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Consolidation and prediction of long-term treatment effect of group and online mindfulness-based cognitive therapy for distressed cancer patients
- Source :
- Acta Oncologica, 57, 1293-1302, Acta Oncologica, 57, 10, pp. 1293-1302
- Publication Year :
- 2018
-
Abstract
- Contains fulltext : 197566.pdf (Publisher’s version ) (Open Access) Background: Group face-to-face and individual internet-based mindfulness-based cognitive therapy (MBCT and eMBCT) have been demonstrated to reduce psychological distress for distressed cancer patients in a randomized controlled trial (RCT). This study focused on the long-term effects of this RCT during the nine-month follow-up period, and on possible predictors, moderators and working mechanisms. Methods: Distressed cancer patients (n = 245) were randomized to MBCT or eMBCT. Data were collected at baseline, post-treatment, three- and nine-month follow-up. Data were analyzed with linear mixed effect models and (hierarchical) linear regressions. Results: Analyses revealed long-term reductions in psychological distress and rumination, and long-term increases in positive mental health and mental health-related quality of life (QoL) in both interventions over the course of the nine-month follow-up. Interestingly, patients reported less psychological distress in the follow-up period after eMBCT in comparison to MBCT. Less psychological distress, rumination and neuroticism, and more extraversion and agreeableness at baseline predicted less psychological distress at the nine-month follow-up after both interventions. Less mindful and conscientious patients at baseline benefited more from eMBCT than from MBCT. Regarding working mechanisms, changes in mindfulness skills, fear of cancer recurrence and rumination during both interventions predicted less psychological distress at follow-up. Conclusions: Our findings suggest most improvements in cancer patients' increase over time after both interventions. Furthermore, patients seemed to benefit more from eMBCT than MBCT based on psychological distress levels, especially those patients with low levels of mindfulness skills and conscientiousness. 10 p.
- Subjects :
- Adult
Male
050103 clinical psychology
Mindfulness
medicine.medical_treatment
Psychological intervention
Stress-related disorders Donders Center for Medical Neuroscience [Radboudumc 13]
law.invention
03 medical and health sciences
Stress-related disorders Radboud Institute for Health Sciences [Radboudumc 13]
0302 clinical medicine
All institutes and research themes of the Radboud University Medical Center
Randomized controlled trial
law
Neoplasms
medicine
Humans
0501 psychology and cognitive sciences
Radiology, Nuclear Medicine and imaging
Mindfulness-based cognitive therapy
Aged
Internet
Behaviour Change and Well-being
Cognitive Behavioral Therapy
business.industry
05 social sciences
Other Research Radboud Institute for Health Sciences [Radboudumc 0]
Hematology
General Medicine
Middle Aged
Mental health
Cognitive behavioral therapy
Oncology
030220 oncology & carcinogenesis
Rumination
Cognitive therapy
Quality of Life
Female
medicine.symptom
business
Stress, Psychological
Clinical psychology
Subjects
Details
- ISSN :
- 0284186X
- Volume :
- 57
- Database :
- OpenAIRE
- Journal :
- Acta Oncologica
- Accession number :
- edsair.doi.dedup.....c5be61267ef2275c8dafe5240c4ac8a9