Stress-reducing effects of a brief mindfulness intervention in palliative care: Results from a randomised, crossover study

Warth, Marco ; Koehler, Friederike ; Aguilar-Raab, Corina ; Bardenheuer, Hubert J. ; Ditzen, Beate ; Kessler, Jens

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DOI:	https://doi.org/10.1111/ecc.13249
URL:	https://onlinelibrary.wiley.com/doi/10.1111/ecc.13...
Additional URL:	https://www.researchgate.net/publication/341548187...
URN:	urn:nbn:de:bsz:180-madoc-675893
Document Type:	Article
Year of publication:	2020
The title of a journal, publication series:	European Journal of Cancer Care
Volume:	29
Issue number:	Article e13249
Page range:	1-10
Place of publication:	London
Publishing house:	Hindawi Limited
ISSN:	0961-5423 , 1360-5801 , 1365-2354
Publication language:	English
Institution:	School of Social Sciences > Klinische Psychologie, Interaktions- und Psychotherapieforschung (Aguilar-Raab 2023-)
Pre-existing license:	Creative Commons Attribution, Non-Commercial 4.0 International (CC BY-NC 4.0)
Subject:	150 Psychology 610 Medicine and health
Abstract:	Objective Mindfulness-based interventions are a widely used and highly accepted adjunct treatment in oncology. Due to a paucity of research in advanced cancer and other terminal illnesses, we aimed to evaluate the stress-reducing effects of a brief, standardised mindfulness intervention for use in palliative care. Methods This study was a randomised, crossover trial where patients participated in both a single mindfulness intervention and a resting state control condition. The order of the conditions was randomised. Study outcomes encompassed self-report data on stress and well-being and measures of heart rate variability. All outcome data were measured at four times per day. Results Forty-two patients participated in this study. We found significantly stronger reductions in self-rated stress and mean heart rate as well as an increase in heart rate variability after the mindfulness intervention. Psychophysiological effects were strongest in the immediate pre- to post-intervention comparison, while the effect on subjective stress persisted after 20 to 40 min. No significant differences were found for self-rated well-being. Conclusions Despite the rather small magnitude of effects, the brief mindfulness intervention showed to be effective and accepted by patients in very advanced stages of a disease and could be offered by trained healthcare professionals in palliative care.

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