The Mechanisms of Mindfulness-Based Stress Reduction and Mindfulness-Based Cognitive Therapy for Cancer Patients and

Lauren M Carney1, Crystal L Park2, Pooja Hingorany2

  • 1Department of Population Health Science and Policy, Center for Behavioral Oncology, Icahn School of Medicine at Mount Sinai.

Insights

This systematic review found limited evidence on how mindfulness interventions work for cancer patients. More research is needed to understand the mechanisms of mindfulness-based stress reduction and mindfulness-based cognitive therapy in this population.

Area of Science:

  • Oncology
  • Psychology
  • Behavioral Medicine

Background:

  • Mindfulness-based interventions (MBIs) are widely studied for various outcomes.
  • However, the specific mechanisms through which MBIs influence outcomes in cancer patients remain unclear.
  • This review focuses on understanding these mediating factors.

Purpose of the Study:

  • To systematically review studies examining the mechanisms of mindfulness-based stress reduction (MBSR) and mindfulness-based cognitive therapy (MBCT) in adult cancer patients and survivors.
  • To identify potential mediators of MBI effects in this population.
  • To assess the quality of existing research on MBI mechanisms in cancer care.

Main Methods:

  • Systematic review of experimental or quasi-experimental studies.
  • Searches conducted in major databases (PubMed, PsycInfo, CINAHL, Cochrane, Scopus) up to May 2022.
  • Narrative synthesis of results and quality grading using a tailored rubric for mediational studies.

Main Results:

  • Only 13 of 156 studies longitudinally tested mediators of MBIs in cancer patients.
  • Mindfulness as a mediator was inconclusive; other mediators were tested in single studies.
  • Most studies lacked strong control groups and were of medium quality.

Conclusions:

  • Current evidence on MBI mechanisms in cancer is limited due to methodological weaknesses.
  • Inconclusive findings on mediators like mindfulness, rumination, and self-compassion.
  • MBIs may have unique effects in cancer populations, necessitating further mediation research.

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