A Randomized Controlled Trial of Brief Mindfulness Meditation for Women Undergoing Stereotactic Breast Biopsy

Ratcliff, Chelsea G.; Prinsloo, Sarah; Chaoul, Alejandro; Zepeda, Stephanie G.; Cannon, Rex; Spelman, Amy; Yang, Wei Tse; Cohen, Lorenzo

doi:10.1016/j.jacr.2018.09.009

Cited by 31 publications

(57 citation statements)

References 23 publications

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“…128 The fourth study was composed of three arms comparing guided mindfulness-based meditation to guided focused breathing and standard of care in women scheduled for stereotactic breast biopsy. 127 The result of this study was also negative. All four studies were relatively small in size (n < 50 per arm).…”

Section: Evidence Summary Of Interventions With Insufficient or Incon...mentioning

confidence: 59%

Integrative Medicine for Pain Management in Oncology: Society for Integrative Oncology–ASCO Guideline

Mao

Ismaila

Bao

et al. 2022

JCO

127

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PURPOSE The aim of this joint guideline is to provide evidence-based recommendations to practicing physicians and other health care providers on integrative approaches to managing pain in patients with cancer. METHODS The Society for Integrative Oncology and ASCO convened an expert panel of integrative oncology, medical oncology, radiation oncology, surgical oncology, palliative oncology, social sciences, mind-body medicine, nursing, and patient advocacy representatives. The literature search included systematic reviews, meta-analyses, and randomized controlled trials published from 1990 through 2021. Outcomes of interest included pain intensity, symptom relief, and adverse events. Expert panel members used this evidence and informal consensus to develop evidence-based guideline recommendations. RESULTS The literature search identified 227 relevant studies to inform the evidence base for this guideline. RECOMMENDATIONS Among adult patients, acupuncture should be recommended for aromatase inhibitor–related joint pain. Acupuncture or reflexology or acupressure may be recommended for general cancer pain or musculoskeletal pain. Hypnosis may be recommended to patients who experience procedural pain. Massage may be recommended to patients experiencing pain during palliative or hospice care. These recommendations are based on an intermediate level of evidence, benefit outweighing risk, and with moderate strength of recommendation. The quality of evidence for other mind-body interventions or natural products for pain is either low or inconclusive. There is insufficient or inconclusive evidence to make recommendations for pediatric patients. More research is needed to better characterize the role of integrative medicine interventions in the care of patients with cancer. Additional information is available at https://integrativeonc.org/practice-guidelines/guidelines and www.asco.org/survivorship-guidelines .

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Section: Evidence Summary Of Interventions With Insufficient or Incon...mentioning

confidence: 59%

Integrative Medicine for Pain Management in Oncology: Society for Integrative Oncology–ASCO Guideline

Mao

Ismaila

Bao

et al. 2022

JCO

127

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“…Using EEG current source density (CSD) analysis, Ratcliff and colleagues 30 compared the effect of 35 minutes of mindfulness-based guided meditation (GM), which entails an increase of self-awareness and regulation, with the effects of guided focused breathing (FB) and standard care (SC) control groups on cortical brain rhythms and levels of anxiety and pain in women scheduled for stereotactic breast biopsy (SBB). The results show greater values of β band power in the Ins (Cohen’s d = 1.4) and the ACC ( d = 1.0) in the GM group compared with subjects in the SC group, together with lower anxiety levels.…”

Section: Resultsmentioning

confidence: 99%

“…Furthermore, most of the studies did not specify the duration of the observed effects, which is relevant for determining which interventions can exert long-lasting benefits. Finally, the majority of the studies (expect for Ratcliff et al 30 ) quantify the impact of interventions in terms of P -values, rather than effect size.…”

Section: Discussionmentioning

confidence: 99%

“… 40 Their results provide evidence that mindfulness strengthens prefrontal cognitive control mechanisms, with a concomitant downregulation of activity in regions relevant for affect processing, such as the amygdala and subcortical regions. 41 Conversely, the included studies report activation of both limbic and cortical brain regions in breast cancer patients treated with mindfulness, 25 , 30 - 33 which is typical in untrained meditators. 42 Thus, although limbic activation is consistent with other fMRI studies, it needs to be further explored as these structures are expected to be less active in relaxation paradigms.…”

Section: Discussionmentioning

confidence: 99%

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The Neural Signature of Psychological Interventions in Persons With Cancer: A Scoping Review

et al. 2022

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Objective: People diagnosed with cancer have to deal with the debilitating psychological implications of this disease. Although the clinical efficacy of psychological interventions is well documented, relatively little has been written on the neural correlates of these treatments in the context of oncology. The present work is the first to provide an overall perspective of the existing literature on this topic. It also considers the potential directions for future research. Methods: This scoping review was carried out across 5 databases (EMBASE, PsycINFO, OVID MEDLINE, CINAHL, COCHRANE CENTRAL), from conception dates until 3 December 2021. Results: From an initial set of 4172 records, 13 papers were selected for this review. They consisted of 9 randomized controlled studies (RCTs), 1 quasi-experiment, 2 single case studies, and 1 secondary quantitative analysis. The studies were also heterogeneous in terms of the patient and control populations, psychological interventions, and neuroimaging methodologies used. The findings from these few studies suggest that psychological interventions in oncology patients may modulate both cortical and subcortical brain activity, consistent with the brain areas involved in distress reactions in general and to cancer specifically. The implications of this scoping review in terms of future research are also discussed. Conclusions: The literature on the neural correlates of psychological interventions in cancer patients is very limited, and thus requires further exploration. The provision of psychological interventions offers cancer patients a more integrated approach to care, which may in turn help preserve both the physical and the psychological wellbeing of individuals with cancer.

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“…Many of these mind-body perceptionbased breathing techniques (yoga, reiki, Tai Chi, Quiqong) have also been used with some success to improve pain management (Aamann, dam, rinnov, Vilstrup & Gluud, 2018) and in a variety of associated clinical situations. with acute pain such as labor (Pollok, van Agteren & Carson-Chahhoud, 2018) or injections in children (Arsenault et al, 2013;Gilbert-Kawai, Mitchell, Martin, Carlisle & Grocott, 2018).…”

Section: Discussionmentioning

confidence: 99%

Complete Journal

Martínez¹

2021

JACN

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A Randomized Controlled Trial of Brief Mindfulness Meditation for Women Undergoing Stereotactic Breast Biopsy

Cited by 31 publications

References 23 publications

Integrative Medicine for Pain Management in Oncology: Society for Integrative Oncology–ASCO Guideline

Integrative Medicine for Pain Management in Oncology: Society for Integrative Oncology–ASCO Guideline

The Neural Signature of Psychological Interventions in Persons With Cancer: A Scoping Review

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