Kellie Bennett - Mindulness Meditation in Cancer Care
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What’s the new evidence for mindfulness meditation in cancer care? FACULTY OF MEDICINE, DENTISTRY AND HEALTH SCIENCES Associate Professor Kellie Bennett School of Psychiatry & Clinical Neurosciences The University of Western Australia
Transcript of Kellie Bennett - Mindulness Meditation in Cancer Care
What’s the new evidence for mindfulness meditation in cancer care?
FACULTY OF MEDICINE, DENTISTRY AND HEALTH SCIENCES
Associate Professor Kellie Bennett School of Psychiatry & Clinical Neurosciences
The University of Western Australia
The University of Western Australia
Mindfulness Meditation
“Mindfulness meditation involves deliberately focusing attention on the
present without judgement.” Kabat-Zinn, 2005
The University of Western Australia
Mindfulness refers to a process that leads to a mental state characterized by non-judgmental awareness of the present moment experience including:
• Sensations
• Thoughts
• Bodily states
• Consciousness
• Environment
Encouraging openness, curiosity, and acceptance
Thinking beyond ‘auto-pilot’
Mindfulness Meditation
The University of Western Australia
Mindfulness based therapies
Mindfulness-based stress reduction (MBSR)
Mindfulness-based cognitive therapy (MBCT)
Dialectical behaviour therapy (DBT)
Acceptance and commitment therapy (ACT)
Relapse prevention (RP)
Baer, 2003
The University of Western Australia
Mindfulness based therapies
Mindfulness-based stress reduction (MBSR)
• Developed as an 8 week group program to assist patients living with chronic pain.
• Body Scan, Sitting Meditation, Hatha Yoga
Mindfulness-based cognitive therapy (MBCT)
• A cognitive therapy adaptation of MBSR which was designed to be used to prevent relapse and recurrence of depression in those who are in recovery
The University of Western Australia
Meta-analyses
Article Number of studies
Intervention Evidence
Baer, 2003 20 (N = 1293)
MBCT & MBSR
Improvements in areas of chronic pain
Grossman et al., 2004
64 (N = 1605)
MBSR Benefits for mental health & physical health
Ledesma & Kumano, 2009
10 (N = 583)
MBSR Stress reduction in patients with cancer
Bohlmeijer et al., 2010
8 (N =331)
MBSR Small effect on depression, anxiety & psychological distress
Hoffman et al. 2010
39 (N=1140)
MBCT & MBSR
Moderate effect on anxiety reduction & mood symptoms
The University of Western Australia
Clinical outcomes of mindfulness meditation
“… may help a broad range of individuals to cope with their clinical and
non-clinical problems.” Grossman, 2004
Stress
Anxiety
Depression
Coping
Chronic pain
Sleep disturbance
The University of Western Australia
Significant improvements in anxiety, depression, stress, sexual difficulties,
physiological arousal across all interventions.
The University of Western Australia
Chiesa and Serretti, 2010
(Chiesa and Serretti, 2010)
Impact of meditation
The University of Western Australia
Increased monitoring of thought processes
Increased identification of rumination about future/past leading to
decreased rumination as a problem-solving technique
Reducing habitual tendencies to categorize experiences
Impact of Meditation: Psychological
The University of Western Australia
Impact of meditation
Impact of Meditation: Biological
Enhanced cerebral activity in
brain areas
Stronger brain activity in
meditators than non-meditators
Holzel et al (2007)
The University of Western Australia
Some brain areas are thicker in practitioners of meditation
than control subjects who do not meditate.
Lazar, et al 2005
Insula Prefrontal
Meditators
Non-meditators
The University of Western Australia
Impact of meditation
(Chiesa and Serretti, 2010)
The University of Western Australia
2012
The University of Western Australia
Mindfulness in Oncology
Mindfulness-based therapy (MBT) is become a very popular form of
treatment for stress reduction and depression
Increasingly being offered in clinics and hospitals in USA, UK, Australia
Increasing evidence base
Increasing support
The University of Western Australia
2012-2013 Collaborative Research Project
The University of Western Australia
SolarisCare
Cancer Council WA
WA Psycho-Oncology Service
The Marion Centre
WAPOS
WA Psycho-Oncology Service
The University of Western Australia
Research is ongoing …
One size doesn’t fit all
Meditation appears to reduce stress and improve mood, quality of life, sleep
Possible impact on pain
Immune functioning….
Electrodes measure a Tibetan
monk's brain activity
National Geographic
2012 onwards
