8 · 2017: 5 · 2016: 4 · 2015: 9 · 2014: 6 · 2013: 8 · 2012: 6
- FWCI
- 3.29
- Type
- journal article
- Language
- en
- Open access
- closed
- Licence
- www.springer.com/tdm (tdm)
- Locations
- Annals of Surgical Oncology (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Oncology › Cancer survivorship and care
- Social Sciences › Psychology › Clinical Psychology › Mindfulness and Compassion Interventions
- Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Childhood Cancer Survivors' Quality of Life
- Keywords
- cancer survivors, breast cancer survivors, mindfulness-based stress reduction, quality of life, cancer symptoms, wellness interventions, women with cancer, psychological stress
- MeSH terms
- Activities of Daily Living, Adaptation, Psychological, Female, Humans, Middle Aged, Neoplasms, Quality of Life, Stress, Psychological, Survival Rate, Case-Control Studies, Survivors
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