Mindfulness-Based Cognitive Therapy for Psychological Distress, Fear of Cancer Recurrence, Fatigue, Spiritual Well-Being, and Quality of Life in Patients With Breast Cancer—A Randomized Controlled Trial
| Autor: | Yuka Takita, Noriko Tamura, Tetsu Hayashida, Sunre Park, Akira Ninomiya, Mitsuhiro Sado, Maiko Takahashi, Daisuke Fujisawa, Atsuo Nakagawa, Yasuko Sato, Teppei Kosugi |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
Mindfulness medicine.medical_treatment Five Facet Mindfulness Questionnaire Breast Neoplasms Psychological Distress Hospital Anxiety and Depression Scale law.invention 03 medical and health sciences 0302 clinical medicine Quality of life Randomized controlled trial law medicine Humans 030212 general & internal medicine Fatigue General Nursing Mindfulness-based cognitive therapy Cognitive Behavioral Therapy business.industry Fear Anesthesiology and Pain Medicine 030220 oncology & carcinogenesis Quality of Life Cognitive therapy Physical therapy Anxiety Female Neurology (clinical) Neoplasm Recurrence Local medicine.symptom business |
| Zdroj: | Journal of Pain and Symptom Management. 60:381-389 |
| ISSN: | 0885-3924 |
| DOI: | 10.1016/j.jpainsymman.2020.02.017 |
| Popis: | Mindfulness-based interventions have been receiving growing attention in cancer care.The purpose of this randomized controlled trial is to examine the effectiveness of mindfulness-based cognitive therapy (MBCT) for psychological distress (anxiety and depression), fear of cancer recurrence (FCR), fatigue, spiritual well-being, and quality of life (QOL) in Japanese ambulatory patients with Stage I-III breast cancer.A total of 74 patients were randomly assigned to either an eight-week MBCT intervention group (n = 38) or a wait-list control group (n = 36). The primary outcome was psychological distress, measured on Hospital Anxiety and Depression Scale. The secondary outcomes were FCR (Concerns About Recurrence Scale-overall anxiety subscale), fatigue (Brief Fatigue Inventory), spiritual well-being (Functional Assessment of Chronic Illness Therapy-Spiritual), QOL (Functional Assessment of Cancer Therapy-General), and mindfulness skills (Five Facet Mindfulness Questionnaire). The participants were assessed at baseline (T0), Week 8 (T1), and Week 12 (T2). The results were analyzed using a intention-to-treat linear mixed model.The participants in the MBCT group experienced significantly better outcomes in their psychological distress (Cohen's d = 1.17; P 0.001), FCR (d = 0.43; P 0.05), fatigue (d = 0.66; P 0.01), spiritual well-being (d = 0.98; P 0.001), and QOL (d = 0.79; P 0.001) compared with the control group. The difference remained significant at T2 (four weeks after completion of the intervention).MBCT was demonstrated to improve well-being that encompasses psychological, physical, and spiritual domains in Japanese patients with nonmetastatic breast cancer. The favorable effect was maintained up to four weeks after the completion of the intervention. |
| Databáze: | OpenAIRE |
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