Abstract
Purpose
The primary objective of the study was to examine mindfulness-based meditation therapy qualitatively. A secondary goal was to examine the differences in themes selected by Japanese and Western patients receiving this therapy.
Methods
The subjects were 28 patients who were undergoing anti-cancer treatment. The subjects participated in two sessions of mindfulness-based meditation therapy, including breathing, yoga movement, and meditation. Each patient was taught the program in the first session, then exercised at home with a CD, and subsequently met the interviewer in a second session after 2 weeks. Primary physicians recruited the patients and interviews were conducted individually by nurses or psychologists with training in the program. Patients provided answers to pre- and post-intervention interviews about the meaning of their illness.
Results
Narrative data from the semi-structured interview were analyzed qualitatively. Pre-intervention, themes such as “Effort to cope,” “Looking back,” “Spirituality,” “Personal growth,” and “Suffering” were often chosen. Post-intervention, themes such as “Adapted coping,” “Personal growth,” “Positive meaning,” “Spirituality,” and “Negative recognition” were more commonly chosen.
Conclusions
Mindfulness-based meditation therapy may be effective for producing adapted coping, including positive recognition and changes for an adapted lifestyle. There were some common aspects and some differences in the themes selected by patients in this study and Western patients received mindfulness therapy in other studies.
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References
Lampic C, Wennberg A, Schill JE et al (1994) Coping, psychosocial well-being and anxiety in cancer patients at follow-up visits. Acta Oncol 33:887–894
Carlson LE, Speca M, Patel KD et al (2004) Mindfulness-based stress reduction in relation to quality of life, mood, symptoms of stress and levels of cortisol, dehydroepiandrosterone sulfate (DHEAS) and melatonin in breast and prostate cancer outpatients. Psychoneuroendocrinology 29:448–474
Ott MJ, Norris RL, Bauer-Wu SM (2006) Mindfulness meditation for oncology patients: a discussion and critical review. Integr Cancer Ther 5:98–108
Kabat-Zinn J (1990) Full catastrophe living: using the wisdom of your body and mind to face stress, pain and illness. Delacourt, New York
Speca M, Carlson LE, Goodey E et al (2000) A randomized, wait-list controlled clinical trial: the effect of a mindfulness meditation-based stress reduction program on mood and symptoms of stress in cancer outpatients. Psychom Med 62:613–622
Monti DA, Peterson C, Kunkel S (2006) A randomized, controlled trial of mindfulness-based art therapy (MBAT) for women with cancer. Psycho-Oncol 15:363–373
Garland SN, Carson LE, Cook S et al (2007) A non-randomized comparison of mindfulness-based stress reduction and healing arts programs for facilitating post-traumatic growth and spirituality in cancer outpatients. Support Care Cancer 15:949–961
Mackenzie MJ, Carlson L, Munoz M, Speca M (2007) A qualitative study of self-perceived effects of Mindfulness-Based Stress Reduction (MBSR) in a psychosocial oncology setting. Stress Health 23:59–69
Ando M, Morita T, Akechi T, Tanaka M, Ifuku Y, Nakayama K (2009) The efficacy of mindfulness-based meditation therapy on anxiety, depression and spirituality in Japanese cancer patients. J Palliat Med 12(12):1091–1094
Nagarathna R, Monro R, Nagendra HR, Nagendra HR, Raghuram NV (1994) Measuring the effects of yoga in rheumatoid arthritis. Br J Rheumatol 33:787–788
Shapiro S, Carlson L, Astin J, Benedict F (2006) Mechanisms of mindfulness. J Clin Psychol 62:373–386
Bonadonna R (2003) Meditation’s impact on chronic illness. Holist Nurs Pract 17:309–319
Kabat-Zinn J, Massion AO, Hebert JR, Rosenbaum E (1998) Meditation. In: Holland JF (ed) Psycho-oncology. Oxford University Press, New York, pp 767–779
Kroepfer R (2000) Drawing on the spirit: embracing spirituality in pediatric art therapy. Art Ther: J Am Art Ther Assoc 17:188–194
Morita T, Murata H (2006) Conceptualization of psycho-existential suffering by the Japanese Task Force: the first step of a nationwide project. Palliat Support Care 4:279–285
Miyashita M, Morita T, Hirai K, Uchitomi U (2007) Good death in cancer care: a nationwide quantitative study. Ann Oncol 18:1090–1097
Miyashita M, Morita T, Hirai K (2008) Evaluation of end-of life cancer care from the perspective of bereaved family members: the Japanese experience. J Clin Oncol 26:3845–3852
Acknowledgments
This research was supported by a Grant-in-Aid for Scientific Research (C).
Conflict of interest
None of the authors have a financial conflict of interest regarding the work in the study. The authors have full control of all primary data and agree to allow the journal to review these data if requested.
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Ando, M., Morita, T., Akechi, T. et al. A qualitative study of mindfulness-based meditation therapy in Japanese cancer patients. Support Care Cancer 19, 929–933 (2011). https://doi.org/10.1007/s00520-010-0901-2
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DOI: https://doi.org/10.1007/s00520-010-0901-2