Publicação
Trait mindfulness is protective for development of psychological distress in women with early breast cancer
| Resumo: | Background: Breast cancer causes significant psychological and physical burden, with survivors often reporting persistent psychological symptoms, such as anxiety and depression, along with somatic symptoms like fatigue and pain. Psychological factors may protect from the development of long-term distress and help identify patients with greater needs for supervision and/or care. Here we aimed to study the predictive role of mindfulness as a trait in determining affective and somatic symptoms 12 months after cancer diagnosis. Methods: Women with a diagnosis of breast cancer were recruited at the onset of systemic treatments and compared with healthy women from the general population. Over a 12-month period, participants were periodically assessed using the Mindfulness Attention Awareness Scale (MAAS), the Hospital Anxiety and Depression Scale, the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire–Core 30 and the Positive and Negative Affect Scale. Regression models were employed to assess the predictive associations of baseline mindfulness trait with symptoms after 12 months. Results: The study included 282 participants, 243 of whom contributed complete data for analysis. The Portuguese version of MAAS demonstrated adequate psychometric properties for patients with breast cancer, supporting its use to address our main aim. Mindfulness trait scores remained stable across time, did not differ significantly between patients and healthy participants, and were similarly stable across time for patients undergoing different treatments. Also in the clinical group, MAAS scores at baseline significantly predicted affective, but not somatic symptoms, 12 months later, with higher levels of mindfulness predicting more clinically significant distress. Conclusions: In women with a recent diagnosis of breast cancer, mindfulness trait appears unaffected by diagnosis or its treatments, serving as a protective factor against affective, but not somatic, symptoms, in the first year following diagnosis. |
|---|---|
| Autores principais: | Manica, Isabel |
| Outros Autores: | Almeida, Sílvia; Lemos, Raquel; Sousa, Berta; Oliveira-Maia, Albino J.; Oliveira-Maia, AJ |
| Assunto: | Anxiety breast cancer depression mindfulness somatic symptoms Health(social science) General Psychology Behavioral Neuroscience SDG 3 - Good Health and Well-being |
| Ano: | 2025 |
| País: | Portugal |
| Tipo de documento: | artigo |
| Tipo de acesso: | acesso aberto |
| Instituição associada: | Universidade Nova de Lisboa |
| Idioma: | inglês |
| Origem: | Repositório Institucional da UNL |
| _version_ | 1868983681057554432 |
|---|---|
| author | Manica, Isabel |
| author2 | Almeida, Sílvia Lemos, Raquel Sousa, Berta Oliveira-Maia, Albino J. Oliveira-Maia, AJ |
| author2_role | author author author author author |
| author_facet | Manica, Isabel Almeida, Sílvia Lemos, Raquel Sousa, Berta Oliveira-Maia, Albino J. Oliveira-Maia, AJ |
| author_role | author |
| contributor_name_str_mv | NOVA Medical School|Faculdade de Ciências Médicas (NMS|FCM) Taylor & Francis RUN |
| country_str | PT |
| creators_json_txt | [{\"Person.name\":\"Manica, Isabel\"},{\"Person.name\":\"Almeida, Sílvia\"},{\"Person.name\":\"Lemos, Raquel\"},{\"Person.name\":\"Sousa, Berta\"},{\"Person.name\":\"Oliveira-Maia, Albino J.\"},{\"Person.name\":\"Oliveira-Maia, AJ\",\"Person.identifier.orcid\":\"0000-0001-5071-3007\"}] |
| datacite.contributors.contributor.contributorName.fl_str_mv | NOVA Medical School|Faculdade de Ciências Médicas (NMS|FCM) Taylor & Francis RUN |
| datacite.creators.creator.creatorName.fl_str_mv | Manica, Isabel Almeida, Sílvia Lemos, Raquel Sousa, Berta Oliveira-Maia, Albino J. Oliveira-Maia, AJ |
| datacite.date.Accepted.fl_str_mv | 2025-06-01T00:00:00Z |
| datacite.date.available.fl_str_mv | 2025-06-25T21:18:16Z |
| datacite.date.embargoed.fl_str_mv | 2025-06-25T21:18:16Z |
| datacite.rights.fl_str_mv | http://purl.org/coar/access_right/c_abf2 |
| datacite.subjects.subject.fl_str_mv | Anxiety breast cancer depression mindfulness somatic symptoms Health(social science) General Psychology Behavioral Neuroscience SDG 3 - Good Health and Well-being |
| datacite.titles.title.fl_str_mv | Trait mindfulness is protective for development of psychological distress in women with early breast cancer |
| dc.contributor.none.fl_str_mv | NOVA Medical School|Faculdade de Ciências Médicas (NMS|FCM) Taylor & Francis RUN |
| dc.creator.none.fl_str_mv | Manica, Isabel Almeida, Sílvia Lemos, Raquel Sousa, Berta Oliveira-Maia, Albino J. Oliveira-Maia, AJ |
| dc.date.Accepted.fl_str_mv | 2025-06-01T00:00:00Z |
| dc.date.available.fl_str_mv | 2025-06-25T21:18:16Z |
| dc.date.embargoed.fl_str_mv | 2025-06-25T21:18:16Z |
| dc.format.none.fl_str_mv | application/pdf |
| dc.identifier.none.fl_str_mv | http://hdl.handle.net/10362/184479 |
| dc.language.none.fl_str_mv | eng |
| dc.rights.none.fl_str_mv | http://purl.org/coar/access_right/c_abf2 |
| dc.subject.none.fl_str_mv | Anxiety breast cancer depression mindfulness somatic symptoms Health(social science) General Psychology Behavioral Neuroscience SDG 3 - Good Health and Well-being |
| dc.title.fl_str_mv | Trait mindfulness is protective for development of psychological distress in women with early breast cancer |
| dc.type.none.fl_str_mv | http://purl.org/coar/resource_type/c_6501 |
| description | Background: Breast cancer causes significant psychological and physical burden, with survivors often reporting persistent psychological symptoms, such as anxiety and depression, along with somatic symptoms like fatigue and pain. Psychological factors may protect from the development of long-term distress and help identify patients with greater needs for supervision and/or care. Here we aimed to study the predictive role of mindfulness as a trait in determining affective and somatic symptoms 12 months after cancer diagnosis. Methods: Women with a diagnosis of breast cancer were recruited at the onset of systemic treatments and compared with healthy women from the general population. Over a 12-month period, participants were periodically assessed using the Mindfulness Attention Awareness Scale (MAAS), the Hospital Anxiety and Depression Scale, the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire–Core 30 and the Positive and Negative Affect Scale. Regression models were employed to assess the predictive associations of baseline mindfulness trait with symptoms after 12 months. Results: The study included 282 participants, 243 of whom contributed complete data for analysis. The Portuguese version of MAAS demonstrated adequate psychometric properties for patients with breast cancer, supporting its use to address our main aim. Mindfulness trait scores remained stable across time, did not differ significantly between patients and healthy participants, and were similarly stable across time for patients undergoing different treatments. Also in the clinical group, MAAS scores at baseline significantly predicted affective, but not somatic symptoms, 12 months later, with higher levels of mindfulness predicting more clinically significant distress. Conclusions: In women with a recent diagnosis of breast cancer, mindfulness trait appears unaffected by diagnosis or its treatments, serving as a protective factor against affective, but not somatic, symptoms, in the first year following diagnosis. |
| dirty | 0 |
| eu_rights_str_mv | openAccess |
| format | article |
| fulltext.url.fl_str_mv | https://run.unl.pt/bitstreams/ae2b54dd-9a8c-44e9-8705-663fd378ebff/download |
| id | run_e99f772d0fc153282bbd70191928fa02 |
| identifier.url.fl_str_mv | http://hdl.handle.net/10362/184479 |
| inst_facet_str | urn:organizationAcronym:unl{{{_:::_}}}Universidade Nova de Lisboa |
| instacron_str | unl |
| institution | Universidade Nova de Lisboa |
| instname_str | Universidade Nova de Lisboa |
| language | eng |
| network_acronym_str | run |
| network_name_str | Repositório Institucional da UNL |
| oai_identifier_str | oai:run.unl.pt:10362/184479 |
| organization_str_mv | urn:organizationAcronym:unl |
| person_str_mv | Manica, Isabel Almeida, Sílvia Lemos, Raquel Sousa, Berta Oliveira-Maia, Albino J. Oliveira-Maia, AJ Oliveira-Maia, AJ https://www.ciencia-id.pt/ED15-6691-FEC7 ED15-6691-FEC7 http://orcid.org/0000-0001-5071-3007 0000-0001-5071-3007 |
| publishDate | 2025 |
| repo_facet_str | urn:repositoryAcronym:run{{{_:::_}}}Repositório Institucional da UNL |
| reponame_str | Repositório Institucional da UNL |
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| spelling | engenBackground: Breast cancer causes significant psychological and physical burden, with survivors often reporting persistent psychological symptoms, such as anxiety and depression, along with somatic symptoms like fatigue and pain. Psychological factors may protect from the development of long-term distress and help identify patients with greater needs for supervision and/or care. Here we aimed to study the predictive role of mindfulness as a trait in determining affective and somatic symptoms 12 months after cancer diagnosis. Methods: Women with a diagnosis of breast cancer were recruited at the onset of systemic treatments and compared with healthy women from the general population. Over a 12-month period, participants were periodically assessed using the Mindfulness Attention Awareness Scale (MAAS), the Hospital Anxiety and Depression Scale, the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire–Core 30 and the Positive and Negative Affect Scale. Regression models were employed to assess the predictive associations of baseline mindfulness trait with symptoms after 12 months. Results: The study included 282 participants, 243 of whom contributed complete data for analysis. The Portuguese version of MAAS demonstrated adequate psychometric properties for patients with breast cancer, supporting its use to address our main aim. Mindfulness trait scores remained stable across time, did not differ significantly between patients and healthy participants, and were similarly stable across time for patients undergoing different treatments. Also in the clinical group, MAAS scores at baseline significantly predicted affective, but not somatic symptoms, 12 months later, with higher levels of mindfulness predicting more clinically significant distress. Conclusions: In women with a recent diagnosis of breast cancer, mindfulness trait appears unaffected by diagnosis or its treatments, serving as a protective factor against affective, but not somatic, symptoms, in the first year following diagnosis.application/pdfenTrait mindfulness is protective for development of psychological distress in women with early breast cancerManica, IsabelAlmeida, SílviaLemos, RaquelSousa, BertaOliveira-Maia, Albino J.PersonalOliveira-Maia, AJDSpacehttp://dspace.org/items/402bb6ca-e5db-422a-9d43-a807d4076d38DSpacehttp://dspace.org/items/402bb6ca-e5db-422a-9d43-a807d4076d38Oliveira-MaiaAlbino JorgeCiência IDhttps://www.ciencia-id.ptED15-6691-FEC7ORCIDhttp://orcid.org0000-0001-5071-3007Researcher IDhttps://www.researcherid.comB-7976-2009Scopus Author IDhttps://www.scopus.com14060820700NOVA Medical School|Faculdade de Ciências Médicas (NMS|FCM)Taylor & FrancisHostingInstitutionOrganizationalRUNe-mailmailto:run@unl.ptrun@unl.ptISSNIsPartOf2164-2850URNIsPartOfPURE: 119508366URNIsPartOfPURE UUID: 32c2c10f-c601-4c54-bed7-ac527002fe69URNIsPartOfScopus: 105008337456DOIIsPartOf10.1080/21642850.2025.25175992025-06-25T21:18:16Z2025-062025-06-01T00:00:00ZHandlehttp://hdl.handle.net/10362/184479http://purl.org/coar/access_right/c_abf2open accessAnxietybreast cancerdepressionmindfulnesssomatic symptomsHealth(social science)General PsychologyBehavioral NeuroscienceSDG 3 - Good Health and Well-being1075225 bytesliteraturehttp://purl.org/coar/resource_type/c_6501journal articlehttp://purl.org/coar/access_right/c_abf2application/pdffulltexthttps://run.unl.pt/bitstreams/ae2b54dd-9a8c-44e9-8705-663fd378ebff/download |
| spellingShingle | Trait mindfulness is protective for development of psychological distress in women with early breast cancer Manica, Isabel Anxiety breast cancer depression mindfulness somatic symptoms Health(social science) General Psychology Behavioral Neuroscience SDG 3 - Good Health and Well-being |
| status | SINGLETON |
| subject.fl_str_mv | Anxiety breast cancer depression mindfulness somatic symptoms Health(social science) General Psychology Behavioral Neuroscience SDG 3 - Good Health and Well-being |
| title | Trait mindfulness is protective for development of psychological distress in women with early breast cancer |
| title_full | Trait mindfulness is protective for development of psychological distress in women with early breast cancer |
| title_fullStr | Trait mindfulness is protective for development of psychological distress in women with early breast cancer |
| title_full_unstemmed | Trait mindfulness is protective for development of psychological distress in women with early breast cancer |
| title_short | Trait mindfulness is protective for development of psychological distress in women with early breast cancer |
| title_sort | Trait mindfulness is protective for development of psychological distress in women with early breast cancer |
| topic | Anxiety breast cancer depression mindfulness somatic symptoms Health(social science) General Psychology Behavioral Neuroscience SDG 3 - Good Health and Well-being |
| topic_facet | Anxiety breast cancer depression mindfulness somatic symptoms Health(social science) General Psychology Behavioral Neuroscience SDG 3 - Good Health and Well-being |
| url | http://hdl.handle.net/10362/184479 |
| visible | 1 |