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Shelley A Johns

Center for Health Services Research, Regenstrief Institute, Indianapolis, Indiana, USA.

2 papers in the library · 23 citations · publishing 2024

Papers

Mindfulness to enhance quality of life and support advance care planning: a pilot randomized controlled trial for adults with advanced cancer and their family caregivers.

BMC palliative care September 28, 2024 Catherine E Mosher, Kathleen A Beck-Coon, Wei Wu et al. 17 citations

A mindfulness-based group intervention for patients with advanced cancer and their family caregivers improved patients' existential well-being and confidence in advance care planning, while usual-care patients did not show these gains. Caregivers in the mindfulness program also reported moderate improvements in quality of life and reduced burden one month later. However, most other outcomes—including anxiety, depression, sleep disturbance, and cognitive avoidance—did not differ significantly between the mindfulness and usual-care groups. The pilot trial randomly assigned 33 patient-caregiver dyads to six weekly mindfulness sessions and 22 dyads to usual care, recruiting from five oncology clinics in the midwestern United States.

Preliminary validation of the Cognitive Affective Mindfulness Scale-Revised in cancer populations.

Psycho-oncology January 1, 2024 Stella Snyder, Ekin Secinti, Kelly Chinh et al. 6 citations

A 10-item version of the Cognitive Affective Mindfulness Scale-Revised (CAMS-R) shows promise for measuring mindfulness in people with cancer. In a sample of 404 patients with breast, gastrointestinal, lung, or prostate cancer (half with stage IV cancer, 51% women), the scale's original four-factor structure (attention, present focus, awareness, acceptance) with an overall mindfulness factor fit the data reasonably well. Internal consistency was excellent. Higher mindfulness scores correlated with greater self-compassion and lower anxiety, depressive symptoms, rumination, psychological inflexibility, and avoidant coping. The scale performed consistently across genders, cancer types, and cancer stages. Further research should test whether the CAMS-R can detect changes from mindfulness interventions.