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Sadeghpour A, Khalatbari J, Seyf A A, Shahriari Ahmadi A. The Effects of Mindfulness Training on Cancer-Induced Fatigue and Chemotherapy Adverse Effects in Cancer Patients. MEJDS 2021; 11 :26-26
URL: http://jdisabilstud.org/article-1-2227-en.html
1- Department of Psychology, Islamic Azad University, Science and Research Branch
2- Department of Psychology, Islamic Azad University, Tonekabon Branch
3- Department of Psychology, Allameh Tabatabai University
4- Department of Hematology and Medical Oncology, Iran University of Medical Science
Abstract:   (1280 Views)
Background & Objectives: Cancer refers to the cell masses with malignant properties. Cancers are among the most common and severe diseases observed in clinical medicine. Patients describe fatigue resulting from cancer as very severe, chronic, and frustrating that does not eliminate with rest. Fatigue presents a negative effect on various aspects of individuals’ quality of life. The standard cancer treatment is often chemotherapy, which can generate symptoms, such as nausea, fatigue, anorexia, pain, and sleep disturbances. One of the most frequent and severe adverse effects of chemotherapy is nausea and vomiting. The psychological dimension of cancer patients’ lives is as essential as their physical therapy and helps them with treatment adherence. The present study aimed to evaluate the effects of mindfulness training on cancer–induced fatigue and the rate of chemotherapy adverse effects (nausea & vomiting) in cancer patients.
Methods: This was a quasi–experimental study with a pretest–posttest and a control group design. The statistical population of this study included all cancer patients receiving chemotherapy in Rasoul Akram Hospital in Tehran City, Iran, in 2017. Of this population, by referring to the records and pathology reports of patients by the oncologist, 30 subjects were selected as the study sample by random sampling method. Consequently, they were randomly placed in the experimental and the control groups (n=15/group). The inclusion criteria were having one cancer type, receiving chemotherapy interventions, an age range of 25–55 year, a minimum diploma degree, no disability or severe mental disorders (based on the medical records), and no use of drugs that stimulate the nervous system (based on medical records). Besides, the exclusion criteria of the study were absence from >3 sessions, not completing home tasks, the occurrence of unforeseen events, and unwillingness to cooperate in the study. The research instruments included the Cancer Fatigue Scale (Okuyama et al., 2000) and the Index of Nausea and Vomiting Assessment (Rhodes & McDaniel, 1999). These inventories were administered to the study groups at pretest and posttest steps. Furthermore, mindfulness training was performed only for the experimental group. Mindfulness therapy was performed in eight 90–minute weekly sessions for two months, using the training package of Norouzi and associates (2017). The obtained data were analyzed using descriptive statistics, such as mean and standard deviation, and inferential statistics, including univariate Analysis of Covariance (ANCOVA) in SPSS. The significance level of the tests was considered 0.05.
Results: The univariate ANCOVA data suggested a significant difference in the posttest scores of cancer–induced fatigue (p<0.001) and the rate of chemotherapy complications (nausea & vomiting) (p<0.001) between the experimental and control groups. The effect size for cancer–related fatigue and the side effects of chemotherapy was measured as 0.20 and 0.18, respectively.
Conclusion: Based on the current research findings, mindfulness training could effectively reduce cancer–induced fatigue and the rate of chemotherapy complications (nausea & vomiting); thus, this approach can be used along with medical methods for treating this population.
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Type of Study: Original Research Article | Subject: Psychology

References
1. 1. Howell D, Mayer DK, Fielding R, Eicher M, Verdonck-de Leeuw IM, Johansen C, et al. Management of cancer and health after the clinic visit: a call to action for self-management in cancer care. J Nat Cancer Inst. 2021;113(5):523-31. [DOI]
2. 2. El Marabti E, Younis I. The cancer spliceome: reprograming of alternative splicing in cancer. Front Mol Biosci. 2018;5:80. [DOI]
3. 3. Thong MS, Mols F, van de Poll-Franse LV, Sprangers MA, van der Rijt CC, Barsevick AM, et al. Identifying the subtypes of cancer-related fatigue: results from the population-based PROFILES registry. J Cancer Surviv. 2018;12(1):38-46. [DOI]
4. 4. Zhou W, Wan YH, Chen Q, Qiu YR, Luo XM. Effects of tai chi exercise on cancer-related fatigue in patients with nasopharyngeal carcinoma undergoing chemoradiotherapy: a randomized controlled trial. J Pain Symptom Manage. 2018;55(3):737-44. [DOI]
5. 5. Reinertsen KV, Engebraaten O, Loge JH, Cvancarova M, Naume B, Wist E, Edvardsen H, et al. Fatigue during and after breast cancer therapy—a prospective study. J Pain Symptom Manage. 2017;53(3):551-60. [DOI]
6. 6. Lin PJ, Kleckner IR, Loh KP, Inglis JE, Peppone LJ, Janelsins MC, Kamen CS, et al. Influence of yoga on cancer-related fatigue and on mediational relationships between changes in sleep and cancer-related fatigue: a nationwide, multicenter randomized controlled trial of yoga in cancer survivors. Integr Cancer Ther. 2019;18:1534735419855134. [DOI]
7. 7. Fu T, Guang H-J, Gao X-Z. Percutaneous nerve electrical stimulation for fatigue caused by chemotherapy for cervical cancer. Medicine. 2018;97(41): e12020. [DOI]
8. 8. Lipsett A, Barrett S, Haruna F, Mustian K, O’Donovan A. The impact of exercise during adjuvant radiotherapy for breast cancer on fatigue and quality of life: A systematic review and meta-analysis. Breast. 2017;32:144–55. [DOI]
9. 9. Reinertsen KV, Engebraaten O, Loge JH, Cvancarova M, Naume B, Wist E, et al. Fatigue during and after breast cancer therapy-a prospective study. J Pain Symptom Manage. 2017;53(3):551–60. [DOI]
10. 10. Steen R, Dahl AA, Hess SL, Kiserud CE. A study of chronic fatigue in Norwegian cervical cancer survivors. Gynecol Oncol. 2017;146(3):630–5. [DOI]
11. 11. Millon G, Halewood A. Mindfulness meditation and countertransference in the therapeutic relationship: A small-scale exploration of therapists’ experiences using grounded theory methods. Counselling and Psychotherapy Research. 2015;15(3):188–96. [DOI]
12. 12. Jacobson NC, Newman MG, Goldfried MR. Clinical feedback about empirically supported treatments for obsessive-compulsive disorder. Behav Ther. 2016;47(1):75–90. [DOI]
13. 13. van der Heiden C, van Rossen K, Dekker A, Damstra M, Deen M. Metacognitive therapy for obsessive–compulsive disorder: A pilot study. Journal of Obsessive-Compulsive and Related Disorders. 2016;9:24–9. [DOI]
14. 14. Xie C, Dong B, Wang L, Jing X, Wu Y, Lin L, et al. Mindfulness-based stress reduction can alleviate cancer- related fatigue: A meta-analysis. J Psychosom Res. 2020;130:109916. [DOI]
15. 15. Johansson B, Bjuhr H, Rönnbäck L. Mindfulness-based stress reduction (MBSR) improves long-term mental fatigue after stroke or traumatic brain injury. Brain Inj. 2012;26(13–14):1621–8. [DOI]
16. 16. Yennu S, Urbauer DL, Bruera E. Factors associated with the severity and improvement of fatigue in patients with advanced cancer presenting to an outpatient palliative care clinic. BMC Palliat Care. 2012;11(1):16. [DOI]
17. 17. Yang GS, Kim HJ, Griffith KA, Zhu S, Dorsey SG, Renn CL. Interventions for the treatment of aromatase inhibitor-associated arthralgia in breast cancer survivors: a systematic review and meta-analysis. Cancer Nurs. 2017;40(4):E26–41. [DOI]
18. 18. Norouzi H, Rahimian-Boogar I, Talepasand S. Effectiveness of mindfulness-based cognitive therapy on posttraumatic growth, self-management and functional disability among patients with breast cancer. Nursing Practice Today. 2017;4(4):190-202. [Article]
19. 19. Okuyama T, Akechi T, Kugaya A, Okamura H, Shima Y, Maruguchi M, et al. Development and validation of the cancer fatigue scale: a brief, three-dimensional, self-rating scale for assessment of fatigue in cancer patients. J Pain Symptom Manage. 2000;19(1):5–14. [DOI]
20. 20. Bahrami Baresari Z, Abbaszadeh A, Heydarirad G, Khabazkhoob M. The psychometrics of the Persian version of the “Cancer Fatigue Scale” in Iran. EurAsian Journal of BioSciences. 2018;12(1):149-56.
21. 21. Rhodes VA, McDaniel RW. The Index of Nausea, Vomiting, and Retching: a new format of the lndex of Nausea and Vomiting. Oncol Nurs Forum 1999;26(5):889-894. [Article]
22. 22. Modares M, Besharat S, Rahimi Kian F, Besharat S, Mahmoudi M, Salehi Sourmaghi H. Effect of ginger and chamomile capsules on nausea and vomiting in pregnancy. J Gorgan Uni Med Sci. 2012;14(1):46–51. [Persian] [Article]
23. 23. de Lima FD, Bottaro M, de Oliveira Valeriano R, Cruz L, Battaglini CL, Vieira CA, et al. Cancer-related fatigue and muscle quality in hodgkin’s lymphoma survivors. Integr Cancer Ther. 2018;17(2):299–305. [DOI]

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