“…Although a previous study attempted to explore the efficacy of MBSR program on psychological distress from three perspectives, including mindfulness skills, self-compassion, and rumination, 42 the exact psychosocial mechanisms by which MBSR program alleviates psychological distress remain unclear. Previous studies have revealed that several psychosocial factors in patients with cancer are associated with psychological distress, such as social support, 46 perceived stigma, 47 perceived stress, 48 intrusive thoughts, 49 symptom burden, 49 type D personality, 49 coping style, 50 self-esteem, 51 mindfulness, 52 , 53 and illness perception. 54 , 55 In addition, our previous studies explicitly investigated the roles of social support, perceived stigma, perceived stress, coping styles, self-esteem, mindfulness, and illness perception in the development of psychological distress in patients with lung cancer.…”