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A mindfulness-based program for improving quality of life among hematopoietic stem cell transplantation survivors: feasibility and preliminary findings

Grossman, Paul ; Zwahlen, Diana ; Halter, Jorg ; Passweg, Jakob ; Steiner, Claudia ; Kiss, Alexander

In: Supportive Care in Cancer, 2015, vol. 23, no. 4, p. 1105-1112

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    Titel
    • A mindfulness-based program for improving quality of life among hematopoietic stem cell transplantation survivors: feasibility and preliminary findings
    Autor
    • Grossman, Paul. Department of Psychosomatic Medicine, University Hospital Basel, Basel, Switzerland
    • Zwahlen, Diana. Department of Psychosomatic Medicine, University Hospital Basel, Basel, Switzerland
    • Halter, Jorg. Department of Hematology, University Hospital Basel, Basel, Switzerland
    • Passweg, Jakob. Department of Hematology, University Hospital Basel, Basel, Switzerland
    • Steiner, Claudia. Department of Psychosomatic Medicine, University Hospital Basel, Basel, Switzerland
    • Kiss, Alexander. Department of Psychosomatic Medicine, University Hospital Basel, Basel, Switzerland
    Dokumententyp
    • Postprint
    Sprache
    • Englisch
    Veröffentlicht in
    • Supportive Care in Cancer, 2015, vol. 23, no. 4, p. 1105-1112. Springer Berlin Heidelberg
    Andere elektronische Ausgabe
    OAI-PMH-ID
    • oai:doc.rero.ch:333090
    Summary
    Health-related quality of life (HRQoL) is often substantially reduced among individuals who have undergone hematopoietic stem cell transplantation (HSCT), and incidences of depression, fatigue, and anxiety are elevated. We examined effects of a mindfulness-based intervention (MBI) compared to psycho-oncological telephone consultation upon HRQoL, depression, anxiety, and fatigue among HSCT survivors. Sixty-two medically stable patients participated in the study; they had completed HSCT ≥6months previously. Thirty-two were randomly assigned to intervention arms, and 30 were offered their treatment preference. MBI consisted of a structured 8-week program of mindfulness training. Assessments were made at baseline, post-intervention and 3months follow-up. Primary outcome was HRQoL. Depression, fatigue, anxiety, and personal goal attainment were secondary measures. Non-completion of interventions was low in both groups (9%, MBI; 7% control). Employing intention-to-treat analysis, MBI, compared with comparisonprocedure, improved HRQoL and reduced depression and anxiety at post-intervention (p's < 0.05); Cohen's deffect sizes, 0.6-0.7; 3-month follow-up benefits were modest. These findings demonstrate broad feasibility and acceptance of, as well as satisfaction and adherence with, a program of mindfulness training for HSCT survivors; findings also suggest improved HRQoL and well-being as a consequence of MBI. Nevertheless, this is a preliminary study; a larger trial with more prolonged intervention phase is warranted.