Coping with cancer mindfully: A feasibility study of a mindfulness intervention focused on acceptance and meaning in life for adults with advanced cancer

Zimmermann, Fernanda F.; Jordan, Jennifer; Burrell, Beverley

doi:10.1016/j.ejon.2019.101715

Cited by 12 publications

(22 citation statements)

References 43 publications

(63 reference statements)

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“…In addition, further correlational and regression studies aimed to examine in depth the predictive role of death anxiety on positive constructs such as meaning of life [ 52 ], coping mode, and quality of life [ 53 ] are recommended. Additionally, interventional studies on this topic should take into account specific cognitive and behavioral stimulation exercises (such as the Relaxation Response Resiliency Program, mindfulness-based intervention) [ 54 – 56 ] and spirituality support [ 57 , 58 ] as the main strategies to help patients find their meaning in life and improve their self-esteem and resilience to better deal with impending death.…”

Section: Discussionmentioning

confidence: 99%

Death anxiety among advanced cancer patients: a cross-sectional survey

Yang

et al. 2022

Support Care Cancer

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Purpose This study aimed to investigate death anxiety in advanced cancer patients and identify associated factors in the context of Chinese culture. Methods Participants ( N = 270) with advanced cancer in a tertiary cancer hospital completed anonymous questionnaire surveys. Measures included the Chinese version of a Likert-type Templer-Death Anxiety Scale, Rosenberg’s Self-esteem Scale, Medical Coping Modes Questionnaire, the Social Support Rating Scale, and Connor-Davidson Resilience Scale. Data were analyzed in SPSS using descriptive statistics, Student’s t test, Pearson correlation test, and linear regression. Results Respondents returned 252 (93.33%) of the 270 questionnaires. The total CL-TDAS score was 39.56 ± 10.20. The top three items were “I fear dying a painful death” (3.59 ± 1.41), “I often think about how shortly life really is” (3.11 ± 1.33), and “1 am not particularly afraid of getting cancer” (3.09 ± 1.35). Associated factors of death anxiety ( R 2 = .333, F = 15.756, p < .001) were the medical coping mode (resignation, confronce), self-esteem, the participants’ adult children, the patient-primary caregivers’ relationship, resilience, and the level of activity of daily living. Conclusions Our results demonstrate high levels of death anxiety in advanced cancer patients. Generally, patients with adult children, high self-esteem and resilience had low death anxiety. Conversely, patients with low levels of activity of daily living and high coping mode (resignation, confrontation) reported high death anxiety. We determined that associated factors contributed to reduce death anxiety. Social interventions are recommended to improve the end-of-life transition for patients and caregivers.

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Section: Discussionmentioning

confidence: 99%

Death anxiety among advanced cancer patients: a cross-sectional survey

Yang

et al. 2022

Support Care Cancer

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“…Times since metastatic diagnosis ranged from less than 1 year [31,40 ▪▪ ] to 6 years [30,37]. Two main therapeutic aims were identified; one group of interventions was intended to promote the adaptation of all patients with metastatic cancer [30,33–35,38,42 ▪ ,43], and the other targeted patients experiencing moderate-to-high levels of psychological distress [29,31,32,36,37,39 ▪▪ ,40 ▪▪ ,41 ▪▪ ].…”

Section: Overview Of Psychological Interventions For Patients With Me...mentioning

confidence: 99%

“…They examined individual [34,35,42 ▪ ], dyadic [34,42 ▪ ], and group [30,33,38,43] interventions delivered in person [35,43] or by videoconference [30], or self-administered online [35]. The numbers of sessions ranged from 3 [34] to 52 [33], and session durations ranged from 20 [42 ▪ ] to 150 [43] min. Times since metastatic diagnosis ranged from 1.5 [34] to 6 [30] years.…”

Section: Interventions Addressing Patients’ Adaptationmentioning

confidence: 99%

Psychological interventions targeting patients with metastatic cancer and prolonged survival expectancies: advances and challenges

Righes

Waroquier

et al. 2022

Current Opinion in Oncology

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Purpose of reviewThe purpose of this article is to review the formats and techniques of psychological interventions designed for patients with metastatic cancer and prolonged survival expectancies.Recent findingsFifteen interventional studies were selected for this article. One group of psychological interventions focused primarily on patients’ adaptation by increasing their knowledge, developing patients’ stress management skills, promoting their open communication with healthcare providers, and helping them deal with existential concerns. Another group of interventions focused on patients with moderate and high levels of distress. These interventions provided specific techniques to manage anxiety, depression, fear of cancer progression, and existential distress. Interestingly, interventions targeting distressed patients are not necessarily longer or more intensive than interventions targeting adaptation. The interventions were examined in few randomized controlled trials, and incorporated a broad range of techniques, making comparison of their efficacy difficult. No intervention specifically targeted patients newly diagnosed with metastatic cancer.SummaryOn the basis of this review, we proposed suggestions according to patients’ levels of distress, which differ in intensity, format, techniques, and tools offered. These suggestions may be relevant for the future development and assessment of interventions targeting patients with newly diagnosed metastatic cancer and prolonged survival expectancies.

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“…Systematic reviews revealed that mindfulness interventions reduced stress, anxiety, depression, and fatigue, while enhanced quality of life and posttraumatic growth among cancer patients and survivors [14,15]. A brief mindfulness program was found to promote acceptance, mindful coping skills, and meaning in life among advance cancer patients [16]. Furthermore, a review of qualitative evidence on cancer patients showed that mindfulness courses helped the patients to accept things the way they are, adapt to life with cancer, and regulate their emotions [17].…”

Section: Introductionmentioning

confidence: 99%

Exploring the perceptions of cancer survivors of a mindfulness intervention at a tertiary hospital in Singapore: a descriptive qualitative study

Goei

Lopez

Klainin‐Yobas

2020

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Background Cancer survivors often experience physical and psychological symptoms that may affect their daily activities and quality of life. A mindfulness-based psychoeducation for cancer survivors, (MindCAN) program, has been established to help cancer survivors manage their physical and psychological symptoms. This study aimed to explore perceptions of participants who attended the MindCAN program. Methods A descriptive qualitative study was conducted at a tertiary hospital in Singapore. Purposive sampling was used to recruit adult cancer survivors. They attended the MindCAN program that was conducted once a week for 8 weeks, comprising education and mindfulness practice. Two focus group interviews were conducted to elicit the participants' perceptions of the program. The interviews were audio-recorded and transcribed verbatim. A thematic analysis was performed to identify essential themes and subthemes. Trustworthiness, including creditability, confirmability, dependability, and transferability were ascertained. Results A total of 13 participants were recruited. Most of whom were Chinese, female, and single. The participants' perceptions were documented in five major themes: heightened awareness of the self, enriching body experiences through mindfulness practice, cultivating powerful minds and positive emotions, integrating mindfulness to daily life, and embracing interpersonal mindfulness. Conclusion Overall, the MindCAN program received positive comments from cancer survivors. They reported increased selfawareness, pleasant body experiences, positive thinking and emotions, and relaxation. Future research is required to test the effectiveness of the program.

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Coping with cancer mindfully: A feasibility study of a mindfulness intervention focused on acceptance and meaning in life for adults with advanced cancer

Cited by 12 publications

References 43 publications

Death anxiety among advanced cancer patients: a cross-sectional survey

Death anxiety among advanced cancer patients: a cross-sectional survey

Psychological interventions targeting patients with metastatic cancer and prolonged survival expectancies: advances and challenges

Exploring the perceptions of cancer survivors of a mindfulness intervention at a tertiary hospital in Singapore: a descriptive qualitative study

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