Skip Navigation
Skip to contents

J Korean Acad Nurs : Journal of Korean Academy of Nursing

OPEN ACCESS

Articles

Page Path
HOME > J Korean Acad Nurs > Volume 42(2); 2012 > Article
Original Article
Effects of Mindfulness Meditation Program on Perceived Stress, Ways of Coping, and Stress Response in Breast Cancer Patients
Gwangsoon Kang, Sangeun Oh
Journal of Korean Academy of Nursing 2012;42(2):161-170.
DOI: https://doi.org/10.4040/jkan.2012.42.2.161
Published online: April 30, 2012

1Full-time Instructor, Department of Nursing, Gwangju University, Gwangju, Korea.

2Professor, College of Nursing, CRINS, Chonnam National University, Gwangju, Korea.

Address reprint requests to: Oh, Sangeun. College of Nursing, Chonnam National University, 5 Hak 1-dong, Dong-gu, Gwangju 501-746, Korea. Tel: +82-62-220-4354, FAX: +82-62-227-4009, seoh@jnu.ac.kr
• Received: November 8, 2010   • Accepted: April 26, 2012

© 2012 Korean Society of Nursing Science

  • 308 Views
  • 5 Download
  • 23 Crossref
prev next
  • Purpose
    Purpose of this study was to examine the effects of the Mindfulness Meditation program on perceived stress, ways of coping, salivary cortisol level, and psychological stress response in patients with breast cancer.
  • Methods
    This was a quasi-experimental study with a non-equivalent control group pre-post test design. Participants in this study were 50 patients who had completed breast cancer treatment (experimental group, 25, control group, 25). The experimental group received the Mindfulness Meditation program for 3 hours/session/ week for 8 weeks. Data were analyzed using χ2-test and t-test for subject homogeneity verification, and ANCOVA to examine the hypotheses.
  • Results
    The experimental group had significantly lower scores for perceived stress, emotional focused coping, salivary cortisol level, and psychological stress response compared to the control group. However, no significant differences were found between two groups for the scores on problem focused stress coping.
  • Conclusion
    According to the results, the Mindfulness Meditation program was useful for decreasing perceived stress, emotional focused coping, salivary cortisol level, and psychological stress response. Therefore, this program is an effective nursing intervention to decrease stress in patients with breast cancer.
  • 1. Ahn J.M., Ryu J.W., Lee J.K., Lee Y.S., Yoon C.L., Cho Y.G. Salivary cortisol in research of diseases related with stress: An overview. Oral Biology Research. 2007;31:113–120.
  • 2. Carlson L.E., Speca M., Faris P., Patel K.D. One year pre-post intervention follow-up of psychological, immune, endocrine and blood pressure outcomes of mindfulness-based stress reduction (MBSR) in breast and prostate cancer outpatients. Brain, Behavior, and Immunity. 2007;21:1038–1049. http://dx.doi.org/10.1016/j.bbi.2007.04.002.ArticlePubMed
  • 3. Carmody J., Baer R.A. Relationships between mindfulness practice and levels of mindfulness, medical and psychological symptoms and wellbeing in a mindfulness-based stress reduction program. Journal of Behavioral Medicine. 2008;31:23–33. http://dx.doi.org/10.1007/s10865-007-9130-7.ArticlePubMedPDF
  • 4. Chang H.K., Kim J.M., Bae J.H. The development of Korean version of mindfulness based stress reduction program and the effects of the program. Korean Journal of Health Psychology. 2007;12:833–850.Article
  • 5. Cohen S., Rabin B.S. Psychologic stress, immunity, and cancer. Journal of the National Cancer Institute. 1998;90:3–4. http://dx.doi.org/10.1093/jnci/90.1.3.ArticlePubMed
  • 6. Folkman S., Lazarus R.S. If it changes it must be a process: Study of emotion and coping during three stages of a college examination. Journal of Personality and Social Psychology. 1985;48:150–170. http://dx.doi.org/10.1037/0022-3514.48.1.150.ArticlePubMed
  • 7. Gitlin M.J., Gerner R.H. The dexamethasone suppression and response to somatic treatment: A review. Journal of Clinical Psychiatry. 1986;47:16–21.
  • 8. Hockenberry-Eaton M., Kemp V., Dilorio C. Cancer stressors and protective factor: predictors of stress experienced during treatment for childhood cancer. Research in Nursing and Health. 1994;17:351–361. http://dx.doi.org/10.1002/nur.4770170506.PubMed
  • 9. Kanaley J.A., Weltman J.Y., Pieper K.S., Weltman A., Hartman M.L. Cortisol and growth hormone responses to exercise at different times of day. The Journal of Clinical Endocrinology and Metabolism. 2001;86:2881–2889. http://dx.doi.org/10.1210/jc.86.6.2881.ArticlePubMed
  • 10. Kabat-Zinn J. Full catastrophe living: Using the wisdom of your body and mind to face stress, pain, and illness. 1990;New York, NY, Delta.
  • 11. Kim D.Y., Son C.N. The effects of mindfulness meditation on the smoking cessation maintenance and self efficacy: Focusing on the smoking cessation clinic users. Korean Journal of Health Psychology. 2008;13:1009–1022.Article
  • 12. Kim K.H., Hwang H.J. The effects of a cognitive-behavioral program and a meditation training program on adolescent girls' body image, binge eating, and weight reduction. Korean Journal of Health Psychology. 1999;4:140–154.
  • 13. Koh K.B., Park J.K. Validity and reliability of the Korean version of the global assessment of recent stress scale. Korean Journal of Psychosomatic Medicine. 2000;8:201–211.
  • 14. Koh K.B., Park J.K., Kim C.H. Development of the stress response inventory. Journal of Korean Neuropsychiatric Association. 2000;39:707–719.
  • 15. Lazarus R.S., Folkman S. Stress appraisal and coping. 1984;New York, NY, Springer.
  • 16. Lee K.J. Effects of a sensory stimulation on weight, stress hormone and behavioral state in premature infants. Journal of Korean Academy of Nursing. 1999;29:445–455.ArticlePDF
  • 17. Lebel S., Rosberger Z., Edgar L., Devins G.M. Comparison of four common stressors across the breast cancer trajectory. Journal of Psychosomatic Research. 2007;63:225–232. http://dx.doi.org/10.1016/j.jpsychores.2007.02.002.ArticlePubMed
  • 18. Linn M.W. A Global Assessment of Recent Stress (GARS) scale. International Journal of Psychiatry in Medicine. 1985;15:47–59.ArticlePubMedPDF
  • 19. Matchim Y., Armer J.M. Measuring the psychological impact of mindfulness meditation on health among patients with cancer: A literature review. Oncology Nursing Forum. 2007;34:1059–1066. http://dx.doi.org/10.1188/07.ONF.1059-1066.ArticlePubMed
  • 20. Michael Y.L., Kawachi I., Berkman L.F., Holmes M.D., Colditz G.A. The persistent impact of breast carcinoma on functional health status: Prospective evidence from the nurses' health study. Cancer. 2000;89:2176–2186. http://dx.doi.org/10.1002/1097-0142(20001201)89:11<2176::AID-CNCR5>3.0.CO;2-6.ArticlePubMed
  • 21. Monti D.A., Peterson C., Kunkel E.J., Hauck W.W., Pequignot E., Rhodes L., et al. A randomized, controlled trial of mindfulness-based art therapy (MBAT) for woman with cancer. Psycho-oncology. 2006;15:363–373. http://dx.doi.org/10.1002/pon.988.ArticlePubMed
  • 22. Annual report of cancer statistics in Korea in 2008. National Cancer Information Center. 2010;12 28 Retrieved March 8, 2011. from http://www.cancer.go.kr/ncic/cics_f/01/014/index.html.
  • 23. Staging. National Cancer Institute. 2009;10 15 Retrieved March 3, 2011. from http://www.cancer.gov/cancertopics/wyntk/breast/page7.Article
  • 24. Schonholtz J.K. Psychosocial adjustment to breast cancer: The role of marital support and approach coping. 2000;Baltimore, USA, Walden University. Unpublished doctoral dissertation.
  • 25. So H.S. Cervix cancer patients' change patterns of uncertainty, coping, and depression with treatment time. 1995;Seoul, Yonsei University. Unpublished doctoral dissertation.
  • 26. Tacón A.M., Caldera Y.M., Ronaghan C. Mindfulness-based stress reduction in women with breast cancer. Families, Systems, & Health. 2004;22:193–203. http://dx.doi.org/10.1037/1091-7527.22.2.193.Article
  • 27. Witek-Janusek L., Albuquerque K., Chroniak K.R., Chroniak C., Durazo-Arvizu R., Mathews H.L. Effect of mindfulness based stress reduction on immune function, quality of life and coping in women newly diagnosed with early stage breast cancer. Brain, behavior, and immunity. 2008;22:969–981. http://dx.doi.org/10.1016/j.bbi.2008.01.012.ArticlePubMedPMC
Figure 1
Conceptual framework of this study.
jkan-42-161-g001.jpg
Table 1
Mindfulness Meditation Program
jkan-42-161-i001.jpg
Table 2
Homogeneity for Characteristics between Experimental and Control Groups
jkan-42-161-i002.jpg

Exp.=Experimental group; Cont.=Control group.

*Except not response.

Table 3
Homogeneity Test of Dependent Variables between Experimental and Control Groups
jkan-42-161-i003.jpg

Exp.=Experimental group; Cont.=Control group.

Table 4
Comparison of Subcategories in Perceived stress, Ways of Coping, and Stress Response between Experimental and Control Groups
jkan-42-161-i004.jpg

Exp.=Experimental group; Cont.=Control group.

*F score is Analysis of Covariance with pretest scores as covariates.

Figure & Data

REFERENCES

    Citations

    Citations to this article as recorded by  
    • Coping Strategies Among Filipino Cancer Patients Undergoing Radiation Therapy in Two Tertiary Care Hospitals in the Philippines: An Analytical Cross-sectional Study
      Jose Ma. Zaldarriaga, Caissa Elvira Tangco-Abao , Manuel Martin Lopez , Juan Martin Magsanoc , Angela Peña-Camacho
      Journal of Medical and Radiation Oncology.2024; 4(7): 18.     CrossRef
    • The Effect of Mindfulness and Emotional Regulation on Self-care Competence Among Cancer Patients Undergoing Chemotherapy
      Seri Son, Sunhee Lee
      Cancer Nursing.2024;[Epub]     CrossRef
    • Evaluating the Effect of Preoperative Provision of Information on Salivary Cortisol in Patients Undergoing Breast Cancer Surgery: A Randomized Controlled Study
      Sara Pakzad Karamad, Ahmad Elahi, Fariba Tabari, Shima Haghani, Mohsen Fooladzadeh Dehghan, Mojdeh Navidhamidi
      Journal of PeriAnesthesia Nursing.2023; 38(1): 63.     CrossRef
    • Allostatic Load and Breast Cancer: a Systematic Review of the Literature
      Emmanuel Obeng-Gyasi, Willi Tarver, Samilia Obeng-Gyasi
      Current Breast Cancer Reports.2022; 14(4): 180.     CrossRef
    • The effect of a supportive program on coping strategies and stress in women diagnosed with breast cancer: A randomized controlled clinical trial
      Elahe Samami, Forouzan Elyasi, Seyed Nouraddin Mousavinasab, Leila Shojaee, Ehsan Zaboli, Zohreh Shahhosseini
      Nursing Open.2021; 8(3): 1157.     CrossRef
    • Coping Strategies-Oriented Interventions in Breast Cancer Women: A Systematic Scoping Review of the Quantitative Evidence
      Elahe Samami, Forouzan Elyasi, Noraddin Mousavi Nasab, Leila Shojaee, Ehsan Zaboli, Zohreh Shahhosseini
      Iranian Journal of Psychiatry and Behavioral Sciences.2020;[Epub]     CrossRef
    • Self-Reported Parenting Stress and Cortisol Awakening Response Following Mindfulness-Based Stress Reduction Intervention for Parents of Children With Developmental Delays: A Pilot Study
      Lisa R. Roberts, G. Griffin Boostrom, Salem O. Dehom, Cameron L. Neece
      Biological Research For Nursing.2020; 22(2): 217.     CrossRef
    • Effects of an Aging Management Program for Middle-aged Women on Resilience and Successful Aging
      Hyeyun Jung, Kyung Mi Sung
      Korean Journal of Women Health Nursing.2019; 25(4): 392.     CrossRef
    • The Effect of Korean Mindfulness-based Stress Reduction Program on Perceived Stress and Depression for Mothers of Children and Adolescents with a Mental Disorder
      Hyunsook Kim, Sungjae Kim
      Perspectives in Nursing Science.2019; 16(2): 65.     CrossRef
    • Effects of progressive muscle relaxation and mindfulness meditation on fatigue, coping styles, and quality of life in early breast cancer patients: An assessor blinded, three-arm, randomized controlled trial
      Zehra Gok Metin, Canan Karadas, Nur Izgu, Leyla Ozdemir, Umut Demirci
      European Journal of Oncology Nursing.2019; 42: 116.     CrossRef
    • Effects of Mindfulness-Based Stress Reduction Program for Small and Medium Sized Hospital Nurses
      Han Ju Bea, Young Eun
      STRESS.2019; 27(4): 455.     CrossRef
    • Mindfulness-based Stress Reduction Program for Psychiatric Inpatients
      Hye Min Hong, Sun Joo Jang
      Journal of Korean Academy of Psychiatric and Mental Health Nursing.2017; 26(3): 271.     CrossRef
    • A preliminary randomised control trial of the effects of Dru yoga on psychological well-being in Northern Irish first time mothers
      Deirdre Timlin, Ellen Elizabeth Anne Simpson
      Midwifery.2017; 46: 29.     CrossRef
    • The phenomenological study of self-management intervention among breast cancer survivors: Non-pharmacological approaches
      Seok-Mo Heo, Narae Heo
      Journal of the Korea Academia-Industrial cooperation Society.2016; 17(12): 270.     CrossRef
    • The Effect of K-MBSR Program on Stress, Stress Coping Style, Depression, Anger and Sleep of Middle Aged Women
      Jeong Min Park, In-Ryoung Choi
      Journal of Korean Academy of Nursing.2016; 46(2): 194.     CrossRef
    • Meditation for adults with haematological malignancies
      Ines Salhofer, Andrea Will, Ina Monsef, Nicole Skoetz
      Cochrane Database of Systematic Reviews.2016;[Epub]     CrossRef
    • A systematic review of the effects of mindfulness interventions on cortisol
      Karen O’Leary, Siobhan O’Neill, Samantha Dockray
      Journal of Health Psychology.2016; 21(9): 2108.     CrossRef
    • Impact of Cognitive Function and Cancer Coping on Quality of Life among Women with Post-chemotherapy Breast Cancer
      Yoon Jung Kim, Sook Jung Kang
      Korean Journal of Women Health Nursing.2016; 22(3): 182.     CrossRef
    • The Effects of Mind Subtraction Meditation on Depression, Social Anxiety, Aggression, and Salivary Cortisol Levels of Elementary School Children in South Korea
      Yang-Gyeong Yoo, Duck-Joo Lee, In-Soo Lee, Namin Shin, Ju-Yeon Park, Mi-Ra Yoon, Boas Yu
      Journal of Pediatric Nursing.2016; 31(3): e185.     CrossRef
    • The Influence of Stress, Spousal Support, and Resilience on the Ways of Coping among Women with Breast Cancer
      Jiyoung Kang, Eunyoung E. Suh
      Asian Oncology Nursing.2015; 15(1): 1.     CrossRef
    • The Effect of a Community-Based Self-Management Program for Patients at Thyroid Cancer-Diagnosis Stage : a Pilot Study
      Hyera Yoo, Sunjoo Boo, Mison Chun, Eun Mi Jo
      Journal of Korean Public Health Nursing.2015; 29(3): 582.     CrossRef
    • Effects of Mindfulness Meditation Program on Sleep, Depression and Quality of Life in the Institutionalized Elderly Women
      Kyoung-Nam Kim, Hye-Gyeong Son, Hyun-Joo Park
      The Korean Journal of Health Service Management.2014; 8(3): 157.     CrossRef
    • The Effect of Mindfulness Meditation Programs on Nursing College Students' Perceived Stress, Depression, and Self-efficacy
      Young-Ran Yeom, Keum-Bong Choi
      journal of east-west nursing research.2013; 19(2): 104.     CrossRef

    • Cite
      CITE
      export Copy Download
      Close
      Download Citation
      Download a citation file in RIS format that can be imported by all major citation management software, including EndNote, ProCite, RefWorks, and Reference Manager.

      Format:
      • RIS — For EndNote, ProCite, RefWorks, and most other reference management software
      • BibTeX — For JabRef, BibDesk, and other BibTeX-specific software
      Include:
      • Citation for the content below
      Effects of Mindfulness Meditation Program on Perceived Stress, Ways of Coping, and Stress Response in Breast Cancer Patients
      J Korean Acad Nurs. 2012;42(2):161-170.   Published online April 30, 2012
      Close
    • XML DownloadXML Download
    Figure
    • 0
    We recommend
    Effects of Mindfulness Meditation Program on Perceived Stress, Ways of Coping, and Stress Response in Breast Cancer Patients
    Image
    Figure 1 Conceptual framework of this study.
    Effects of Mindfulness Meditation Program on Perceived Stress, Ways of Coping, and Stress Response in Breast Cancer Patients

    Mindfulness Meditation Program

    Homogeneity for Characteristics between Experimental and Control Groups

    Exp.=Experimental group; Cont.=Control group.

    *Except not response.

    Homogeneity Test of Dependent Variables between Experimental and Control Groups

    Exp.=Experimental group; Cont.=Control group.

    Comparison of Subcategories in Perceived stress, Ways of Coping, and Stress Response between Experimental and Control Groups

    Exp.=Experimental group; Cont.=Control group.

    *F score is Analysis of Covariance with pretest scores as covariates.

    Table 1 Mindfulness Meditation Program

    Table 2 Homogeneity for Characteristics between Experimental and Control Groups

    Exp.=Experimental group; Cont.=Control group.

    *Except not response.

    Table 3 Homogeneity Test of Dependent Variables between Experimental and Control Groups

    Exp.=Experimental group; Cont.=Control group.

    Table 4 Comparison of Subcategories in Perceived stress, Ways of Coping, and Stress Response between Experimental and Control Groups

    Exp.=Experimental group; Cont.=Control group.

    *F score is Analysis of Covariance with pretest scores as covariates.


    J Korean Acad Nurs : Journal of Korean Academy of Nursing
    Close layer
    TOP