Effects of a 4-week internet-delivered mindfulness-based cancer recovery program on anxiety, depression, and mindfulness among patients with breast cancer.
Can Gu, Yunyun Peng, Yueyang Peng, Sulan Lin, Juqin Yao, Xing Chen
Zhong nan da xue xue bao. Yi xue ban = Journal of Central South University. Medical sciences July 28, 2024 DOI: 10.11817/j.issn.1672-7347.2024.240028 (opens in new tab)
Study at a glance
AI-extracted from the abstract| Characteristics | Randomized controlled trial Peer reviewed |
|---|---|
| Sample size | 103 |
| Population | Chinese patients with breast cancer from a tertiary hospital in Changsha, Hunan Province |
| Intervention | internet-delivered mindfulness-based cancer recovery program |
| Duration | 4-week intervention, 1-month follow-up |
| Topics | Anxiety Depression Meditation |
| Keywords | Breast cancer Internet-based interventions |
| Citations | 1 |
| Key findings | The 4-week internet-delivered mindfulness-based cancer recovery program significantly reduced anxiety and depression and improved mindfulness compared to group health education, with high patient satisfaction. |
Abstract
The efficacy of monotherapy in alleviating psychological disorders like anxiety and depression among breast cancer patients is suboptimal, necessitating effective psychosocial interventions. Mindfulness-based interventions have been shown to mitigate anxiety-depression symptoms and encourage beneficial behaviors. The online mindfulness-based cancer recovery (MBCR) offers flexibility and guides practice across various settings, facilitating full patient engagement. This study amis to analyze the impact of a 4-week internet-delivered mindfulness-based cancer recovery program on anxiety, depression, and mindfulness among Chinese patients with breast cancer, and to evaluate the degree of satisfaction breast cancer patients experienced after participating in this program. This study utilized a two-armed, parallel, randomized controlled trial design. A total of 103 patients with breast cancer from June 2020 to January 2021 in the ward of Breast and Thyroid Surgery of a tertiary hospital in Changsha, Hunan Province were selected and randomly assigned to an intervention group (n=51) and a control group (n=52). The intervention group participated in an internet-delivered mindfulness-based cancer recovery program, which was delivered once a week for 4 weeks. Meanwhile, the control group received weekly group health education for 4 weeks. The outcomes of hospital anxiety and depression scale and mindfulness Attention Awareness Scale were evaluated at 3 distinct time points: Baseline (T1), postintervention (T2), and 1-month follow-up (T3). The satisfaction questionnaire of 4-week mindful cancer rehabilitation training program was used at T2 to evaluate patients' satisfaction with the intervention program. Generalized estimation equations were used to assess differences in anxiety, depression and mindfulness levels between groups before and after the intervention. There were no statistically significant differences in demographic data and outcome index scores between the 2 groups at T1 (all P>0.05), indicating that the 2 groups were comparable. The generalized estimating equation analyses showed that the intervention group had significantly better improvement in outcomes compared to the control group, particularly for anxiety (T2 β=-1.30, 95% CI -1.87 to -0.72; T3 β=-2.78, 95% CI -3.51 to -2.05) and depression (T2 β=-1.92, 95% CI -2.78 to -1.06; T3 β=-2.96, 95% CI -4.05 to -1.87; all P<0.001). Moreover, the mindfulness score in the intervention group was significantly higher than that in the control group at T2 (β=3.23, 95% CI 0.73 to 5.72) and T3 (β=8.06, 95% CI 4.37 to 11.75; both P<0.05). In addition, patients in the intervention group were satisfied with the 4-week mindfulness-based cancer recovery intervention and teaching/learning activities used to implement the program. In patients with breast cancer, the 4-week internet-delivered mindfulness-based cancer recovery program, as a low-threshold, short-term mental health intervention, has a positive effect on reducing anxiety and depression and improving mindfulness levels. This program holds great promise as a tool for clinical nursing practice, given the high satisfaction and applicability.
Comparable studies
Other randomized controlled trials on anxiety, most cited first.
Citations in the library
Cites 14
- Mindfulness‐based interventions for psychological and physical health outcomes in cancer patients and survivors: A systematic review and meta‐analysis of randomized controlled trials Psycho-Oncology September 11, 2019
- Brief mindfulness training for negative affectivity: A systematic review and meta-analysis. Journal of Consulting and Clinical Psychology June 25, 2018
- Mindfulness and Compassion: An Examination of Mechanism and Scalability PLoS One February 17, 2015
- Efficacy of 8- and 4-Session Mindfulness-Based Interventions in a Non-clinical Population: A Controlled Study Frontiers in Psychology August 8, 2017
- Effect of a 4-Week Internet-Delivered Mindfulness-Based Cancer Recovery Intervention on the Symptom Burden and Quality of Life of Patients With Breast Cancer: Randomized Controlled Trial. Journal of Medical Internet Research November 22, 2022
and 9 more in the library