Félix Compen|Else Bisseling|Melanie P J Schellekens|Rogier Donders|Linda E. Carlson|Marije van der Lee|Anne E. M. Speckens
Face-to-Face and Internet-Based Mindfulness-Based Cognitive Therapy Compared With Treatment as Usual in Reducing Psychological Distress in Patients With Cancer: A Multicenter Randomized Controlled Trial
Radboud University Nijmegen|Radboud University Nijmegen|Radboud University Nijmegen|Radboud University Medical Center|Radboud University Nijmegen|Radboud University Medical Center|Radboud University Nijmegen|Radboud University Nijmegen|Radboud University Medical Center|Radboud University Nijmegen
purpose mindfulnessbased cognitive therapy mbct shown alleviate psychological distress patients cancer however patients experience barriers participating facetoface mbct individual internetbased mbct embct could alternative study aim compare mbct embct treatment usual tau psychological distress patients cancer patients methods obtained ethical safety approval include 245 patients cancer psychological distress 11 hospital anxiety depression scale study randomly allocated mbct n 77 embct n 90 tau n 78 patients completed baseline t0 postintervention t1 assessments primary outcome psychological distress hospital anxiety depression scale secondary outcomes psychiatric diagnosis fear cancer recurrence rumination healthrelated quality life mindfulness skills positive mental health continuous outcomes analyzed using linear mixed modeling intentiontotreat sample interventions compared tau type error rate set p 025 results compared tau patients reported significantly less psychological distress mbct cohens 45 p 001 embct cohens 71 p 001 addition posttreatment prevalence psychiatric diagnosis lower mbct 33 improvement p 030 embct 29 improvement p 076 comparison tau 16 changes statistically significant interventions reduced fear cancer recurrence rumination increased mental healthrelated quality life mindfulness skills positive mental health compared tau ps 025 physical healthrelated quality life improve p 343 conclusion compared tau mbct embct similarly effective reducing psychological distress sample distressed heterogeneous patients cancer