Department of Midwifery, Nursing and Midwifery Faculty, Bushehr University of Medical Sciences, Bushehr, Iran.
Department of Nursing, Nursing and Midwifery Faculty, Bushehr University of Medical Sciences, Bushehr, Iran.
BMC Womens Health. 2022 Dec 28;22(1):552. doi: 10.1186/s12905-022-02124-y.
Breast cancer has been a serious public health dilemma for women worldwide, with not only physical and social impairments but also psychological stress responses such as rumination. Rumination is a constant preoccupation with thoughts. The present study aimed to investigate the effectiveness of mindfulness-based stress reduction training in lowering rumination among women diagnosed with breast cancer.
This randomized controlled trial with a pretest, posttest, control group, and one-month follow-up design included 46 female breast cancer survivors, recruited from the clinics and hematology wards of Bushehr, Iran. The inclusion criterion was that at least three months should have passed since the last chemotherapy/radiotherapy. The participants were randomly assigned to two experimental and control groups. The experimental group received eight sessions of mindfulness-based stress reduction training. A demographic information form and a rumination questionnaire were used for data collection, and the participants completed the questionnaire in the pretest, posttest, and follow-up stages. Chi-square, Mann-Whitney U, and repeated-measures ANOVA were used to analyze the data. P < 0.05 was considered statistically significant.
There was no significant difference in the rumination scores of the experimental group at three measurement stages. For the control group, the mean rumination scores on the posttest and follow-up were both significantly higher than on the pre-test (P < 0.001). The control group's mean follow-up rumination score was significantly higher than that of the post-test (P = 0.02). A comparison of the two groups adjusted for the baseline showed a significant difference between them in terms of the mean rumination score on the post-test (P = 0.01) and follow-up (P < 0.001).
The experimental group was more successful in avoiding increased rumination than the control group, an ability that can be attributed to the effect of mindfulness training. The use of this method is recommended because it is non-invasive, non-pharmacological, free from complications, and can be easily performed by women. However, future studies should consider larger samples and long-term follow-ups.
乳腺癌是全球女性面临的严重公共健康难题，不仅会造成身体和社交功能损伤，还会导致心理应激反应，如反刍思维。反刍思维是一种持续关注想法的状态。本研究旨在探究基于正念的减压训练对降低乳腺癌女性反刍思维的效果。
这是一项采用前测、后测、对照组和一个月随访设计的随机对照试验，纳入了 46 名来自伊朗布什尔诊所和血液科病房的乳腺癌幸存者。纳入标准为至少在末次化疗/放疗后 3 个月。参与者被随机分配到实验组和对照组。实验组接受 8 次基于正念的减压训练。采用人口统计学信息表和反刍思维问卷收集数据，参与者在前测、后测和随访阶段完成问卷。采用卡方检验、Mann-Whitney U 检验和重复测量方差分析进行数据分析。P<0.05 为差异有统计学意义。
实验组在三个测量阶段的反刍思维评分均无显著差异。对于对照组，后测和随访的反刍思维评分均显著高于前测（P<0.001）。对照组随访时的反刍思维评分显著高于后测（P=0.02）。对基线进行调整后，两组间比较显示，后测（P=0.01）和随访（P<0.001）时的平均反刍思维评分存在显著差异。
实验组在避免反刍思维增加方面比对照组更成功，这可以归因于正念训练的效果。建议采用这种方法，因为它是非侵入性的、非药物性的、无并发症的，且易于女性实施。然而，未来的研究应考虑更大的样本量和长期随访。
