Managing Daily and Long-Term Stress

Carlson, Linda E.; Speca, Michael

doi:10.1007/978-0-387-34562-8_19

Cited by 6 publications

(10 citation statements)

References 93 publications

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“…There is now a large body of work investigating the efficacy of MBIs for patients with various types of cancer, which has been reviewed repeatedly over the last decade . A 2009 meta‐analysis of 10 studies found a medium‐sized effect on psychosocial outcome variables ( d = 0.48), but only a small effect on the handful of physical biomarker variables measured up to that point ( d = 0.18) .…”

Section: Summary Of the Literaturementioning

confidence: 99%

Mindfulness‐based interventions for coping with cancer

Carlson

2016

Annals of the New York Academy of Sciences

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102

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Work in the development and evaluation of mindfulness-based interventions (MBIs) for cancer care has been underway for the last 20 years, and a growing body of literature now supports their efficacy. MBIs are particularly helpful in dealing with common experiences related to cancer diagnosis, treatment, and survivorship, including loss of control, uncertainty about the future, and fears of recurrence, as well as a range of physical and psychological symptoms, including depression, anxiety, insomnia, and fatigue. Our adaptation, mindfulness-based cancer recovery (MBCR), has resulted in improvements across a range of psychological and biological outcomes, including cortisol slopes, blood pressure, and telomere length, in various groups of cancer survivors. In this paper, I review the rationale for MBIs in cancer care and provide an overview of the state of the current literature, with a focus on results from three recent clinical trials conducted by our research group. These include a comparative efficacy trial comparing MBCR to supportive-expressive therapy in distressed breast cancer survivors, a non-inferiority trial comparing MBCR to cognitive behavioral therapy for insomnia in cancer survivors with clinical insomnia, and an online adaptation of MBCR for rural and remote cancer survivors without access to in-person groups. I conclude by outlining work in progress and future directions for MBI research and applications in cancer care.

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Section: Summary Of the Literaturementioning

confidence: 99%

Mindfulness‐based interventions for coping with cancer

Carlson

2016

Annals of the New York Academy of Sciences

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102

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“…Symptoms can manifest in multiple ways at various points along the survivorship trajectory depending on the nature of the cancer, the treatments administered, and the unique characteristics of the individual. Symptoms to be managed following completion of primary cancer treatment can include, but are not limited to: fatigue (Bower, 2008; Carlson & Speca, 2007; Lemieux, Bordeleau, & Goodwin, 2007; Minton & Stone, 2008; Ng, Alt, & Gore, 2007); pain and peripheral neuropathies (Aksnes & Bruland, 2007; Beatty, Oxlad, Koczwara, & Wade, 2008; Chang & Sekine, 2007; Sullivan, Thibault, Savard, & Velly, 2007); taste changes, anorexia, malnutrition, nausea and vomiting (Beatty et al, 2008; Ganz, 2009); vaginal dryness, peri-menopausal or male menopausal symptoms and fertility issues (Bordeleau et al, 2010; Beatty et al, 2008; Ganz et al, 2011; Jacobs et al, 2007; Lemieux et al, 2007); psychological distress, post-traumatic stress symptoms, and anxiety (Henselmans et al, 2010; Jim & Jacobsen, 2008; Kornblith & Ligibel, 2003; Nezu & Nezu, 2007; Roberts & Clarke, 2009), sleep disturbances (Bower, 2008; Carlson & Speca, 2007); cognitive disturbances and mild cognitive impairment (Bower, 2008; Correa & Ahles, 2008; Ferguson, Riggs, Ahles, & Saykin, 2007; Jacobs et al, 2007; Marin, Sanchez, Arranz, Aunon, & Baron, 2009); abnormal weight gain and night sweats (Befort & Klemp, 2011; Halbert, Weathers, Esteve, Audrain-McGovern, Kumanyika, DeMichele & Barg, 2008; Jacobs et al, 2007); urinary symptoms and changes in sexual function (Ganz, 2009; Jacobs et al, 2007); cardiac toxicities and symptoms of other chronic illnesses exacerbated or caused by treatment (Lemieux et al, 2007; Prosnitz, Chen, & Marks, 2005; Rozenberg, Antoine, Carly, Pastijn, & Liebens, 2007); and symptoms of musculoskeletal changes caused by the cancer or cancer treatments, such as fibrosis, muscle atrophy and deformity, lymphedema, cancer-treatment induced bone loss (Aksnes & Bruland, 2007; Beatty et al, 2008; Camp-Sorrell, 2009; Rozenberg et al, 2007). Often survivors will experience “symptom clusters” that can add a greater level of complexity to the work of symptom management (Gaston-Johansson, Fall-Dickson, Bakos, & Kennedy, 1999).…”

Section: Adaptation Of the Model For Cancer Survivorsmentioning

confidence: 99%

“…After treatment is completed, cancer survivors have also reported the need to achieve formal closure through ceremonies or other symbolic acts, and to develop and maintain an identity separate from that of a “cancer survivor” (Beatty et al, 2008). Spiritual or religious identities may also change throughout survivorship (Carlson & Speca, 2007; Vachon, 2008). These alterations in self-concept can have serious psychological consequences (Beatty et al, 2008; Carlson & Speca, 2007).…”

Section: Adaptation Of the Model For Cancer Survivorsmentioning

confidence: 99%

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Adaptation of the Illness Trajectory Framework to Describe the Work of Transitional Cancer Survivorship

Klimmek¹

2012

Oncology Nursing Forum

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Purpose/Objectives Although frameworks for understanding survivorship continue to evolve, most are abstract and do not address the complex context of survivors’ transition following treatment completion. The purpose of this theory adaptation was to examine and refine the Illness Trajectory Theory, which describes the work of managing chronic illness, to address transitional cancer survivorship. Data Sources CINAHL, PubMed, and relevant Institute of Medicine reports were searched for survivors’ experiences during the year following treatment. Data Synthesis Using an abstraction tool, sixty-eight articles were selected from the initial search (N>700). Abstracted data were placed into a priori categories refined according to recommended procedures for theory derivation, followed by expert review. Conclusions Derivation resulted in a framework describing “the work of transitional cancer survivorship” (TCS work). TCS work is defined as survivor tasks, performed alone or with others, to carry out a plan of action for managing one or more aspects of life following primary cancer treatment. Theoretically, survivors engage in 3 reciprocally-interactive lines of work: (1) illness-related; (2) biographical; and (3) everyday life work. Adaptation resulted in refinement of these domains and the addition of survivorship care planning under “illness-related work”. Implications for Nursing Understanding this process of work may allow survivors/co-survivors to better prepare for the post-treatment period. This adaptation provides a framework for future testing and development. Validity and utility of this framework within specific survivor populations should also be explored.

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“…Research indicates F2F MBSR interventions are efficacious for treating a variety of symptoms associated with a range of chronic medical and psychiatric problems, including cancer [13-20]. Current literature, including the body of work from our research team on MBSR in oncology shows participation in F2F MBSR results in decreased stress symptoms, mood disturbance, anger, and fatigue, with concurrent increases in sleep quality, post-traumatic growth, spirituality and enhanced quality of life [14,21-29], as well as changes in several potentially important cancer biomarkers including immune function and stress hormones [30,31].…”

Section: Introductionmentioning

confidence: 99%

The eCALM Trial-eTherapy for cancer appLying mindfulness: online mindfulness-based cancer recovery program for underserved individuals living with cancer in Alberta: protocol development for a randomized wait-list controlled clinical trial

Zernicke

Campbell

Speca

et al. 2013

BMC Complement Altern Med

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BackgroundElevated stress can exacerbate cancer symptom severity, and after completion of primary cancer treatments, many individuals continue to have significant distress. Mindfulness-Based Cancer Recovery (MBCR) is an 8-week group psychosocial intervention consisting of training in mindfulness meditation and yoga designed to mitigate stress, pain, and chronic illness. Efficacy research shows face-to-face (F2F) MBCR programs have positive benefits for cancer patients; however barriers exist that impede participation in F2F groups. While online MBCR groups are available to the public, none have been evaluated. Primary objective: determine whether underserved patients are willing to participate in and complete an online MBCR program. Secondary objectives: determine whether online MBCR will mirror previous efficacy findings from F2F MBCR groups on patient-reported outcomes.Method/designThe study includes cancer patients in Alberta, exhibiting moderate distress, who do not have access to F2F MBCR. Participants will be randomized to either online MBCR, or waiting for the next available group. An anticipated sample size of 64 participants will complete measures online pre and post treatment or waiting period. Feasibility will be tracked through monitoring numbers eligible and participating through each stage of the protocol.Discussion47 have completed/completing the intervention. Data suggest it is possible to conduct a randomized waitlist controlled trial of online MBCR to reach underserved cancer survivors.Trial registrationClinical Trials.gov Identifier: NCT01476891

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Managing Daily and Long-Term Stress

Cited by 6 publications

References 93 publications

Mindfulness‐based interventions for coping with cancer

Mindfulness‐based interventions for coping with cancer

Adaptation of the Illness Trajectory Framework to Describe the Work of Transitional Cancer Survivorship

The eCALM Trial-eTherapy for cancer appLying mindfulness: online mindfulness-based cancer recovery program for underserved individuals living with cancer in Alberta: protocol development for a randomized wait-list controlled clinical trial

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