명상도서관

명상도서관

Effects of a mindfulness‐based intervention on cancer‐related cognitive impairment: Results of a randomized controlled functional magnetic resonance imaging pilot study 자세히보기
  • 자료유형학술지논문
  • 저자명Van der Gucht, Katleen,Ahmadoun, Soumaya,Melis, Michelle,Cloe, Ellen,Sleurs, Charlotte,Radwan, Ahmed,Blommaert, Jeroen,Takano, Keisuke,Vandenbulcke, Mathieu,Wildiers, Hans,Neven, Patrick,Kuppens, Peter,Raes, Filip,Smeets, Ann,Sunaert, Stefan,Deprez, Sabin
  • 학회/출판사/기관명John Wiley & Sons, Ltd
  • 출판년도2020
  • 언어영어
  • 학술지명/학위논문주기Cancer
  • 발행사항Vol.126No.18[2020]_x000D_
  • ISBN/ISSN0008-543X
  • 소개/요약Background: Many breast cancer survivors suffer from cognitive complaints after cancer treatment, affecting their quality of life. The objective of this pilot study was to investigate the effect of a blended-care mindfulness-based intervention (MBI) on chemotherapy-related cognitive impairment and functional brain changes. Furthermore, correlations between changes in cognitive functioning and self-reported behavioral factors were investigated. Methods: Breast cancer survivors (n = 33) who reported cognitive impairment were randomly allocated to a mindfulness condition (n = 18) or a waitlist control condition (n = 15). Patients completed questionnaires on cognitive impairment, emotional distress, and fatigue; neuropsychological tests; and resting-state functional magnetic resonance imaging before the start of MBI (time 1 [T1]), immediately after the completion of an 8-week MBI program (T2), and 3 months postintervention (T3). Resting-state functional connectivity was estimated in the default mode network, the dorsal and salience attention networks, and the frontoparietal network. Mixed model repeated-measures analysis was performed to test the intervention effect. Results: Patients in the mindfulness condition exhibited significantly higher connectivity between the dorsal and salience attention networks after the mindfulness intervention compared with those in the control condition. MBI participants also had reduced subjective cognitive impairment, emotional distress, and fatigue. No intervention effect was observed on neurocognitive tests. Conclusions: MBI may induce functional brain changes in networks related to attention and may have a positive effect on subjective measures of cognitive impairment in breast cancer survivors. Therefore, MBI could be a suitable intervention to improve quality of life in this population and deserves further study in this context.