Knowledge, Attitude and Perceived Effectiveness on MBSR for Anxiety and Depression Among Cancer Patients in Malaysia: A Qualitative Exploration
DOI:
https://doi.org/10.61841/mbr84218Keywords:
Mindfulness-based Stress Reduction,, Anxiety and Depression, Cancer Patients,, Knowledge, , Attitude and Perception,, Qualitative Exploration.Abstract
Mindfulness-based Stress Reduction (MBSR) has been widely utilized in many parts of the world for the treatment of various types of chronic diseases including anxiety and depression among cancer patients. Patients diagnosed with cancer experienced tremendous stress and if left unattended may lead to anxiety and depression and affects clinical outcome. The knowledge, attitude and how patients perceive the effectiveness of MBSR help in program compliance. This study explored the knowledge, attitude, and perceived effectiveness of MBSR for anxiety and depression among cancer patients in Malaysian using a qualitative approach. Face to face interviews was conducted on twenty patients using a semi-structured guided interview guide. A saturation point was reached after the 18th interview, and no new information gathered with the subsequent 2 informants. The recorded interviews were transcribed and analysed according to the standard content analysis framework. N-Vivo program was applied to speed up analysis. Result: Most patients reported to have very little knowledge of MBSR. However, they have a very positive attitude toward the program. They perceived MBSR would be beneficial for their cancer as they believed that anything to do with mind and body would be good for health. Even-though they knew very little about MBSR, most of them have utilized at least one type of MBSR components for their anxiety and depression. This study revealed the primary understanding of cancer patients' knowledge, attitude and perception of MBSR for anxiety and depression, and the type of MBSR used for their stress coping. These findings hopefully will support MBSR to be appreciated in the health care setting as one of the modalities for stress reduction program to complement the existing management of anxiety and depression among cancer patients for a better clinical outcome.
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1) Ahmadi, F., Mohamed Hussin, N. A., & Mohammad, M. T. (2019). Religion, Culture and Meaning-Making Coping: A Study Among Cancer Patients in Malaysia. Journal of Religion and Health. https://doi.org/10.1007/s10943-018-0636-9
2) Al-Bahri, A., Al-Moundhri, M., & Al-Azri, M. (2017). The role of patients families in cancer treatment decision making. Sultan Qaboos University Med Journal. https://doi.org/10.18295/squmj.2017.17.04.001
3) Allen, N. B., Chambers, R., Knight, W., Blashki, G., Ciechomski, L., Hassed, C., … Meadows, G. (2006). Mindfulness-based psychotherapies: A review of conceptual foundations, empirical evidence and practical considerations. Australian and New Zealand Journal of Psychiatry, 40(4), 285–294.
4) Alhusban, R. Y. (2019). Changed Body Image as Perceived by Jordanian Women Undergoing Breast Cancer Treatment. Asian Pacific Journal of Cancer Prevention, 20(3), 767–773. https://doi.org/10.31557/APJCP.2019.20.3.767
5) Aminisani, N., Nikbakht, H., Jafarabadi, M. A., & Shamshirgaran, S. M. (2017). Depression, anxiety, and health related quality of life among colorectal cancer survivors. Journal of Gastrointestinal Oncology. https://doi.org/10.21037/jgo.2017.01.12
6) Arving C, Thormodsen I, Brekke G, Mella O, Berntsen S and Nordin, K. (2013). Early rehabilitation of cancer patients - a randomized controlled intervention study. BMC Cancer.
7) Barre, P., Padmaja, G., Rana, S., & Tiamongla. (2018). Stress and quality of life in cancer patients: Medical and psychological intervention. Indian Journal of Psychological Medicine. https://doi.org/10.4103/ijpsym.ijpsym_512_17
8) Benjamin Saunders, Julius Sim, Tom Kingstone, Shula Baker, Jackie Waterfield, Bernadette Bartlam,1 Heather Burroughs, and Clare Jinks (2018). Saturation in qualitative research: exploring its conceptualization and operationalization.
9) Bohlmeijer, E., Prenger, R., Taal, E., & Cuijpers, P. (2010). The effects of mindfulness-based stress reduction therapy on mental health of adults with a chronic medical disease: A meta-analysis. Journal of Psychosomatic Research. https://doi.org/10.1016/j.jpsychores.2009.10.005
10) Carrera, P. M., Kantarjian, H. M., & Blinder, V. S. (2018). The financial burden and distress of patients with cancer: Understanding and stepping-up action on the financial toxicity of cancer treatment. CA: A Cancer Journal for Clinicians. https://doi.org/10.3322/caac.21443
11) Castanhel, F. Del, & Liberali, R. (2018). Mindfulness-Based Stress Reduction on breast cancer symptoms: systematic review and meta-analysis. Einstein (Sao Paulo, Brazil). https://doi.org/10.31744/einstein_journal/2018RW4383
12) Chadi, N., Ringwald, J., Compen, F. R., Bisseling, E. M., Schellekens, M. P. J., Jansen, E. T. M., Speckens, A.
E. M. (2017). Mindfulness-Based Cognitive Therapy for Cancer Patients Delivered via Internet: Qualitative Study of Patient and Therapist Barriers and Facilitators. Journal of Medical Internet Research. https://doi.org/10.2196/jmir.7783
13) Phang, C. K., Mukhtar, F., Ibrahim, N., & Mohd. Sidik, S. (2016). Mindful Attention Awareness Scale (MAAS): factorial validity and psychometric properties in a sample of medical students in Malaysia. Journal of Mental Health Training, Education and Practice. https://doi.org/10.1108/JMHTEP-02-2015-0011
14) Phang, K. C., Keng, L. S., & Chiang, C. K. (2014). Mindful-S.T.O.P.: Mindfulness Made Easy for Stress Reduction in Medical Students. Education in Medicine Journal, 6(2). https://doi.org/10.5959/eimj.v6i2.230
15) Esser, P., Kuba, K., Götze, H., & Mehnert, A. (2017). Long-term effects and psychological adjustment: Study protocol of a large register-based study on quality of life among survivors of hematological malignancies. BMC Cancer. https://doi.org/10.1186/s12885-017-3454-7
16) Hee, K. L., Norsiah, R., Pathmawathi, S., & Phang, C. K. (2013). The effects of mindfulness training program on reducing stress and promoting well-being among nurses in critical care units. Australian Journal of Advanced Nursing, 31(3), 22–31. Retrieved from http://www.voced.edu.au/content/ngv64306
17) Lathan CS, Cronin A, Tucker-Seeley R, Zafar SY, Ayanian JZ and Schrag D (2016). Association of financial strain with symptom burden and quality of life for patients with lung or colorectal cancer. Journal of Clinical Oncology. https://doi.org/10.1200/JCO.2015.63.2232
18) Khoshnood, Z., Iranmanesh, S., Rayyani, M., & Dehghan, M. (2018). Body-mind healing strategies in patients with cancer: A qualitative content analysis. Asian Pacific Journal of Cancer Prevention. https://doi.org/10.22034/APJCP.2018.19.6.1691
19) Sepideh Hajian, Esmat Mehrabi, Masoomeh Simbar, Mohammad S (2017). Coping Strategies and Experiences in Women with a Primary Breast Cancer Diagnosis. (n.d.).
20) http://www.klbmha.com/category/mindfulness
22) http://onlinelibrary.wiley. Mindfulness: A Proposed Operational Definition - Bishop - 2006 - Clinical Psychology: Science and Practice - Wiley Online Library. (n.d.). Retrieved from http://onlinelibrary.wiley.com/doi/10.1093/clipsy.bph077/abstract
23) Kabat-Zinn, J. (2003). Mindfulness-based interventions in context: Past, present, and future. Clinical Psychology: Science and Practice, 10(2), 144–156. https://doi.org/10.1093/clipsy/bpg016
24) Khoshnood, Z., Iranmanesh, S., Rayyani, M., & Dehghan, M. (2018). Body-mind healing strategies in patients with cancer: A qualitative content analysis. Asian Pacific Journal of Cancer Prevention. https://doi.org/10.22034/APJCP.2018.19.6.1691
25) Lengacher, C. A., Reich, R. R., Post-White, J., Moscoso, M., Shelton, M. M., Barta, M., Budhrani, P. (2012). Mindfulness based stress reduction in post-treatment breast cancer patients: An examination of symptoms and symptom clusters. Journal of Behavioral Medicine. https://doi.org/10.1007/s10865-011-9346-4
26) Laryionava, K., Pfeil, T. A., Dietrich, M., Reiter-Theil, S., Hiddemann, W., & Winkler, E. C. (2018). The second patient? Family members of cancer patients and their role in end-of-life decision making. BMC Palliative Care. https://doi.org/10.1186/s12904-018-0288-2
27) Matos, T. D. de S., Meneguin, S., Ferreira, M. de L. da S., & Miot, H. A. (2017). Quality of life and religious- spiritual coping in palliative cancer care patients. Revista Latino-Americana de Enfermagem. https://doi.org/10.1590/1518-8345.1857.2910
28) Muhamad Mazanah, Mojgan, A., & Fitrisehara, K. (2011). Family support in cancer survivorship. Asian Pacific Journal of Cancer Prevention : APJCP, 12, 1389–1397. Retrieved from http://www.ncbi.nlm.nih.gov/pubmed/22126470
29) Ng, C. G., Mohamed, S., See, M. H., Harun, F., Dahlui, M., Sulaiman, A. H., … Taib, N. A. (2015). Anxiety, depression, perceived social support and quality of life in Malaysian breast cancer patients: a 1-year prospective study. Health and Quality of Life Outcomes. https://doi.org/10.1186/s12955-015-0401-7
30) Nikbakhsh, N., Moudi, S., Abbasin, S., & Khafri, S. (2014). Prevalence of depression and anxiety among cancer patients. Caspian Journal International Medical.
31) Pasquini, M., & Biondi, M. (2007). Depression in cancer patients: A critical review. Clinical Practice and Epidemiology in Mental Health. https://doi.org/10.1186/1745-0179-3-2
32) Pisu, M., Martin, M. Y., Shewchuk, R., & Meneses, K. (2014). Dealing with the financial burden of cancer: perspectives of older breast cancer survivors. Supportive Care in Cancer. https://doi.org/10.1007/s00520-014- 2298-9
33) Prouty, D., Ward-Smith, P., & Hutto, C. J. (2006). The lived experience of adult survivors of childhood cancer.
Journal of Pediatric Oncology Nursing. https://doi.org/10.1177/1043454206287295
34) Reich, R. R., Lengacher, C. A., Klein, T. W., Newton, C., Shivers, S., Ramesar, S., Kip, K. E. (2017). A Randomized Controlled Trial of the Effects of Mindfulness-Based Stress Reduction (MBSR[BC]) on Levels of Inflammatory Biomarkers Among Recovering Breast Cancer Survivors. Biological Research for Nursing. https://doi.org/10.1177/1099800417707268
35) Rinske.A., G., P., C., J.J.V., B., H., B., G.L., F., & M.G.M., H. (2015). Standardised mindfulness-based interventions in healthcare: An overview of systematic reviews and meta-analyses of RCTs. PLoS ONE.
36) Ruthig, J. C., & Holfeld, B. (2016). Positive Thinking and Social Perceptions of a Male vs. Female Peers Cancer Experience. Journal of Social Psychology. https://doi.org/10.1080/00224545.2015.1052361
37) Satija, A., & Bhatnagar, S. (2017). Complementary therapies for symptom management in cancer patients.
Indian Journal of Palliative Care. https://doi.org/10.4103/IJPC.IJPC_100_17
38) Silva, S. M., Crespo, C., & Canavarro, M. C. (2012). Pathways for psychological adjustment in breast cancer: A longitudinal study on coping strategies and posttraumatic growth. Psychology and Health. https://doi.org/10.1080/08870446.2012.676644
39) Shennan, C., Payne, S., & Fenlon, D. (2011). What is the evidence for the use of mindfulness-based interventions in cancer care? A review. Psycho-Oncology, 20(7), 681–697. https://doi.org/10.1002/pon.1819
40) Speca, M., Carlson, L. E., Mackenzie, M. J., & Angen, M. (2014). Mindfulness-Based Cancer Dolan, N. C., Lee, A. M., & McDermott, M. M. G. (1997). Age-related differences in breast carcinoma knowledge, beliefs, and perceived risk among women visiting an academic general medicine practice. Cancer. https://doi.org/10.1002/(SICI)1097-0142(19970801)80:3<413::AID-CNCR9>3.0.CO;2-S
41) Zullig, L. L., Wolf, S., Vlastelica, L., Shankaran, V., & Yousuf Zafar, S. (2017). The role of patient financial assistance programs in reducing costs for cancer patients. Journal of Managed Care and Specialty Pharmacy. https://doi.org/10.18553/jmcp.2017.23.4.407
42) Zullig, L. L., Peppercorn, J. M., Schrag, D., Taylor, D. H., Lu, Y., Samsa, G., Zafar, S. Y. (2013). Financial Distress, Use of Cost-Coping Strategies, and Adherence to Prescription Medication Among Patients With Cancer. Journal of Oncology Practice. https://doi.org/10.1200/jop.2013.000971
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