The Effect of Mindfulness-Based Cognitive Therapy on Anxiety and Depression Levels in Breast Cancer Patients: A Systematic Review

Norwinda Norwinda; Yulis Setiya Dewi; Ilya Krisnana

doi:10.37287/ijghr.v6iS6.5019

Norwinda Norwinda Universitas Airlangga
Yulis Setiya Dewi Universitas Airlangga
Ilya Krisnana Universitas Airlangga

DOI: https://doi.org/10.37287/ijghr.v6iS6.5019

Keywords: anxiety, breast cancer, depression, mindfulness based cognitive therapy

Abstract

Cancer is closely associated with several anxiety issues and depression is the most common comorbidity of cancer. It has been stated that 60% of individuals with cancer have psychological symptoms (depression and anxiety) related to cancer and according to the American Cancer Society, more than 25% of cancer patients suffer from symptoms of clinical depression. Methods: This study is a systematic review that analyzes 11 articles that are relevant to the topic, articles are searched through Pubmed, SpringerLink, Sciencedirect and Google Scholar from 2019-2023. Keywords used ((“Mindfulness Based Cognitive Therapy” OR “MBCT”) AND (“Anxiety” OR “Anxiety Disorders”) AND (“Depression” OR “Depressive Disorder”) AND (“Breast Cancer” OR “Breast Neoplasm” OR “Breast Carcinoma” OR “Breast Tumor'')).Results: The provision of mindfulness based cognitive therapy in 11 articles applied to various ages and to patients experiencing anxiety and depression in various countries with results showing effectiveness in preventing relapse and overcoming anxiety and depression by providing therapy for 8 weeks with a single administration for 90 minutes. Conclusion: The provision of mindfulness based cognitive therapy for 8 weeks with a single administration for 90 minutes can prevent and overcome anxiety and depression. Therefore, it is expected that nurses can apply this evidence based nursing as a preventive and curative effort.

References

Agung, A., Sanjiwani, S., Luh, N., & Thrisna, P. (2021). Reducing Anxiety and Depression Among Cancer Patients: 20, 85–94.

Carreira, H., Williams, R., Dempsey, H., Stanway, S., & Smeeth, L. (2021). Quality of life and mental health in breast cancer survivors compared with non-cancer controls : a study of patient-reported outcomes in the United Kingdom. 564–575.

Chang, Y.-C., Tseng, T.A., Lin, G.-M., Hu, W.-Y., Wang, C.-K., & Chang, Y.-M. (2023). Immediate impact of Mindfulness-Based Cognitive Therapy (MBCT) among women with breast cancer: a systematic review and meta-analysis. BMC Women's Health, 23(1). https://doi.org/10.1186/s12905-023-02486-x

Chu, X., Lou, Y., Wang, Z., & Xu, Q. (2020). Effect of mindfulness based cognitive therapy on the mental health and quality of life in patients with breast cancer. Indian Journal of Pharmaceutical Sciences, 82, 44–48. https://www.scopus.com/inward/record.uri?eid=2-s2.0-85095784336&partnerID=40&md5=30f8608d99988025c9fc5952129efd96

Cillessen, L., van de Ven, M.O., Compen, F.R., Bisseling, E.M., van der Lee, M.L., & Speckens, A.E.M. (2020). Predictors and effects of use of an online mindfulness intervention for distressed cancer patients: Usability study. Journal of Medical Internet Research, 22(10). https://doi.org/10.2196/17526

Compen, F., Bisseling. E., Schellekens, M., Donders, R., Carlson, L., Lee, M., & Speckens, A. (2018). Face to face and internet based mindfulness based cognitive therapy compared with treatment as usual in reducing psychological distress in patients with cancer: A multicenter randomized controlled trial. Journal of Clinical Oncology, 36(23), 24. https://doi.org/https://doi.org/10.1200/JCO.2017.76.5669

Fajrina, D., Padoli, & Norontoko, DA (2018). Self-Acceptance and Side Effects of Chemotherapy in Breast Cancer Clients Undergoing Chemotherapy at Surabaya Oncology Hospital. Nursing Journal, XI(1), 24–34.

Jayadi, TH, Tajikzadeh, F., Bayat, H. Eshraghi, N.. Roshandel, Z. & Rahmani, S. (2018). Comparison of effectiveness of the mindfulness-based cognitive therapy and the cognitive treatment on anxiety, depression, and stress among breast cancer patients. International Clinical Neuroscience Journal, 5(2), 62–6.

Lengacher, CA, Gruss, LF, Kip, KE, Reich, RR, Chauca, KG, Moscoso, MS, Joshi, A., Tinsley, S., Shani, B., Cousin, L., Paterson, C., & Kip, K. E. (2021). Mindfulness‑based stress reduction for breast cancer survivors (MBSR (BC)): evaluating mediators of psychological and physical outcomes in a large randomized controlled trial. Journal of Behavioral Medicine, 44(5), 591–604. https://doi.org/10.1007/s10865-021-00214-0

Liu, W., Liu, J., Ma, L., & Chen, J. (2022). Effect of mindfulness yoga on anxiety and depression in early breast cancer patients receiving adjuvant chemotherapy : a randomized clinical trial. Journal of Cancer Research and Clinical Oncology, 148(9), 2549–2560. https://doi.org/10.1007/s00432-022-04167-y

Mehranfar, M., Younesi, J., & Banihashem, A. (nd). Effectiveness of Mindfulness-Based Cognitive Therapy on Reduction of Depression and Anxiety Symptoms in Mothers of Children With Cancer. 1–10.

Mirmahmoodi, M., Mangalian, P., Ahmadi, A., & Dehghan, M. (2020). The Effect of Mindfulness-Based Stress Reduction Group Counseling on Psychological and Inflammatory Responses of Women With Breast Cancer. Integrative Cancer Therapies, 19. https://doi.org/10.1177/1534735420946819

Nissen, E.R., O'Connor, M., Kaldo, V., Højris, I., Borre, M., Zachariae, R., & Mehlsen, M. (2020). Internet-delivered mindfulness-based cognitive therapy for anxiety and depression in cancer survivors: A randomized controlled trial. Psycho-Oncology, 29(1), 68–75. https://doi.org/10.1002/pon.5237

Park, S., Sato, Y., Takita, Y., Tamura, N., Ninomiya, A., Kosugi, T., Sado, M., Nakagawa, A., Takahashi, M., Hayashida, T., & Fujisawa, D. (2020). Mindfulness-Based Cognitive Therapy for Psychological Distress, Fear of Cancer Recurrence, Fatigue, Spiritual Well-Being, and Quality of Life in Patients With Breast Cancer—A Randomized Controlled Trial. Journal of Pain and Symptom Management, 60(2), 381–389. https://doi.org/https://doi.org/10.1016/j.jpainsymman.2020.02.017

Pedro, J., Monteiro-Reis, S., Carvalho-Maia, C., Henrique, R., Jerónimo, C., & Silva, E.R. (2021). Evidence of psychological and biological effects of structured Mindfulness-Based Interventions for cancer patients and survivors: A meta-review. Psycho-Oncology, 30(11), 1836–1848. https://doi.org/10.1002/pon.5771

Rahayuwati, L., Ibrahim, K., & Komariah, M. (2019). Treatment Options for Breast Cancer Patients During Chemotherapy: A Case Study. Indonesian Nursing Journal, 20(2), 118–127. https://doi.org/https://doi.org/10.7454/jki.v2012.478

Sanjiwani, AAS, & Dewi, NLPT (2022). The Role of Mindfulness-Based Cognitive Therapy in Reducing Anxiety and Depression in Cancer Patients: Literature Review. Psycho Idea, 20(1), 85–.

Sheikhzadeh, M., Zanjani, Z., & Baari, A. (2021). Efficacy of mindfulness-based cognitive therapy and cognitive behavioral therapy for anxiety, depression, and fatigue in cancer patients: A randomized clinical trial. Iranian Journal of Psychiatry, 16(3), 271–280. https://doi.org/10.18502/ijps.v16i3.6252

Spijkerman. MP., Pots, W.T. & Bohlmeijer, E.I. (2016). Effectiveness of online mindfulness-based interventions in improving mental health: A review and meta-analysis of randomized controlled trials. Clinical Psychology Review, 45, 102–11. https://doi.org/https://doi.org//10.1016/j.cpr.2016.03.009

Sukmawati, Y., Lestari, R., & Wardhani, V. (2023). The Effectiveness of Giving Cognitive Behavior Therapy (CBT) and Mindfulness Therapy on Adolescents' Social Anxiety Levels. Jurnal Aisyah: Jurnal Ilmu Kesehatan, 8(1), 491–.

Tamura, N., Park, S., Sato, Y., Sato, Y., Takita, Y., Ninomiya, A., Sado, M., Mimura, M., & Fujisawa, D. (2022). Predictors and moderators of outcomes in mindfulness-based cognitive therapy intervention for early breast cancer patients. Palliative and Supportive Care, 20(2), 159–166. https://doi.org/10.1017/S147895152100078X

Yang, P., & Chemotherapy, M. (2023). The relationship between resilience and anxiety levels in breast cancer patients undergoing chemotherapy. 11(2), 293–304.

Yao, L.-Q., Kwok, S.W.H., Tan, J.-Y. (Benjamin), Wang, T., Liu, X.-L., Bressington, D., Chen, S.-L., & Huang, H.-Q. (2022). The effect of an evidence-based Tai chi intervention on the fatigue-sleep disturbance-depression symptom cluster in breast cancer patients: A preliminary randomized controlled trial. European Journal of Oncology Nursing, 61, 102202. https://doi.org/https://doi.org/10.1016/j.ejon.2022.102202

Zemestani, M., & Nikoo, Z. F. (2020). Effectiveness of mindfulness-based cognitive therapy for comorbid depression and anxiety in pregnancy : a randomized controlled trial. 207–214.

Zullig, K, J. (2018). Incorporating Mindfulness Based Relapse Prevention into Outpatient Therapy for Treatment of Opioid Use Disorder with Medication Assisted Treatment. Scientific and Medical.