Evidence map›Paper›PMID 27722908›Full record

Trial reportJournal of behavioral medicine2017

Mindfulness-Based Cancer Recovery (MBCR) versus Supportive Expressive Group Therapy (SET) for distressed breast cancer survivors: evaluating mindfulness and social support as mediators.

Melanie P J Schellekens, Rie Tamagawa, Laura E Labelle, Michael Speca, Joanne Stephen, Elaine Drysdale, Sarah Sample, Barbara Pickering, Dale Dirkse, Linette Lawlor Savage and 1 more

Open access · hybridAbstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in Journal of behavioral medicine, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed, 4 pooled it
3.2field-weighted citation impact, top 7% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

28 citing papers in PubMed, 4 syntheses or guidelines pooled it, 60 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Distress Management, Version 3.2019, NCCN Clinical Practice Guidelines in Oncology.Journal of the National Comprehensive Cancer Network : JNCCN · 2019
    Guideline
  5. Effects of a 4Zhong nan da xue xue bao. Yi xue ban = Journal of Central South University. Medical sciences · 2024
    Trial
  6. Trial
  7. Article
  8. Article
  9. Review
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. The chain mediating role of social support and stigma in the relationship between mindfulness and psychological distress among Chinese lung cancer patients.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2021
    Article
  16. Review
  17. Article
  18. Review
  19. Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors at 3 institutions in 2 countries.

Melanie P J SchellekensRadboud Centre for Mindfulness, Department of Psychiatry, Radboud University Medical Centre, Reinier Postlaan 4, P.O. Box 9101, 6500 HB, Nijmegen, The Netherlands. melanie.schellekens@radboudumc.nl.ORCID http://orcid.org/0000-0001-8397-7674
Rie TamagawaDepartment of Oncology, University of Calgary, Calgary, AB, Canada.
Laura E LabelleDepartment of Oncology, University of Calgary, Calgary, AB, Canada.
Michael SpecaDepartment of Oncology, University of Calgary, Calgary, AB, Canada.
Joanne StephenBritish Columbia Cancer Agency, Vancouver, BC, Canada.
Elaine DrysdaleBritish Columbia Cancer Agency, Vancouver, BC, Canada.
Sarah SampleDepartment of Psychosocial Oncology, Tom Baker Cancer Centre, Calgary, AB, Canada.
Barbara PickeringDepartment of Psychosocial Oncology, Tom Baker Cancer Centre, Calgary, AB, Canada.
Dale DirkseDepartment of Psychosocial Oncology, Tom Baker Cancer Centre, Calgary, AB, Canada.
Linette Lawlor SavageDepartment of Oncology, University of Calgary, Calgary, AB, Canada.
Linda E CarlsonDepartment of Oncology, University of Calgary, Calgary, AB, Canada.
University of Calgary · CABC Cancer Agency · CARadboud University Nijmegen · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Despite growing evidence in support of mindfulness as an underlying mechanism of mindfulness-based interventions (MBIs), it has been suggested that nonspecific therapeutic factors, such as the experience of social support, may contribute to the positive effects of MBIs. In the present study, we examined whether change in mindfulness and/or social support mediated the effect of Mindfulness-Based Cancer Recovery (MBCR) compared to another active intervention (i.e. Supportive Expressive Group Therapy (SET)), on change in mood disturbance, stress symptoms and quality of life. A secondary analysis was conducted of a multi-site randomized clinical trial investigating the impacts of MBCR and SET on distressed breast cancer survivors (MINDSET). We applied the causal steps approach with bootstrapping to test mediation, using pre- and post-intervention questionnaire data of the participants who were randomised to MBCR (n = 69) or SET (n = 70). MBCR participants improved significantly more on mood disturbance, stress symptoms and social support, but not on quality of life or mindfulness, compared to SET participants. Increased social support partially mediated the impact of MBCR versus SET on mood disturbance and stress symptoms. Because no group differences on mindfulness and quality of life were observed, no mediation analyses were performed on these variables. Findings showed that increased social support was related to more improvement in mood and stress after MBCR compared to support groups, whereas changes in mindfulness were not. This suggests a more important role for social support in enhancing outcomes in MBCR than previously thought.

Indexed as

MindfulnessSocial SupportCancer SurvivorsFemaleHumansMiddle AgedPsychotherapy, GroupQuality of LifeStress, PsychologicalSurveys and QuestionnairesBreast cancerMediationMindfulnessMindfulness-Based Cancer RecoverySocial supportSupportive Expressive Group Therapy

Identifiers

PMID27722908
PMCPMC5406481
OpenAlexW2528943848

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.