Psychological symptoms and stress biomarkers among women in remission from breast cancer Mental and Behavioural Disorders
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Women (aged 25-65 years) with curatively treated, operated invasive breast cancer (T1-4 N0-3 M0) 1 year earlier 2. Self-reported depressive symptoms (BDI-II score >13 points) 3. Motivation to attend
Exclusion criteria
Exclusion criteria: 1. Metastatic disease 2. Lack of motivation to attend 3. Substance abuse 4. Suicidality 5. Psychotic symptoms 6. Untreated posttraumatic stress disorder 7. Severe social phobia
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Measured at baseline before the start of the MBSR program, mid-program (4 weeks after baseline), and at the program completion (8 weeks after baseline): 1. Psychological symptoms and mental wellbeing assessed by the following self-reported questionnaires: 1.1. Depression symptoms measured using the Beck Depression Inventory-II (BDI-II) 1.2. Anxiety measured using the Beck Anxiety Inventory (BAI) 1.3. Insomnia measured using the Insomnia Severity Index (ISI) 1.4. Stress measured using the Perceived Stress Scale (PSS-10) 1.5. Quality of life measured using the World Health Organization Quality of Life–questionnaire (WHOQOL-BREF) 1.6. Resilience measured using the Resilience Scale 1.7. Self-compassion measured using the Self-compassion Scale, short form (SCS-SF) 1.8. Mindfulness skills measured using the Five Facet Mindfulness Questionnaire (FFMQ) 2. Stress and low-grade inflammation assessed using the following biomarkers: cortisol (sera), adrenocorticotropine (sera), hs-CRP (sera), 24-hour- cortisol (urine) | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Quantity of independent mindfulness practice (time in minutes) collected with a written diary filled in by the participants every day during the 8-week program (8 x 7), i.e. 56 timepoints 2. Experiences of mindfulness practice and the MBSR program gathered in a written format by eight open-ended questions at the program completion (8 weeks after baseline): 1. Did you have difficult experiences related to mindfulness practice? 2. If you had difficult experience/s related to mindfulness practice, how did it/they affect your life? 3. The most important learnings from the MBSR course to you? 4. Do you apply learnings from the MBSR course to your everyday life? 5. Do you feel that you received support from the members of the MBSR group? 6. Did you have bodily sensations related to mindfulness practice? 7. Are you able to verbalize your mindfulness experience? 8. Do understand mindfulness practice similarly or differently compared to your understanding prior to attending the MBSR program? | — |
Countries
Finland