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Mindfulness-based interventions for cancer patients in China: a meta-analysis of randomized controlled trials

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Abstract

In this study, we sought to evaluate the efficacy of mindfulness-based interventions (MBIs) for anxiety, depression, and quality of life (QoL) among cancer patients in China. Two independent researchers systematically searched major databases for randomized controlled trials (RCTs) examining MBIs’ effectiveness regarding anxiety, depression, and QoL among cancer patients in China. The reviewed databases included CNKI, the WanFang database, VIP Database, PubMed, Embase, Cochrane Library, PsycInfo, and Web of Science. We used the Cochrane risk-of-bias tool to assess the risk of bias, and we used Stata 15.1 for our meta-analysis. In total, 1,796 patients were included in the 18 RCTs we selected and reviewed. Our meta-analysis showed that compared to usual care, MBI can effectively improve anxiety (SMD =  − 1.32, 95% CI [− 1.69, − 0.94], p < 0.001), depression (SMD =  − 1.21, 95% CI [− 1.52, − 0.89], p < 0.001), and QoL (SMD = 1.09, 95% CI [0.73, 1.44], p < 0.001). Current evidence indicates that MBIs can effectively manage anxiety, depression, and QoL among cancer patients in China. Hence, MBIs should be included as part of the multidisciplinary treatment approach to treat cancer patients in China in order to protect their psychological well-being and QoL.

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All pertinent data, materials, and codes for analysis will be made available by the authors upon written request by any party.

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Acknowledgements

We thank the nurses of Advanced Medical and Dental Institute, Universiti Sains Malaysia and Department of Oncology, 1st Affiliated Hospital, Xinxiang Medical University for their assistance in data collection.

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Authors and Affiliations

  1. Department of Community Health, Advanced Medical and Dental Institute, Universiti Sains Malaysia, SAINS@BERTAM, 13200, Kepala Batas, Pulau Pinang, Malaysia

    Zheng Zhang & Mohammad Farris Iman Leong Bin Abdullah

  2. School of Human Resource Development and Psychology, Faculty of Social Sciences and Humanities (FSSH), Universiti Teknologi Malaysia, 81310, Skudai, Johor, Malaysia

    Nurul Izzah Shari

  3. Department of Oncology, 1st Affiliated Hospital, Xinxiang Medical University, Xinxiang, Henan, People’s Republic of China

    Ping Lu, Qingqin Zhang & Duo Li

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  1. Zheng Zhang
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All authors contributed to the study. Material preparation, data collection and analysis were performed by [Zheng Zhang], [Nurul Izzah Shari], [Ping Lu], [Qingqin Zhang], [Duo Li] and [Mohammad Farris Iman Leong Bin Abdullah]. The first draft of the manuscript was written by [Mohammad Farris Iman Leong Bin Abdullah] and [Zheng Zhang]. All authors commented on previous versions of the manuscript. All authors read and approved the final manuscript.

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Correspondence to Mohammad Farris Iman Leong Bin Abdullah.

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Zhang, Z., Shari, N.I., Lu, P. et al. Mindfulness-based interventions for cancer patients in China: a meta-analysis of randomized controlled trials. Curr Psychol 42, 25445–25459 (2023). https://doi.org/10.1007/s12144-022-03665-z

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