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Supportive Care in Cancer
Published in: Supportive Care in Cancer 1/2021

01-01-2021 | Breast Cancer | Original Article

Being beneficial to self and caregiver: the role of dispositional mindfulness among breast cancer patients

Authors: Xiaoyan Liu, Jie Li, Qian Zhang, Yunxia Zhao, Wei Xu

Published in: Supportive Care in Cancer | Issue 1/2021

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Abstract

Purpose

Breast cancer (BC) patients report complex negative emotions, including symptoms of anxiety, depression, and posttraumatic stress disorder (PTSD). What’s more, being diagnosed with cancer also has a negative impact on the patient’s family such as additional financial burden and care needs, leading to higher levels of caregiver burden. This study aimed to explore whether dispositional mindfulness could alleviate multiple negative emotions of BC patients and to investigate the mediating effect of caregiver burden on the relationship between the patients’ dispositional mindfulness and negative emotions.

Methods

A sample of 230 Chinese BC patients receiving chemotherapy and their caregivers voluntarily participated in the study by completing a set of questionnaires including the Mindfulness Attention Awareness Scale, the Caregiver Self-assessment Questionnaires, the General Anxiety Symptoms Scale, the Patient Health Questionnaire, and the PTSD Symptom Scale. Structural equation modeling was used to test the relationship between dispositional mindfulness, negative emotions, and caregiver burden.

Results

Dispositional mindfulness was significantly and negatively correlated with negative emotions, including anxiety, depression, and PTSD among the BC patients. Structural equation modeling showed that caregiver burden mediated the relation between patients’ dispositional mindfulness and negative emotions.

Conclusion

BC patients with higher levels of dispositional mindfulness showed less negative emotions. The results of the mediation analysis suggested that higher levels of dispositional mindfulness of breast cancer patients could decrease the caregivers’ perceived burden and, in turn, relieve patients’ negative emotions. Dispositional mindfulness was beneficial to breast cancer patients as well as their caregivers, indicating that mindfulness-based interventions targeting distress in patient-caregiver dyads would be more effective than what interventions for patients alone.
Literature
1.
2.
3.
4.
Liu T, Li L, Su G (2017) The research advances in psychological intervention of breast cancer patients in different periods. J Nurs (China) 24(23):19–22
5.
6.
Boals A, Schuettler D (2009) PTSD symptoms in response to traumatic and non-traumatic events: the role of respondent perception and A2 criterion. J Anxiety Disord 23(4):458–462PubMedCrossRef
7.
Xiaoyan L, Wei X (2018) Investigation and analysis on mental health state of breast Cancer patients in China. Int J Psychother Pract Res 1(2):24–33
8.
Arnaboldi P, Riva S, Crico C, Pravettoni G (2017) A systematic literature review exploring the prevalence of post-traumatic stress disorder and the role played by stress and traumatic stress in breast cancer diagnosis and trajectory. Breast Cancer: Targets Ther 9:473–485
9.
Catt S, Sheward J, Sheward E, Harder H (2018) Cancer survivors’ experiences of a community-based cancer-specific exercise programme: results of an exploratory survey. Support Care Cancer 26(9):3209–3216PubMedCrossRef
10.
Pei-Hua WU, Shang-Wen CHEN, Huang WT, Chang SC, Mei-Chi HSU (2018) Effects of a psychoeducational intervention in patients with breast cancer undergoing chemotherapy. J Nurs Res 26(4):266–279CrossRef
11.
Wang AW, Bouchard LC, Gudenkauf LM et al (2018) Differential psychological effects of cognitive-behavioral stress management among breast cancer patients with high and low initial cancer-specific distress. J Psychosom Res 113:52–57PubMedPubMedCentralCrossRef
12.
Ge W (2018) Effect of group psychological intervention on coping style, depression and quality of life in patients undergoing breast cancer surgery. China J Health Psychol 26(9):1403–1407
13.
Nápoles AM, Santoyo-Olsson J, Stewart AL, Ortiz C, García-Jímenez M (2018) Evaluating the implementation of a translational peer-delivered stress management program for Spanish-speaking Latina breast cancer survivors. J Cancer Educ 33(4):875–884PubMedPubMedCentralCrossRef
14.
Casellas-Grau A, Font A, Vives J (2014) Positive psychology interventions in breast cancer. A systematic review. Psycho-Oncol 23(1):9–19CrossRef
15.
Boyle CC, Stanton AL, Ganz PA, Crespi CM, Bower JE (2017) Improvements in emotion regulation following mindfulness meditation: effects on depressive symptoms and perceived stress in younger breast cancer survivors. J Consult Clin Psychol 85(4):397–402PubMedPubMedCentralCrossRef
16.
Labelle LE, Campbell TS, Faris P, Carlson LE (2015) Mediators of mindfulness-based stress reduction (MBSR): assessing the timing and sequence of change in cancer patients. J Clin Psychol 71(1):21–40PubMedCrossRef
17.
de Vibe M, Solhaug I, Rosenvinge JH, Tyssen R, Hanley A, Garland E (2018) Six-year positive effects of a mindfulness-based intervention on mindfulness, coping and well-being in medical and psychology students; results from a randomized controlled trial. PLoS One 13(4):e0196053PubMedPubMedCentralCrossRef
18.
Kabat-Zinn J (1994) Wherever you go. There You Are: Mindfulness Meditation in Everyday Life. Hyper-ion, New York
19.
Garland EL, Fredrickson B, Kring AM, Johnson DP, Meyer PS, Penn DL (2010) Upward spirals of positive emotions counter downward spirals of negativity: insights from the broaden-and-build theory and affective neuroscience on the treatment of emotion dysfunctions and deficits in psychopathology. Clin Psychol Rev 30(7):849–864PubMedPubMedCentralCrossRef
20.
Fogarty FA, Lu LM, Sollers JJ, Krivoschekov SG, Booth RJ, Consedine NS (2015) Why it pays to be mindful: trait mindfulness predicts physiological recovery from emotional stress and greater differentiation among negative emotions. Mindfulness 6(2):175–185CrossRef
21.
Tamagawa R, Giese-Davis J, Speca M, Doll R, Stephen J, Carlson LE (2013) Trait mindfulness, repression, suppression, and self-reported mood and stress symptoms among women with breast cancer. J Clin Psychol 69(3):264–277PubMedCrossRef
22.
Williams AD, Moulds ML (2008) Negative appraisals and cognitive avoidance of intrusive memories in depression: a replication and extension. Depress Anxiety 25(7):26–33CrossRef
23.
Gilbert BD, Christopher MS (2010) Mindfulness-based attention as a moderator of the relationship between depressive affect and negative cognitions. Cognit Ther & Res 34(6):514–521CrossRef
24.
Lang AJ, Strauss JL, Bomyea J, Bormann JE, Hickman SD, Good RC, Essex M (2012) The theoretical and empirical basis for meditation as an intervention for PTSD. Behav Modif 36(6):759–786PubMedCrossRef
25.
Wang JP, Freedon L, Lin WJ, Cui JN (2002) Quality of life and its related factors in lung or breast cancer patients. Chin J Clin Psychol 10(3):176–178
26.
Zhu L, Xu W, An YY, Chen XL (2018) The effect of PTSD symptoms on quality of life for breast cancer: mediating effect of depression and caregivers pressure. China J Health Psychol 26(02):225–229
27.
Ávila M, Brandão T, Teixeira J, Coimbra JL, Matos PM (2015) Attachment, emotion regulation, and adaptation to breast cancer: assessment of a mediational hypothesis. Psycho-Oncol 24(11):1514–1520CrossRef
28.
Lukhmana S, Bhasin SK, Chhabra P, Bhatia MS (2015) Family caregivers' burden: a hospital based study in 2010 among cancer patients from Delhi. Indian J Cancer 52(1):146–151PubMedCrossRef
29.
Segrin C, Badger TA, Meek P, Lopez AM, Bonham E, Sieger A (2005) Dyadic interdependence on affect and quality-of-life trajectories among women with breast cancer and their partners. J Soc Pers Relat 22(5):673–689CrossRef
30.
Iida M, Shapiro AF (2017) The role of mindfulness in daily relationship process: examining daily conflicts and relationship mood. Mindfulness 3:1–10
31.
Stevenson JC, Emerson LM, Millings A (2017) The relationship between adult attachment orientation and mindfulness: a systematic review and meta-analysis. Mindfulness 8(6):1438–1455PubMedPubMedCentralCrossRef
32.
Stoerkel E, Bellanti D, Paat C et al (2018) Effectiveness of a self-care toolkit for surgical breast cancer patients in a military treatment facility. J Altern Complement Med 24(9–10):916–925PubMedPubMedCentralCrossRef
33.
Brown KW, Ryan RM (2003) The benefits of being present: mindfulness and its role in psychological well-being. J Pers Soc Psychol 84(4):822–848PubMedCrossRef
34.
Deng YQ, Li S, Tang YY, Zhu LH, Ryan R, Brown K (2012) Psychometric properties of the Chinese translation of the mindful attention awareness scale (MAAS). Mindfulness 3(1):10–14CrossRef
35.
Epstein-Lubow G, Gaudiano BA, Hinckley M, Salloway S, Miller IW (2010) Evidence for the validity of the American Medicial Association's caregiver self-assessment questionnaire as a screening measure for depression. J Am Geriatr Soc 58(2):387–388PubMedCrossRef
36.
Yu NX, Chan CL, Zhang J (2016) Dyadic effects of stigma and discrimination on distress in Chinese HIV discordant couples. AIDS Educ Prev 28(4):277–286PubMedCrossRef
37.
Foa EB, Johnson KM, Feeny NC, Treadwell KR (2001) The child PTSD symptom scale: a preliminary examination of its psychometric properties. J Clinl Child Psychol 30(3):376–384CrossRef
38.
Liu X, Wang LL, Zhang Q, Wang RF, Xu W (2018) Less mindful, more struggle and growth: mindfulness, posttraumatic stress symptoms, and posttraumatic growth of breast Cancer survivors. J Nerv Ment Dis 206(8):621–627PubMedCrossRef
39.
Spitzer RL, Kroenke K, Williams JB, Löwe B (2006) A brief measure for assessing generalized anxiety disorder: the GAD-7. Arch Intern Med 166(10):1092–1097CrossRefPubMed
40.
He X, Li C, Qian J, Cui H, Wu W (2010) Reliability and validity of a generalized anxiety symptoms scale in general hospital outpatient. Shanghai Arch Psychiatry 22(4):200–203
41.
42.
Yeung A, Fung F, Yu SC, Vorono S, Ly M, Wu S, Fava M (2008) Validation of the patient health questionnaire-9 for depression screening among Chinese Americans. Compr Psychiatry 49(2):211–217PubMedCrossRef
43.
44.
Cramer H, Lauche R, Paul A, Dobos G (2012) Mindfulness-based stress reduction for breast cancer: a systematic review and meta-analysis. Curr Oncol 19(5):e343–e352PubMedPubMedCentralCrossRef
45.
Birnie K, Speca M, Carlson LE (2010) Exploring self-compassion and empathy in the context of mindfulness-based stress reduction (MBSR). Stress Health 26(5):359–371CrossRef
Metadata
Title
Being beneficial to self and caregiver: the role of dispositional mindfulness among breast cancer patients
Authors
Xiaoyan Liu
Jie Li
Qian Zhang
Yunxia Zhao
Wei Xu
Publication date
01-01-2021
Publisher
Springer Berlin Heidelberg
Published in
Supportive Care in Cancer / Issue 1/2021
Print ISSN: 0941-4355
Electronic ISSN: 1433-7339
DOI
https://doi.org/10.1007/s00520-020-05435-8

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