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Quality of Life and Anxious-depressive Symptoms in Cancer Patients Undergoing Mindfulness-based Interventions: Feasibility and Preliminary Outcomes on Prospective Single-centre Case-control Study (MIND4ME St.)

Published online by Cambridge University Press:  23 March 2020

G. Pontoni
Affiliation:
University of Modena and Reggio Emilia, Department of Diagnostic Medicine- Clinic and Public Health, Section of Psychiatry, Modena, Italy
M. Maur
Affiliation:
University of Modena and Reggio Emilia, Department of Hematology and Oncology, Modena, Italy
R. Ferrari
Affiliation:
Centro Studi ASIA Bologna, Associazione ASIA, Modena, Italy
A. Guida
Affiliation:
University of Modena and Reggio Emilia, Department of Hematology and Oncology, Modena, Italy
S. Poletti
Affiliation:
University of Padua, FISPPA Department, Section of Applied Psychology, Padua, Italy
F. Caggia
Affiliation:
University of Modena and Reggio Emilia, Department of Hematology and Oncology, Modena, Italy
A. Fontana
Affiliation:
University of Modena and Reggio Emilia, Department of Hematology and Oncology, Modena, Italy
F. Gavioli
Affiliation:
University of Modena and Reggio Emilia, Department of Medical and Surgical Sciences Maternal-Infantile and Adult, Modena, Italy
V. Tarantino
Affiliation:
University of Modena and Reggio Emilia, Department of Hematology and Oncology, Modena, Italy
S. Cascinu
Affiliation:
University of Modena and Reggio Emilia, Department of Hematology and Oncology, Modena, Italy
S. Ferrari
Affiliation:
University of Modena and Reggio Emilia, Department of Diagnostic Medicine- Clinic and Public Health, Section of Psychiatry, Modena, Italy

Abstract

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Background

Mindfulness based interventions (MBIs) have shown efficacy in improving psychological symptoms including depression and anxiety in cancer patients (pts). The study aimed to explore feasibility and reproducibility of MBIs in an Italian Cancer Centre measuring biochemical and psychological parameters.

Methods

In this pilot prospective case-control study, we recruited newly diagnosed pts receiving adjuvant chemotherapy (CT). A MBIs program was designed consisting of 2.5 hours weekly for 8 weeks and, including meditation, yoga and body scan. Material for 45 minutes (mn) home daily practice was provided. Primary endpoint was to evaluate feasibility. Secondary endpoints were assessment of quality of life (QoL), psychological and biochemical outcomes of stress, tested at baseline (W0), W4, W8, W24, W48. PSS (Perceived Stress Reduction), POMS (profile of mood states scores), EuroQoL (EQ-5D-3L) were administered.

Results

Ten pts underwent MBIs program arm. We present preliminary results, while data of control arm are being collected. All pts were female, two pts (20%) dropped out. Median age was 56 years. All received adjuvant CT, 5/8 received radiotherapy and hormone therapy. Mean of sessions attending was 6.8 (76%). Median daily practice was 30 mn. EQ-5D item for depression and anxiety showed decreasing trend in mean score from moderate to light (P = 0.15) and significant improvement of auto-perceived QoL was observed comparing W0 and W8 (P = 0.02)

Conclusions

In a sensitive setting such as start CT, we found high pts compliance to MBIs. Improvement in self-perceived QoL after starting program was found and comparing anxious-depressive symptoms outcomes with control arm is still needed.

Disclosure of interest

The authors have not supplied their declaration of competing interest.

Type
e-Poster Walk: Oncology and Psychiatry and Pain and Treatment Options
Copyright
Copyright © European Psychiatric Association 2017
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Quality of Life and Anxious-depressive Symptoms in Cancer Patients Undergoing Mindfulness-based Interventions: Feasibility and Preliminary Outcomes on Prospective Single-centre Case-control Study (MIND4ME St.)
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