Title |
Mindfulness based stress reduction (MBSR(BC)) in breast cancer: evaluating fear of recurrence (FOR) as a mediator of psychological and physical symptoms in a randomized control trial (RCT)
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Published in |
Journal of Behavioral Medicine, November 2012
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DOI | 10.1007/s10865-012-9473-6 |
Pubmed ID | |
Authors |
Cecile A. Lengacher, Melissa M. Shelton, Richard R. Reich, Michelle K. Barta, Versie Johnson-Mallard, Manolete S. Moscoso, Carly Paterson, Sophia Ramesar, Pinky Budhrani, Irina Carranza, Jean Lucas, Paul B. Jacobsen, Matthew J. Goodman, Kevin E. Kip |
Abstract |
To investigate the mechanism(s) of action of mindfulness based stress reduction (MBSR(BC)) including reductions in fear of recurrence and other potential mediators. Eighty-two post-treatment breast cancer survivors (stages 0-III) were randomly assigned to a 6-week MBSR(BC) program (n = 40) or to usual care group (UC) (n = 42). Psychological and physical variables were assessed as potential mediators at baseline and at 6 weeks. MBSR(BC) compared to UC experienced favorable changes for five potential mediators: (1) change in fear of recurrence problems mediated the effect of MBSR(BC) on 6-week change in perceived stress (z = 2.12, p = 0.03) and state anxiety (z = 2.03, p = 0.04); and (2) change in physical functioning mediated the effect of MBSR(BC) on 6-week change in perceived stress (z = 2.27, p = 0.02) and trait anxiety (z = 1.98, p = 0.05). MBSR(BC) reduces fear of recurrence and improves physical functioning which reduces perceived stress and anxiety. Findings support the beneficial effects of MBSR(BC) and provide insight into the possible cognitive mechanism of action. |
X Demographics
Geographical breakdown
Country | Count | As % |
---|---|---|
United States | 1 | 100% |
Demographic breakdown
Type | Count | As % |
---|---|---|
Members of the public | 1 | 100% |
Mendeley readers
Geographical breakdown
Country | Count | As % |
---|---|---|
Malaysia | 2 | <1% |
United Kingdom | 2 | <1% |
Netherlands | 1 | <1% |
Ireland | 1 | <1% |
Brazil | 1 | <1% |
Austria | 1 | <1% |
Canada | 1 | <1% |
China | 1 | <1% |
Unknown | 326 | 97% |
Demographic breakdown
Readers by professional status | Count | As % |
---|---|---|
Student > Master | 55 | 16% |
Student > Ph. D. Student | 42 | 13% |
Researcher | 35 | 10% |
Student > Bachelor | 35 | 10% |
Student > Doctoral Student | 25 | 7% |
Other | 73 | 22% |
Unknown | 71 | 21% |
Readers by discipline | Count | As % |
---|---|---|
Psychology | 127 | 38% |
Medicine and Dentistry | 40 | 12% |
Nursing and Health Professions | 30 | 9% |
Social Sciences | 18 | 5% |
Neuroscience | 8 | 2% |
Other | 34 | 10% |
Unknown | 79 | 24% |