Kieviet-Stijnen Arenda, Visser Adriaan, Garssen Bert, Hudig Welmet
Helen Dowling Institute, Center for Psycho-oncology, P.O. Box 85061, 3508 AB Utrecht, The Netherlands.
Patient Educ Couns. 2008 Sep;72(3):436-42. doi: 10.1016/j.pec.2008.05.015. Epub 2008 Jul 25.
This study explores satisfaction and changes in well-being in cancer patients following mindfulness-based stress reduction training.
Data were collected in 47 cancer patients before and after the training, and also 1 year later. Standardized questionnaires were used to measure quality of life, joy in life, mood disturbances (depression, anger, vigor, fatigue, and tension), meaning in life and physical symptoms.
Participants were highly satisfied and said they had reached their goals with the training. The results show that directly after the training patients reported a better quality of life, more joy in life, less tension, and fewer physical symptoms. These effects appeared even stronger at follow-up. A year after the training a decrease was also found in depression, anger, vigor and total mood disturbance. No changes could be established for meaning in life and fatigue. Effect sizes varied between 0.28 and 0.60, indicating small-to-moderate changes.
Mindfulness training potentially supports cancer patients in handling the stress due to their life-threatening disease and increases their well-being. Several suggestions for further research are discussed.
Mindfulness training provides cancer patients with tools to deal with their limitations and worries, both during and after their treatment.
本研究探讨了接受正念减压训练的癌症患者的满意度及幸福感变化。
在47名癌症患者训练前后及训练1年后收集数据。使用标准化问卷测量生活质量、生活乐趣、情绪障碍（抑郁、愤怒、活力、疲劳和紧张）、生活意义及身体症状。
参与者高度满意，并表示通过训练实现了目标。结果显示，训练刚结束后，患者报告生活质量提高、生活乐趣增加、紧张感减轻、身体症状减少。这些效果在随访时更为明显。训练1年后，抑郁、愤怒、活力及总体情绪障碍也有所下降。生活意义和疲劳方面未发现变化。效应大小在0.28至0.60之间，表明变化程度为小到中度。
正念训练可能有助于癌症患者应对因危及生命的疾病带来的压力，并提高他们的幸福感。讨论了进一步研究的若干建议。
正念训练为癌症患者提供了在治疗期间及治疗后应对自身局限和担忧的工具。
