Department of Clinical and Biological Sciences, University of Turin, Regione Gonzole 10, Orbassano, 10043, Italy, 39 0116334200.
Department of Cardiac, Thoracic, Vascular Sciences and Public Health, Unit of Biostatistics, University of Padova, Padova, Italy.
JMIR Ment Health. 2024 Nov 21;11:e57415. doi: 10.2196/57415.
Patients with cancer often face depression and anxiety, and mindfulness-based interventions, including internet-based versions, can effectively reduce these symptoms and improve their quality of life. This study aims to investigate the impact of internet-based mindfulness-based interventions (e-MBIs) on anxiety, depression, and stress symptoms in patients with prostate or breast cancer.
The primary aims are to assess the association between the amount and variety of e-MBI practices and symptom reduction. Second, this study aims to examine how baseline information such as sociodemographic characteristics, dispositional mindfulness (DM), and dispositional self-compassion (DSC) correlate with both app usage and symptom reduction.
Participants included 107 patients with cancer (68 women with breast cancer and 38 men with prostate cancer) enrolled in a hospital setting. They were assigned to the intervention group of the NEVERMIND project, using the e-BMI module via the NEVERMIND app. A longitudinal design involved Pearson correlation analysis to determine the relationship between the amount and duration of e-MBI practices. Linear regression analysis was conducted to gauge the dose-response effect, evaluating the impact of DM and DSC on depression, anxiety, and stress. Negative binomial regression was conudcted to study sociodemographic factors' influence on the amount of practice in e-MBIs.
The participants with more diverse and sustained mindfulness practices experienced significant reductions in depression, anxiety, and stress. A high correlation (0.94) between e-MBI practices and symptom reduction was also highlighted. Male, married, and highly educated patients were more likely to engage in mindfulness. Even if DM and DSC did not impact the amount or variety of practices correlated, they were correlated with symptom reduction, showing that higher levels were associated with significant reductions in depression, anxiety, and stress.
While more e-MBI practice is linked to reduced anxiety, depression, and stress, this study emphasizes the crucial role of variety of practice over amount. DM and DSC are key in shaping intervention effectiveness and may act as protectors against psychological distress. Using app log data, our research provides a unique perspective on e-MBI impact, contributing to cancer care understanding and guiding future studies.
癌症患者常面临抑郁和焦虑，而正念干预，包括基于互联网的干预，可以有效减轻这些症状，提高生活质量。本研究旨在探讨基于互联网的正念干预（e-MBI）对前列腺癌或乳腺癌患者焦虑、抑郁和压力症状的影响。
主要目的是评估 e-MBI 练习的数量和多样性与症状减轻之间的关联。其次，本研究旨在探讨基线信息（如社会人口统计学特征、特质正念（DM）和特质自我同情（DSC））与应用程序使用和症状减轻之间的相关性。
参与者包括在医院环境中招募的 107 名癌症患者（68 名女性乳腺癌患者和 38 名男性前列腺癌患者），他们被分配到 NEVERMIND 项目的干预组，通过 NEVERMIND 应用程序使用 e-BMI 模块。采用纵向设计，通过皮尔逊相关分析确定 e-MBI 练习的数量和持续时间之间的关系。进行线性回归分析以评估 DM 和 DSC 对抑郁、焦虑和压力的剂量反应效应。采用负二项回归分析社会人口统计学因素对 e-MBI 实践数量的影响。
更多样化和持续的正念练习与抑郁、焦虑和压力的显著减轻相关。还强调了 e-MBI 练习与症状减轻之间的高度相关性（0.94）。男性、已婚和受过高等教育的患者更倾向于进行正念。即使 DM 和 DSC 对练习的数量或多样性没有影响，但与症状减轻相关，表明较高的水平与抑郁、焦虑和压力的显著减轻相关。
虽然更多的 e-MBI 练习与焦虑、抑郁和压力的减轻有关，但本研究强调了练习多样性而不是数量的重要性。DM 和 DSC 是影响干预效果的关键因素，可能是心理困扰的保护因素。通过使用应用程序日志数据，我们的研究为 e-MBI 的影响提供了独特的视角，为癌症护理的理解提供了帮助，并为未来的研究提供了指导。
