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Onkologische Welt 2022; 13(03): 157-161
DOI: 10.1055/a-1729-9464
Originalartikel

Meditations- und Achtsamkeitsinterventionen zur Förderung psychischer Ressourcen in der supportiven onkologischen Behandlung

Meditation and Mindfulness Interventions to Promote Psychological Resources in Supportive Oncological Therapy
Maren M. Michaelsen
1   Institut für Integrative Gesundheitsversorgung und Gesundheitsförderung, Universität Witten-Herdecke
,
Tobias Esch
1   Institut für Integrative Gesundheitsversorgung und Gesundheitsförderung, Universität Witten-Herdecke
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ZUSAMMENFASSUNG

Menschen, die von einer Krebserkrankung betroffen sind, leiden neben körperlichen Beschwerden häufig an psychischen Symptomen wie Angst, Depression und Stress. Psychoonkologische Interventionen zur Unterstützung des Selbstmanagements, Stärkung der Selbstwirksamkeit und Förderung weiterer psychischer Ressourcen sind auf Seiten der Betroffenen von immer größerer Bedeutung. Die derzeitige Evidenz unterstützt die Annahme, dass Meditations- und Achtsamkeitsinterventionen, als ein Element in der Mind-Body-Medizin, wirksam in der supportiven Onkologie eingesetzt werden können. Neben persönlich vermittelten Interventionen erscheinen auch Online-Interventionen (eHealth) in diesem Zusammenhang vielversprechend.

ABSTRACT

Individuals affected by cancer usually suffer from psychological symptoms such as anxiety, depression and stress in addition to physical complaints. Psycho-oncological interventions to support self-management, strengthen self-efficacy and promote further psychological resources are increasingly gaining interest among those affected. Recent evidence supports the assumption that meditation and mindfulness interventions, as an element of mind-body medicine, can be implemented effectively in supportive oncology. In addition to face-to-face interventions, online meditation and mindfulness interventions (eHealth) seem also promising in this context.

Schlüsselwörter

Meditation - Achtsamkeit - Onkologie - Krebs - Psychoonkologie - psychologische Ressourcen - eHealth

Keywords

Meditation - mindfulness - oncology - cancer - psycho-oncology - psychological resources - eHealth


Publikationsverlauf

Artikel online veröffentlicht:
30. Juni 2022

© 2022. Thieme. All rights reserved.

Georg Thieme Verlag KG
Rüdigerstraße 14, 70469 Stuttgart, Germany

 

  • Literatur

  • 1 Pachman DR, Barton DL, Swetz KM, Loprinzi CL. Troublesome symptoms in cancer survivors: fatigue, insomnia, neuropathy, and pain. J Clin Oncol 2012; 30: 3687-3696
    CrossrefPubMedSuche in Google Scholar
  • 2 Dong ST, Butow PN, Tong A. et al Patients’ experiences and perspectives of multiple concurrent symptoms in advanced cancer: a semi-structured interview study. Support Care Cancer 2016; 24: 1373-1386
    CrossrefPubMedSuche in Google Scholar
  • 3 Mitchell AJ, Chan M, Bhatti H. et al Prevalence of depression, anxiety, and adjustment disorder in oncological, haematological, and palliative-care settings: a meta-analysis of 94 interview-based studies. The Lancet Oncology 2011; 12: 160-174
    CrossrefPubMedSuche in Google Scholar
  • 4 Duncan M, Moschopoulou E, Herrington E. et al Review of systematic reviews of non-pharmacological interventions to improve quality of life in cancer survivors. BMJ Open 2017; 07: e015860
    CrossrefPubMedSuche in Google Scholar
  • 5 Zimmermann FF, Burrell B, Jordan J. Patients’ experiences of a mindfulness intervention for adults with advanced cancer: a qualitative analysis. Support Care Cancer 2020; 28: 4911-4921
    CrossrefPubMedSuche in Google Scholar
  • 6 Witt CM, Balneaves LG, Cardoso MJ. et al A comprehensive definition for integrative oncology. J Natl Cancer Inst Monogr 2017: 2017
    Suche in Google Scholar
  • 7 Bishop SR. Mindfulness: A proposed operational definition. Clinical Psychology: Science and Practice 2004; 11: 230-241
    CrossrefSuche in Google Scholar
  • 8 Steinmann RM. Spiritualität – die vierte Dimension der Gesundheit. Eine Einführung aus Sicht von Gesundheitsförderung und Prävention. Wien, Berlin: Lit Verlag; 2008
    Suche in Google Scholar
  • 9 Visser A, Garssen B, Vingerhoets A. Spirituality and well-being in cancer patients: a review. Psychooncology 2010; 19: 565-572
    CrossrefPubMedSuche in Google Scholar
  • 10 Kabat-Zinn J. Gesund durch Meditation: Das große Buch der Selbstheilung. 9. Aufl. Frankfurt am Main; Fischer: 2010
    Suche in Google Scholar
  • 11 Grossman P, Niemann L, Schmidt S, Walach H. Mindfulness-based stress reduction and health benefits. J Psychosom Res 2004; 57: 35-43
    CrossrefPubMedSuche in Google Scholar
  • 12 Wren AA, Shelby RA, Soo MS. et al Preliminary efficacy of a lovingkindness meditation intervention for patients undergoing biopsy and breast cancer surgery: A randomized controlled pilot study. Support Care Cancer 2019; 27: 3583-3592
    CrossrefPubMedSuche in Google Scholar
  • 13 Pagliaro G, Bernardini F. A specific type of Tibetan medicine meditation for women with breast cancer: A pilot survey. Oncology 2019; 97: 119-124
    CrossrefPubMedSuche in Google Scholar
  • 14 Chambers SK, Foley E, Clutton S. et al The role of mindfulness in distress and quality of life for men with advanced prostate cancer. Qual Life Res 2016; 25: 3027-3035
    CrossrefPubMedSuche in Google Scholar
  • 15 Haller H, Winkler MM, Klose P. et al Mindfulness-based interventions for women with breast cancer: an updated systematic review and meta-analysis. Acta Oncol 2017; 56: 1665-1676
    CrossrefPubMedSuche in Google Scholar
  • 16 Oberoi S, Yang J, Woodgate RL. et al Association of mindfulness-based interventions with anxiety severity in adults with cancer: A systematic review and meta-analysis. JAMA Netw Open 2020; 03: e2012598
    CrossrefPubMedSuche in Google Scholar
  • 17 Xunlin NG, Lau Y, Klainin-Yobas P. The effectiveness of mindfulnessbased interventions among cancer patients and survivors: a systematic review and meta-analysis. Support Care Cancer 2020; 28: 1563-1578
    CrossrefPubMedSuche in Google Scholar
  • 18 Zhang Q, Zhao H, Zheng Y. Effectiveness of mindfulness-based stress reduction (MBSR) on symptom variables and health-related quality of life in breast cancer patients – a systematic review and meta-analysis. Support Care Cancer 2019; 27: 771-781
    CrossrefPubMedSuche in Google Scholar
  • 19 Zimmermann FF, Burrell B, Jordan J. The acceptability and potential benefits of mindfulness-based interventions in improving psychological well-being for adults with advanced cancer: A systematic review. Complement Ther Clin Pract 2018; 30: 68-78
    PubMedSuche in Google Scholar
  • 20 Xie C, Dong B, Wang L. et al Mindfulness-based stress reduction can alleviate cancer-related fatigue: A meta-analysis. J Psychosom Res 2020; 130: 109916
    CrossrefPubMedSuche in Google Scholar
  • 21 Musial F, Büssing A, Heusser P. et al Mindfulness-based stress reduction for integrative cancer care: a summary of evidence. Forsch Komplementmed 2011; 18: 192-202
    CrossrefPubMedSuche in Google Scholar
  • 22 Compen F, Adang E, Bisseling E. et al Cost-utility of individual internet-based and face-to-face Mindfulness-Based Cognitive Therapy compared with treatment as usual in reducing psychological distress in cancer patients. Psychooncology 2020; 29: 294-303
    CrossrefPubMedSuche in Google Scholar
  • 23 Kubo A, Kurtovich E, McGinnis M. et al A randomized controlled trial of mHealth mindfulness intervention for cancer patients and informal cancer caregivers: A feasibility study within an integrated health care delivery system. Integr Cancer Ther 2019; 18: 1534735419850634
    Suche in Google Scholar
  • 24 Mikolasek M, Berg J, Witt CM, Barth J. Effectiveness of mindfulnessand relaxation-based eHealth interventions for patients with medical conditions: a systematic review and synthesis. Int J Behav Med 2018; 25: 1-16
    CrossrefPubMedSuche in Google Scholar
  • 25 Bruggeman-Everts FZ, Wolvers MDJ, van de Schoot R. et al Effectiveness of two web-based interventions for chronic cancer-related fatigue compared to an active control condition: Results of the “Fitter na kanker” randomized controlled trial. J Med Internet Res 2017; 19: e336
    CrossrefPubMedSuche in Google Scholar
  • 26 Compen F, Bisseling E, Schellekens M. et al Face-to-face and internetbased mindfulness-based cognitive therapy compared with treatment as usual in reducing psychological distress in patients with cancer: A multicenter randomized controlled trial. J Clin Oncol 2018; 36: 2413-2421
    CrossrefPubMedSuche in Google Scholar
  • 27 Millstine DM, Bhagra A, Jenkins SM. et al Use of a wearable EEG headband as a meditation device for women with newly diagnosed breast cancer: A randomized controlled trial. Integr Cancer Ther 2019; 18: 1534735419878770
    Suche in Google Scholar
  • 28 Nissen ER, O’Connor M, Kaldo V. et al Internet-delivered mindfulnessbased cognitive therapy for anxiety and depression in cancer survivors: A randomized controlled trial. Psychooncology 2020; 29: 68-75
    CrossrefPubMedSuche in Google Scholar
  • 29 Zernicke KA, Campbell TS, Speca M. et al A randomized wait-list controlled trial of feasibility and efficacy of an online mindfulnessbased cancer recovery program: the eTherapy for cancer applying mindfulness trial. Psychosom Med 2014; 76: 257-267
    CrossrefPubMedSuche in Google Scholar
  • 30 Russell L, Ugalde A, Orellana L. et al A pilot randomised controlled trial of an online mindfulness-based program for people diagnosed with melanoma. Support Care Cancer 2019; 27: 2735-2746
    CrossrefPubMedSuche in Google Scholar
  • 31 Tate KJ, Newbury-Birch D, McGeechan GJ. A systematic review of qualitative evidence of cancer patients’ attitudes to mindfulness. Eur J Cancer Care (Engl) 2018; 27: e12783
    CrossrefPubMedSuche in Google Scholar
  • 32 Ringwald J, Gerstner L, Junne F. et al Mindfulness and skills based distress reduction in oncology: Das Webbasierte Psychoonkologische Make It Training. Psychother Psychosom Med Psychol 2019; 69: 407-412
    Thieme ConnectPubMedSuche in Google Scholar
  • 33 Hall DL, Luberto CM, Philpotts LL. et al Mind-body interventions for fear of cancer recurrence: A systematic review and meta-analysis. Psychooncology 2018; 27: 2546-2558
    CrossrefPubMedSuche in Google Scholar
  • 34 Schellekens MPJ, van den Hurk DGM, Prins JB. et al Mindfulness-based stress reduction added to care as usual for lung cancer patients and/or their partners: A multicentre randomized controlled trial. Psychooncology 2017; 26: 2118-2126
    CrossrefPubMedSuche in Google Scholar
  • 35 Mikolasek M, Witt CM, Barth J. Adherence to a mindfulness and relaxation self-care app for cancer patients: Mixed-methods feasibility study. JMIR Mhealth Uhealth 2018; 06: e11271
    CrossrefPubMedSuche in Google Scholar
  • 36 Lengacher CA, Reich RR, Ramesar S. et al Feasibility of the mobile mindfulness-based stress reduction for breast cancer (mMBSR(BC)) program for symptom improvement among breast cancer survivors. Psychooncology 2018; 27: 524-531
    CrossrefPubMedSuche in Google Scholar
  • 37 Garland SN, Stainken C, Ahluwalia K. et al Cancer-related search for meaning increases willingness to participate in mindfulness-based stress reduction. Integr Cancer Ther 2015; 14: 231-239
    CrossrefPubMedSuche in Google Scholar
  • 38 Schellekens MPJ, Jansen ETM, Willemse HHMA. et al A qualitative study on mindfulness-based stress reduction for breast cancer patients: how women experience participating with fellow patients. Support Care Cancer 2016; 24: 1813-1820
    CrossrefPubMedSuche in Google Scholar
  • 39 Eyles C, Leydon GM, Hoffman CJ. et al Mindfulness for the selfmanagement of fatigue, anxiety, and depression in women with metastatic breast cancer: a mixed methods feasibility study. Integr Cancer Ther 2015; 14: 42-56
    CrossrefPubMedSuche in Google Scholar