Evidence map›Paper›PMID 42453540›Full record

ReviewJournal of multidisciplinary healthcare2026

Mindfulness-Based Spiritual Interventions for Patients with Advanced Cancer Receiving Palliative Care: A Systematic Review of Randomized Controlled Trials.

Friska Sinaga, Maria Komariah, Hartiah Haroen, Hana Rizmadewi Agustina

Abstract readReview
In one paragraph

Review in Journal of multidisciplinary healthcare, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

4 authors.

Friska SinagaFaculty of Nursing, Universitas Padjadjaran, Bandung, West Java, Indonesia.
Maria KomariahDepartment of Fundamental Nursing, Faculty of Nursing, Universitas Padjadjaran, Bandung, West Java, Indonesia.ORCID 0000-0003-1648-4882
Hartiah HaroenDepartment of Community Health Nursing, Faculty of Nursing, Universitas Padjadjaran, Bandung, West Java, Indonesia.
Hana Rizmadewi AgustinaDepartment of Fundamental Nursing, Faculty of Nursing, Universitas Padjadjaran, Bandung, West Java, Indonesia.ORCID 0000-0002-5976-2849

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Psychological and spiritual distress are highly prevalent in patients with advanced cancer, yet conventional interventions often fail to address their interconnected nature. While mindfulness-based interventions (MBIs) are widely used in oncology, their integration with spiritual or meaning-centered components remains insufficiently synthesized in high-level evidence. Objective: This review aimed to evaluate the effectiveness and characteristics of mindfulness-based spiritual interventions on psychological and spiritual outcomes in patients with advanced and palliative cancer. Methods: A PRISMA-guided systematic review of randomized controlled trials (RCTs) was conducted using PubMed, Scopus, and CINAHL databases (2015-2025). Eligible studies included adult patients with cancer receiving mindfulness-based interventions incorporating explicit spiritual, religious, or existential components. Methodological quality was appraised using the Joanna Briggs Institute checklist, and findings were synthesized using qualitative descriptive and narrative synthesis. Results: Thirteen RCTs were included. The interventions were categorized into (1) hospital-based interventions and (2) remotely delivered interventions. Across these categories, five outcome domains were identified: psychological well-being (anxiety, depression, distress, quality of life), spiritual well-being (meaning, peace, faith, existential acceptance), attrition and treatment engagement, intervention acceptability, and mixed or inconsistent findings. Conclusion: Mindfulness-based interventions that explicitly integrate spiritual or meaning-centered elements offer a comprehensive approach to addressing multidimensional distress in advanced cancer. These findings suggest that integrative psycho-spiritual care models may be beneficial in oncology and palliative care. Future research should prioritize standardized intervention frameworks and mechanism-driven evaluation across diverse populations.

Indexed as

advanced cancermindfulness-based interventionspalliative carepsychological outcomespiritual well-being

Identifiers

PMID42453540
PMCPMC13367468

What OpenQuestion holds

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LicenceCC BY-NC
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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.