Objective
In line with screening guidelines, cancer survivors were consecutively screened on depressive symptoms (as part of standard care), with those reporting elevated levels of symptoms offered ...psychological care as part of a trial. Because of the low uptake, no conclusions could be drawn about the interventions' efficacy. Given the trial set‐up (following screening guidelines and strict methodological quality criteria), we believe that this observational study reporting the flow of participation, reasons for and characteristics associated with nonparticipation, adds to the debate about the feasibility and efficiency of screening guidelines.
Methods
Two thousand six hundred eight medium‐ to long‐term cancer survivors were consecutively screened on depressive symptoms using the Patient Health Questionnaire‐9 (PHQ‐9). Those with moderate depressive symptoms (PHQ‐9 ≥ 10) were contacted and informed about the trial. Patient flow and reasons for nonparticipation were carefully monitored.
Results
One thousand thirty seven survivors (74.3%) returned the questionnaire, with 147 (7.6%) reporting moderate depressive symptoms. Of this group, 49 survivors (33.3%) were ineligible, including 26 survivors (17.7%) already receiving treatment and another 44 survivors (30.0%) reporting no need for treatment. Only 25 survivors (1.0%) participated in the trial.
Conclusion
Of the approached survivors for screening, only 1% was eligible and interested in receiving psychological care as part of our trial. Four reasons for nonparticipation were: nonresponse to screening, low levels of depressive symptoms, no need, or already receiving care. Our findings question whether to spend the limited resources in psycho‐oncological care on following screening guidelines and the efficiency of using consecutive screening for trial recruitment in cancer survivors.
Objectives
Mindfulness-Based Stress Reduction (MBSR) has been shown to decrease general feelings of distress. It is not known to what extent such beneficial effects are associated with attenuation of ...physiological responses to challenging psychological situations. The aim of the present study was to examine potential associations between general decreases in subjective distress and changes in acute cardiac and cortical responses during recall of a recent stressful episode between pre- and post-MBSR.
Method
Fifty-eight MBSR participants (77.6% female, mean age 43.8 years,
SD
= 13.1) took part in a laboratory examination before and after MBSR. Measurements of the electrocardiogram (ECG) and electroencephalogram (EEG) were performed during the whole protocol including the stress recall task.
Results
The MBSR group showed overall decreases in general negative affect and an increase in heart rate variability from pre- to post-intervention. Out of six physiological outcomes (heart rate, heart rate variability, theta, alpha, beta, and gamma power at Fz), only a decreased response of gamma power during the stress task was significant. The subjective and physiological changes were unrelated.
Conclusions
The present results suggest that the favourable effects of MBSR on general stress reduction may not be clearly reflected in cortical electrical wave activity or vagal cardiac response during recall of a recent stressful episode. The few changes found in cardiac and cortical activity may be due to either effects independent of general subjective feelings or independent of the intervention altogether.
Preregistration
The study is not preregistered.
Objectives
Mindfulness and self-compassion are related to psychological well-being and can be regarded as personal resources. It is, however, unclear whether these resources are always beneficial ...(direct effect) or only in stressful circumstances (buffer effect). We therefore examined whether mindfulness and self-compassion are equally or more strongly related to depressive symptoms and affect in cancer patients, compared to healthy controls.
Methods
Using a case-control design, 245 cancer patients were matched to 245 healthy controls (without chronic somatic comorbidities). Both groups filled out questionnaires concerning mindfulness (Five Facet Mindfulness Questionnaire), self-compassion (Self-Compassion Scale), depressive symptoms (Center for Epidemiologic Studies Depression Scale), and affect (Positive and Negative Affect Scale). Using correlation and regression analyses, we examined within both groups the associations for mindfulness (i.e., total score and five facets) and self-compassion (i.e., total score, two factors and six facets) with depressive symptoms and affect.
Results
Mindfulness and self-compassion were equally strongly related to depressive symptoms and affect in cancer patients versus healthy controls. Mindfulness facets Act with awareness and Non-judgment were strongly related to depressive symptoms, negative affect, and the negative self-compassion factor. In contrast, mindfulness facets Describe and Observe were strongly related to positive affect and the positive self-compassion factor. When distinguishing the six self-compassion facets, Isolation and Mindfulness were strongly related to depressive symptoms, Over-identification to negative affect, and Mindfulness to positive affect.
Conclusions
Results suggest that mindfulness and self-compassion are basic human personal resources associated with psychological functioning, regardless of the presence or absence of stressful life experiences.
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