Kellie Bennett - Mindulness Meditation in Cancer Care
Transcript of Kellie Bennett - Mindulness Meditation in Cancer Care
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What’s the new evidence for mindfulness meditation in cancer care?
FACULTY OF MEDICINE, DENTISTRY AND HEALTH SCIENCES
Associate Professor Kellie Bennett School of Psychiatry & Clinical Neurosciences
The University of Western Australia
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The University of Western Australia
Mindfulness Meditation
“Mindfulness meditation involves deliberately focusing attention on the
present without judgement.” Kabat-Zinn, 2005
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The University of Western Australia
Mindfulness refers to a process that leads to a mental state characterized by non-judgmental awareness of the present moment experience including:
• Sensations
• Thoughts
• Bodily states
• Consciousness
• Environment
Encouraging openness, curiosity, and acceptance
Thinking beyond ‘auto-pilot’
Mindfulness Meditation
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The University of Western Australia
Mindfulness based therapies
Mindfulness-based stress reduction (MBSR)
Mindfulness-based cognitive therapy (MBCT)
Dialectical behaviour therapy (DBT)
Acceptance and commitment therapy (ACT)
Relapse prevention (RP)
Baer, 2003
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The University of Western Australia
Mindfulness based therapies
Mindfulness-based stress reduction (MBSR)
• Developed as an 8 week group program to assist patients living with chronic pain.
• Body Scan, Sitting Meditation, Hatha Yoga
Mindfulness-based cognitive therapy (MBCT)
• A cognitive therapy adaptation of MBSR which was designed to be used to prevent relapse and recurrence of depression in those who are in recovery
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The University of Western Australia
Meta-analyses
Article Number of studies
Intervention Evidence
Baer, 2003 20 (N = 1293)
MBCT & MBSR
Improvements in areas of chronic pain
Grossman et al., 2004
64 (N = 1605)
MBSR Benefits for mental health & physical health
Ledesma & Kumano, 2009
10 (N = 583)
MBSR Stress reduction in patients with cancer
Bohlmeijer et al., 2010
8 (N =331)
MBSR Small effect on depression, anxiety & psychological distress
Hoffman et al. 2010
39 (N=1140)
MBCT & MBSR
Moderate effect on anxiety reduction & mood symptoms
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The University of Western Australia
Clinical outcomes of mindfulness meditation
“… may help a broad range of individuals to cope with their clinical and
non-clinical problems.” Grossman, 2004
Stress
Anxiety
Depression
Coping
Chronic pain
Sleep disturbance
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The University of Western Australia
Significant improvements in anxiety, depression, stress, sexual difficulties,
physiological arousal across all interventions.
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The University of Western Australia
Chiesa and Serretti, 2010
(Chiesa and Serretti, 2010)
Impact of meditation
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The University of Western Australia
Increased monitoring of thought processes
Increased identification of rumination about future/past leading to
decreased rumination as a problem-solving technique
Reducing habitual tendencies to categorize experiences
Impact of Meditation: Psychological
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The University of Western Australia
Impact of meditation
Impact of Meditation: Biological
Enhanced cerebral activity in
brain areas
Stronger brain activity in
meditators than non-meditators
Holzel et al (2007)
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The University of Western Australia
Some brain areas are thicker in practitioners of meditation
than control subjects who do not meditate.
Lazar, et al 2005
Insula Prefrontal
Meditators
Non-meditators
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The University of Western Australia
Impact of meditation
(Chiesa and Serretti, 2010)
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The University of Western Australia
2012
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The University of Western Australia
Mindfulness in Oncology
Mindfulness-based therapy (MBT) is become a very popular form of
treatment for stress reduction and depression
Increasingly being offered in clinics and hospitals in USA, UK, Australia
Increasing evidence base
Increasing support
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The University of Western Australia
2012-2013 Collaborative Research Project
The University of Western Australia
SolarisCare
Cancer Council WA
WA Psycho-Oncology Service
The Marion Centre
WAPOS
WA Psycho-Oncology Service
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The University of Western Australia
Research is ongoing …
One size doesn’t fit all
Meditation appears to reduce stress and improve mood, quality of life, sleep
Possible impact on pain
Immune functioning….
Electrodes measure a Tibetan
monk's brain activity
National Geographic
2012 onwards