명상도서관
Emotional clarity and attention to emotions in cognitive behavioral group therapy and mindfulness-based stress reduction for social anxiety disorder
자세히보기
- 자료유형학술지논문
- 저자명Butler, Rachel M.,Boden, Matthew T.,Olino, Thomas M.,Morrison, Amanda S.,Goldin, Philippe R.,Gross, James J.,Heimberg, Richard G.
- 학회/출판사/기관명Elsevier Science B.V., Amsterdam.
- 출판년도2018
- 언어영어
- 학술지명/학위논문주기Journal of anxiety disorders
- 발행사항Vol.55No.-[2018]_x000D_
- ISBN/ISSN0887-6185
- 소개/요약Purpose/Objective(s) The anxiety burden of patients with breast cancer is well documented and is associated with worse outcomes. Mindfulness-based stress reduction is a validated therapy that has shown efficacy for these patients. Prior work has tested professional meditation courses in the setting of survivorship. This study pilots a brief daily electronically-guided meditation intervention delivered in the radiotherapy clinic concurrent with treatment. The objectives were to determine whether there were barriers to completing the intervention and whether patients who did so would demonstrate changes in anxiety over the course of their radiation treatment. Materials/Methods From July to October 2018 women receiving radiotherapy for breast cancer at a single institution completed a 5- to 10-minute guided meditation from the Headspace “Basics” course (Headspace, London, UK) on an iPad prior to each fraction of radiotherapy. The trial was IRB approved with oral informed consent. At time of CT simulation, first treatment, and last treatment, patients completed a validated anxiety short-form (Patient-Reported Outcomes Measurement Information System, Evanston, IL). A paired two-sided t-test tested for significant changes in anxiety within patients across these intervals. At the final treatment visit patients completed an exit survey assessing compliance with the intervention and any barriers to participation. Results 30 patients were enrolled, with 24 completing the study including all response instruments. These patients reported completing a mean of 16.2 meditation sessions (94% of scheduled). On the exit questionnaire, 14 patients (58%) endorsed no barriers to completing the meditation, 3 (13%) endorsed a lack of time, and 4 (17%) endorsed a lack of quiet space to meditate. Between time of first and last treatment there was a mean decrease in anxiety of 6.81 points (95% CI 3.76-9.86; p < 0.0001). There was no significant correlation between the change in anxiety and the total number of sessions completed (r = 0.16; p = 0.47). Conclusion This pilot study demonstrates that tablet-guided mindfulness meditation is a feasible intervention for women with breast cancer in the radiotherapy setting. The barriers that emerged are addressable. The intervention was well-received by patients and simple to implement in the radiotherapy clinic. These preliminary results are encouraging, but a randomized trial is needed to quantify the reduction in anxiety attributable to this intervention. Guided mindfulness meditation represents an opportunity to make radiotherapy more patient-centered and should be studied further.
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