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Improvements in emotion regulation following mindfulness meditation: Effects on depressive symptoms and perceived stress in younger breast cancer survivors.
J Consult Clin Psychol. 2017 Apr; 85(4):397-402.JC

Abstract

OBJECTIVE

Mindfulness meditation reduces psychological distress among individuals with cancer. However, mechanisms for intervention effects have not been fully determined. This study tested emotion regulation strategies as mediators of intervention effects in a sample of younger women treated for breast cancer, a group at risk for psychological distress. We focused on two distinct strategies targeted by the intervention-rumination and self-kindness-and further examined the broader construct of mindfulness as a potential mediator.

METHOD

Women (n = 71) with Stage 0-III breast cancer diagnosed at or before age 50 who had completed cancer treatment were randomly assigned to a 6-week mindfulness intervention or wait-list control group. Assessments occurred at study entry, postintervention, and a 3-month follow-up.

RESULTS

In single mediator analyses, increases in self-kindness (CIB [-7.83, -1.93]), decreases in rumination (CIB [-5.05, -.31]), and increases in mindfulness (CIB [-6.58, -.82]) each mediated reductions in depressive symptoms from pre- to postintervention. Increases in self-kindness also mediated reductions in perceived stress (CIB [-5.37, -.62]) from pre- to postintervention, and increases in self-kindness (CIB [-5.67, -.22]) and in mindfulness (CIB [-5.51, -.16]) each mediated intervention effects on perceived stress from preintervention to 3-month follow-up. In multiple mediator analysis, only self-kindness mediated intervention effects on depressive symptoms from pre- to postintervention (CIB [-6.41, -.61]), and self-kindness and mindfulness together mediated intervention effects on perceived stress from preintervention to follow-up (CIB [-6.77, -.35]).

CONCLUSIONS

Self-kindness played a consistent role in reducing distress in younger women with breast cancer. The efficacy of this understudied emotion regulation strategy should be evaluated in other clinical populations. (PsycINFO Database Record

Authors+Show Affiliations

Department of Psychology, University of California-Los Angeles.Department of Psychology, University of California-Los Angeles.Jonsson Comprehensive Cancer Center, University of California-Los Angeles.Jonsson Comprehensive Cancer Center, University of California-Los Angeles.Department of Psychology, University of California-Los Angeles.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

28230391

Citation

Boyle, Chloe C., et al. "Improvements in Emotion Regulation Following Mindfulness Meditation: Effects On Depressive Symptoms and Perceived Stress in Younger Breast Cancer Survivors." Journal of Consulting and Clinical Psychology, vol. 85, no. 4, 2017, pp. 397-402.
Boyle CC, Stanton AL, Ganz PA, et al. Improvements in emotion regulation following mindfulness meditation: Effects on depressive symptoms and perceived stress in younger breast cancer survivors. J Consult Clin Psychol. 2017;85(4):397-402.
Boyle, C. C., Stanton, A. L., Ganz, P. A., Crespi, C. M., & Bower, J. E. (2017). Improvements in emotion regulation following mindfulness meditation: Effects on depressive symptoms and perceived stress in younger breast cancer survivors. Journal of Consulting and Clinical Psychology, 85(4), 397-402. https://doi.org/10.1037/ccp0000186
Boyle CC, et al. Improvements in Emotion Regulation Following Mindfulness Meditation: Effects On Depressive Symptoms and Perceived Stress in Younger Breast Cancer Survivors. J Consult Clin Psychol. 2017;85(4):397-402. PubMed PMID: 28230391.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Improvements in emotion regulation following mindfulness meditation: Effects on depressive symptoms and perceived stress in younger breast cancer survivors. AU - Boyle,Chloe C, AU - Stanton,Annette L, AU - Ganz,Patricia A, AU - Crespi,Catherine M, AU - Bower,Julienne E, Y1 - 2017/02/23/ PY - 2017/2/24/pubmed PY - 2017/9/25/medline PY - 2017/2/24/entrez SP - 397 EP - 402 JF - Journal of consulting and clinical psychology JO - J Consult Clin Psychol VL - 85 IS - 4 N2 - OBJECTIVE: Mindfulness meditation reduces psychological distress among individuals with cancer. However, mechanisms for intervention effects have not been fully determined. This study tested emotion regulation strategies as mediators of intervention effects in a sample of younger women treated for breast cancer, a group at risk for psychological distress. We focused on two distinct strategies targeted by the intervention-rumination and self-kindness-and further examined the broader construct of mindfulness as a potential mediator. METHOD: Women (n = 71) with Stage 0-III breast cancer diagnosed at or before age 50 who had completed cancer treatment were randomly assigned to a 6-week mindfulness intervention or wait-list control group. Assessments occurred at study entry, postintervention, and a 3-month follow-up. RESULTS: In single mediator analyses, increases in self-kindness (CIB [-7.83, -1.93]), decreases in rumination (CIB [-5.05, -.31]), and increases in mindfulness (CIB [-6.58, -.82]) each mediated reductions in depressive symptoms from pre- to postintervention. Increases in self-kindness also mediated reductions in perceived stress (CIB [-5.37, -.62]) from pre- to postintervention, and increases in self-kindness (CIB [-5.67, -.22]) and in mindfulness (CIB [-5.51, -.16]) each mediated intervention effects on perceived stress from preintervention to 3-month follow-up. In multiple mediator analysis, only self-kindness mediated intervention effects on depressive symptoms from pre- to postintervention (CIB [-6.41, -.61]), and self-kindness and mindfulness together mediated intervention effects on perceived stress from preintervention to follow-up (CIB [-6.77, -.35]). CONCLUSIONS: Self-kindness played a consistent role in reducing distress in younger women with breast cancer. The efficacy of this understudied emotion regulation strategy should be evaluated in other clinical populations. (PsycINFO Database Record SN - 1939-2117 UR - https://www.unboundmedicine.com/medline/citation/28230391/Improvements_in_emotion_regulation_following_mindfulness_meditation:_Effects_on_depressive_symptoms_and_perceived_stress_in_younger_breast_cancer_survivors_ L2 - http://content.apa.org/journals/ccp/85/4/397 DB - PRIME DP - Unbound Medicine ER -