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正念减压疗法对乳腺癌幸存者认知功能的影响:一项随机对照试验。

Mindfulness-based stress reduction and cognitive function among breast cancer survivors: A randomized controlled trial.

机构信息

Department of Psychology, Carleton University, Ottawa, Ontario, Canada.

Department of Psychology, McGill University, Montreal, Quebec, Canada.

出版信息

Cancer. 2022 Jul 1;128(13):2520-2528. doi: 10.1002/cncr.34209. Epub 2022 Apr 6.

Abstract

BACKGROUND

Breast cancer (BC) survivors frequently report changes in cognition after chemotherapy. Mindfulness may benefit survivors by mitigating cancer-related cognitive impairment. As part of a larger study investigating the effects of mindfulness-based stress reduction (MBSR) for BC survivors living with neuropathic pain, the authors assessed whether MBSR would have an effect on cognitive outcomes.

METHODS

Participants were randomized to an MBSR intervention group (n = 30) or a waitlist control group (n = 30). Cognitive assessments were administered at 3 time points: at baseline, 2 weeks, and 3 months post-MBSR in the intervention group and at equivalent time intervals for the control group. Multilevel models were used to assess whether MBSR significantly improved task performance at each time point.

RESULTS

MBSR participants showed a significantly greater reduction in prospective and retrospective memory failures at 2 weeks postintervention. No effects of MBSR were noted for objective assessments.

CONCLUSIONS

These results suggest that MBSR training reduces subjective (but not objective) memory-related impairments in BC survivors who receive treatment with chemotherapy. This study provides insight into a noninvasive intervention to ameliorate memory difficulties in BC survivors.

摘要

背景

乳腺癌(BC)幸存者在化疗后经常报告认知功能改变。正念可能通过减轻与癌症相关的认知障碍使幸存者受益。作为一项更大规模的研究的一部分,该研究调查了正念减压(MBSR)对患有神经病理性疼痛的 BC 幸存者的影响,作者评估了 MBSR 是否会对认知结果产生影响。

方法

参与者被随机分配到 MBSR 干预组(n = 30)或候补名单对照组(n = 30)。在 3 个时间点进行认知评估:干预组在基线、2 周和 3 个月时进行,对照组在等效时间间隔进行。使用多层次模型评估 MBSR 是否在每个时间点显著改善任务表现。

结果

MBSR 参与者在干预后 2 周时前瞻性和回溯性记忆失败的减少幅度明显更大。MBSR 对客观评估没有影响。

结论

这些结果表明,MBSR 训练可减轻接受化疗治疗的 BC 幸存者的主观(而非客观)记忆相关障碍。这项研究为改善 BC 幸存者的记忆困难提供了一种非侵入性干预措施。

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