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The Impact of Mindfulness-Based Meditation and Yoga on Stress, Body Image, Self-esteem, and Sexual Adjustment in Breast Cancer Patients Undergoing Modified Radical Mastectomy: A Randomized Controlled Trial.

Cancer nursing
January 1, 1970
Melike Pehlivan et al. (2 authors)
Journal ArticleRandomized Controlled TrialHuman StudyClinical
Study Details

Study Goal

The researchers aimed to determine whether mindfulness-based meditation and yoga could reduce stress, improve self-esteem, body image, and sexual adjustment in women undergoing modified radical mastectomy.

Results Summary

The study found significant reductions in perceived stress and the importance of breasts in sexuality, along with improved self-esteem and body perception, but no significant changes in sexual adjustment.

Population

Women undergoing modified radical mastectomy (intervention group = 19, control group = 20).

Effective Dosage

Approximately 90-minute face-to-face mindfulness-based meditation and yoga sessions.

Duration

8 weeks.

Interactions

None mentioned.

Extracted Claims (5)
InterventionDirectionEndpointPopulationDosageImpactClaim #
mindfulness-based meditation and yoga
decrease
perceived stress
women undergoing modified radical mastectomy
-
significant reductions
#1
mindfulness-based meditation and yoga
decrease
significance attributed to breasts in sexuality
women undergoing modified radical mastectomy
-
significant reductions
#2
mindfulness-based meditation and yoga
increase
self-esteem
women undergoing modified radical mastectomy
-
increases
#3
mindfulness-based meditation and yoga
increase
body perception
women undergoing modified radical mastectomy
-
increases
#4
mindfulness-based meditation and yoga
no change
sexual adjustment
women undergoing modified radical mastectomy
-
no significant differences
#5
Abstract

BACKGROUND: Surgical interventions are commonly utilized in the treatment of breast cancer; however, they can elicit adverse effects on women's perceptions of femininity, leading to stress, negative body image, diminished self-esteem, and challenges in sexual adjustment. OBJECTIVE: This study investigates the efficacy of mindfulness-based meditation and yoga in alleviating stress, enhancing self-esteem, improving body image, and facilitating sexual adjustment among women undergoing modified radical mastectomy. METHODS: Using a prospective (pretest, posttest, and second-month follow-up), 2-arm (1:1), randomized controlled experimental design, the study involved 39 women (intervention group = 19, control group = 20) undergoing modified radical mastectomy. The intervention group participated in face-to-face mindfulness-based meditation and yoga sessions lasting approximately 90 minutes each over an 8-week period. RESULTS: Following the intervention, significant reductions in perceived stress and the significance attributed to breasts in sexuality were observed ( P < .05), accompanied by increases in self-esteem and body perception ( P < .05). However, no significant differences were observed in sexual adjustment ( P > .05). CONCLUSIONS: Mindfulness-based meditation and yoga interventions demonstrated efficacy in mitigating perceived stress, enhancing self-esteem, and improving body perception among women undergoing modified radical mastectomy. The findings advocate for the integration of mindfulness-based stress reduction programs, particularly during the preoperative phase, to support oncological patients, particularly those with breast cancer. IMPLICATIONS FOR PRACTICE: Psychosocial aspects such as body image, self-esteem, and sexual adjustment following radical mastectomy are frequently overlooked in clinical care. This research highlights the potential benefits of incorporating mindfulness-based yoga and meditation techniques into nursing interventions to alleviate stress and enhance body confidence among women undergoing mastectomy.

Medical Subject Headings (MeSH)
HumansFemaleYogaBody ImageSelf ConceptBreast NeoplasmsMiddle AgedMeditationStress, PsychologicalMindfulnessMastectomy, Modified RadicalAdultProspective StudiesAdaptation, PsychologicalAged
Study Links
Quality Scores
SafetyNot Assessed
Efficacy85/10
Quality78/10
Research Impact Scores
APT Score0.05
Weight Score1.31
Normalized Score0.70
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