Effects of mindfulness-based stress reduction on quality of life of breast cancer patient: A systematic review and meta-analysis.
Study Goal
The researchers aimed to evaluate and compare the effects of mindfulness-based stress reduction therapy versus standard care on the quality of life and psychological status of breast cancer patients.
Results Summary
Mindfulness-based stress reduction therapy significantly reduced negative emotions (stress, depression, anxiety, fear of recurrence) and improved coping ability and emotional states in breast cancer patients compared to standard care.
Population
Breast cancer patients
Effective Dosage
Not specified
Duration
Not specified
Interactions
None mentioned
| Intervention | Direction | Endpoint | Population | Dosage | Impact | Claim # |
|---|---|---|---|---|---|---|
mindfulness-based stress reduction therapy | decrease | perceived stress | breast cancer patients | MD = -1.46, 95%CI = -2.53 to -0.38, p = 0.03 | significantly reduce | #1 |
mindfulness-based stress reduction therapy | decrease | depression | breast cancer patients | MD = -1.84, 95%CI = -3.99 to -0.30, p = 0.0004 | significantly reduce | #2 |
mindfulness-based stress reduction therapy | decrease | anxiety | breast cancer patients | MD = -2.81, 95%CI = -5.31 to -0.32, p = 0.002 | significantly reduce | #3 |
mindfulness-based stress reduction therapy | decrease | fear of recurrence | breast cancer patients | MD = -1.27, 95%CI = -3.44 to 0.90, p = 0.0004 | significantly reduce | #4 |
mindfulness-based stress reduction therapy | increase | coping ability | patients with breast cancer | MD = 1.26, 95%CI = -3.23 to5.76, p = 0.03 | improve | #5 |
mindfulness-based stress reduction therapy | increase | emotional state | patients with breast cancer | MD = -7.73, 95%CI = -27.34 to 11.88, p = 0.0007 | improve | #6 |
mindfulness-based stress reduction therapy | increase | coping ability | patients | - | significantly improve | #7 |
mindfulness-based stress reduction therapy | decrease | adverse emotions | patients | - | reduce | #8 |
mindfulness-based stress reduction therapy | increase | emotional states | patients | - | improve | #9 |
BACKGROUND: Breast cancer is the most common malignancy that occurs in women. Due to the pain caused by the disease itself and the adverse reactions in the treatment process, breast cancer patients are prone to anxiety, depression, fear of recurrence, and other negative emotions, which seriously affect the quality of life. As a systematic stress reduction therapy, mindfulness-based stress reduction is widely applied to the treatment of breast cancer patients and has been found by a growing number of studies to relieve stress, regulate mood, and improve the state. However, due to the absence of recent research and uniform outcome measures, previous studies have failed to fully explain the role of mindfulness-based stress reduction in improving the quality of life in breast cancer patients. OBJECTIVE: We conducted a systematic review and meta-analysis to evaluate and compare the effects of mindfulness-based stress reduction therapy and standard care on the quality of life and psychological status of breast cancer patients. METHODS: We searched PubMed, Web of Science, Embase, China's National Knowledge Infrastructure and the Cochrane Central Registry of Controlled Trials up to July 2023 to identify candidate randomized clinical trials addressing the values of mindfulness-based stress reduction in breast cancer patients. RESULTS: A total of 1644 patients participated in 11 randomized controlled trials. The results of the meta-analysis showed that mindfulness-based stress reduction therapy can significantly reduce negative emotions such as perceived stress (MD = -1.46, 95%CI = -2.53 to -0.38, p = 0.03), depression (MD = -1.84, 95%CI = -3.99 to -0.30, p = 0.0004), anxiety (MD = -2.81, 95%CI = -5.31 to -0.32, p = 0.002), and fear of recurrence (MD = -1.27, 95%CI = -3.44 to 0.90, p = 0.0004). Mindfulness-based stress reduction therapy also has certain advantages in improving the coping ability (MD = 1.26, 95%CI = -3.23 to5.76, p = 0.03) and the emotional state (MD = -7.73, 95%CI = -27.34 to 11.88, p = 0.0007) of patients with breast cancer. CONCLUSION: Our analyses support that, compared with standard care, mindfulness-based stress reduction therapy can significantly improve patients' coping ability, reduce adverse emotions and improve patients' emotional states.