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Pleine conscience et soins palliatifs anglophones.

Spirituality and Health International Volume 9 Issue 3, Pages 135 - 144

Mindfulness groups in palliative care : a pilot qualitative study Paul Chadwick , Tracey Newell , Chas Skinner

Abstract Mindfulness-based interventions have been shown to have benefits across a diverse range of physical and mental health problems. The present qualitative study explores the experience of individuals diagnosed with a terminal cancer who attended either of two six-week mindfulness groups. Five people participated. There was a rich diversity in participants’ responses. Participants reported finding mindfulness practice beneficial in a range of ways, as well as valuing the social context of the group and the wider hospice setting. Participants also described forming a meta-understanding of mindfulness practice, which was informed by the experience of others in the group as well as their own, and this understanding illuminated the degree to which people found mindfulness beneficial. In conclusion, the study raises some themes and issues around mindfulness in palliative care which might enrich future practice and research.

Psychooncology. 2009 Dec ;18(12):1261-72.

Randomized controlled trial of mindfulness-based stress reduction (MBSR) for survivors of breast cancer. Lengacher CA, Johnson-Mallard V, Post-White J, Moscoso MS, Jacobsen PB, Klein TW, Widen RH, Fitzgerald SG, Shelton MM, Barta M, Goodman M, Cox CE, Kip KE.

University of South Florida College of Nursing, Tampa, FL 33612-447, USA.

Abstract OBJECTIVES : Considerable morbidity persists among survivors of breast cancer (BC) including high levels of psychological stress, anxiety, depression, fear of recurrence, and physical symptoms including pain, fatigue, and sleep disturbances, and impaired quality of life. Effective interventions are needed during this difficult transitional period. METHODS : We conducted a randomized controlled trial of 84 female BC survivors (Stages 0-III) recruited from the H. Lee Moffitt Cancer and Research Institute. All subjects were within 18 months of treatment completion with surgery and adjuvant radiation and/or chemotherapy. Subjects were randomly assigned to a 6-week Mindfulness-Based Stress Reduction (MBSR) program designed to self-regulate arousal to stressful circumstances or symptoms (n=41) or to usual care (n=43). Outcome measures compared at 6 weeks by random assignment included validated measures of psychological status (depression, anxiety, perceived stress, fear of recurrence, optimism, social support) and psychological and physical subscales of quality of life (SF-36). RESULTS : Compared with usual care, subjects assigned to MBSR(BC) had significantly lower (two-sided p<0.05) adjusted mean levels of depression (6.3 vs 9.6), anxiety (28.3 vs 33.0), and fear of recurrence (9.3 vs 11.6) at 6 weeks, along with higher energy (53.5 vs 49.2), physical functioning (50.1 vs 47.0), and physical role functioning (49.1 vs 42.8). In stratified analyses, subjects more compliant with MBSR tended to experience greater improvements in measures of energy and physical functioning. CONCLUSIONS : Among BC survivors within 18 months of treatment completion, a 6-week MBSR(BC) program resulted in significant improvements in psychological status and quality of life compared with usual care.