Immediate impact of Mindfulness-Based Cognitive Therapy (MBCT) among women with breast cancer: a systematic review and meta-analysis
Abstract Background Mindfulness-based cognitive therapy (MBCT) may have positive physiological and psychological benefits for breast cancer survivors. However, few studies involved a combination of the relevant literatures to confirm the effects. Methods Our study included randomized controlled tria...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2023-06-01
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| Series: | BMC Women's Health |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12905-023-02486-x |
| _version_ | 1827916704494125056 |
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| author | Yun-Chen Chang Tzuhui Angie Tseng Gen-Min Lin Wen-Yu Hu Chih-Kai Wang Yuh-Ming Chang |
| author_facet | Yun-Chen Chang Tzuhui Angie Tseng Gen-Min Lin Wen-Yu Hu Chih-Kai Wang Yuh-Ming Chang |
| author_sort | Yun-Chen Chang |
| collection | DOAJ |
| description | Abstract Background Mindfulness-based cognitive therapy (MBCT) may have positive physiological and psychological benefits for breast cancer survivors. However, few studies involved a combination of the relevant literatures to confirm the effects. Methods Our study included randomized controlled trials (RCTs) and non-RCTs comparing interventions of MBCT and control protocols for alleviation of symptoms among breast cancer survivors. We calculated pooled mean differences (MDs), standardized mean differences (SMDs), and 95% confidence intervals (CIs) by using random effects models to estimate summary effect sizes. Results Thirteen trials with 20–245 participants were considered in our studies; for the meta-analysis, 11 of these studies were eligible for assessment. The pooled meta-analysis results revealed that at the end of the MBCT intervention, participants’ anxiety (SMD, − 0.70; 95% CI, − 1.26 to − 0.13; I 2 = 69%), pain (SMD, − 0.64; 95% CI, − 0.92 to − 0.37; I 2 = 0%), and depression (SMD, − 0.65; 95% CI, − 1.14 to − 0.17; I 2 = 75%) levels significantly decreased, and their mindfulness (MD, 8.83; 95% CI, 3.88 to 13.78; I 2 = 68%) levels significantly increased. Conclusion The MBCT may be associated with improved pain, anxiety, depression, and mindfulness. However, the quantitative analysis pointed to an inconclusive result due to moderate to high levels of heterogeneity among indicator of anxiety, depression, and mindfulness. Future work requires more studies to better elucidate the clinical significance of this possible association. The results suggest that MBCT is highly beneficial as an intervention for patients who have received treatment for breast cancer. |
| first_indexed | 2024-03-13T03:19:03Z |
| format | Article |
| id | doaj.art-4faa30b8b1c94f33b748e0839431ae7d |
| institution | Directory Open Access Journal |
| issn | 1472-6874 |
| language | English |
| last_indexed | 2024-03-13T03:19:03Z |
| publishDate | 2023-06-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Women's Health |
| spelling | doaj.art-4faa30b8b1c94f33b748e0839431ae7d2023-06-25T11:26:28ZengBMCBMC Women's Health1472-68742023-06-0123111410.1186/s12905-023-02486-xImmediate impact of Mindfulness-Based Cognitive Therapy (MBCT) among women with breast cancer: a systematic review and meta-analysisYun-Chen Chang0Tzuhui Angie Tseng1Gen-Min Lin2Wen-Yu Hu3Chih-Kai Wang4Yuh-Ming Chang5School of Nursing and Graduate Institute of Nursing, China Medical UniversityDepartment of Environmental and Cultural Resources, National Tsing Hua UniversityDepartments of Medicine, Hualien-Armed Forces General HospitalSchool of Nursing, College of Medicine, National Taiwan UniversityCancer Center, China Medical University HospitalDepartment of Neurology, Hsinchu Mackay Memorial HospitalAbstract Background Mindfulness-based cognitive therapy (MBCT) may have positive physiological and psychological benefits for breast cancer survivors. However, few studies involved a combination of the relevant literatures to confirm the effects. Methods Our study included randomized controlled trials (RCTs) and non-RCTs comparing interventions of MBCT and control protocols for alleviation of symptoms among breast cancer survivors. We calculated pooled mean differences (MDs), standardized mean differences (SMDs), and 95% confidence intervals (CIs) by using random effects models to estimate summary effect sizes. Results Thirteen trials with 20–245 participants were considered in our studies; for the meta-analysis, 11 of these studies were eligible for assessment. The pooled meta-analysis results revealed that at the end of the MBCT intervention, participants’ anxiety (SMD, − 0.70; 95% CI, − 1.26 to − 0.13; I 2 = 69%), pain (SMD, − 0.64; 95% CI, − 0.92 to − 0.37; I 2 = 0%), and depression (SMD, − 0.65; 95% CI, − 1.14 to − 0.17; I 2 = 75%) levels significantly decreased, and their mindfulness (MD, 8.83; 95% CI, 3.88 to 13.78; I 2 = 68%) levels significantly increased. Conclusion The MBCT may be associated with improved pain, anxiety, depression, and mindfulness. However, the quantitative analysis pointed to an inconclusive result due to moderate to high levels of heterogeneity among indicator of anxiety, depression, and mindfulness. Future work requires more studies to better elucidate the clinical significance of this possible association. The results suggest that MBCT is highly beneficial as an intervention for patients who have received treatment for breast cancer.https://doi.org/10.1186/s12905-023-02486-xMindfulness-based cognitive behavioral therapyMBCTOncologySystematic reviewMeta-analysis |
| spellingShingle | Yun-Chen Chang Tzuhui Angie Tseng Gen-Min Lin Wen-Yu Hu Chih-Kai Wang Yuh-Ming Chang Immediate impact of Mindfulness-Based Cognitive Therapy (MBCT) among women with breast cancer: a systematic review and meta-analysis BMC Women's Health Mindfulness-based cognitive behavioral therapy MBCT Oncology Systematic review Meta-analysis |
| title | Immediate impact of Mindfulness-Based Cognitive Therapy (MBCT) among women with breast cancer: a systematic review and meta-analysis |
| title_full | Immediate impact of Mindfulness-Based Cognitive Therapy (MBCT) among women with breast cancer: a systematic review and meta-analysis |
| title_fullStr | Immediate impact of Mindfulness-Based Cognitive Therapy (MBCT) among women with breast cancer: a systematic review and meta-analysis |
| title_full_unstemmed | Immediate impact of Mindfulness-Based Cognitive Therapy (MBCT) among women with breast cancer: a systematic review and meta-analysis |
| title_short | Immediate impact of Mindfulness-Based Cognitive Therapy (MBCT) among women with breast cancer: a systematic review and meta-analysis |
| title_sort | immediate impact of mindfulness based cognitive therapy mbct among women with breast cancer a systematic review and meta analysis |
| topic | Mindfulness-based cognitive behavioral therapy MBCT Oncology Systematic review Meta-analysis |
| url | https://doi.org/10.1186/s12905-023-02486-x |
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