Ryu Hyejo, You Si Nae, Oh Sohee, Kim Bora, Kim Jeong-Hyun, Kim In Ah
Department of Radiation Oncology, Seoul National University Bundang Hospital, Seoul National University College of Medicine, Seongnam, Korea.
Medical Research Collaborating Center, Seoul Metropolitan Government Seoul National University Boramae Medical Center, Seoul, Korea.
Cancer Res Treat. 2025 Jul;57(3):741-748. doi: 10.4143/crt.2024.955. Epub 2024 Nov 25.
Previous research showed the benefits of mindfulness meditation on the mental health and quality of life of breast cancer patients. Traditionally, these programs relied on in-person interactions, but the coronavirus disease 2019 pandemic necessitated alternative delivery methods. This study evaluated the effectiveness and feasibility of a mindfulness-based self-help (MBSH) program via Netflix for breast cancer patients undergoing radiotherapy.
This prospective nonrandomized controlled study assigned patients to a control or MBSH group based on age and preference. The MBSH group watched episodes of "Headspace Guide to Meditation" on Netflix and practiced guided meditation at least twice per week for four weeks. Participants completed questionnaires assessing depression, anxiety, stress, insomnia, mindfulness, mental adjustment to cancer, and quality of life at weeks 0 and 8. Data were analyzed using a two-way repeated measures ANOVA.
Ninety-six patients participated, with 84 eligible for final analysis (44 control, 40 MBSH). Intention-to-treat analysis revealed a significant improvement in depression (f=4.306, p=0.041). Half of the experimental group (n=20) adhered to the study protocol. At week 8, the experimental group showed significant improvement compared to the control group in cognitive avoidance (f=8.530, p=0.005) and positive attitude (f=5.585, p=0.021), both indicative of adaptive coping strategies.
This study firstly investigated the effect and feasibility of a Netflix-based MBSH program for breast cancer patients undergoing radiotherapy. Findings suggest MBSH on Netflix can improve mental health and adaptive mental adjustment, highlighting the potential of self-help mindfulness interventions to enhance the well-being of cancer patients and need for further research.
先前的研究表明，正念冥想对乳腺癌患者的心理健康和生活质量有益。传统上，这些项目依赖面对面互动，但2019年冠状病毒病大流行使得需要采用替代的交付方式。本研究评估了通过Netflix为接受放疗的乳腺癌患者开展的基于正念的自助（MBSH）项目的有效性和可行性。
这项前瞻性非随机对照研究根据年龄和偏好将患者分为对照组或MBSH组。MBSH组观看Netflix上的《Headspace冥想指南》剧集，并每周至少进行两次引导冥想，持续四周。参与者在第0周和第8周完成了评估抑郁、焦虑、压力、失眠、正念、对癌症的心理调适和生活质量的问卷。数据采用双向重复测量方差分析进行分析。
96名患者参与，84名符合最终分析条件（44名对照组，40名MBSH组）。意向性分析显示抑郁有显著改善（F = 4.306，P = 0.041）。实验组的一半（n = 20）遵守了研究方案。在第8周，实验组与对照组相比，在认知回避（F = 8.530，P = 0.005）和积极态度（F = 5.585，P = 0.021）方面有显著改善，这两者均表明是适应性应对策略。
本研究首次调查了基于Netflix的MBSH项目对接受放疗的乳腺癌患者的效果和可行性。研究结果表明，Netflix上的MBSH可以改善心理健康和适应性心理调适，凸显了自助正念干预对提高癌症患者幸福感的潜力以及进一步研究的必要性。
