Psychosocial benefits of a novel mindfulness intervention versus standard support in distressed women with breast cancer

被引:53
作者
Monti, Daniel A. [1 ]
Kash, Kathryn M. [2 ]
Kunkel, Elisabeth J. [2 ]
Moss, Aleeze [1 ]
Mathews, Michael [1 ]
Brainard, George [3 ]
Anne, Ranni [4 ]
Leiby, Benjamin E. [5 ]
Pequinot, Edward [5 ]
Newberg, Andrew B. [1 ]
机构
[1] Thomas Jefferson Univ, Jefferson Myma Brind Ctr Integrat Med, Philadelphia, PA 19107 USA
[2] Thomas Jefferson Univ, Dept Psychiat & Human Behav, Philadelphia, PA 19107 USA
[3] Thomas Jefferson Univ, Dept Neurol, Philadelphia, PA 19107 USA
[4] Thomas Jefferson Univ, Dept Radiat Oncol, Philadelphia, PA 19107 USA
[5] Thomas Jefferson Univ, Dept Pharmacol & Expt Therapeut, Philadelphia, PA 19107 USA
关键词
STRESS REDUCTION PROGRAM; SF-36 HEALTH SURVEY; QUALITY-OF-LIFE; ART-THERAPY; PSYCHOLOGICAL DISTRESS; CONTROLLED-TRIAL; SOCIAL SUPPORT; NORMATIVE DATA; FOLLOW-UP; SURVIVORS;
D O I
10.1002/pon.3320
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
ObjectiveIt is well documented that stress is associated with negative health outcomes in cancer patients. The purpose of this study was to assess the effects of a novel mindfulness intervention called mindfulness-based art therapy (MBAT) versus standard educational support, on indices of stress and quality of life in breast cancer patients with high stress levels. MethodsA total of 191 women were enrolled, stratified by age and stress level, and randomized to receive either an 8-week MBAT intervention or a breast cancer educational support program of equal time and duration. Psychosocial stress was measured using the Symptoms Checklist-90-Revised, and quality of life was measured using the Medical Outcomes Study Short-Form Health Survey at baseline, immediately post-intervention, and at 6months. ResultsResults showed overall significant improvements in psychosocial stress and quality of life in both the MBAT and educational support groups immediately post-intervention; however, participants with high stress levels at baseline had significantly improved overall outcomes only in the MBAT group, both immediately post-intervention and at 6months. In addition, at 6months follow-up, participants attending five or more sessions trended toward retaining treatment effects better in the MBAT than in the control group. Finally, black women and white women were similar in terms of how they benefited from the MBAT intervention, even though white participants tended to have higher educational level and marital status. ConclusionsIn conclusion, MBAT is associated with significant, sustained benefits across a diverse range of breast cancer patients, particularly those with high stress levels. Copyright (c) 2013 John Wiley & Sons, Ltd.
引用
收藏
页码:2565 / 2575
页数:11
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