Effectiveness of Mindfulness-Based Stress Reduction on Resilience in Cancer Patients

Article type
Authors
WU W1, CHEN C2, Chou C2, WANG Y
1School of Nursing, Kaohsiung Medical University Department of Nursing, Chang Gung University of Science and Technology
2Department of Nursing, Chang Gung University of Science and Technology, Chiayi Campus, Chiayi County, Taiwan
Abstract
"Background: Cancer patients have to face not only complex changes in their conditions but also the physiological pain caused in the treatment process, which lead to negative emotions and impacted quality of life. Some studies have shown that the intervention of the mindfulness-based stress reduction (MBSR) course can improve the resilience of cancer patients.
Objectives: This study adopted a systematic literature review and meta-analysis, aiming to explore the effectiveness of mindfulness-based stress reduction on the resilience of cancer patients. It is hoped that the results can serve as a reference for future healthcare application for cancer patients.
Methods: Six Chinese and English databases (as shown in Fig. 1), including PubMed, CINAHL, Cochrane Library, Embase, Airiti Library, and NDKTD in Taiwan (National Digital Library and Theses and Dissertations in Taiwan) were searched using synonyms related to cancer, mindfulness, and resilience to retrieve literature before January, 2024, and Joanna Briggs Institute (JBI) critical appraisal checklist was used to assess the quality of literature while meta-analysis was carried out with Comprehensive Meta-Analysis (CMA) Version 3.0.
Results: A total of 3 articles were included in the study. After the meta-analysis, the results showed that mindfulness-based stress reduction could highly improve the resilience of cancer patients (SMD = 0.846, 95% CI = 0.578~1.114, p = <0.001; Table 1). In addition, significant results could be observed within a short period of 4-6 weeks after the course regardless of group approach or independent practice.
Conclusions: Mindfulness-based stress reduction can improve the resilience of cancer patients, and it is a low-cost and highly feasible approach. Therefore, it is recommended that mindfulness-based stress reduction therapy be actively applied in clinical treatment to help patients cope with stress and emotional distress caused by the disease in a more effective manner."