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Die psychoneuroimmunologische Forschung zum Effekt der achtsamkeitsbasierten Interventionen auf die Strukturen und Funktionen des zentralen Nervensystems sowie auf das Immunsystem steht erst am Anfang. Eine wachsende Zahl von Kliniken bietet Patienten achtsamkeitsbasierte Interventionen an.
Results for outcome measures: Significant improvements for depression, anxiety, stress, quality of life, achtsqmkeitsbasierte not for physical health.
Meta-analysis of meta-analyses not differentiated by patient groups; quality assessment tool not validated; quality assessment not reflected in conclusions. Small short-term effects on depression, moderate short-term effects on anxiety, no short-term effects on spirituality for MBSR compared to UC. Other outcomes only assessed in single RCTs.
Unclear methods randomization and allocation concealment; blinding unclear or high RoB; high risk of selective reporting; low risk of attrition and other bias. Some evidence of effectiveness but more research needed.
Short-term innergroup effects on depression, anxiety, and stress.
Achtsamkeitsbasierte Kognitive Therapie
Only 1 RCT had adequate randomization and blinding of outcome assessors. Positive effect of MBSR in decreasing anxiety, depression and stress and improving overall quality of life among breast cancer survivors. This approach should be recommended to breast cancer patients. Search strategy incompletely reported; MD used although different outcome measures were used MA biased ; no group comparisons but only innergroup comparisons in MA; safety not assessed.
Achtsammkeitsbasierte short- and long-term effects on anxiety, small short- achtszmkeitsbasierte long-term effects on depression, small short-term effects on mindfulness non-randomized studies ; small short- and long-term effects on depression and anxiety, small short-term effects on mindfulness RCTs. Mean Jadad Score 0. Effect estimates for individual studies unclear; validity of Jadad Score under discussion; safety not assessed; no conflict of interest statement.
MBSR is a promising modality for stress management among cancer patients. All practitioners must include MBSR as one of the approaches for stress reduction as part of cancer care.
Studies not indexed in the searched databases were excluded; search strategy inadequate; no RoB assessment; results not synthesized but only listed in a table; safety not assessed; conclusions not based on evidence too strong. Moderate short-term effects on achtsamkeitsbasiefte, depression, anxiety uncontrolled ; small short-term effects on anxiety, depression, no aachtsamkeitsbasierte on stress RCTs.
MBSR can be recommended to breast cancer patients as an option as part of their rehabilitation to help maintain a better quality of life in the longer term.
Mindfulness-based interventions compared to UC. Moderate short-term effects on anxiety; large short-term effects on depression; no achtsmakeitsbasierte effects on anxiety or depression. Low RoB except for blinding of participants. Mindfulness-based interventions can relieve anxiety and depression among patients with cancer. Further research is warranted. No grey literature included; search strategy incomplete; treatment status unclear; RoB assessment not in line with other reviews schtsamkeitsbasierte positive ; safety not assessed.
Jadad Score, baseline comparability, allocation concealment. Small short-term effects of MBSR compared to WL or UC on anxiety or emotional well-being, moderate short-term effects achtsqmkeitsbasierte fear of recurrence, large short-term effects on depression, no short-term effects on stress or spirituality.
More research is needed. No grey literature included; validity of Jadad Score under discussion; overestimation of the findings in light of the limited study quality; publication bias not assessed; safety not assessed. Eine Beschreibung der achtsamkeitsbwsierte, kontrollierten Studien ist in Tabelle 2 zu finden. Prostatakarzinomen [ 46 ]. Allocation concealment unclear; outcome assessors only partially blinded; required sample size not reached; safety not reported.
No further group differences. Short- and medium-term effects on pain intensity numerical rating scale. Short- and medium-term effects on quality of life WBI and pain medication use. Allocation concealment and blinding unclear; safety not reported. No effects of MBSR compared to psychoeducation and support. Short-term effects on vitality and global improvement, no medium-term effects. Allocation concealment unclear; outcome assessors only partially blinded; safety not reported.
Random sequence kkognitive, allocation concealment and blinding unclear; attrition and safety not reported. Inadequate randomization; no allocation concealment; blinding unclear; safety not reported; randomized patients excluded from analysis; no ITT analysis. No other significant group differences.
Vergleichbare Wirkungen wurden in der Metaanalyse von Huang et al. Die Metaanalyse von Zainal et al. Die aktuellste Metaanalyse von Zhang et al. Auch hier sind die von Huang et al. Bei einer gemischten Population von Tumorpatienten fanden Piet et al. Die Metaanalysen von Cramer et al.
Auf Grundlage des Reviews von Piet et al. Achtsamkeitsbasierte klinische Interventionen gelten als sicher. Die Sicherheit von meditationsbasierten Interventionen ist allerdings generell nicht gut untersucht. Die nicht in die Reviews eingeschlossenen Studien berichteten ebenfalls keine Daten zur Sicherheit. Mindfulness-Based Interventions achtsamkeitsbasiwrte Context: Past, Present, and Future. Clin Psychol Sci Prac Journal of behavioral medicine.
Mindfulness-based stress reduction in relation to quality of life, mood, symptoms of stress, and immune parameters in breast and prostate cancer outpatients.
Achtsamkeit — Onkopedia
Carmody J, Baer RA: How long does a mindfulness-based stress reduction program need to be? A review of class contact hours and effect sizes for psychological distress. Journal of clinical psychology. Carlson LE, Speca M: New Harbinger Publications, Inc. Audio recordings of mindfulness-based stress reduction training to improve cancer patients’ mood and quality of life–a pilot feasibility study. Supportive care in cancer: Mindfulness-based cognitive therapy for individuals whose lives have been affected by cancer: Journal of consulting and clinical psychology.
Randomized controlled trial of mindfulness-based stress reduction MBSR for survivors of breast cancer. Feasibility of a mindfulness-based stress reduction program for early-stage breast cancer survivors. Journal of holistic nursing: Mindfulness based stress reduction in post-treatment breast cancer patients: Living Well with Cancer Through Mindfulness. Satya House Publications; Psychological benefits for cancer patients and their partners participating in mindfulness-based stress reduction MBSR.
Self-report mindfulness as a mediator of psychological well-being in a stress reduction intervention for cancer patients–a randomized study. Annals of behavioral medicine Impact of mindfulness-based stress reduction MBSR on sleep, mood, stress and fatigue symptoms in cancer outpatients.
International journal of behavioral medicine The effects of a mindfulness meditation-based stress reduction program on mood and symptoms of stress in cancer outpatients: Supportive care in cancer 9: Mindfulness-based stress reduction training for oncology patients: Patient education and counseling. Kvillemo P, Branstrom R: Experiences of a mindfulness-based stress-reduction intervention among patients with cancer.
Current oncology Toronto, Ont. Mindful exercise, quality of life, and survival: Journal of alternative and complementary medicine New York, NY. One year pre-post intervention follow-up of psychological, immune, endocrine and blood pressure outcomes kognifive mindfulness-based stress reduction MBSR in breast and prostate cancer outpatients.
Brain, behavior, and immunity Intensive meditation training, immune cell telomerase activity, and psychological mediators. Effect of mindfulness based stress reduction on immune function, quality of life thegapie coping in women newly diagnosed with early stage breast cancer.
Mindfulness-based stress reduction and health benefits. Journal of psychosomatic research Mindfulness-based stress reduction in relation to quality of life, mood, symptoms of stress and levels of cortisol, dehydroepiandrosterone achtsamkeitsbasiwrte DHEAS and melatonin in breast and prostate cancer outpatients.
Garland E, Gaylord S: