Oppmerksomt naervaersbasert stressreduksjon (MBSR) for tilleggsvansker ved brystkreft
Sammanfattning
Background: This literature-review examines Mindfulness-Based Stress Reduction (MBSR) as a treatment of adverse psychological effects
of present or past breast-cancer.We raise three questions: is participation in MBSR associated with reductions in psychological symptoms
experienced by breast-cancer patients, have harmful effects been noted, and what is currently known regarding mediators of the associations
between MBSR- participation and outcome in this group.
Method: English and Scandinavian peer-reviewed articles in which breast-cancer where the dominant diagnosis were retrieved from databases
AMED, CINAHL, Cochrane, Embase, ISIWeb of Science, MEDLINE, Norart, and PsycINFO, last search January 2013.
Findings: Twenty-four peer-reviewed studies and two reviews were found (six randomized clinical trials, five non-randomized studies, eleven
pre-post studies and two qualitative studies). MBSR-participation was associated with favorable outcome, most consistently in areas of stress
and anxiety but also in relation to low mood, negative thoughts, sleeplessness, sense of coherence and quality of life. Some discomfort during
practice was noted in interviews, but no harmful effects. Correlations between increased self-reported mindfulness and decreased levels of
psychological problems were common, but mediation analyses did not equivocally support increased mindfulness as a mediator between
MBSR and outcome.
Conclusions: We conclude that MBSR is associated with reduced psychological symptoms in women with breast-cancer, but empirical
evidence is still scarce regarding mechanisms of change and for whom the intervention is most effective.