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Ir J Psychol Med. 2015 Sep;32(3):265-274. doi: 10.1017/ipm.2014.81.

Mindfulness-based cognitive therapy for psycho-oncology patients: an exploratory study.

Irish journal of psychological medicine

T Kingston, S Collier, D Hevey, M M McCormick, C Besani, J Cooney, A M O'Dwyer

Affiliations

  1. 1Department of Psychological Medicine,St James's Hospital,James St. Dublin 8,Ireland.

PMID: 30185265 DOI: 10.1017/ipm.2014.81

Abstract

OBJECTIVES: Mindfulness-based cognitive therapy (MBCT) is a group-based intervention similar to mindfulness-based stress reduction, but which includes cognitive therapy techniques. This study investigates its usefulness in the treatment of depressive, anxiety and stress/distress symptoms in cancer patients referred to a psycho-oncology service. It also examines whether effect on depression is mediated by self-compassion.

METHOD: In phase 1 of this study, 16 cancer patients with mild/moderate psychological distress were randomised to MBCT (n=8) or treatment as usual (TAU; n=8), and assessed pre- and post-treatment. Analysis of variance was performed to examine the effect of treatment on anxiety and depression. In phase 2, the TAU group received the intervention, and results of pre- and post-MBCT assessments were combined with those receiving MBCT in phase 1. Finally, both groups were followed up at 3 months.

RESULTS: In phase 1, the MBCT group had a significant improvement in mindfulness and a decrease in anxiety. Statistically significant improvements in both depression and anxiety were found at 3 month follow-up. Self-compassion appeared to mediate the effect on anxiety/depression.

CONCLUSION: This small pilot study suggests that MBCT may have a beneficial effect on psychological variables often adversely affected in cancer in a heterogeneous cancer population.

Keywords: Anxiety; cancer; depression; mindfulness; mindfulness-based cognitive therapy

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