Mindfulness para la reducción del malestar emocional en pacientes oncológicos. Estudio comparativo con una intervención psicoeducativa estándar / No disponible

Objetivo: Comparar la efectividad de una intervención de Mindfulness (MBSR) versus una intervención psicoeducativa estándar en pacientes oncológicos. Método: La intervención MBSR (grupo experimental) consistió en 10 sesiones semanales de 2,5 horas cada una de ellas y el paciente debía practicar Mindfulness diariamente y durante 45 minutos en su casa y la intervención psicoeducativa (grupo control) consistió en 8 sesiones semanales de 2,5 horas. Participaron 20 y 17 personas, respectivamente. Se recogieron datos basales y se administraron (pretest-postest) los siguientes cuestionarios a los participantes de ambos grupos: STAI (ansiedad-estado y ansiedad-rasgo), BDI (depresión) y EORT-QLQ C-30 (calidad de vida). Resultados: En el grupo experimental resultaron diferencias estadísticamente significativas indicativas de mejoría en todas las medidas (depresión, ansiedad-estado, ansiedad-rasgo y calidad de vida) mientras que en el grupo de control sólo aparecieron en la variable ansiedad-estado. Conclusiones: Los datos de esta investigación indican que el MBSR produce una mejoría importante en el malestar emocional y en la calidad de vida, superior a la que puede lograrse con una intervención psicoeducativa. No obstante, no puede afirmarse que el MBSR deba ser la técnica de elección para todos los casos, pues no está claro que pueda ser seguida por cualquier tipo de paciente, al requerir una alta implicación por parte del mismo (AU)

Purpose: To compare the effectiveness of a Mindfulness-Based Stress Reduction (MBSR) intervention versus a psychoeducational standard intervention in oncological patients. Method: MBSR intervention was applied following a 2’5 h-session schedule, across 10 weekly sessions. Patients (n= 20) had to practice mindfulness daily at home during 45 minutes. In the psychoeducational group (n=17) a schedule of 8 weeekly sessions of 2’5 h each was applied. Following a pre-post design, the following questionnaires were applied to both groups of patients: STAI (to assess both state and trait anxiety), BDI (Depression) and EORTC-QLQ-C-30 (quality of life). Results: In the MBSR group, scores in anxiety and depression decreased at post-treatment assessment whereas quality of life scores increased. These differences reached statistical significance. In the psychoeducational group only state anxiety scores decreased at post-treatment, with the difference reaching statistical significance. Conclusions: MBSR produces higher improvements in emotional states and quality of life than those obtained following a psychoeducational standard procedure. However, itcannot be stated that MBSR must be always the intervention to be applied in all cases, since it is not clear that all patients could follow theguidelines, tasks and exercices required by this technique (AU)

A randomized trial of the effect of training in relaxation and guided imagery techniques in improving psychological and quality-of-life indices for gynecologic and breast brachytherapy patients.

PURPOSE: The randomized study aimed to determine the efficacy of psychological intervention consisting of relaxation and guided imagery to reduce anxiety and depression in gynecologic and breast cancer patients undergoing brachytherapy during hospitalization. METHODS AND MATERIALS: Sixty-six patients programmed to receive brachytherapy in two hospitals in Barcelona (Spain) were included in this study. The patients were randomly allocated to either the study group (n=32) or the control group (n=34). Patients in both groups received training regarding brachytherapy, but only study group patients received training in relaxation and guided imagery. After collection of sociodemographic data, all patients were given a set of questionnaires on anxiety and depression: the Hospital Anxiety and Depression Scale (HADS), and on quality of life: Cuestionario de Calidad de Vida QL-CA-AFex (CCV), prior to, during and after brachytherapy. RESULTS: The study group demonstrated a statistically significant reduction in anxiety (p=0.008), depression (p=0.03) and body discomfort (p=0.04) compared with the control group. CONCLUSIONS: The use of relaxation techniques and guided imagery is effective in reducing the levels of anxiety, depression and body discomfort in patients who must remain isolated while undergoing brachytherapy. This simple and inexpensive intervention enhances the psychological wellness in patients undergoing brachytherapy.State: This study has passed Ethical Committee review.