Russell Lahiru, Orellana Liliana, Ugalde Anna, Milne Donna, Krishnasamy Meinir, Chambers Richard, Livingston Patricia M
1 Deakin University, Geelong, Victoria, Australia.
2 Peter MacCallum Cancer Centre, Melbourne Victoria, Australia.
Integr Cancer Ther. 2018 Jun;17(2):237-247. doi: 10.1177/1534735417699514. Epub 2017 Mar 24.
To explore the knowledge, attitudes, and practices associated with meditation among people with melanoma and investigate the relationship between perceived stress, trait mindfulness, and meditation. Factors associated with interest to participate in an online meditation program were also explored.
A survey-based cross-sectional study of 291 patients attending a melanoma outpatient clinic assessed knowledge of meditation, attitudes toward meditation using Determinants of Meditation Practice Inventory (DMPI), and meditation experience. Perceived stress and trait mindfulness were measured using the Perceived Stressed Scale and Cognitive and Affective Mindfulness Scale, respectively.
Participants who had tried meditation (43%) were likely to be younger, female, and have completed higher education or be employed. Perceived stress score was higher among women, younger participants, and those treated in the past year but did not differ by melanoma stage. Participants reported a good understanding of the potential benefits of meditation, but even among people with meditation experience, common misconceptions prevailed. The main barrier to meditation was a perceived lack of knowledge about meditation . Higher DMPI scores were associated with lower education, moderate to low access to service centers, or living in disadvantaged neighborhoods . Participants practicing meditation that involved self-reflection reported less stress and higher trait mindfulness compared with participants practicing another type of meditation. People interested in participating in an online meditation-based program reported higher perceived stress than those not interested.
A meditation-based intervention teaching self-reflective practices, targeted at people with melanoma, may have the potential to assist them with managing their stress.
探讨黑色素瘤患者对冥想的认知、态度和实践情况，并调查感知压力、特质正念与冥想之间的关系。同时还探讨了与参与在线冥想项目兴趣相关的因素。
对291名前往黑色素瘤门诊就诊的患者进行了一项基于调查的横断面研究，评估他们对冥想的认知、使用冥想实践决定因素量表（DMPI）对冥想的态度以及冥想经历。分别使用感知压力量表和认知与情感正念量表测量感知压力和特质正念。
尝试过冥想的参与者（43%）可能更年轻、为女性，且完成了高等教育或有工作。女性、年轻参与者以及过去一年接受治疗的参与者的感知压力得分更高，但在黑色素瘤分期方面没有差异。参与者表示对冥想的潜在益处有较好的理解，但即使在有冥想经验的人群中，常见的误解仍然存在。冥想的主要障碍是认为缺乏对冥想的了解。DMPI得分较高与教育程度较低、服务中心获取机会中等至较低或生活在弱势社区有关。与进行其他类型冥想的参与者相比，进行涉及自我反思冥想的参与者报告的压力较小，特质正念较高。对参与基于在线冥想的项目感兴趣的人报告的感知压力高于不感兴趣的人。
针对黑色素瘤患者的基于冥想的干预措施，教授自我反思实践，可能有潜力帮助他们管理压力。
