A Randomized, Wait-List Controlled Clinical Trial: The Effect of a Mindfulness Meditation-Based Stress Reduction Program on Mood and Symptoms of Stress in Cancer Outpatients

Speca, Michael; Carlson, Linda E.; Goodey, Eileen; Angen, Maureen

doi:10.1097/00006842-200009000-00004

Cited by 883 publications

(703 citation statements)

References 34 publications

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“…A variety of specific mindfulness techniques were taught (e.g., attention to breathing, awareness of bodily sensations). The clinical value of this approach was supported by previous research (Speca et al, 2000), which found individual patient differences in the preference for and success with different techniques. The program instructors, two clinical psychologists and one clinical social worker, had been offering MBSR programs since 1996.…”

Section: Interventionmentioning

confidence: 54%

The benefits of being present: Mindfulness and its role in psychological well-being.

Brown

Ryan

2003

Journal of Personality and Social Psychology

9,682

405

9,630

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Mindfulness is an attribute of consciousness long believed to promote well-being. This research provides a theoretical and empirical examination of the role of mindfulness in psychological well-being. The development and psychometric properties of the dispositional Mindful Attention Awareness Scale (MAAS) are described. Correlational, quasi-experimental, and laboratory studies then show that the MAAS measures a unique quality of consciousness that is related to a variety of well-being constructs, that differentiates mindfulness practitioners from others, and that is associated with enhanced selfawareness. An experience-sampling study shows that both dispositional and state mindfulness predict self-regulated behavior and positive emotional states. Finally, a clinical intervention study with cancer patients demonstrates that increases in mindfulness over time relate to declines in mood disturbance and stress.Many philosophical, spiritual, and psychological traditions emphasize the importance of the quality of consciousness for the maintenance and enhancement of well-being (Wilber, 2000). Despite this, it is easy to overlook the importance of consciousness in human well-being because almost everyone exercises its primary capacities, that is, attention and awareness. Indeed, the relation between qualities of consciousness and well-being has received little empirical attention. One attribute of consciousness that has been much-discussed in relation to well-being is mindfulness.

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Section: Interventionmentioning

confidence: 54%

The benefits of being present: Mindfulness and its role in psychological well-being.

Brown

Ryan

2003

Journal of Personality and Social Psychology

9,682

405

9,630

View full text Add to dashboard Cite

show abstract

“…Alternatively, the lack of effect also may reflect low sensitivity of the measures. For example, because both the 23 might have detected group differences in our population. Along these same lines, there also might have been a floor effect for some of these measures, because the scores were quite low at baseline and follow-up.…”

Section: Discussionmentioning

confidence: 96%

“…In other studies that have examined the benefits of including yoga, yoga constituted only one aspect of the intervention. For example, Speca et al 23 designed an intervention that included group support and discussion, mindfulness meditation, visualization and imagery, and yoga stretches. Although they found that the participants in the intervention group experienced lower total mood disturbance and decreased overall distress, it is not clear whether the benefits were due to the yoga per se.…”

Section: Discussionmentioning

confidence: 99%

“…In a more recent trial, 109 patients with early-stage or late-stage cancer were randomly assigned to either a 7-week intervention, which included group support and discussion, mindfulness meditation, visualization and imagery, and yoga stretches, or to a wait-list control group. 23 At the end of the 7-week program, participants in the intervention group were experiencing lower total mood disturbance and decreased overall distress compared with the experience in the control group.…”

mentioning

confidence: 93%

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Psychological adjustment and sleep quality in a randomized trial of the effects of a Tibetan yoga intervention in patients with lymphoma

Cohen

Warneke

Fouladi

et al. 2004

Cancer

396

401

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BACKGROUNDResearch suggests that stress‐reduction programs tailored to the cancer setting help patients cope with the effects of treatment and improve their quality of life. Yoga, an ancient Eastern science, incorporates stress‐reduction techniques that include regulated breathing, visual imagery, and meditation as well as various postures. The authors examined the effects of the Tibetan yoga (TY) practices of Tsa lung and Trul khor, which incorporate controlled breathing and visualization, mindfulness techniques, and low‐impact postures in patients with lymphoma.METHODSThirty‐nine patients with lymphoma who were undergoing treatment or who had concluded treatment within the past 12 months were assigned to a TY group or to a wait‐list control group. Patients in the TY group participated in 7 weekly yoga sessions, and patients in the wait‐list control group were free to participate in the TY program after the 3‐month follow‐up assessment.RESULTSEighty nine percent of TY participants completed at least 2–3 three yoga sessions, and 58% completed at least 5 sessions. Patients in the TY group reported significantly lower sleep disturbance scores during follow‐up compared with patients in the wait‐list control group (5.8 vs. 8.1; P < 0.004). This included better subjective sleep quality (P < 0.02), faster sleep latency (P < 0.01), longer sleep duration (P < 0.03), and less use of sleep medications (P < 0.02). There were no significant differences between groups in terms of intrusion or avoidance, state anxiety, depression, or fatigue.CONCLUSIONSThe participation rates suggested that a TY program is feasible for patients with cancer and that such a program significantly improves sleep‐related outcomes. However, there were no significant differences between groups for the other outcomes. Cancer 2004. © 2004 American Cancer Society.

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“…The major limitation of that study was a small sample size (14 participants per group). More recently, Speca et al [23] demonstrated that MBSR was associated with significantly reduced mood disturbance and symptoms of stress in a heterogeneous group of cancer outpatients. The only other randomized, controlled study, published by Shapiro et al [24], involved a nonpatient population.…”

Section: Discussionmentioning

confidence: 99%

Mindfulness-based stress reduction and health-related quality of life in a heterogeneous patient population

Reibel

Greeson

Brainard

et al. 2001

General Hospital Psychiatry

331

193

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A Randomized, Wait-List Controlled Clinical Trial: The Effect of a Mindfulness Meditation-Based Stress Reduction Program on Mood and Symptoms of Stress in Cancer Outpatients

Abstract: This program was effective in decreasing mood disturbance and stress symptoms in both male and female patients with a wide variety of cancer diagnoses, stages of illness, and ages. cancer, stress, mood, intervention, mindfulness.

Cited by 883 publications

References 34 publications

The benefits of being present: Mindfulness and its role in psychological well-being.

The benefits of being present: Mindfulness and its role in psychological well-being.

Psychological adjustment and sleep quality in a randomized trial of the effects of a Tibetan yoga intervention in patients with lymphoma

Mindfulness-based stress reduction and health-related quality of life in a heterogeneous patient population

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