Mindfulness-based stress reduction training for oncology patients: Patients' appraisal and changes in well-being

Objective: This study explores satisfaction and changes in well-being in cancer patients following mindfulness-based stress reduction training. Method: Data were collected in 47 cancer patients before and after the training, and also I year later. Standardized questionnaires were used to measure quality of life, joy in life, mood disturbances (depression, anger, vigor, fatigue, and tension), meaning in life and physical symptoms. Results: Participants were highly satisfied and said they had reached their goals with the training. The results show that directly after the training patients reported a better quality of life, more joy in life, less tension, and fewer physical symptoms. These effects appeared even stronger at follow-up. A year after the training a decrease was also found in depression, anger, vigor and total mood disturbance. No changes could be established for meaning in life and fatigue. Effect sizes varied between 0.28 and 0.60, indicating small-to-moderate changes. Conclusion: Mindfulness training potentially supports cancer patients in handling the stress due to their life-threatening disease and increases their well-being. Several suggestions for further research are discussed. Practice implications: Mindfulness training provides cancer patients with tools to deal with their limitations and worries, both during and after their treatment. (C) 2008 Elsevier Ireland Ltd. All rights reserved.