Comparison of the acceptability and benefits of two mindfulness-based interventions in women with breast or gynecologic cancer: a pilot study

Purpose The aim of this study was to compare the relative benefits and acceptability of two different group-based mindfulness psychotherapy interventions among women with breast and gynecologic cancer. Methods Data from 42 women who completed an 8-week mindfulness-based cognitive therapy (MBCT) prog...

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Veröffentlicht in:Supportive care in cancer 2015-04, Vol.23 (4), p.1063-1071
Hauptverfasser: Stafford, Lesley, Thomas, Naomi, Foley, Elizabeth, Judd, Fiona, Gibson, Penny, Komiti, Angela, Couper, Jeremy, Kiropoulos, Litza
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container_end_page 1071
container_issue 4
container_start_page 1063
container_title Supportive care in cancer
container_volume 23
creator Stafford, Lesley
Thomas, Naomi
Foley, Elizabeth
Judd, Fiona
Gibson, Penny
Komiti, Angela
Couper, Jeremy
Kiropoulos, Litza
description Purpose The aim of this study was to compare the relative benefits and acceptability of two different group-based mindfulness psychotherapy interventions among women with breast and gynecologic cancer. Methods Data from 42 women who completed an 8-week mindfulness-based cognitive therapy (MBCT) program comprising 22 contact hours were compared to data from 24 women who completed a 6-week mindfulness meditation program (MMP) comprising 9 contact hours. Distress, quality of life (QOL), and mindfulness were evaluated pre- (T1) and post-intervention (T2). ANCOVA was used to analyse the relationship between intervention type and T1 score on outcome variable change scores. Participants’ perceptions of benefit and acceptability were assessed. Results The participants did not differ on clinical or demographic variables other than MBCT participants were more likely than MMP participants to have a past history of anxiety or depression ( p  = .01). Scores on distress, QOL, and mindfulness improved from T1 to T2 with medium to large effect sizes for the MMP ( p  = .002, d  = .07; p  = .001, d  = .08; p  = .005, d  = .06, respectively) and MBCT ( p  
doi_str_mv 10.1007/s00520-014-2442-6
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Methods Data from 42 women who completed an 8-week mindfulness-based cognitive therapy (MBCT) program comprising 22 contact hours were compared to data from 24 women who completed a 6-week mindfulness meditation program (MMP) comprising 9 contact hours. Distress, quality of life (QOL), and mindfulness were evaluated pre- (T1) and post-intervention (T2). ANCOVA was used to analyse the relationship between intervention type and T1 score on outcome variable change scores. Participants’ perceptions of benefit and acceptability were assessed. Results The participants did not differ on clinical or demographic variables other than MBCT participants were more likely than MMP participants to have a past history of anxiety or depression ( p  = .01). Scores on distress, QOL, and mindfulness improved from T1 to T2 with medium to large effect sizes for the MMP ( p  = .002, d  = .07; p  = .001, d  = .08; p  = .005, d  = .06, respectively) and MBCT ( p  &lt; .001, d  = .06; p  = .008, d  = .04; p  &lt; .001, d  = .09, respectively) interventions. ANCOVA showed no main effect for intervention type on outcome change scores and no interaction between intervention type and respective T1 score. Distress and mindfulness scores at T1 had a main effect on respective change scores ( p  = .02, η p 2  = .87; p  = .01, η p 2  = .80, respectively). Both programs were perceived as beneficial and acceptable with no differences between the intervention types. Conclusions Within the limits of a small, non-randomized study, these findings provide preliminary support for the utility of a brief mindfulness intervention for improving distress and QOL in a heterogeneous group of women with cancer. Abbreviated interventions are less resource intensive and may be attractive to very unwell patients.</description><identifier>ISSN: 0941-4355</identifier><identifier>EISSN: 1433-7339</identifier><identifier>DOI: 10.1007/s00520-014-2442-6</identifier><identifier>PMID: 25281227</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Adult ; Aged ; Analysis ; Anxiety Disorders - etiology ; Anxiety Disorders - therapy ; Breast cancer ; Breast Neoplasms - complications ; Breast Neoplasms - psychology ; Breast Neoplasms - therapy ; Cancer ; Cancer research ; Cognitive therapy ; Depressive Disorder - etiology ; Depressive Disorder - therapy ; Emotional disorders ; Female ; Genital Neoplasms, Female - complications ; Genital Neoplasms, Female - psychology ; Humans ; Medicine ; Medicine &amp; Public Health ; Meditation ; Middle Aged ; Mind-Body Therapies - methods ; Mindfulness - methods ; Nursing ; Nursing Research ; Oncology ; Original Article ; Pain Medicine ; Patient Acceptance of Health Care - psychology ; Pilot Projects ; Quality of Life ; Rehabilitation Medicine ; Treatment Outcome ; Women</subject><ispartof>Supportive care in cancer, 2015-04, Vol.23 (4), p.1063-1071</ispartof><rights>Springer-Verlag Berlin Heidelberg 2014</rights><rights>COPYRIGHT 2015 Springer</rights><rights>Springer-Verlag Berlin Heidelberg 2015</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c509t-b2942fe5c9101e954b98715c8e1847f99d88a05124e97c075e15db4836b7f0883</citedby><cites>FETCH-LOGICAL-c509t-b2942fe5c9101e954b98715c8e1847f99d88a05124e97c075e15db4836b7f0883</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00520-014-2442-6$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00520-014-2442-6$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,780,784,27924,27925,41488,42557,51319</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/25281227$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Stafford, Lesley</creatorcontrib><creatorcontrib>Thomas, Naomi</creatorcontrib><creatorcontrib>Foley, Elizabeth</creatorcontrib><creatorcontrib>Judd, Fiona</creatorcontrib><creatorcontrib>Gibson, Penny</creatorcontrib><creatorcontrib>Komiti, Angela</creatorcontrib><creatorcontrib>Couper, Jeremy</creatorcontrib><creatorcontrib>Kiropoulos, Litza</creatorcontrib><title>Comparison of the acceptability and benefits of two mindfulness-based interventions in women with breast or gynecologic cancer: a pilot study</title><title>Supportive care in cancer</title><addtitle>Support Care Cancer</addtitle><addtitle>Support Care Cancer</addtitle><description>Purpose The aim of this study was to compare the relative benefits and acceptability of two different group-based mindfulness psychotherapy interventions among women with breast and gynecologic cancer. Methods Data from 42 women who completed an 8-week mindfulness-based cognitive therapy (MBCT) program comprising 22 contact hours were compared to data from 24 women who completed a 6-week mindfulness meditation program (MMP) comprising 9 contact hours. Distress, quality of life (QOL), and mindfulness were evaluated pre- (T1) and post-intervention (T2). ANCOVA was used to analyse the relationship between intervention type and T1 score on outcome variable change scores. Participants’ perceptions of benefit and acceptability were assessed. Results The participants did not differ on clinical or demographic variables other than MBCT participants were more likely than MMP participants to have a past history of anxiety or depression ( p  = .01). Scores on distress, QOL, and mindfulness improved from T1 to T2 with medium to large effect sizes for the MMP ( p  = .002, d  = .07; p  = .001, d  = .08; p  = .005, d  = .06, respectively) and MBCT ( p  &lt; .001, d  = .06; p  = .008, d  = .04; p  &lt; .001, d  = .09, respectively) interventions. ANCOVA showed no main effect for intervention type on outcome change scores and no interaction between intervention type and respective T1 score. Distress and mindfulness scores at T1 had a main effect on respective change scores ( p  = .02, η p 2  = .87; p  = .01, η p 2  = .80, respectively). Both programs were perceived as beneficial and acceptable with no differences between the intervention types. Conclusions Within the limits of a small, non-randomized study, these findings provide preliminary support for the utility of a brief mindfulness intervention for improving distress and QOL in a heterogeneous group of women with cancer. 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Medical Complete (Alumni)</collection><collection>Nursing &amp; Allied Health Database (Alumni Edition)</collection><collection>Health &amp; Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Social Science Database</collection><collection>Sociology Database</collection><collection>Nursing &amp; Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><jtitle>Supportive care in cancer</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Stafford, Lesley</au><au>Thomas, Naomi</au><au>Foley, Elizabeth</au><au>Judd, Fiona</au><au>Gibson, Penny</au><au>Komiti, Angela</au><au>Couper, Jeremy</au><au>Kiropoulos, Litza</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Comparison of the acceptability and benefits of two mindfulness-based interventions in women with breast or gynecologic cancer: a pilot study</atitle><jtitle>Supportive care in cancer</jtitle><stitle>Support Care Cancer</stitle><addtitle>Support Care Cancer</addtitle><date>2015-04-01</date><risdate>2015</risdate><volume>23</volume><issue>4</issue><spage>1063</spage><epage>1071</epage><pages>1063-1071</pages><issn>0941-4355</issn><eissn>1433-7339</eissn><abstract>Purpose The aim of this study was to compare the relative benefits and acceptability of two different group-based mindfulness psychotherapy interventions among women with breast and gynecologic cancer. Methods Data from 42 women who completed an 8-week mindfulness-based cognitive therapy (MBCT) program comprising 22 contact hours were compared to data from 24 women who completed a 6-week mindfulness meditation program (MMP) comprising 9 contact hours. Distress, quality of life (QOL), and mindfulness were evaluated pre- (T1) and post-intervention (T2). ANCOVA was used to analyse the relationship between intervention type and T1 score on outcome variable change scores. Participants’ perceptions of benefit and acceptability were assessed. Results The participants did not differ on clinical or demographic variables other than MBCT participants were more likely than MMP participants to have a past history of anxiety or depression ( p  = .01). Scores on distress, QOL, and mindfulness improved from T1 to T2 with medium to large effect sizes for the MMP ( p  = .002, d  = .07; p  = .001, d  = .08; p  = .005, d  = .06, respectively) and MBCT ( p  &lt; .001, d  = .06; p  = .008, d  = .04; p  &lt; .001, d  = .09, respectively) interventions. ANCOVA showed no main effect for intervention type on outcome change scores and no interaction between intervention type and respective T1 score. Distress and mindfulness scores at T1 had a main effect on respective change scores ( p  = .02, η p 2  = .87; p  = .01, η p 2  = .80, respectively). Both programs were perceived as beneficial and acceptable with no differences between the intervention types. Conclusions Within the limits of a small, non-randomized study, these findings provide preliminary support for the utility of a brief mindfulness intervention for improving distress and QOL in a heterogeneous group of women with cancer. Abbreviated interventions are less resource intensive and may be attractive to very unwell patients.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>25281227</pmid><doi>10.1007/s00520-014-2442-6</doi><tpages>9</tpages></addata></record>
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source MEDLINE; SpringerNature Journals
subjects Adult
Aged
Analysis
Anxiety Disorders - etiology
Anxiety Disorders - therapy
Breast cancer
Breast Neoplasms - complications
Breast Neoplasms - psychology
Breast Neoplasms - therapy
Cancer
Cancer research
Cognitive therapy
Depressive Disorder - etiology
Depressive Disorder - therapy
Emotional disorders
Female
Genital Neoplasms, Female - complications
Genital Neoplasms, Female - psychology
Humans
Medicine
Medicine & Public Health
Meditation
Middle Aged
Mind-Body Therapies - methods
Mindfulness - methods
Nursing
Nursing Research
Oncology
Original Article
Pain Medicine
Patient Acceptance of Health Care - psychology
Pilot Projects
Quality of Life
Rehabilitation Medicine
Treatment Outcome
Women
title Comparison of the acceptability and benefits of two mindfulness-based interventions in women with breast or gynecologic cancer: a pilot study
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