The impact of mindfulness-based interventions on symptom burden, positive psychological outcomes, and biomarkers in cancer patients
Identifieur interne : 001715 ( Main/Exploration ); précédent : 001714; suivant : 001716The impact of mindfulness-based interventions on symptom burden, positive psychological outcomes, and biomarkers in cancer patients
Auteurs : Codie R. Rouleau [Canada] ; Sheila N. Garland [États-Unis] ; Linda E. Carlson [Canada]Source :
- Cancer Management and Research [ 1179-1322 ] ; 2015.
Abstract
Research on the use of mindfulness-based stress reduction and related mindfulness-based interventions (MBIs) in cancer care has proliferated over the past decade. MBIs have aimed to facilitate physical and emotional adjustment to life with cancer through the cultivation and practice of mindfulness (ie, purposeful, nonjudgmental, moment-to-moment awareness). This descriptive review highlights three categories of outcomes that have been evaluated in MBI research with cancer patients – namely, symptom reduction, positive psychological growth, and biological outcomes. We also examine the clinical relevance of each targeted outcome, while describing recently published original studies to highlight novel applications of MBIs tailored to individuals with cancer. Accumulating evidence suggests that participation in a MBI contributes to reductions in psychological distress, sleep disturbance, and fatigue, and promotes personal growth in areas such as quality of life and spirituality. MBIs may also influence markers of immune function, hypothalamic–pituitary–adrenal axis regulation, and autonomic nervous system activity, though it remains unclear whether these biological changes translate to clinically important health benefits. We conclude by discussing methodological limitations of the extant literature, and implications of matching MBIs to the needs and preferences of cancer patients. Overall, the growing popularity of MBIs in cancer care must be balanced against scientific evidence for their impact on specific clinical outcomes.
Url:
DOI: 10.2147/CMAR.S64165
PubMed: 26064068
PubMed Central: 4457221
Affiliations:
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Garland</name><affiliation wicri:level="1"><nlm:aff id="af2-cmar-7-121">Department of Family Medicine and Community Health, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Family Medicine and Community Health, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA</wicri:regionArea><wicri:noRegion>PA</wicri:noRegion></affiliation></author><author><name sortKey="Carlson, Linda E" sort="Carlson, Linda E" uniqKey="Carlson L" first="Linda E" last="Carlson">Linda E. 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Rouleau</name><affiliation wicri:level="4"><nlm:aff id="af1-cmar-7-121">Department of Psychology, Faculty of Arts, University of Calgary, Calgary, AB, Canada</nlm:aff><country xml:lang="fr">Canada</country><wicri:regionArea>Department of Psychology, Faculty of Arts, University of Calgary, Calgary, AB</wicri:regionArea><orgName type="university">Université de Calgary</orgName><placeName><settlement type="city">Calgary</settlement><region type="state">Alberta</region></placeName></affiliation></author><author><name sortKey="Garland, Sheila N" sort="Garland, Sheila N" uniqKey="Garland S" first="Sheila N" last="Garland">Sheila N. Garland</name><affiliation wicri:level="1"><nlm:aff id="af2-cmar-7-121">Department of Family Medicine and Community Health, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Family Medicine and Community Health, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA</wicri:regionArea><wicri:noRegion>PA</wicri:noRegion></affiliation></author><author><name sortKey="Carlson, Linda E" sort="Carlson, Linda E" uniqKey="Carlson L" first="Linda E" last="Carlson">Linda E. Carlson</name><affiliation wicri:level="4"><nlm:aff id="af3-cmar-7-121">Department of Oncology, Cumming School of Medicine, University of Calgary, Calgary, AB, Canada</nlm:aff><country xml:lang="fr">Canada</country><wicri:regionArea>Department of Oncology, Cumming School of Medicine, University of Calgary, Calgary, AB</wicri:regionArea><orgName type="university">Université de Calgary</orgName><placeName><settlement type="city">Calgary</settlement><region type="state">Alberta</region></placeName></affiliation></author></analytic><series><title level="j">Cancer Management and Research</title><idno type="eISSN">1179-1322</idno><imprint><date when="2015">2015</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p>Research on the use of mindfulness-based stress reduction and related mindfulness-based interventions (MBIs) in cancer care has proliferated over the past decade. MBIs have aimed to facilitate physical and emotional adjustment to life with cancer through the cultivation and practice of mindfulness (ie, purposeful, nonjudgmental, moment-to-moment awareness). This descriptive review highlights three categories of outcomes that have been evaluated in MBI research with cancer patients – namely, symptom reduction, positive psychological growth, and biological outcomes. We also examine the clinical relevance of each targeted outcome, while describing recently published original studies to highlight novel applications of MBIs tailored to individuals with cancer. Accumulating evidence suggests that participation in a MBI contributes to reductions in psychological distress, sleep disturbance, and fatigue, and promotes personal growth in areas such as quality of life and spirituality. MBIs may also influence markers of immune function, hypothalamic–pituitary–adrenal axis regulation, and autonomic nervous system activity, though it remains unclear whether these biological changes translate to clinically important health benefits. We conclude by discussing methodological limitations of the extant literature, and implications of matching MBIs to the needs and preferences of cancer patients. Overall, the growing popularity of MBIs in cancer care must be balanced against scientific evidence for their impact on specific clinical outcomes.</p></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Stewart, Bw" uniqKey="Stewart B">BW Stewart</name></author><author><name sortKey="Wild, Cp" uniqKey="Wild C">CP Wild</name></author></analytic></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Fallowfield, L" uniqKey="Fallowfield L">L Fallowfield</name></author><author><name sortKey="Jenkins, V" uniqKey="Jenkins V">V Jenkins</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Hewitt, M" uniqKey="Hewitt M">M Hewitt</name></author><author><name sortKey="Breen, N" uniqKey="Breen N">N Breen</name></author><author><name sortKey="Devesa, S" uniqKey="Devesa S">S Devesa</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Alfano, Cm" uniqKey="Alfano 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Carlson</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Wood, Aw" uniqKey="Wood A">AW Wood</name></author><author><name sortKey="Gonzalez, J" uniqKey="Gonzalez J">J Gonzalez</name></author><author><name sortKey="Barden, Sm" uniqKey="Barden S">SM Barden</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Moser, Mt" uniqKey="Moser M">MT Moser</name></author><author><name sortKey="Kunzler, A" uniqKey="Kunzler A">A Künzler</name></author><author><name sortKey="Nussbeck, F" uniqKey="Nussbeck F">F Nussbeck</name></author><author><name sortKey="Bargetzi, M" uniqKey="Bargetzi M">M Bargetzi</name></author><author><name sortKey="Znoj, Hj" uniqKey="Znoj H">HJ Znoj</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Hodges, Lj" uniqKey="Hodges L">LJ Hodges</name></author><author><name sortKey="Humphris, Gm" uniqKey="Humphris G">GM Humphris</name></author><author><name sortKey="Macfarlane, G" uniqKey="Macfarlane G">G Macfarlane</name></author></analytic></biblStruct></listBibl></div1></back></TEI><affiliations><list><country><li>Canada</li><li>États-Unis</li></country><region><li>Alberta</li></region><settlement><li>Calgary</li></settlement><orgName><li>Université de Calgary</li></orgName></list><tree><country name="Canada"><region name="Alberta"><name sortKey="Rouleau, Codie R" sort="Rouleau, Codie R" uniqKey="Rouleau C" first="Codie R" last="Rouleau">Codie R. Rouleau</name></region><name sortKey="Carlson, Linda E" sort="Carlson, Linda E" uniqKey="Carlson L" first="Linda E" last="Carlson">Linda E. Carlson</name></country><country name="États-Unis"><noRegion><name sortKey="Garland, Sheila N" sort="Garland, Sheila N" uniqKey="Garland S" first="Sheila N" last="Garland">Sheila N. Garland</name></noRegion></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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