{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,18]],"date-time":"2026-04-18T06:57:11Z","timestamp":1776495431398,"version":"3.51.2"},"reference-count":68,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2014,8,5]],"date-time":"2014-08-05T00:00:00Z","timestamp":1407196800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/501100000145","name":"Alberta Innovates Health Solutions","doi-asserted-by":"crossref","id":[{"id":"10.13039\/501100000145","id-type":"DOI","asserted-by":"crossref"}]},{"name":"Mind and Life Francisco J. Varela Research Award"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Clin Psychol"],"published-print":{"date-parts":[[2015,1]]},"abstract":"<jats:sec><jats:title>Objectives<\/jats:title><jats:p>This waitlist\u2010controlled study examined the timing of changes during Mindfulness\u2010Based Cancer Recovery (MBCR), and explored sequential mediated effects through enhanced mindfulness and emotion regulation (ER) in a cancer population.<\/jats:p><\/jats:sec><jats:sec><jats:title>Method<\/jats:title><jats:p>Patients were recruited from the MBCR program waitlist and were either registered for immediate participation (<jats:italic>n<\/jats:italic> = 135) or waiting for the next program to begin (<jats:italic>n<\/jats:italic> = 76). Participants completed self\u2010report measures of stress symptoms, mood disturbance, mindfulness, and ER (rumination, worry, and experiential avoidance) pre\u2010, mid\u2010 and post\u2010MBCR or waiting period.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>There was a relatively early effect of MBCR on observing, nonjudging, rumination, and worry. All other measures changed later. Early changes in present\u2010focused nonjudgmental awareness, rumination, and worry mediated the effect of MBCR on mindfulness skills such as nonreactivity later on.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The constructs of mindfulness and ER may overlap and changes may be mutually facilitative during MBCR. The study informs our understanding of mindfulness and ER as mechanisms of mindfulness\u2010based interventions.<\/jats:p><\/jats:sec>","DOI":"10.1002\/jclp.22117","type":"journal-article","created":{"date-parts":[[2014,8,5]],"date-time":"2014-08-05T15:46:54Z","timestamp":1407253614000},"page":"21-40","source":"Crossref","is-referenced-by-count":80,"title":["Mediators of Mindfulness\u2010Based Stress Reduction (MBSR): Assessing the Timing and Sequence of Change in Cancer Patients"],"prefix":"10.1002","volume":"71","author":[{"given":"Laura E.","family":"Labelle","sequence":"first","affiliation":[{"name":"University of Calgary, Department of Oncology and Alberta Health Services"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tavis S.","family":"Campbell","sequence":"additional","affiliation":[{"name":"University of Calgary, Department of Oncology and Alberta Health Services"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Peter","family":"Faris","sequence":"additional","affiliation":[{"name":"University of Calgary, Department of Oncology and Alberta Health Services"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Linda E.","family":"Carlson","sequence":"additional","affiliation":[{"name":"University of Calgary, Department of Oncology and Alberta Health Services"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2014,8,5]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1080\/14639947.2011.564842"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1002\/jclp.21865"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1177\/1073191105283504"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.1037\/0022-3514.51.6.1173"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.1093\/clipsy.bph077"},{"key":"e_1_2_6_7_1","doi-asserted-by":"publisher","DOI":"10.1007\/s12160-010-9168-6"},{"key":"e_1_2_6_8_1","doi-asserted-by":"publisher","DOI":"10.1007\/s12529-011-9192-3"},{"key":"e_1_2_6_9_1","doi-asserted-by":"publisher","DOI":"10.1037\/0022-3514.84.4.822"},{"key":"e_1_2_6_10_1","doi-asserted-by":"publisher","DOI":"10.1080\/10478400701703344"},{"key":"e_1_2_6_11_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10865-011-9357-1"},{"key":"e_1_2_6_12_1","doi-asserted-by":"publisher","DOI":"10.1038\/sj.bjc.6601887"},{"key":"e_1_2_6_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpsychores.2004.04.366"},{"key":"e_1_2_6_14_1","doi-asserted-by":"publisher","DOI":"10.1200\/JCO.2012.47.5210"},{"key":"e_1_2_6_15_1","volume-title":"Mindfulness\u2010based cancer recovery: A step\u2010by\u2010step MBSR approach to help you cope with treatment and reclaim your life","author":"Carlson L. 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