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Mindfulness para la reducción del malestar emocional en pacientes oncológicos. Estudio comparativo con una intervención psicoeducativa estándar

Concha León, Rosanna Mirapeix, Tomás Blasco, Esther Jovell, Àngels Arcusa, Andrés Martín, Miquel Àngel Seguí

Psicooncología November 25, 2013 DOI: 10.5209/rev_psic.2013.v10.n2-3.43448 (opens in new tab)

Study at a glance

AI-extracted from the abstract
Characteristics Pre-post comparison study Peer reviewed
Sample size 37
Population Oncological patients
Interventions Mindfulness-Based Stress Reduction (MBSR) psychoeducational standard intervention
Duration MBSR: 10 weekly sessions of 2.5 hours, with daily home practice of 45 minutes; psychoeducational group: 8 weekly sessions of 2.5 hours each
Measures STAI, BDI, EORTC-QLQ-C-30
Topics Meditation
Key points In oncological patients, MBSR produced significant post-treatment reductions in anxiety and depression and significant increases in quality of life, whereas the psychoeducational intervention produced a significant reduction only in state anxiety. The authors conclude that MBSR yields greater improvements in emotional states and quality of life than the psychoeducational standard procedure, while cautioning that MBSR may not suit all patients given its demands.

Abstract

Purpose: To compare the effectiveness of a Mindfulness-Based Stress Reduction (MBSR) intervention versus a psychoeducational standard intervention in oncological patients.

Method: MBSR intervention was applied following a 2’5 h-session schedule, across 10 weekly sessions. Patients (n= 20) had to practice mindfulness daily at home during 45 minutes. In the psychoeducational group (n=17) a schedule of 8 weeekly sessions of 2’5 h each was applied. Following a pre-post design, the following questionnaires were applied to both groups of patients: STAI (to assess both state and trait anxiety), BDI (Depression) and EORTC-QLQ-C-30 (quality of life).

Results: In the MBSR group, scores in anxiety and depression decreased at post-treatment assessment whereas quality of life scores increased. These differences reached statistical significance. In the psychoeducational group only state anxiety scores decreased at post-treatment, with the difference reaching statistical significance.

Conclusions: MBSR produces higher improvements in emotional states and quality of life than those obtained following a psychoeducational standard procedure. However, it cannot be stated that MBSR must be always the intervention to be applied in all cases, since it is not clear that all patients could follow the guidelines, tasks and exercices required by this technique.

Comparable studies

Other non-randomized and open-label trials on meditation, most cited first.

Study Year Design Participants
Mindfulness-Based Stress Reduction in Relation to Quality of Life, Mood, Symptoms of Stress, and Immune Parameters in Breast and Prostate Cancer Outpatients Early-stage breast and prostate cancer patients 2003 Pre-post intervention study n = 59
Exploring self‐compassion and empathy in the context of mindfulness‐based stress reduction (MBSR) Community sample 2010 Pre-post intervention study
Mindfulness-Based Stress Reduction Lowers Psychological Distress In Medical Students Second-year medical students 2003 Prospective nonrandomized cohort-controlled study n = 302
Intensive meditation training, immune cell telomerase activity, and psychological mediators. Retreat participants and matched controls 2011 Controlled trial with wait-list control group n = 60
The Effectiveness of Mindfulness Training for Children with ADHD and Mindful Parenting for their Parents Children aged 8-12 with ADHD and their parents 2011 Within-group waitlist controlled trial n = 22

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