{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,16]],"date-time":"2026-09-16T15:05:11Z","timestamp":1789571111876,"version":"build-2803163510"},"reference-count":39,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2026,8,12]],"date-time":"2026-08-12T00:00:00Z","timestamp":1786492800000},"content-version":"vor","delay-in-days":11,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,8,1]],"date-time":"2026-08-01T00:00:00Z","timestamp":1785542400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/100018515","name":"Hamburger Krebsgesellschaft","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100018515","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Psycho-Oncology"],"published-print":{"date-parts":[[2026,8]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Cancer patients often suffer from neurocognitive impairments due to cancer treatment, the cancer itself, and\/or coping with the illness, significantly impairing quality of life and everyday functioning.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aims<\/jats:title>\n                    <jats:p>This study evaluates the effectiveness of an online MBSR course regarding neurocognitive functioning and well\u2010being of cancer patients.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A total of 170 cancer patients with cognitive impairments 3\u00a0months to 5\u00a0years after completing antitumor therapy were randomized to an online MBSR course led by an experienced therapist or a waitlist control group. Assessments were conducted online at baseline (T0) and post\u2010intervention (T1, 8\u00a0weeks). The control group then received the intervention and was assessed again after 8\u00a0weeks (T2). Both groups completed a 3\u2010month follow\u2010up (T3). The primary outcome was subjective neurocognitive functioning (FACT\u2010Cog). Secondary outcomes included quality of life (FACT\u2010G), fatigue (BFI), depressive symptoms (PHQ\u20109), attention (Go\u2010No\u2010Go), and verbal learning and memory (VLMT). Outcomes were analyzed using mixed models for repeated measures.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Subjective neurocognitive functioning (FACT\u2010Cog) improved significantly in the intervention group compared to controls at T1 (Cohen's\n                      <jats:italic>d<\/jats:italic>\n                      \u00a0=\u00a00.36\u20130.72,\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0=\u00a00.004\u2013&lt; 0.001, depending on subscale), as well as quality of life (FACT\u2010G, Cohen's\n                      <jats:italic>d<\/jats:italic>\n                      \u00a0=\u00a00.32,\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0=\u00a00.001), fatigue (BFI, Cohen's\n                      <jats:italic>d<\/jats:italic>\n                      \u00a0=\u00a0\u22120.47,\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0&lt;\u00a00.001), and depressive symptoms (PHQ\u20109, Cohen's\n                      <jats:italic>d<\/jats:italic>\n                      \u00a0=\u00a0\u22120.57,\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0&lt;\u00a00.001). Objective memory performance (VLMT, Cohen's\n                      <jats:italic>d<\/jats:italic>\n                      \u00a0=\u00a00.25,\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0=\u00a00.030) improved. Effects were maintained at 3\u2010month follow\u2010up.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>The online MBSR course can effectively improve cancer\u2010related cognitive impairment and well\u2010being of cancer patients.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/pon.70566","type":"journal-article","created":{"date-parts":[[2026,8,12]],"date-time":"2026-08-12T09:41:21Z","timestamp":1786527681000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Improving Cognitive Impairment in Cancer Patients With an Online Course in Mindfulness\u2010Based Stress Reduction\u2014A Randomized Controlled Trial"],"prefix":"10.1002","volume":"35","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1255-6466","authenticated-orcid":false,"given":"Anna","family":"Baumeister","sequence":"first","affiliation":[{"name":"Department of Psychiatry and Psychotherapy University Medical Center Hamburg\u2010Eppendorf  Hamburg Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0172-0248","authenticated-orcid":false,"given":"Lea","family":"Schuurmans","sequence":"additional","affiliation":[{"name":"Department of Psychiatry and Psychotherapy University Medical Center Hamburg\u2010Eppendorf  Hamburg Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lisa","family":"Borgmann","sequence":"additional","affiliation":[{"name":"Department of Psychiatry and Psychotherapy University Medical Center Hamburg\u2010Eppendorf  Hamburg Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alena","family":"Krause","sequence":"additional","affiliation":[{"name":"University Cancer Center Hamburg University Medical Center Hamburg\u2010Eppendorf  Hamburg Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0003-0823-0791","authenticated-orcid":false,"given":"Luca","family":"Schmidt","sequence":"additional","affiliation":[{"name":"University Cancer Center Hamburg University Medical Center Hamburg\u2010Eppendorf  Hamburg Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8601-0143","authenticated-orcid":false,"given":"Steffen","family":"Moritz","sequence":"additional","affiliation":[{"name":"Department of Psychiatry and Psychotherapy University Medical Center Hamburg\u2010Eppendorf  Hamburg Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9135-0652","authenticated-orcid":false,"given":"Matthias","family":"Rostock","sequence":"additional","affiliation":[{"name":"University Cancer Center Hamburg University Medical Center Hamburg\u2010Eppendorf  Hamburg Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,8,12]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1093\/eurpub\/ckac131.148"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0124169"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.3322\/CAAC.21258"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.1097\/PSY.0000000000000926"},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj\u20102022\u2010071726"},{"key":"e_1_2_11_7_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41598\u2010022\u201005682\u20101"},{"key":"e_1_2_11_8_1","volume-title":"Wherever You Go, There You Are: Mindfulness Meditation in Everyday Life","author":"Kabat\u2010Zinn 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