Katleen Van der Gucht1, Keisuke Takano1, Veerle Labarque2, Karen Vandenabeele2, Nathalie Nolf3, Sanne Kuylen4, Veerle Cosyns5, Nady Van Broeck1, Peter Kuppens1, Filip Raes1. 1. 1 Faculty of Psychology and Educational Sciences, University of Leuven , Leuven, Belgium . 2. 2 Department of Pediatric Hemato-Oncology, University Hospitals Leuven , Leuven, Belgium . 3. 3 Department of Paediatric Haematology-Oncology and Stem Cell Transplantation, Ghent University Hospital , Ghent, Belgium . 4. 4 Paediatric Haematology, Oncology and HIV, Antwerp University Hospital , Edegem, Belgium . 5. 5 Medical Oncology & Haematology KZ, Brussel University Hospital , Jette, Belgium .
Abstract
PURPOSE:Adolescent and young adult cancer (AYAC) survivors show an elevated risk of distress. Targeted psychosocial interventions for this distinct population are needed. This study examined the potential efficacy of a mindfulness-based intervention (MBI) to alleviate emotional distress and improve quality of life (QoL) in AYAC survivors. METHODS:Participants were 16 AYAC survivors, aged 14-24, who had completed acute medical treatment. A two-baseline (8 and 1 week before the intervention), post- (1 week after the intervention) and 3 months follow-up within-subjects design was used. Each participant completed two baseline assessments, followed by an 8-week MBI. The primary outcome variables were emotional distress and QoL. Secondary outcomes were cognitive vulnerability factors and mindfulness skills. RESULTS: Multilevel modeling showed (1) a significant reduction in emotional distress and improvement in QoL at 3 months of follow-up, (2) a significant reduction in negative attitudes toward self (i.e., a cognitive vulnerability factor), and (3) a significant improvement in mindfulness skills. CONCLUSION: MBI is a promising approach that is used to treat emotional distress and to improve QoL in AYAC survivors. Further research using randomized controlled trials is needed to generalize these findings. Trial registration information: www.trialregister.nl ; NTR4358.
RCT Entities:
PURPOSE: Adolescent and young adult cancer (AYAC) survivors show an elevated risk of distress. Targeted psychosocial interventions for this distinct population are needed. This study examined the potential efficacy of a mindfulness-based intervention (MBI) to alleviate emotional distress and improve quality of life (QoL) in AYAC survivors. METHODS:Participants were 16 AYAC survivors, aged 14-24, who had completed acute medical treatment. A two-baseline (8 and 1 week before the intervention), post- (1 week after the intervention) and 3 months follow-up within-subjects design was used. Each participant completed two baseline assessments, followed by an 8-week MBI. The primary outcome variables were emotional distress and QoL. Secondary outcomes were cognitive vulnerability factors and mindfulness skills. RESULTS: Multilevel modeling showed (1) a significant reduction in emotional distress and improvement in QoL at 3 months of follow-up, (2) a significant reduction in negative attitudes toward self (i.e., a cognitive vulnerability factor), and (3) a significant improvement in mindfulness skills. CONCLUSION: MBI is a promising approach that is used to treat emotional distress and to improve QoL in AYAC survivors. Further research using randomized controlled trials is needed to generalize these findings. Trial registration information: www.trialregister.nl ; NTR4358.
Entities:
Keywords:
cognitive vulnerability; emotional distress; mindfulness; open trial; quality of life
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