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Effect of mindfulness-based stress reduction on sleep quality: Results of a randomized trial among Danish breast cancer patients
Open accessAbstract
UNLABELLED: The prevalence of sleep disturbance is high among cancer patients, and the sleep problems tend to last for years after the end of treatment. As part of a large randomized controlled clinical trial (the MICA trial, NCT00990977) of the effect of mindfulness-based stress reduction (MBSR) on psychological and somatic symptoms among breast cancer patients, the aim of the current study was to evaluate the effect of MBSR on the secondary outcome, 'sleep quality'. MATERIAL AND METHODS: A total of 336 women operated on for breast cancer stage I-III 3-18 months previously were randomized to MBSR (n = 168) or treatment as usual (n = 168); both groups received standard clinical care. The intervention consisted of an eight-week MBSR program (psycho-education, meditation and gentle yoga). Sleep quality was assessed on the Medical Outcome Study sleep scale at baseline, after the intervention and at six- and 12-months' follow-up. RESULTS: The mean sleep problem scores were significantly lower in the MBSR group than in controls immediately after the intervention. Quantile regression analyses showed that the effect was statistically significant only for the participants represented by the lower percentile of change between baseline and post-intervention, i.e. those who had more sleep problems; the MBSR group had a significantly smaller increase in sleep problems than the control group. After the 12-month follow-up, there was no significant between-group effect of MBSR on sleep quality in intention-to-treat analyses. CONCLUSION: MBSR had a statistically significant effect on sleep quality just after the intervention but no long-term effect among breast cancer patients. Future trials in which participation is restricted to patients with significant sleep problems are recommended for evaluating the effect of MBSR on sleep quality.
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“MM has also been shown to be effective for treating conditions frequently co-occurring with pain in Veterans, including sleep problems[32, 33], anxiety,[31, 34] and depression.[35, 36]”
From The chronic pain skills study: Protocol for a randomized controlled trial comparing hypnosis, mindfulness meditation and pain education in Veterans (2020) · cites this paper as [32]
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“Indeed, controlled trial evidence provides support for the use of mind-body interventions for sleep disturbances in adults (Andersen et al, 2013;Britton et al, 2012)”
From Sleep health: Reciprocal regulation of sleep and innate immunity (2017) · cites this paper as Andersen et al, 2013
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Metadata
- Authors
- Andersen, S. R., Würtzen, H., Steding-Jessen, M., Christensen, J., Andersen, K. K., Flyger, H., Mitchelmore, C., Johansen, C., & dalton, S. O.
- Affiliations
- Danish Cancer Society (DK)
- Herlev Hospital (DK)
- Roskilde University (DK)
- Corresponding author
- Würtzen, Hanne
- ORCID
- Venue
- Acta Oncologica
- Published
- 2013-01-03
- Volume
- 52
- Issue
- 2
- Pages
- 336-344
- ISSN
- 0284-186X (ISSN-L)
- 1651-226X
- OpenAlex
- W2171586841
- Cited by
- 141
- References
- 29
- Citations by year
- 2026: 7 · 2025: 10 · 2024: 4 · 2023: 6 · 2022: 12 · 2021: 10 · 2020: 7 · 2019: 11 · 2018: 9 · 2017: 11 · 2016: 17 · 2015: 18 · 2014: 13 · 2013: 5
- FWCI
- 19.66
- Type
- journal article
- Language
- en
- Open access
- diamond
- doi.org
- Locations
- Acta Oncologica (publishedVersion)
- PubMed (publishedVersion)
- RUCforsk (Roskilde University) (submittedVersion)
- Funders
- Dansk Kræftforsknings Fond
- Topics
- Social Sciences › Psychology › Clinical Psychology › Mindfulness and Compassion Interventions
- Health Sciences › Medicine › Oncology › Cancer survivorship and care
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and related disorders
- Keywords
- mindfulness-based stress reduction, sleep quality, breast cancer, sleep disorders, cancer survivors, meditation, yoga, psychoeducation, long-term follow-up
- MeSH terms
- Adolescent, Adult, Aged, Breast Neoplasms, Carcinoma, Denmark, Female, Humans, Middle Aged, Quality of Life, Sleep, Stress, Psychological, Meditation, Mind-Body Therapies, Risk Reduction Behavior, Young Adult
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