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Randomized controlled pilot study of mindfulness-based stress reduction for persistently fatigued cancer survivors
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- 자료유형학술지논문
- 저자명Johns, S. A.,Brown, L. F.,Beck-Coon, K.,Monahan, P. O.,Tong, Y.,Kroenke, K.
- 학회/출판사/기관명John Wiley & Sons, Ltd
- 출판년도2015
- 언어영어
- 학술지명/학위논문주기PSYCHOONCOLOGY
- 발행사항Vol.24No.8[2015]_x000D_
- ISBN/ISSN1057-9249
- 소개/요약Objective Cancer-related fatigue (CRF) is one of the most common, persistent, and disabling symptoms associated with cancer and its treatment. Evidence-based treatments that are acceptable to patients are critically needed. This study examined the efficacy of Mindfulness-Based Stress Reduction (MBSR) for CRF and related symptoms. Methods A sample of 35 cancer survivors with clinically-significant CRF was randomly assigned to a 7-week MBSR-based intervention or wait-list control group. The intervention group received training in mindfulness meditation, yoga, and self-regulatory responses to stress. Fatigue interference (primary outcome) and a variety of secondary outcomes (e.g., fatigue severity, vitality, disability, depression, anxiety, sleep disturbance) were assessed at baseline, post-intervention, and 1-month follow-up. Bonferroni correction was employed to account for multiple comparisons. Controls received the intervention after the 1-month follow-up. Participants in both groups were followed for 6 months after completing their respective MBSR courses to assess maintenance of effects. Results Compared to controls, the MBSR group reported large post-intervention reductions as assessed by effect sizes (d) in the primary outcome, fatigue interference (d= −1.43, p<.001), along with fatigue severity (d= −1.55, p<.001), vitality (d= 1.29, p<.001), depression (d= −1.30, p<.001), and sleep disturbance (d= −0.74, p=.001). Results were maintained or strengthened at 1-month follow-up, the point at which significant improvements in disability (d= −1.22, p<.002) and anxiety (d= −0.98, p=.002) occurred. Improvements in all outcomes were maintained 6 months after completing the course. MBSR adherence was high, with 90% attendance across groups and high rates of participant-reported home practice of mindfulness. Conclusions MBSR is a promising treatment for CRF and associated symptoms.
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