Date of Award
2023
Degree Type
Selective Evidence-Based Medicine Review
Degree Name
Master of Science in Health Sciences - Physician Assistant
Department
Physician Assistant Studies
Abstract
OBJECTIVE: The objective of this selective EBM review is to determine whether or not “is mindfulness- based stress reduction (MBSR) more effective than standard care in reducing anxiety in breast cancer survivors with a diagnosis of Stage 0 – III breast cancer?”
STUDY DESIGN: Review of three randomized control trials (RCT).
DATA SOURCES: All three RCTs were published in English and taken from peer-reviewed journals using PubMed. The articles were published between 2012-2021.
OUTCOMES MEASURED: The outcome measured included reduction in anxiety using the State-Trait Anxiety Inventory and POMS total mood disturbance (and its subscale of anxiety).
RESULTS: In the 2014 RCT led by Lengacher et al, there was no significant difference between MBSR and usual care, indicated by a p-value of 0.17. The 2021 RCT study led by Lengacher et al. showed a reduction in anxiety in the MBSR group compared to the UC group, indicated by a p-value of 0.01 and a mean change from baseline of 3.8. The RCT led by Hoffman et al. showed a statistically significant difference between the MBSR and UC groups. There was a mean change adjusted at baseline of 2.93 and a 95% confidence interval of -4.67 to -1.20. CONCLUSION: This systemic review had inconclusive results and could not determine if MBSR is more effective than standard care in reducing anxiety in breast cancer survivors.
Recommended Citation
Poulshock, Emma, "Is mindfulness- based stress reduction (MBSR) more effective than standard care in reducing anxiety in breast cancer survivors with a diagnosis of Stage 0 – III breast cancer?" (2023). PCOM Physician Assistant Studies Student Scholarship. 667.
https://digitalcommons.pcom.edu/pa_systematic_reviews/667