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Effect of mindfulness-based stress on cancer-related fatigue in breast cancer patients: a systematic review and meta-analysis.

Xiong Wang, Lei Gao, Yuqi Pang, Ting Huang

Frontiers in Oncology 2025 DOI: 10.3389/fonc.2025.1585383 (opens in new tab)

Study at a glance

AI-extracted from the abstract
Characteristics Meta-analysis Peer reviewed
Population Breast cancer patients
Intervention Mindfulness-based stress reduction therapy
Topics Meditation
Keywords Breast cancer Cancer-related fatigue Meta-analysis
Key findings MBSR reduces cancer-related fatigue and improves sleep quality in breast cancer patients.

Abstract

Cancer-related fatigue (CRF) can seriously affect the quality of life of breast cancer patients. Mindfulness-based stress reduction therapy (MBSR) has been increasingly used in the treatment of breast cancer patients to reduce psychological distress and promote emotional and physical health. This review aims to provide an updated assessment of the role of MBSR in reducing CRF and sleep quality in breast cancer patients. To evaluate the effect of MBSR on cancer-related fatigue in patients with breast cancer. Computer search PubMed, Embase, Web of Science, Wanfang and other databases, We were able to search for articles related to CRF from MBSR in breast cancer patients from the establishment of the database to October 2023. Researchers independently screened the literature and extracted information. The meta-analysis was performed using Review Manager Software (version 5.3). A meta-analysis of 11 studies included showed that MBSR could reduce CRF in breast cancer patients (SMD = -0.86, 95%CI = -1.22 ~ -0.50). Improved sleep quality (MD = -2.54, 95%CI = -3.38 ~ -1.70). Our research indicates that MBSR can reduce CRF and improve sleep quality in breast cancer patients. However, due to the moderate and significant heterogeneity in the quality of evidence observed in the included studies, these findings should be interpreted with caution.

Comparable studies

Other systematic reviews and meta-analyses on meditation, most cited first.

Study Year Design Participants
Meditation Programs for Psychological Stress and Well-being Diverse adult clinical populations 2014 Meta-analysis n = 3,515
Mindfulness-Based Stress Reduction for Stress Management in Healthy People: A Review and Meta-Analysis Healthy subjects 2009 Systematic review and meta-analysis
The psychological effects of meditation: A meta-analysis. Nonclinical groups of adult meditators 2012 Meta-analysis n = 163
Efficacy of Mindfulness-Based Cognitive Therapy in Prevention of Depressive Relapse Adults with recurrent depression in full or partial remission 2016 Meta-analysis of individual patient data from randomized controlled trials n = 1,258
Mindfulness‐Based Stress Reduction and Mindfulness‐Based Cognitive Therapy – a systematic review of randomized controlled trials 2011 Systematic review

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