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Mindfulness-based cognitive therapy for psycho-oncology patients: an exploratory study.

T Kingston, S Collier, D Hevey, M M McCormick, C Besani, J Cooney, A M O'Dwyer

Irish Journal of Psychological Medicine September 2015 DOI: 10.1017/ipm.2014.81 (opens in new tab)

Study at a glance

AI-extracted from the abstract
Characteristics Randomized controlled trial Pilot study Peer reviewed
Sample size 16
Population Cancer patients with mild/moderate psychological distress referred to a psycho-oncology service
Intervention Mindfulness-based cognitive therapy (MBCT)
Duration 8-week intervention with 3-month follow-up
Topics Anxiety Depression Meditation
Keywords Cancer Mindfulness-based cognitive therapy
Key findings In phase 1, MBCT produced significant improvement in mindfulness and decreased anxiety compared with treatment as usual. At 3-month follow-up, statistically significant improvements in both depression and anxiety were found. Self-compassion appeared to mediate the effect on anxiety and depression, suggesting MBCT may benefit psychological variables in cancer patients.

Abstract

Mindfulness-based cognitive therapy (MBCT) is a group-based intervention similar to mindfulness-based stress reduction, but which includes cognitive therapy techniques. This study investigates its usefulness in the treatment of depressive, anxiety and stress/distress symptoms in cancer patients referred to a psycho-oncology service. It also examines whether effect on depression is mediated by self-compassion. In phase 1 of this study, 16 cancer patients with mild/moderate psychological distress were randomised to MBCT (n=8) or treatment as usual (TAU; n=8), and assessed pre- and post-treatment. Analysis of variance was performed to examine the effect of treatment on anxiety and depression. In phase 2, the TAU group received the intervention, and results of pre- and post-MBCT assessments were combined with those receiving MBCT in phase 1. Finally, both groups were followed up at 3 months. In phase 1, the MBCT group had a significant improvement in mindfulness and a decrease in anxiety. Statistically significant improvements in both depression and anxiety were found at 3 month follow-up. Self-compassion appeared to mediate the effect on anxiety/depression. This small pilot study suggests that MBCT may have a beneficial effect on psychological variables often adversely affected in cancer in a heterogeneous cancer population.

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

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