Evidence map›Paper›PMID 31509614›Full record

ArticlePsycho-oncology2020

Greater mindfulness associated with lower pain, fatigue, and psychological distress in women with metastatic breast cancer.

Lauren A Zimmaro, James W Carson, Maren K Olsen, Linda L Sanders, Francis J Keefe, Laura S Porter

Open access · greenAbstract read
In one paragraph

Article in Psycho-oncology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
31citing papers in PubMed, 4 pooled it
2.5field-weighted citation impact, top 9% 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

31 citing papers in PubMed, 4 syntheses or guidelines pooled it, 58 citations in OpenAlex.

  1. Pooled it
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  13. The sharks are circling: a qualitative study of living with metastatic breast cancer.Journal of cancer survivorship : research and practice · 2025
    Article
  14. "Ariadne's Thread": Psycho-educational Empowerment Intervention for Patients with Metastatic Breast Cancer.Journal of cancer education : the official journal of the American Association for Cancer Education · 2024
    Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Re-imagining metastatic breast cancer care delivery: a patient-partnered qualitative study.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2023
    Article
  20. Mindfulness is associated with severity of peripheral neuropathy and related patient-reported outcomes among colorectal cancer patients.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2022
    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

6 authors at 4 institutions in 1 country.

Lauren A ZimmaroCancer Prevention and Control Program, Fox Chase Cancer Center, Philadelphia, Pennsylvania.ORCID 0000-0001-9796-3759
James W CarsonDepartment of Anesthesiology and Perioperative Medicine, Oregon Health and Sciences University, Oregon, Portland.
Maren K OlsenCenter for Health Services Research in Primary Care, Durham VA Medical Center, Durham, North Carolina.
Linda L SandersDepartment of Medicine, Duke University Medical Center, North Carolina.
Francis J KeefeDepartment of Psychiatry and Behavioral Sciences, Duke University Medical Center, Durham, North Carolina.
Laura S PorterDepartment of Psychiatry and Behavioral Sciences, Duke University Medical Center, Durham, North Carolina.
Duke Medical Center · USDurham VA Health Care System · USFox Chase Cancer Center · USOregon Health & Science University · US

Funding

TRAINING PROGRAM IN CANCER RESEARCHT32CA009035 · NCI · RESEARCH INST OF FOX CHASE CAN CTR · PI CHERNOFF, JONATHAN · 1985 to 2020
$10.5M
Yoga-based symptom management for metastatic breast cancerR01AT007572 · NCCIH · DUKE UNIVERSITY · PI PORTER, LAURA S · 2013 to 2016
$2.1M
NCCIH NIH HHS R01 AT007572NCI NIH HHS T32 CA009035
6 · The paper itself

Abstract

objectiveWomen with metastatic breast cancer (MBC) report high levels of disease-related symptoms including pain, fatigue, psychological distress, and sleep disturbance. Mindfulness may be particularly relevant to women with MBC given the high symptom burden and psychological toll of this disease; however, the topic is understudied among this patient population. Therefore, we aimed to test the associations between mindfulness and patient-reported symptoms among a sample of women with MBC.

methodsSixty-four women with MBC completed baseline questionnaires of mindfulness (Five Facet Mindfulness Questionnaire-Short Form [FFMQ-SF]) and symptoms of pain severity and interference, fatigue, psychological distress, and sleep disturbance as part of a randomized controlled trial of a Mindful Yoga intervention. Correlational analyses of data collected at baseline tested associations between the five mindfulness facets (observing, describing, acting with awareness, nonjudging, and nonreactivity) and patient-reported measures of symptoms.

resultsOverall, higher mindfulness was associated with lower symptom levels including lower pain severity, pain interference, fatigue, anxiety, depression, and sleep disturbance. However, degree of association varied by mindfulness facet. Nonreactivity, nonjudging, and describing showed the most frequent associations and largest effect sizes across symptoms, while observing showed the least frequent associations and lowest effect sizes.

conclusionsMindfulness-and in particular nonreactivity, nonjudging, and describing-may be a personal resource for women with MBC in coping with complex symptoms of this life-threatening illness. Findings are discussed relative to their implications for interventions aimed at increasing mindfulness in this vulnerable population.

Indexed as

Adaptation, PsychologicalMindfulnessPsychological DistressAdultAnxietyBreast NeoplasmsDepressionFatigueFemaleHumansMiddle AgedPainSleep Wake DisordersanxietycancerClinical Trial Number: NCT01927081depressionfatiguemetastatic breast cancermindfulnesspainsleep

Identifiers

PMID31509614
PMCPMC7002241
OpenAlexW2972446835

What OpenQuestion holds

Textmetadata
LicenceTDM
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.