Effect of Online Mindfulness-based Stress Reduction Intervention on Sleep Quality of Breast Cancer Patients
Zahra Ahmadi Yegane, Ahmad Nasiri, Sara Sahranavard, Ahmadreza Sebzari
Modern Care Journal August 22, 2023 DOI: 10.5812/mcj-134503 (opens in new tab)
Study at a glance
AI-extracted from the abstract| Characteristics | Randomized controlled trial Peer reviewed |
|---|---|
| Sample size | 62 |
| Population | Women with breast cancer undergoing chemotherapy in Birjand City, Iran |
| Intervention | Online mindfulness-based stress reduction (MBSR) |
| Duration | Four two-hour sessions over four consecutive weeks; follow-up immediately and 2 months after the intervention |
| Measures | Pittsburgh Sleep Quality Questionnaire |
| Topics | Meditation |
| Citations | 4 |
| Key findings | Online mindfulness-based stress reduction, added to standard cancer treatment, decreased mean sleep quality scores (indicating improvement) immediately and two months after the intervention, while control participants' scores increased, with a significant difference between groups (P < 0.001). The authors conclude that MBSR was effective in enhancing sleep outcomes. |
Abstract
Background: Breast cancer diagnosis and treatment can negatively impact the quality of life and lead to symptoms such as insomnia, depression, and anxiety. Internet-delivered interventions may reduce these symptoms in patients with limited access to face-to-face psychological treatments.
Objectives: This study aimed to determine the effect of online mindfulness-based stress reduction (MBSR) intervention on the sleep quality of women with breast cancer in Birjand City.
Methods: In this randomized controlled clinical trial, 62 eligible women with breast cancer undergoing chemotherapy in Birjand were selected using convenience sampling. They were assigned to two groups, intervention, and control, each consisting of 31 individuals, using random allocation. In addition to standard treatments, the intervention group received online MBSR training consisting of four two-hour sessions over four consecutive weeks. The control group only received standard cancer treatments. The data collection tool included a demographic form and a standard Pittsburgh Sleep Quality Questionnaire completed by individuals before, immediately, and 2 months after the intervention. Data were analyzed using SPSS 16 statistical software. The following tests were conducted at a significance level of P < 0.05: Chi-square, Fisher's exact, Independent t, repeated-measures ANOVA, Bonferroni, Mann-Whitney U, and Friedman.
Results: The mean sleep quality scores decreased immediately and 2 months after the intervention compared to before in the intervention group, while it increased in the control group (P < 0.001). Also, the independent t-test showed that the mean sleep quality scores decreased in the intervention group from before to immediately after the intervention, as well as from before to 2 months later (P > 0.001). In contrast, the control group patients experienced increased sleep quality scores (P > 0.001).
Conclusions: Mindfulness-based stress reduction significantly improved sleep quality in the intervention group, as demonstrated by decreased scores immediately and 2 months after the intervention. On the other hand, the control group experienced an increase in sleep quality scores. These findings highlight the effectiveness of MBSR in enhancing sleep outcomes.
Comparable studies
Other randomized controlled trials on meditation, most cited first.
| Study | Year | Design | Participants |
|---|---|---|---|
| Alterations in Brain and Immune Function Produced by Mindfulness Meditation Healthy employees in a work environment | 2003 | Randomized controlled trial | n = 41 |
| Prevention of relapse/recurrence in major depression by mindfulness-based cognitive therapy. Recovered recurrently depressed patients | 2000 | Randomized controlled trial | n = 145 |
| Open hearts build lives: Positive emotions, induced through loving-kindness meditation, build consequential personal resources. Working adults | 2008 | Randomized controlled trial | n = 139 |
| Short-term meditation training improves attention and self-regulation Undergraduate Chinese students | 2007 | Randomized controlled trial | n = 40 |
| Mindfulness-Based Cognitive Therapy for Depression: Replication and Exploration of Differential Relapse Prevention Effects. Recovered recurrently depressed patients | 2004 | Randomized controlled trial | n = 73 |
Citations in the library
Cites 4
- The effect of mindfulness meditation on sleep quality: a systematic review and meta‐analysis of randomized controlled trials Annals of the New York Academy of Sciences December 21, 2018
- Mindfulness-Based Stress Reduction Increases Mental Wellbeing and Emotion Regulation During the First Wave of the COVID-19 Pandemic: A Synchronous Online Intervention Study Frontiers in Psychology November 11, 2021
- The Effect of Mindfulness-Based Stress Reduction Group Counseling on Psychological and Inflammatory Responses of the Women With Breast Cancer Integrative Cancer Therapies 2020
- Feasibility of the mobile mindfulness-based stress reduction for breast cancer (mMBSR(BC)) program for symptom improvement among breast cancer survivors. Psycho-Oncology February 1, 2018