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Randomized Controlled Trial
Mindfulness based stress reduction in post-treatment breast cancer patients: an examination of symptoms and symptom clusters.
- Cecile A Lengacher, Richard R Reich, Janice Post-White, Manolete Moscoso, Melissa M Shelton, Michelle Barta, Nancy Le, and Pinky Budhrani.
- College of Nursing, University of South Florida, 12901 Bruce B. Downs Blvd., Tampa, FL 33612-4476, USA. Clengach@health.usf.edu
- J Behav Med. 2012 Feb 1; 35 (1): 86-94.
AbstractTo investigate prevalence and severity of symptoms and symptom clustering in breast cancer survivors who attended MBSR(BC). Women were randomly assigned into MBSR(BC) or Usual Care (UC). Eligible women were ≥ 21 years, had been diagnosed with breast cancer and completed treatment within 18 months of enrollment. Symptoms and interference with daily living were measured pre- and post-MBSR(BC) using the M.D. Anderson Symptom Inventory. Symptoms were reported as highly prevalent but severity was low. Fatigue was the most frequently reported and severe symptom among groups. Symptoms clustered into 3 groups and improved in both groups. At baseline, both MBSR(BC) and the control groups showed similar mean symptom severity and interference; however, after the 6-week post-intervention, the MBSR(BC) group showed statistically-significant reduction for fatigue and disturbed sleep (P < 0.01) and improved symptom interference items, compared to the control group. For the between-group comparisons, 11 of 13 symptoms and 5 of 6 interference items had lower means in the MBSR(BC) condition than the control condition. These results suggest that MBSR(BC) modestly decreases fatigue and sleep disturbances, but has a greater effect on the degree to which symptoms interfere with many facets of life. Although these results are preliminary, MBSR intervention post-treatment may effectively reduce fatigue and related interference in QOL of breast cancer survivors.
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