Publications by authors named "Linda F Brown"

Article Synopsis
  • The study investigates the effectiveness of a mindfulness-based program called MEANING in improving the quality of life and advance care planning for advanced cancer patients and their caregivers, as many tend to avoid these discussions.
  • The trial involved 55 patient-caregiver dyads, with some participating in the mindfulness intervention and others receiving usual care, and outcomes were measured through surveys at multiple points in time.
  • Results indicated that those in the MEANING group experienced significant improvements in existential well-being and self-efficacy related to advance care planning, compared to the usual care group, although other psychological and quality of life measures did not show significant differences.
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Objectives: Growing evidence supports the efficacy of mindfulness-based interventions for symptoms in cancer survivors. Identifying theory-based psychological processes underlying their effects on symptoms would inform research to enhance their efficacy and cost-effectiveness. We conducted secondary analyses examining the effect of mindfulness-based stress reduction (MBSR) for cancer-related fatigue on mindfulness facets, self-compassion, and psychological inflexibility.

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Background: Fear of cancer recurrence (FCR) has a profound negative impact on quality of life (QOL) for many cancer survivors. Breast cancer survivors (BCS) are particularly vulnerable, with up to 70% reporting clinically significant FCR. To the authors' knowledge, evidence-based interventions for managing FCR are limited.

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Purpose: Cancer-related fatigue (CRF) is a disruptive symptom for many survivors. Despite promising evidence for efficacy of mindfulness-based stress reduction (MBSR) in reducing CRF, no trials comparing it to an active comparator for fatigued survivors have been published. The purpose of this trial was to compare MBSR to psychoeducation for CRF and associated symptoms.

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Purpose: Cancer-related cognitive impairment (CRCI) is a common, fatigue-related symptom that disrupts cancer survivors' quality of life. Few interventions for CRCI exist. As part of a randomized pilot study targeting cancer-related fatigue, the effects of mindfulness-based stress reduction (MBSR) on survivors' cognitive outcomes were investigated.

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Background: Constructing meaning in cancer leads to improved psychosocial outcomes for patients and survivors.

Aim: We tested the feasibility and preliminary efficacy of a meaning-based intervention for couples.

Design: The single-arm pilot study tested a 4-session, tailored, activities-based couple's intervention.

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Objective: Cancer-related fatigue (CRF) is one of the most common, persistent, and disabling symptoms associated with cancer and its treatment. Evidence-based treatments that are acceptable to patients are critically needed. This study examined the efficacy of mindfulness-based stress reduction (MBSR) for CRF and related symptoms.

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Objective: Fatigue is one of the most common and debilitating symptoms reported by cancer patients, yet relatively little is understood about its etiology. Recently, as researchers have begun to focus attention on cancer-related fatigue (CRF), depression has emerged as its strongest correlate. Few longitudinal studies, however, have examined directionality of the relationship between the two symptoms.

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Background: Husbands of patients with breast cancer (HBCs) experience as much as or even more distress than patients. Husbands' coping strategies may predict their level of distress.

Objective: The present study examined the coping strategies of HBCs compared with husbands of women without cancer (HWCs) and the relationship between coping and various psychosocial variables.

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Purpose: Cancer-related fatigue (CRF) is an important symptom in clinical practice and research. The best way to measure it, however, remains unsettled. The SF-36 vitality scale, a general measure of energy/fatigue, is a frequently cited measure.

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Background: Fatigue is an important symptom in cancer and has been shown to be associated with psychological distress.

Objective: This review assesses evidence regarding associations of cancer-related fatigue with depression and anxiety.

Method: Database searches yielded 59 studies reporting correlation coefficients or odds ratios.

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Objectives: Depression is known to be a major problem in cancer patients, and evidence is emerging about the importance of anxiety. Because the disorders are highly comorbid, we examined the relationship of anxiety and depression with health-related quality of life (HRQL) in cancer patients.

Methods: Sample included 405 adult oncology patients participating in a randomized controlled trial of telecare management for pain and depression.

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Despite evidence that individuals with schizophrenia spectrum disorders experience significant and persistent symptoms of anxiety, there are few reports of the use of empirically supported treatments for anxiety in this population. This article describes how we have tried to adapt mindfulness interventions to help individuals with schizophrenia who experience significant anxiety symptoms. Although mindfulness has been widely used to help individuals without psychosis, to our knowledge, this is the first study adapting it to help those with schizophrenia manage worry and stress.

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