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Greater mindfulness associated with lower pain, fatigue, and psychological distress in women with metastatic breast cancer.

Abstract

OBJECTIVE

Women with metastatic breast cancer (MBC) report high levels of disease-related symptoms including pain, fatigue, psychological distress, and sleep disturbance. Mindfulness may be particularly relevant to women with MBC given the high symptom burden and psychological toll of this disease; however, the topic is understudied among this patient population. Therefore, we aimed to test the associations between mindfulness and patient-reported symptoms among a sample of women with MBC.

METHODS

Sixty-four women with MBC completed baseline questionnaires of mindfulness (Five Facet Mindfulness Questionnaire-Short Form [FFMQ-SF]) and symptoms of pain severity and interference, fatigue, psychological distress, and sleep disturbance as part of a randomized controlled trial of a Mindful Yoga intervention. Correlational analyses of data collected at baseline tested associations between the five mindfulness facets (observing, describing, acting with awareness, nonjudging, and nonreactivity) and patient-reported measures of symptoms.

RESULTS

Overall, higher mindfulness was associated with lower symptom levels including lower pain severity, pain interference, fatigue, anxiety, depression, and sleep disturbance. However, degree of association varied by mindfulness facet. Nonreactivity, nonjudging, and describing showed the most frequent associations and largest effect sizes across symptoms, while observing showed the least frequent associations and lowest effect sizes.

CONCLUSIONS

Mindfulness-and in particular nonreactivity, nonjudging, and describing-may be a personal resource for women with MBC in coping with complex symptoms of this life-threatening illness. Findings are discussed relative to their implications for interventions aimed at increasing mindfulness in this vulnerable population.

Authors+Show Affiliations

Cancer Prevention and Control Program, Fox Chase Cancer Center, Philadelphia, Pennsylvania.Department of Anesthesiology and Perioperative Medicine, Oregon Health and Sciences University, Oregon, Portland.Center for Health Services Research in Primary Care, Durham VA Medical Center, Durham, North Carolina.Department of Medicine, Duke University Medical Center, North Carolina.Department of Psychiatry and Behavioral Sciences, Duke University Medical Center, Durham, North Carolina.Department of Psychiatry and Behavioral Sciences, Duke University Medical Center, Durham, North Carolina.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

31509614

Citation

Zimmaro, Lauren A., et al. "Greater Mindfulness Associated With Lower Pain, Fatigue, and Psychological Distress in Women With Metastatic Breast Cancer." Psycho-oncology, 2019.
Zimmaro LA, Carson JW, Olsen MK, et al. Greater mindfulness associated with lower pain, fatigue, and psychological distress in women with metastatic breast cancer. Psychooncology. 2019.
Zimmaro, L. A., Carson, J. W., Olsen, M. K., Sanders, L. L., Keefe, F. J., & Porter, L. S. (2019). Greater mindfulness associated with lower pain, fatigue, and psychological distress in women with metastatic breast cancer. Psycho-oncology, doi:10.1002/pon.5223.
Zimmaro LA, et al. Greater Mindfulness Associated With Lower Pain, Fatigue, and Psychological Distress in Women With Metastatic Breast Cancer. Psychooncology. 2019 Sep 11; PubMed PMID: 31509614.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Greater mindfulness associated with lower pain, fatigue, and psychological distress in women with metastatic breast cancer. AU - Zimmaro,Lauren A, AU - Carson,James W, AU - Olsen,Maren K, AU - Sanders,Linda L, AU - Keefe,Francis J, AU - Porter,Laura S, Y1 - 2019/09/11/ PY - 2019/05/02/received PY - 2019/07/30/revised PY - 2019/09/07/accepted PY - 2019/9/12/pubmed PY - 2019/9/12/medline PY - 2019/9/12/entrez KW - Clinical Trial Number: NCT01927081 KW - anxiety KW - cancer KW - depression KW - fatigue KW - metastatic breast cancer KW - mindfulness KW - pain KW - sleep JF - Psycho-oncology JO - Psychooncology N2 - OBJECTIVE: Women with metastatic breast cancer (MBC) report high levels of disease-related symptoms including pain, fatigue, psychological distress, and sleep disturbance. Mindfulness may be particularly relevant to women with MBC given the high symptom burden and psychological toll of this disease; however, the topic is understudied among this patient population. Therefore, we aimed to test the associations between mindfulness and patient-reported symptoms among a sample of women with MBC. METHODS: Sixty-four women with MBC completed baseline questionnaires of mindfulness (Five Facet Mindfulness Questionnaire-Short Form [FFMQ-SF]) and symptoms of pain severity and interference, fatigue, psychological distress, and sleep disturbance as part of a randomized controlled trial of a Mindful Yoga intervention. Correlational analyses of data collected at baseline tested associations between the five mindfulness facets (observing, describing, acting with awareness, nonjudging, and nonreactivity) and patient-reported measures of symptoms. RESULTS: Overall, higher mindfulness was associated with lower symptom levels including lower pain severity, pain interference, fatigue, anxiety, depression, and sleep disturbance. However, degree of association varied by mindfulness facet. Nonreactivity, nonjudging, and describing showed the most frequent associations and largest effect sizes across symptoms, while observing showed the least frequent associations and lowest effect sizes. CONCLUSIONS: Mindfulness-and in particular nonreactivity, nonjudging, and describing-may be a personal resource for women with MBC in coping with complex symptoms of this life-threatening illness. Findings are discussed relative to their implications for interventions aimed at increasing mindfulness in this vulnerable population. SN - 1099-1611 UR - https://www.unboundmedicine.com/medline/citation/31509614/Greater_mindfulness_associated_with_lower_pain_fatigue_and_psychological_distress_in_women_with_metastatic_breast_cancer_ L2 - https://doi.org/10.1002/pon.5223 DB - PRIME DP - Unbound Medicine ER -