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Mindfulness-Based Cognitive Therapy for Cancer: Gently Turning Towards by Trish Bartley

This MBCT protocol consists of 8 weekly sessions of 2,5 hours each and a silent day of 6 hours of meditation practice. Outcome Measures. In addition to the EQ-5D, the SF will be administered for explorative purposes for there are indications that the SF is more sensitive for changes in HRQol in populations with less severe morbidity Johnson and Coons, The item Five Facet Mindfulness Questionnaire has been developed as a reliable and valid comprehensive instrument for assessing different aspects of mindfulness. The rumination subscale of the RRQ assesses a neurotic self-attentiveness i.

(Cost-)Effectiveness of Mindfulness-Based Cognitive Therapy (MBCT) in Cancer Patients (BeMind)

We will examine self-reported individual group cohesion ratings during the MBCT training with a Dutch Group Cohesion Questionnaire that has been used in cancer patients before May et al. The Working Alliance Inventory WAI is most often used to assess working alliance between participant and healthcare professional. Hospital Anxiety and Depression Scale - anxiety and depressive symptoms at follow up. Eligibility Criteria. Information from the National Library of Medicine Choosing to participate in a study is an important personal decision.

Contacts and Locations. Information from the National Library of Medicine To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

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Please refer to this study by its ClinicalTrials. On the other hand, mindfulness-based cognitive therapy MBCT is one of the most common types of mindfulness-based interventions MBI that has attracted a lot of attention in the field of cancer care and has been reported to have significant impact on the mental indices such as improving quality of life and depression 5 and pain 6 in patients with breast cancer. Meta-analysis studies show the effectiveness and safety of mindfulness-based interventions in women with breast cancer 7.

Two studies have compared the effectiveness of cognitive-behavioral therapy and acupuncture in reducing depression syndromes. The results of the study by Guo et al. In the study by Bergdahl et al. Although several studies have shown the effectiveness of auricular acupuncture and mindfulness treatment independently on breast cancer, no study has addressed the comparison of the effect of acupuncture with mindfulness-based cognitive therapy in these patients.

Data was collected during January to December The patient was a year-old woman with the diagnosis of infiltrating lobular carcinoma ILC with metastasis invasion of axillary lymph nodes who was under oncological resection of the right breast with modified radical mastectomy and axillary lymph node dissection of 1st and 2nd level.

Inclusion criteria were: diagnosis of breast cancer Stage 4 defined by the American joint committee on cancer, completion of chemotherapy or radiotherapy, age above 18 years, diagnosis of dysthymic disorder based on DSM criteria, ability to read and write in completing the study questionnaires and not using any psychiatric drug or receiving psychological interventions in the three months leading up to the study.

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Exclusion criteria were including: psychiatric disorders such as schizophrenia, auditory tissue injury, or mental retardation that prevents sitting for 40 minutes. Preliminary evaluation was carried out 28 days prior to the registration of the baseline included an electroencephalograph examination, blood and urine tests by a team consisting of a psychiatrist, two clinical psychologists, and a nurse. Acupuncture was performed twice a week for three weeks six sessions and was conducted in the form of sessions of 30 to 45 minutes before lunch.

During the session, five ear points called sympathetic, Shen Men, kidney, liver and lungs were interfered. The MBCT is a combination of MBSR and cognitive-behavioral techniques, including psycho education, exercises and cognitive restructuring, and developing pleasant activities. This treatment was provided to the subject for three weeks two sessions per week and each session for two hours. In baseline A 1 and A 2 three weeks, six evaluations , only the evaluation was carried out, and no interventions were made.

In phase B 1 three weeks and B 2 three weeks , acupuncture and mindfulness-based cognitive therapy were presented, respectively. The interval between the two phases of intervention was 6 months and the six-month follow-up C 1 and C 2 was done. The entire study period was 15 months and 30 evaluations were carried out. All the data of this study were collected after agreement with the patient, and informed consent was received before the intervention and publication, and all stages of the study were based on the latest version of the Helsinki declaration. The data were analyzed using a single case study design model protocol.

The scores of visual analogue scale and depression in three weeks of baseline A 1 , three weeks of mindfulness-based cognitive therapy B 1 and three evaluations in a six-month follow-up C 1 are presented in Figures 1 and 2.


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The present study was the first study to compare the effectiveness of mindfulness-based cognitive therapy with acupuncture on pain and depression indices. The findings of this study showed that the acupuncture treatment was effective in pain relief and mindfulness-based cognitive therapy on both pain and depression indices were effective, although changes were not maintained until the follow-up stage.

In line with our findings, the results of Park et al. Contrary to the findings of the present study, the results of Pirnia et al.