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Supportive Care in Cancer

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01.04.2020 | Review Article

The effectiveness of mindfulness-based interventions among cancer patients and survivors: a systematic review and meta-analysis

verfasst von: NG Xunlin, Ying Lau, Piyanee Klainin-Yobas

Erschienen in: Supportive Care in Cancer | Ausgabe 4/2020

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Abstract

Purpose

Cancer is one of the leading causes of morbidity and mortality worldwide. Cancer negatively affects individuals’ quality of life and overall health. Mindfulness-based interventions appear to be promising in the reduction of cancer-related and treatment-related symptoms. This review aimed to systematically summarize and synthesize the best available evidence concerning the effectiveness of mindfulness-based interventions on anxiety, depression, quality of life, fatigue, stress, posttraumatic growth, and mindfulness among adult cancer patients and survivors.

Methods

A literature search was conducted across 10 electronic databases. Only randomized controlled trials were eligible. Two reviewers independently screened the studies, extracted data, and performed quality assessment using the Cochrane risk of bias assessment tool. Meta-analyses were conducted using review manager software, and standardized mean difference (SMD) was used to determine intervention effects. Subgroup analyses were performed for cancer type, gender, and interventions. Heterogeneity was examined using the Chi² and I² statistics.

Results

Twenty-nine studies were included with a total of 3476 participants. Those who received mindfulness-based interventions reported significantly lower anxiety, depression, fatigue, and stress and greater quality of life, posttraumatic growth, and mindfulness than respondents in control groups. Mindfulness-based art therapy (MBAT) produced the strongest intervention effect on anxiety (SMD = − 2.48) and depression (SMD = − 2.21), followed by mindfulness-based stress reduction program (MBSR) and mindfulness-based care recovery (MBCR). The interventions were effective across different cancer types.

Conclusion

Mindfulness-based interventions can be used as an adjuvant therapy for the management of cancer-related symptoms among cancer patients and survivors.

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Ferlay J, Soerjomataram I, Dikshit R, Eser S, Mathers C, Rebelo M, Parkin DM, Forman D, Bray F (2015) Cancer incidence and mortality worldwide: sources, methods and major patterns in GLOBOCAN 2012. Int J Cancer 1:136(5). https://doi.org/10.1002/ijc.29210 CrossRef

Kabat-Zinn J. Wherever you go, there you are: mindfulness meditation in everyday life. Hachette UK

Kabat-Zinn J, Hanh TN (2009) Full catastrophe living: using the wisdom of your body and mind to face stress, pain, and illness. Delta

Ludwig DS, Kabat-Zinn J (2008) Mindfulness in medicine. Jama. 300(11):1350–1352. https://doi.org/10.1001/jama.300.11.1350 CrossRefPubMed

Bishop SR, Lau M, Shapiro S, Carlson L, Anderson ND, Carmody J, Segal ZV, Abbey S, Speca M, Velting D, Devins G (2004) Mindfulness: a proposed operational definition. Clin Psychol Sci Pract 11(3):230–241. https://doi.org/10.1093/clipsy.bph07724 CrossRef

Herbert JD, Forman EM (2011) editors. Acceptance and mindfulness in cognitive behavior therapy: understanding and applying the new therapies. John Wiley & Sons

Lengacher CA, Johnson-Mallard V, Post-White J, Moscoso MS, Jacobsen PB, Klein TW, Widen RH, Fitzgerald SG, Shelton MM, Barta M, Goodman M (2009) Randomized controlled trial of mindfulness-based stress reduction (MBSR) for survivors of breast cancer. Psycho-Oncology. 18(12):1261–1272. https://doi.org/10.1002/pon.1529 CrossRefPubMed

Monti DA, Kash KM, Kunkel EJ, Moss A, Mathews M, Brainard G, Anne R, Leiby BE, Pequinot E, Newberg AB (2013) Psychosocial benefits of a novel mindfulness intervention versus standard support in distressed women with breast cancer. Psycho-Oncology. 22(11):2565–2575. https://doi.org/10.1002/pon.3320 CrossRefPubMed

Blaes AH, Fenner D, Bachanova V, Torkelson C, Geller M, Haddad T, Shanley R, Kreitzer MJ (2016 Aug 1) Mindfulness-based cancer recovery in survivors recovering from chemotherapy and radiation. J Commun Support Oncol 14(8):351–358. https://doi.org/10.12788/jcso.0244 CrossRef

10.

May AC. Acceptance and commitment therapy for patients with breast cancer: A pilot study (Doctoral dissertation, San Diego State University)

11.

Harrington CB, Hansen JA, Moskowitz M, Todd BL, Feuerstein M (2010) It’s not over when it’s over: long-term symptoms in cancer survivors—a systematic review. Int J Psychiatry Med 40(2):163–181. https://doi.org/10.2190/PM.40.2.c CrossRefPubMed

12.

American Psychiatric Association. Diagnostic and statistical manual of mental disorders (DSM-5®). American Psychiatric Pub; 2013 https://doi.org/10.1176/appi.books.9780890425596

13.

Hinz A, Krauss O, Hauss JP, Höckel M, Kortmann RD, Stolzenburg JU, Schwarz R (2010) Anxiety and depression in cancer patients compared with the general population. Eur J Cancer Care 19(4):522–529. https://doi.org/10.1111/j.1365-2354.2009.01088.x CrossRef

14.

Rodin G, Lloyd N, Katz M, Green E, Mackay JA, Wong RK, Supportive Care Guidelines Group of Cancer Care Ontario Program in Evidence-Based Care (2007) The treatment of depression in cancer patients: a systematic review. Support Care Cancer 15(2):123–136. https://doi.org/10.1007/s00520-006-0145-3 CrossRefPubMed

15.

Greer JA, Pirl WF, Park ER, Lynch TJ, Temel JS (2008) Behavioral and psychological predictors of chemotherapy adherence in patients with advanced non-small cell lung cancer. J Psychosom Res 65(6):549–552. https://doi.org/10.1016/j.jpsychores.2008.03.005 CrossRefPubMedPubMedCentral

16.

Pinquart M, Duberstein PR (2010) Depression and cancer mortality: a meta-analysis. Psychol Med 40(11):1797–1810. https://doi.org/10.1017/S0033291709992285 CrossRefPubMedPubMedCentral

17.

Satin JR, Linden W, Phillips MJ (2009) Depression as a predictor of disease progression and mortality in cancer patients. Cancer. 115(22):5349–5361. https://doi.org/10.1002/cncr.24561 CrossRefPubMed

18.

De Waele ST, Van Belle S (2010) Cancer-related fatigue. Acta Clin Belg 65(6):378–385. https://doi.org/10.1179/acb.2010.65.6.002 CrossRefPubMed

19.

Hofman M, Ryan JL, Figueroa-Moseley CD, Jean-Pierre P, Morrow GR (2007) Cancer-related fatigue: the scale of the problem. Oncologist 12(Supplement 1):4–10. https://doi.org/10.1634/theoncologist.12-S1-4 CrossRefPubMed

20.

Jones JM, Olson K, Catton P, Catton CN, Fleshner NE, Krzyzanowska MK, McCready DR, Wong RK, Jiang H, Howell D (2016) Cancer-related fatigue and associated disability in post-treatment cancer survivors. J Cancer Surviv 10(1):51–61. https://doi.org/10.1007/s11764-015-0450-2 CrossRefPubMed

21.

Yarbro CH, Wujcik D (2013) Gobel BH, Cancer symptom management, Jones & Bartlett Learning

22.

Chida Y, Hamer M, Wardle J, Steptoe A (2008) Do stress-related psychosocial factors contribute to cancer incidence and survival? Nat Rev Clin Oncol 5(8):466. https://doi.org/10.1038/ncponc1134 CrossRef

23.

Fink G, editor. Stress science: neuroendocrinology. Academic Press; 2010

24.

Hefferon K, Grealy M, Mutrie N (2009) Post-traumatic growth and life threatening physical illness: a systematic review of the qualitative literature. Br J Health Psychol 14(2):343–378. https://doi.org/10.1348/135910708X332936 CrossRefPubMed

25.

Jim HS, Jacobsen PB (2008) Posttraumatic stress and posttraumatic growth in cancer survivorship: a review. Cancer J 14(6):414–419. https://doi.org/10.1097/PPO.0b013e31818d8963 CrossRefPubMed

26.

Parikh D, De Ieso P, Garvey G, Thachil T, Ramamoorthi R, Penniment M, Jayaraj R (2015) Post-traumatic stress disorder and post-traumatic growth in breast cancer patients-a systematic review. Asian Pac J Cancer Prev 16(2):641–646. https://doi.org/10.7314/APJCP.2015.16.2.641 CrossRefPubMed

27.

Tedeschi RG, Calhoun LG (1996) The posttraumatic growth inventory: measuring the positive legacy of trauma. J Trauma Stress 9(3):455–471. https://doi.org/10.1002/jts.2490090305 CrossRefPubMed

28.

Lelorain S, Bonnaud-Antignac A, Florin A (2010) Long term posttraumatic growth after breast cancer: prevalence, predictors and relationships with psychological health. J Clin Psychol Med Settings 17(1):14–22. https://doi.org/10.1007/s10880-009-9183-6 CrossRefPubMed

29.

Cramer H, Lauche R, Paul A, Dobos G (2012) Mindfulness-based stress reduction for breast cancer—a systematic review and meta-analysis. Curr Oncol 19(5):e343. https://doi.org/10.3747/co.19.1016 CrossRefPubMedPubMedCentral

30.

Huang HP, He M, Wang HY, Zhou M (2016) A meta-analysis of the benefits of mindfulness-based stress reduction (MBSR) on psychological function among breast cancer (BC) survivors. Breast Cancer 23(4):568–576. https://doi.org/10.1007/s12282-015-0604-0 CrossRefPubMed

31.

Zhang J, Xu R, Wang B, Wang J. Effects of mindfulness-based therapy for patients with breast cancer: a systematic review and meta-analysis. Complement Ther Med 2016;26:1–0. https://doi.org/10.1016/j.ctim.2016.02.012 CrossRef

32.

Zainal NZ, Booth S, Huppert FA (2013) The efficacy of mindfulness-based stress reduction on mental health of breast cancer patients: a meta-analysis. Psycho-Oncology. 22(7):1457–1465. https://doi.org/10.1002/pon.3171 CrossRefPubMed

33.

Piet J, Würtzen H, Zachariae R (2012) The effect of mindfulness-based therapy on symptoms of anxiety and depression in adult cancer patients and survivors: a systematic review and meta-analysis. J Consult Clin Psychol 80(6):1007. https://doi.org/10.1037/a0028329 CrossRefPubMed

34.

Zhang MF, Wen YS, Liu WY, Peng LF, Wu XD, Liu QW (2015 Nov) Effectiveness of mindfulness-based therapy for reducing anxiety and depression in patients with cancer: a meta-analysis. Medicine 94(45). https://doi.org/10.1097/MD.0000000000000897 CrossRef

35.

Rush SE, Sharma M (2017) Mindfulness-based stress reduction as a stress management intervention for cancer care: a systematic review. J Evid-Based Compl Alt Med 22(2):348–360. https://doi.org/10.1177/2156587216661467 CrossRef

36.

Shennan C, Payne S, Fenlon D (2011) What is the evidence for the use of mindfulness-based interventions in cancer care? A review. Psycho-oncology 20(7):681–697. https://doi.org/10.1002/pon.1819 CrossRefPubMed

37.

Ledesma D, Kumano H (2009) Mindfulness-based stress reduction and cancer: a meta-analysis. Psycho-Oncology. 18(6):571–579. https://doi.org/10.1002/pon.1400 CrossRefPubMed

38.

Moher D, Liberati A, Tetzlaff J, Altman DG (2010) Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement. Int J Surg 8(5):336–341. https://doi.org/10.1016/j.ijsu.2010.02.007 CrossRefPubMed

39.

Creswell JD (2017) Mindfulness interventions. Annu Rev Psychol 68:491–516. https://doi.org/10.1146/annurev-psych-042716-051139 CrossRefPubMed

40.

Surbone A, Annunziata MA, Santoro A, Tirelli U, Tralongo P. Cancer patients and survivors: changing words or changing culture?

41.

Baer RA (2015) editor. Mindfulness-based treatment approaches: Clinician’s guide to evidence base and applications. Elsevier

42.

Didonna F. Mindfulness-based interventions in an inpatient setting. In Clinical handbook of mindfulness 2009 (pp. 447–462). Springer, New York, NYCrossRef

43.

Peterson C (2014) Mindfulness-based art therapy. In: Mindfulness and the art therapies: theory and practice, pp 42–58

44.

Schulz KF, Altman DG, Moher D (2010) CONSORT 2010 statement: updated guidelines for reporting parallel group randomized trials. Ann Intern Med 152(11):726–732. https://doi.org/10.7326/0003-4819-152-11-201006010-00232 CrossRefPubMed

45.

Higgins JP (2011) Green S, editors, Cochrane handbook for systematic reviews of interventions. John Wiley & Sons

46.

Higgins JP. Green S (2011) Cochrane handbook for systematic reviews of interventions (version 5.1. 0)

47.

Borenstein M, Hedges LV, Higgins J, Rothstein HR (2010) A basic introduction to fixed-effect and random-effects models for meta-analysis. Res Synth Methods 1(2):97–111. https://doi.org/10.1002/jrsm.12 CrossRefPubMed

48.

Ryan R (2013) Heterogeneity and subgroup analyses in Cochrane consumers and communication review group reviews: planning the analysis at protocol stage. Cochrane Consumers and Communication Review Group http://cccrg.cochrane.org

49.

Chung KC, Burns PB, Kim HM (2006) A practical guide to meta-analysis. J Hand Surg 31(10):1671–1678. https://doi.org/10.1016/j.jhsa.2006.09.002 CrossRef

50.

Sterne JA, Sutton AJ, Ioannidis JP, Terrin N, Jones DR, Lau J, Carpenter J, Rücker G, Harbord RM, Schmid CH, Tetzlaff J (2011) Recommendations for examining and interpreting funnel plot asymmetry in meta-analyses of randomised controlled trials. Bmj. 343:d4002. https://doi.org/10.1136/bmj.d4002 CrossRefPubMed

51.

Bränström R, Kvillemo P, Moskowitz JT (2012) A randomized study of the effects of mindfulness training on psychological well-being and symptoms of stress in patients treated for cancer at 6-month follow-up. Int J Behav Med 19(4):535–542CrossRef

52.

Carlson LE, Doll R, Stephen J, Faris P, Tamagawa R, Drysdale E, Speca M (2013) Randomized controlled trial of mindfulness-based cancer recovery versus supportive expressive group therapy for distressed survivors of breast cancer. J Clin Oncol 31(25):3119–3126CrossRef

53.

Carlson LE, Tamagawa R, Stephen J, Drysdale E, Zhong L, Speca M (2016) Randomized-controlled trial of mindfulness-based cancer recovery versus supportive expressive group therapy among distressed breast cancer survivors (MINDSET): long-term follow-up results. Psycho-Oncology. 25(7):750–759CrossRef

54.

Chambers SK, Occhipinti S, Foley E, Clutton S, Legg M, Berry M, Stockler MR, Frydenberg M, Gardiner RA, Lepore SJ, Davis ID (2016) Mindfulness-based cognitive therapy in advanced prostate cancer: a randomized controlled trial. J Clin Oncol 35(3):291–297CrossRef

55.

Foley E, Baillie A, Huxter M, Price M, Sinclair E (2010) Mindfulness-based cognitive therapy for individuals whose lives have been affected by cancer: a randomized controlled trial. J Consult Clin Psychol 78(1):72CrossRef

56.

Garland SN, Carlson LE, Stephens AJ, Antle MC, Samuels C, Campbell TS (2014) Mindfulness-based stress reduction compared with cognitive behavioral therapy for the treatment of insomnia comorbid with cancer: a randomized, partially blinded, noninferiority trial. J Clin Oncol 32(5):449–457CrossRef

57.

Hawkes AL, Chambers SK, Pakenham KI, Patrao TA, Baade PD, Lynch BM, Aitken JF, Meng X, Courneya KS (2013) Effects of a telephone-delivered multiple health behavior change intervention (CanChange) on health and behavioral outcomes in survivors of colorectal cancer: a randomized controlled trial. J Clin Oncol 31(18):2313–2321CrossRef

58.

Hawkes AL, Pakenham KI, Chambers SK, Patrao TA, Courneya KS (2014) Effects of a multiple health behavior change intervention for colorectal cancer survivors on psychosocial outcomes and quality of life: a randomized controlled trial. Ann Behav Med 48(3):359–370CrossRef

59.

Henderson VP, Clemow L, Massion AO, Hurley TG, Druker S, Hébert JR (2012) The effects of mindfulness-based stress reduction on psychosocial outcomes and quality of life in early-stage breast cancer patients: a randomized trial. Breast Cancer Res Treat 131(1):99–109CrossRef

60.

Hoffman CJ, Ersser SJ, Hopkinson JB, Nicholls PG, Harrington JE, Thomas PW (2012) Effectiveness of mindfulness-based stress reduction in mood, breast-and endocrine-related quality of life, and well-being in stage 0 to III breast cancer: a randomized, controlled trial. J Clin Oncol 30(12):1335–1342CrossRef

61.

Jang SH, Kang SY, Lee HJ, Lee SY (2016) Beneficial effect of mindfulness-based art therapy in patients with breast cancer—a randomized controlled trial. Explore. 12(5):333–340CrossRef

62.

Johannsen M, O’Connor M, O’Toole MS, Jensen AB, Højris I, Zachariae R (2016) Efficacy of mindfulness-based cognitive therapy on late post-treatment pain in women treated for primary breast cancer: a randomized controlled trial. J Clin Oncol 34(28):3390–3399CrossRef

63.

Johns SA, Brown LF, Beck-Coon K, Monahan PO, Tong Y, Kroenke K (2015) Randomized controlled pilot study of mindfulness-based stress reduction for persistently fatigued cancer survivors. Psycho-Oncology. 24(8):885–893CrossRef

64.

Johns SA, Brown LF, Beck-Coon K, Talib TL, Monahan PO, Giesler RB, Tong Y, Wilhelm L, Carpenter JS, Von Ah D, Wagner CD (2016) Randomized controlled pilot trial of mindfulness-based stress reduction compared to psychoeducational support for persistently fatigued breast and colorectal cancer survivors. Support Care Cancer 24(10):4085–4096CrossRef

65.

Kenne Sarenmalm E, Mårtensson LB, Andersson BA, Karlsson P, Bergh I (2017) Mindfulness and its efficacy for psychological and biological responses in women with breast cancer. Cancer Med 6(5):1108–1122CrossRef

66.

Kingston T, Collier S, Hevey D, McCormick MM, Besani C, Cooney J, O’Dwyer AM (2015) Mindfulness-based cognitive therapy for psycho-oncology patients: an exploratory study. Ir J Psychol Med 32(3):265–274CrossRef

67.

Lengacher CA, Reich RR, Paterson CL, Ramesar S, Park JY, Alinat C, Johnson-Mallard V, Moscoso M, Budhrani-Shani P, Miladinovic B, Jacobsen PB (2016) Examination of broad symptom improvement resulting from mindfulness-based stress reduction in breast cancer survivors: a randomized controlled trial. J Clin Oncol 34(24):2827CrossRef

68.

Lerman R, Jarski R, Rea H, Gellish R, Vicini F (2012) Improving symptoms and quality of life of female cancer survivors: a randomized controlled study. Ann Surg Oncol 19(2):373–378CrossRef

69.

May AC (2016) Acceptance and commitment therapy for patients with breast cancer: A pilot study. Doctoral dissertation, San Diego State University

70.

Norouzi H, Rahimian-Boogar I, Talepasand S (2017) Effectiveness of mindfulness-based cognitive therapy on posttraumatic growth, self-management and functional disability among patients with breast cancer. Nursing Practice Today 4(4):190–202

71.

Schellekens MP, Hurk DG, Prins JB, Donders AR, Molema J, Dekhuijzen R, Drift MA, Speckens AE (2017) Mindfulness-based stress reduction added to care as usual for lung cancer patients and/or their partners: a multicentre randomized controlled trial. Psycho-oncology. 26(12):2118–2126. https://doi.org/10.1002/pon.4430 CrossRefPubMed

72.

Victorson D, Hankin V, Burns J, Weiland R, Maletich C, Sufrin N, Schuette S, Gutierrez B, Brendler C (2017) Feasibility, acceptability and preliminary psychological benefits of mindfulness meditation training in a sample of men diagnosed with prostate cancer on active surveillance: results from a randomized controlled pilot trial. Psycho-oncology. 26(8):1155–1163. https://doi.org/10.1002/pon.4135 CrossRefPubMed

73.

Würtzen H, Dalton SO, Elsass P, Sumbundu AD, Steding-Jensen M, Karlsen RV, Andersen KK, Flyger HL, Pedersen AE, Johansen C (2013) Mindfulness significantly reduces self-reported levels of anxiety and depression: results of a randomised controlled trial among 336 Danish women treated for stage I–III breast cancer. Eur J Cancer 49(6):1365–1373. https://doi.org/10.1016/j.ejca.2012.10.030 CrossRefPubMed

74.

Würtzen H, Dalton SO, Christensen J, Andersen KK, Elsass P, Flyger HL, Pedersen AE, Sumbundu A, Steding-Jensen M, Johansen C (2015) Effect of mindfulness-based stress reduction on somatic symptoms, distress, mindfulness and spiritual wellbeing in women with breast cancer: results of a randomized controlled trial. Acta Oncol 54(5):712–719. https://doi.org/10.3109/0284186X.2014.997371 CrossRefPubMed

75.

Zernicke KA, Campbell TS, Speca M, McCabe-Ruff K, Flowers S, Carlson LE (2014) A randomized wait-list controlled trial of feasibility and efficacy of an online mindfulness–based cancer recovery program: the etherapy for cancer applying mindfulness trial. Psychosom Med 76(4):257–267. https://doi.org/10.1097/PSY.0000000000000053 CrossRefPubMed

76.

Zhang JY, Zhou YQ, Feng ZW, Fan YN, Zeng GC, Wei L (2017) Randomized controlled trial of mindfulness-based stress reduction (MBSR) on posttraumatic growth of Chinese breast cancer survivors. Psychol Health Med 22(1):94–109. https://doi.org/10.1080/13548506.2016.1146405 CrossRefPubMed

77.

Katz D, Toner B (2013) A systematic review of gender differences in the effectiveness of mindfulness-based treatments for substance use disorders. Mindfulness. 4(4):318–331. https://doi.org/10.1007/s12671-012-0132-3 CrossRef

78.

Forsythe LP, Kent EE, Weaver KE, Buchanan N, Hawkins NA, Rodriguez JL, Ryerson AB, Rowland JH (2013) Receipt of psychosocial care among cancer survivors in the United States. J Clin Oncol 31(16):1961. https://doi.org/10.1200/JCO.2012.46.2101 CrossRefPubMedPubMedCentral

79.

McLean CP, Asnaani A, Litz BT, Hofmann SG (2011) Gender differences in anxiety disorders: prevalence, course of illness, comorbidity and burden of illness. J Psychiatr Res 45(8):1027–1035. https://doi.org/10.1016/j.jpsychires.2011.03.006 CrossRefPubMedPubMedCentral

80.

Schuch JJ, Roest AM, Nolen WA, Penninx BW, De Jonge P (2014) Gender differences in major depressive disorder: results from the Netherlands study of depression and anxiety. J Affect Disord 156:156–163. https://doi.org/10.1016/j.jad.2013.12.011 CrossRefPubMed

81.

Weissman MM, Klerman GL (1977) Sex differences and the epidemiology of depression. Arch Gen Psychiatry 34(1):98–111. https://doi.org/10.1001/archpsyc.1977.01770130100011 CrossRefPubMed

82.

Hofmann SG, Sawyer AT, Witt AA, Oh D (2010) The effect of mindfulness-based therapy on anxiety and depression: a meta-analytic review. J Consult Clin Psychol 78(2):169. https://doi.org/10.1037/a0018555 CrossRefPubMedPubMedCentral

83.

Chambers R, Lo BC, Allen NB (2008) The impact of intensive mindfulness training on attentional control, cognitive style, and affect. Cogn Ther Res 32(3):303–322CrossRef

84.

Edwards D. Art therapy. sage; 2014

85.

Geue K, Goetze H, Buttstaedt M, Kleinert E, Richter D, Singer S (2010) An overview of art therapy interventions for cancer patients and the results of research. Complement Ther Med 18(3–4):160–170. https://doi.org/10.1016/j.ctim.2010.04.001 CrossRefPubMed

86.

Kabat-Zinn J (2003) Mindfulness-based interventions in context: past, present, and future. Clin Psychol Sci Pract 10(2):144–156. https://doi.org/10.1093/clipsy.bpg016 CrossRef

87.

Stein KD, Syrjala KL, Andrykowski MA (2008) Physical and psychological long-term and late effects of cancer. Cancer. 112(S11):2577–2592. https://doi.org/10.1002/cncr.23448 CrossRefPubMed

88.

Nolen-Hoeksema S, Wisco BE, Lyubomirsky S (2008) Rethinking rumination. Perspect Psychol Sci 3(5):400–424. https://doi.org/10.1111/j.1745-6924.2008.00088.x CrossRefPubMed

89.

Weinstein N, Brown KW, Ryan RM (2009) A multi-method examination of the effects of mindfulness on stress attribution, coping, and emotional well-being. J Res Pers 43(3):374–385. https://doi.org/10.1016/j.jrp.2008.12.008 CrossRef

90.

Tang YY, Hölzel BK, Posner MI (2015) The neuroscience of mindfulness meditation. Nat Rev Neurosci 16(4):213. https://doi.org/10.1038/nrn3916 CrossRefPubMed

91.

Tedeschi RG, Blevins CL (2015) From mindfulness to meaning: implications for the theory of posttraumatic growth. Psychol Inq 26(4):373–376. https://doi.org/10.1080/1047840X.2015.1075354 CrossRef

92.

Speca M, Carlson LE, Mackenzie MJ, Angen M (2006) Mindfulness-based stress reduction (MBSR) as an intervention for cancer patients. In: Mindfulness-based treatment approaches: Clinician’s guide to evidence base and applications, pp 239–261CrossRef

93.

Silverman SL (2009) From randomized controlled trials to observational studies. Am J Med 122(2):114–120. https://doi.org/10.1016/j.amjmed.2008.09.030 CrossRefPubMed

94.

Polit DF, Beck CT. Nursing research: generating and assessing evidence for nursing practice. Lippincott Williams & Wilkins; 2008

95.

Bello A, Wiebe N, Garg A, Tonelli M. Evidence-based decision-making 2: systematic reviews and meta-analysis. In Clinical Epidemiology 2015 (pp. 397–416). Humana Press, New York, NY. https://doi.org/10.1007/978-1-4939-2428-8_2

Titel: The effectiveness of mindfulness-based interventions among cancer patients and survivors: a systematic review and meta-analysis
verfasst von: NG Xunlin
Ying Lau
Piyanee Klainin-Yobas
Publikationsdatum: 01.04.2020
Verlag: Springer Berlin Heidelberg
Erschienen in: Supportive Care in Cancer / Ausgabe 4/2020
Print ISSN: 0941-4355
Elektronische ISSN: 1433-7339
DOI: https://doi.org/10.1007/s00520-019-05219-9

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The effectiveness of mindfulness-based interventions among cancer patients and survivors: a systematic review and meta-analysis

Abstract

Purpose

Methods

Results

Conclusion

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Live-Webinar: Aktuelle Leitlinien bei Herz-Kreislauf-Erkrankungen

Springer Medizin

Abstract

Purpose

Methods

Results

Conclusion

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