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Mindfulness‐based stress reduction and cognitive function among breast cancer survivors: A randomized controlled trial

基于正念的减压 医学 注意 随机对照试验 认知 应力降低 乳腺癌 肿瘤科 临床心理学 癌症 内科学 精神科
作者
Alicia Duval,Christopher G. Davis,Eve‐Ling Khoo,Heather Romanow,Yaadwinder Shergill,Danielle B. Rice,Andra Smith,Patricia A. Poulin,Barbara Collins
出处
期刊:Cancer [Wiley]
卷期号:128 (13): 2520-2528 被引量:29
标识
DOI:10.1002/cncr.34209
摘要

Background Breast cancer (BC) survivors frequently report changes in cognition after chemotherapy. Mindfulness may benefit survivors by mitigating cancer‐related cognitive impairment. As part of a larger study investigating the effects of mindfulness‐based stress reduction (MBSR) for BC survivors living with neuropathic pain, the authors assessed whether MBSR would have an effect on cognitive outcomes. Methods Participants were randomized to an MBSR intervention group (n = 30) or a waitlist control group (n = 30). Cognitive assessments were administered at 3 time points: at baseline, 2 weeks, and 3 months post‐MBSR in the intervention group and at equivalent time intervals for the control group. Multilevel models were used to assess whether MBSR significantly improved task performance at each time point. Results MBSR participants showed a significantly greater reduction in prospective and retrospective memory failures at 2 weeks postintervention. No effects of MBSR were noted for objective assessments. Conclusions These results suggest that MBSR training reduces subjective (but not objective) memory‐related impairments in BC survivors who receive treatment with chemotherapy. This study provides insight into a noninvasive intervention to ameliorate memory difficulties in BC survivors.

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