Mindfulness-based cognitive therapy for individuals whose lives have been affected by cancer: a randomized controlled trial.
OBJECTIVE
This study evaluated the effectiveness of mindfulness-based cognitive therapy (MBCT) for individuals with a diagnosis of cancer.


METHODS
Participants (N = 115) diagnosed with cancer, across site and stage, were randomly allocated to either the treatment or the wait-list condition. Treatment was conducted at 1 site, by a single therapist, and involved participation in 8 weekly 2-hr sessions that focused on mindfulness. Participants meditated for up to 1 hr daily and attended an additional full-day session during the course. Participants were assessed before treatment and 10 weeks later; this second assessment occurred immediately after completion of the program for the treatment condition. The treatment condition was also assessed at 3 months postintervention. All postinitial assessments were completed by assessors who were blind to treatment allocation.


RESULTS
There were large and significant improvements in mindfulness (effect size [ES] = 0.55), depression (ES = 0.83), anxiety (ES = 0.59), and distress (ES = 0.53) as well as a trend for quality of life (ES = 0.30) for MBCT participants compared to those who had not received the training. The wait-list group was assessed before and after receiving the intervention and demonstrated similar change.


CONCLUSIONS
These improvements represent clinically meaningful change and provide evidence for the provision of MBCT within oncology settings.
Foley
Elizabeth
E
Cancer Institute NSW.
Baillie
Andrew
A
0000-0003-3424-5703
Centre for Emotional Health.
Huxter
Malcolm
M
Lismore Community Mental Health.
Price
Melanie
M
Centre for Medical Psychology and Evidence-based Decision-making.
Sinclair
Emma
E
Independent Practice.
D000328:Adult; D000368:Aged; D001007:Anxiety / Q000523:psychology / Q000628:therapy; D015928:Cognitive Behavioral Therapy / Q000379:methods*; D003863:Depression / Q000523:psychology / Q000628:therapy; D005260:Female; D006801:Humans; D057194:Intention to Treat Analysis; D008297:Male; D019122:Meditation / Q000379:methods* / Q000523:psychology; D008875:Middle Aged; D009369:Neoplasms / Q000523:psychology*; D011569:Psychiatric Status Rating Scales; D011788:Quality of Life / Q000523:psychology; D012944:Social Support; D013315:Stress, Psychological / Q000628:therapy; D016896:Treatment Outcome