Mindfulness Practice Assists With Chemotherapy

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Findings in colorectal cancer patients using mindfulness practice at start of chemo sessions.
Findings in colorectal cancer patients using mindfulness practice at start of chemo sessions.

HealthDay News — Mindfulness practice during chemotherapy can reduce the blunting of neuroendocrine profiles typically observed in cancer patients, according to a study published in Cancer.

David S. Black, PhD, MPH, from University of Southern California in Los Angeles, and colleagues assigned 57 English- or Spanish-speaking colorectal cancer patients to either mindfulness, attention-control, or resting exposure at the start of chemotherapy. Four saliva samples were collected at the start of chemotherapy and at 20-minute intervals during the first 60 minutes of chemotherapy. Self-reported biobehavioral assessments after chemotherapy included distress, fatigue, and mindfulness

An area-under-the-curve analysis showed a relative increase in cortisol reactivity in the mindfulness group, after adjustments for biological and clinical measures (P = 0.03). From baseline to 20 minutes, more than twice as many patients in the mindfulness group displayed a cortisol rise, compared to controls (69 versus 34 percent; P = 0.02). Mindfulness scores were inversely correlated with fatigue (P < 0.01) and distress scores (P < 0.01).

"Implications include support for the use of mindfulness practice in integrative oncology," the authors write.

Several authors disclosed financial ties to the pharmaceutical industry.

Reference

Black DS, Peng C, Sleight AG, Nguyen N, Lenz HJ, Figueiredo JC. Mindfulness practice reduces cortisol blunting during chemotherapy: A randomized controlled study of colorectal cancer patients [published onlineApril 7, 2017]. Cancer. 2017; doi: 10.1002/cncr.30698.

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