Stress and Response to Treatment: Insights From a Pilot Study Using a 4-week Contemplative Self-Healing Meditation Intervention for Posttraumatic Stress in Breast Cancer.

Emanuela Offidani, Janey C Peterson, Joseph Loizzo, Anne Moore, Mary E Charlson
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引用次数: 15

Abstract

Along with symptoms of anxiety and depression, many breast cancer survivors experience symptoms of posttraumatic stress disorder (PTSD) that may worsen in the setting of other stressful life events. The aim of this pilot study was to evaluate whether a 4-week version of our Contemplative Self-Healing program would have different effects in reducing PTSD symptoms between breast cancer survivors with or without chronic stress at baseline. PTSD symptoms were measured using the Impact of Events scale (IES). A linear mixed model analysis was used to evaluate within patients changes in IES score. Results showed that breast cancer patients who were experiencing chronic stress reported greater improvement in IES score than those without chronic stress. Our preliminary findings shed light on the need to evaluate life stressors in breast cancer patients. Evaluating chronic stress may be essential in predicting which cancer patients may benefit most from a psychological intervention.

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压力和对治疗的反应:对乳腺癌创伤后压力的4周自我修复冥想干预的初步研究的见解。
随着焦虑和抑郁的症状,许多乳腺癌幸存者经历了创伤后应激障碍(PTSD)的症状,这种症状可能在其他压力生活事件的背景下恶化。这项初步研究的目的是评估一个为期4周的冥想自我治疗项目是否对有或没有慢性压力的乳腺癌幸存者在减轻PTSD症状方面有不同的效果。使用事件影响量表(IES)测量PTSD症状。采用线性混合模型分析评价患者内部IES评分的变化。结果显示,经历慢性压力的乳腺癌患者比没有慢性压力的乳腺癌患者在IES评分上有更大的改善。我们的初步发现阐明了评估乳腺癌患者生活压力源的必要性。评估慢性压力对于预测哪些癌症患者可能从心理干预中获益最多至关重要。
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期刊介绍: The Journal of Evidence-Based Integrative Medicine ((JEBIM)), published previously as the Journal of Evidence-Based Complementary and Alternative Medicine (JEBCAM) and also as Complementary Health Practice Review (CHPR). The Journal of Evidence-Based Integrative Medicine (JEBIM) is an interdisciplinary, peer-reviewed, open access, biomedical journal whose aim is to create a global platform for hypothesis-driven and evidence-based research in all fields of integrative medicine. The journal’s objective is to publish papers which impart scientific validity to Integrative Medicine methods that are indispensable and inevitable in today’s world. All papers will be peer reviewed by experts in their respective fields, and papers will be accepted based on their scientific merit. It is the goal of the Journal to help remove the “myth” and provide scientific rationale for the various methodologies and theories of Integrative Medicine. All submissions will be reviewed based on their scientific merit and only papers with sound study design, valid statistical analyses and logical conclusions will be accepted. Topics include, but are not limited to: Traditional Eastern and Western medicine Nutrition therapy and supplementation Massage Therapy Non-traditional treatments Preventative medicine Integrative health and medicine Mindfulness Yoga.
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