J Korean Acad Nurs. 2012 Apr;42(2):161-170. Korean.
Published online Apr 30, 2012.
© 2012 Korean Society of Nursing Science
Original Article

Effects of Mindfulness Meditation Program on Perceived Stress, Ways of Coping, and Stress Response in Breast Cancer Patients

Gwangsoon Kang,1 and Sangeun Oh2
    • 1Full-time Instructor, Department of Nursing, Gwangju University, Gwangju, Korea.
    • 2Professor, College of Nursing, CRINS, Chonnam National University, Gwangju, Korea.
Received November 08, 2010; Accepted April 26, 2012.

Abstract

Purpose

Purpose of this study was to examine the effects of the Mindfulness Meditation program on perceived stress, ways of coping, salivary cortisol level, and psychological stress response in patients with breast cancer.

Methods

This was a quasi-experimental study with a non-equivalent control group pre-post test design. Participants in this study were 50 patients who had completed breast cancer treatment (experimental group, 25, control group, 25). The experimental group received the Mindfulness Meditation program for 3 hours/session/ week for 8 weeks. Data were analyzed using χ2-test and t-test for subject homogeneity verification, and ANCOVA to examine the hypotheses.

Results

The experimental group had significantly lower scores for perceived stress, emotional focused coping, salivary cortisol level, and psychological stress response compared to the control group. However, no significant differences were found between two groups for the scores on problem focused stress coping.

Conclusion

According to the results, the Mindfulness Meditation program was useful for decreasing perceived stress, emotional focused coping, salivary cortisol level, and psychological stress response. Therefore, this program is an effective nursing intervention to decrease stress in patients with breast cancer.

Keywords
Meditation; Breast Cancer; Stress

Figures

Figure 1
Conceptual framework of this study.

Tables

Table 1
Mindfulness Meditation Program

Table 2
Homogeneity for Characteristics between Experimental and Control Groups

Table 3
Homogeneity Test of Dependent Variables between Experimental and Control Groups

Table 4
Comparison of Subcategories in Perceived stress, Ways of Coping, and Stress Response between Experimental and Control Groups

Notes

This study was conducted by research funds from Gwangju University.

This article is based on a part of the first author's doctoral dissertation from Chonnam National University.

References

    1. Ahn J.M., Ryu J.W., Lee J.K., Lee Y.S., Yoon C.L., Cho Y.G. Salivary cortisol in research of diseases related with stress: An overview. Oral Biology Research 2007;31:113–120.
    1. Carlson L.E., Speca M., Faris P., Patel K.D. One year pre-post intervention follow-up of psychological, immune, endocrine and blood pressure outcomes of mindfulness-based stress reduction (MBSR) in breast and prostate cancer outpatients. Brain, Behavior, and Immunity 2007;21:1038–1049.
    1. Carmody J., Baer R.A. Relationships between mindfulness practice and levels of mindfulness, medical and psychological symptoms and wellbeing in a mindfulness-based stress reduction program. Journal of Behavioral Medicine 2008;31:23–33.
    1. Chang H.K., Kim J.M., Bae J.H. The development of Korean version of mindfulness based stress reduction program and the effects of the program. Korean Journal of Health Psychology 2007;12:833–850.
    1. Cohen S., Rabin B.S. Psychologic stress, immunity, and cancer. Journal of the National Cancer Institute 1998;90:3–4.
    1. Folkman S., Lazarus R.S. If it changes it must be a process: Study of emotion and coping during three stages of a college examination. Journal of Personality and Social Psychology 1985;48:150–170.
    1. Gitlin M.J., Gerner R.H. The dexamethasone suppression and response to somatic treatment: A review. Journal of Clinical Psychiatry 1986;47:16–21.
    1. Hockenberry-Eaton M., Kemp V., Dilorio C. Cancer stressors and protective factor: predictors of stress experienced during treatment for childhood cancer. Research in Nursing and Health 1994;17:351–361.
    1. Kanaley J.A., Weltman J.Y., Pieper K.S., Weltman A., Hartman M.L. Cortisol and growth hormone responses to exercise at different times of day. The Journal of Clinical Endocrinology and Metabolism 2001;86:2881–2889.
    1. Kabat-Zinn J. In: Full catastrophe living: Using the wisdom of your body and mind to face stress, pain, and illness. New York, NY: Delta; 1990.
    1. Kim D.Y., Son C.N. The effects of mindfulness meditation on the smoking cessation maintenance and self efficacy: Focusing on the smoking cessation clinic users. Korean Journal of Health Psychology 2008;13:1009–1022.
    1. Kim K.H., Hwang H.J. The effects of a cognitive-behavioral program and a meditation training program on adolescent girls' body image, binge eating, and weight reduction. Korean Journal of Health Psychology 1999;4:140–154.
    1. Koh K.B., Park J.K. Validity and reliability of the Korean version of the global assessment of recent stress scale. Korean Journal of Psychosomatic Medicine 2000;8:201–211.
    1. Koh K.B., Park J.K., Kim C.H. Development of the stress response inventory. Journal of Korean Neuropsychiatric Association 2000;39:707–719.
    1. Lazarus R.S., Folkman S. In: Stress appraisal and coping. New York, NY: Springer; 1984.
    1. Lee K.J. Effects of a sensory stimulation on weight, stress hormone and behavioral state in premature infants. Journal of Korean Academy of Nursing 1999;29:445–455.
    1. Lebel S., Rosberger Z., Edgar L., Devins G.M. Comparison of four common stressors across the breast cancer trajectory. Journal of Psychosomatic Research 2007;63:225–232.
    1. Linn M.W. A Global Assessment of Recent Stress (GARS) scale. International Journal of Psychiatry in Medicine 1985;15:47–59.
    1. Matchim Y., Armer J.M. Measuring the psychological impact of mindfulness meditation on health among patients with cancer: A literature review. Oncology Nursing Forum 2007;34:1059–1066.
    1. Michael Y.L., Kawachi I., Berkman L.F., Holmes M.D., Colditz G.A. The persistent impact of breast carcinoma on functional health status: Prospective evidence from the nurses' health study. Cancer 2000;89:2176–2186.
    1. Monti D.A., Peterson C., Kunkel E.J., Hauck W.W., Pequignot E., Rhodes L., et al. A randomized, controlled trial of mindfulness-based art therapy (MBAT) for woman with cancer. Psycho-oncology 2006;15:363–373.
    1. Annual report of cancer statistics in Korea in 2008. National Cancer Information Center. 2010 Dec 28 [Retrieved March 8, 2011].
    1. Staging. National Cancer Institute. 2009 Oct 15 [Retrieved March 3, 2011].
    1. Schonholtz J.K. In: Psychosocial adjustment to breast cancer: The role of marital support and approach coping. Baltimore, USA: Walden University; 2000.
      Unpublished doctoral dissertation.
    1. So H.S. In: Cervix cancer patients' change patterns of uncertainty, coping, and depression with treatment time. Seoul: Yonsei University; 1995.
      Unpublished doctoral dissertation.
    1. Tacón A.M., Caldera Y.M., Ronaghan C. Mindfulness-based stress reduction in women with breast cancer. Families, Systems, & Health 2004;22:193–203.
    1. Witek-Janusek L., Albuquerque K., Chroniak K.R., Chroniak C., Durazo-Arvizu R., Mathews H.L. Effect of mindfulness based stress reduction on immune function, quality of life and coping in women newly diagnosed with early stage breast cancer. Brain, behavior, and immunity 2008;22:969–981.

Metrics
Share
Figures

1 / 1

Tables

1 / 4

PERMALINK