{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,29]],"date-time":"2026-07-29T05:04:04Z","timestamp":1785301444057,"version":"3.55.0"},"reference-count":74,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2026,7,29]],"date-time":"2026-07-29T00:00:00Z","timestamp":1785283200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Oncol."],"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Mindfulness-based stress reduction (MBSR) has shown promise in improving physical and mental health in breast cancer patients, warranting further comprehensive evaluation. This meta-analysis aimed to assess the effects of MBSR compared to usual care on the physical and psychological well-being of patients with breast cancer.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      A systematic search of Web of Science, PubMed, Cochrane Library, and Embase was conducted to identify RCTs published up to October 5, 2025. Eligible studies enrolled patients with breast cancer at any stage, compared MBSR with usual care or waitlist control, and reported psychological, symptom-related, or quality of life (QoL) outcomes. Non-randomized studies, single-arm trials, duplicate reports, studies without relevant outcomes or sufficient data, and reviews, case reports, conference abstracts, letters, and animal studies were excluded. The primary outcomes were anxiety, depression, fatigue, and overall QoL. Standardized mean differences (SMDs) or mean differences (MDs) with 95% confidence intervals (CIs) were pooled according to outcome measurement scales. Heterogeneity was assessed using I\n                      <jats:sup>2<\/jats:sup>\n                      , Cochran\u2019s Q test, and 95% prediction intervals (PIs); fixed- or random-effects models were selected according to heterogeneity. Subgroup, sensitivity, and publication bias analyses were performed. Trial sequential analysis was conducted using TSA v0.9.5.10 Beta. The protocol was registered in PROSPERO (CRD420261277936).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      This meta-analysis included 20 studies comprising 2534 breast cancer patients. The overall results indicated that compared with usual care, MBSR significantly alleviated anxiety (SMD: -0.489, 95% CI: -0.734 to -0.244, 95% PI: -1.520 to 0.541), depression (SMD: -0.258, 95% CI: -0.347 to -0.170, 95% PI: -0.650 to 0.083), and fatigue (SMD: -0.399, 95% CI: -0.562 to -0.236, 95% PI:\u00a0-0.963 to 0.166), while markedly improving overall QoL (SMD: 0.262, 95% CI: 0.059 to 0.465, 95% PI: -0.311 to 0.836). Additional benefits of MBSR included reductions in perceived stress and pain, improvements in posttraumatic growth, and decreases in total mood disturbance (all\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0&amp;lt;\u00a00.05). Further subgroup analyses revealed that the 8-week MBSR protocol yielded more psychological and QoL improvements compared to the 6-week program. Notably, the benefits of MBSR in reducing depression, fatigue, perceived stress, and promoting posttraumatic growth remained observable at 4 to 9 weeks after the intervention (all\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0&amp;lt;\u00a00.05), emphasizing its sustained efficacy.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Our findings support MBSR as an effective intervention for improving the psychological health and QoL of breast cancer patients. Future research should focus on the long-term efficacy of MBSR in this population.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Systematic review registration<\/jats:title>\n                    <jats:p>\n                      <jats:ext-link>https:\/\/www.crd.york.ac.uk\/PROSPERO\/<\/jats:ext-link>\n                      , identifier CRD420261277936.\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.3389\/fonc.2026.1780224","type":"journal-article","created":{"date-parts":[[2026,7,29]],"date-time":"2026-07-29T04:48:55Z","timestamp":1785300535000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["Efficacy of mindfulness-based stress reduction versus usual care in patients with breast cancer: a meta-analysis with trial sequential analysis of randomized controlled trials"],"prefix":"10.3389","volume":"16","author":[{"given":"Jing","family":"Lei","sequence":"first","affiliation":[{"name":"Teaching and Research Section of Clinical Nursing, The Second Xiangya Hospital, Central South University","place":["Changsha, China"]},{"name":"Department of Orthopedics, The Second Xiangya Hospital, Central South University","place":["Changsha, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Meimei","family":"He","sequence":"additional","affiliation":[{"name":"Teaching and Research Section of Clinical Nursing, The Second Xiangya Hospital, Central South University","place":["Changsha, China"]},{"name":"Department of Hematology, The Second Xiangya Hospital, Central South University","place":["Changsha, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2026,7,29]]},"reference":[{"key":"B1","doi-asserted-by":"publisher","DOI":"10.3322\/caac.21834","article-title":"Global cancer statistics 2022: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries","volume":"74","author":"Bray","year":"2024","journal-title":"CA Cancer J Clin"},{"key":"B2","doi-asserted-by":"publisher","DOI":"10.1097\/ncc.0000000000000705","article-title":"Clusters of psychological symptoms in breast cancer: Is there a common psychological mechanism","volume":"43","author":"Guimond","year":"2020","journal-title":"Cancer Nurs"},{"key":"B3","doi-asserted-by":"publisher","DOI":"10.1016\/j.breast.2020.09.013","article-title":"Symptoms in long-term breast cancer survivors: A cross-sectional study in primary care","volume":"54","author":"Maass","year":"2020","journal-title":"Breast"},{"key":"B4","doi-asserted-by":"publisher","DOI":"10.1016\/s1470-2045(11)70002-x","article-title":"Prevalence of depression, anxiety, and adjustment disorder in oncological, haematological, and palliative-care settings: a meta-analysis of 94 interview-based studies","volume":"12","author":"Mitchell","year":"2011","journal-title":"Lancet Oncol"},{"key":"B5","doi-asserted-by":"publisher","DOI":"10.1016\/j.jad.2012.03.025","article-title":"Anxiety and depression after cancer diagnosis: prevalence rates by cancer type, gender, and age","volume":"141","author":"Linden","year":"2012","journal-title":"J Affect Disord"},{"key":"B6","doi-asserted-by":"publisher","first-page":"697","DOI":"10.1016\/j.breast.2014.09.003","article-title":"Impact of breast cancer treatments on sleep disturbances - A systematic review","volume":"23","author":"Costa","year":"2014","journal-title":"Breast"},{"key":"B7","doi-asserted-by":"publisher","DOI":"10.1007\/s11912-022-01262-8","article-title":"Breast cancer survivorship: the role of rehabilitation according to the International Classification of Functioning Disability and Health-a scoping review","volume":"24","author":"Pinto","year":"2022","journal-title":"Curr Oncol Rep"},{"key":"B8","doi-asserted-by":"publisher","DOI":"10.3390\/cancers16030521","article-title":"Obesity and cancer rehabilitation for functional recovery and quality of life in breast cancer survivors: A comprehensive review","volume":"16","author":"Lippi","year":"2024","journal-title":"Cancers (Basel)"},{"key":"B9","doi-asserted-by":"publisher","DOI":"10.1097\/md.0000000000043705","article-title":"Exercise-based interventions for postoperative rehabilitation in breast cancer patients: A systematic review and meta-analysis of randomized controlled trials","volume":"104","author":"Xue","year":"2025","journal-title":"Med (Baltimore)"},{"key":"B10","doi-asserted-by":"publisher","DOI":"10.1002\/pon.5522","article-title":"Moderators of the effect of psychosocial interventions on fatigue in women with breast cancer and men with prostate cancer: Individual patient data meta-analyses","volume":"29","author":"Abrahams","year":"2020","journal-title":"Psychooncology"},{"key":"B11","doi-asserted-by":"publisher","DOI":"10.1002\/pon.5298","article-title":"Effects of the ACTIVity And TEchnology (ACTIVATE) intervention on health-related quality of life and fatigue outcomes in breast cancer survivors","volume":"29","author":"Vallance","year":"2020","journal-title":"Psychooncology"},{"key":"B12","doi-asserted-by":"publisher","DOI":"10.1016\/j.jgo.2020.09.013","article-title":"Randomized phase II study of a home-based walking intervention for radiation-related fatigue among older patients with breast cancer","volume":"12","author":"VanderWalde","year":"2021","journal-title":"J Geriatr Oncol"},{"key":"B13","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1016\/j.cpr.2015.01.006","article-title":"How do mindfulness-based cognitive therapy and mindfulness-based stress reduction improve mental health and wellbeing? A systematic review and meta-analysis of mediation studies","volume":"37","author":"Gu","year":"2015","journal-title":"Clin Psychol Rev"},{"key":"B14","doi-asserted-by":"publisher","DOI":"10.2147\/prbm.S414553","article-title":"Effect of the online mindfulness-based stress reduction on anxiety and depression status of COVID-19 patients treated in Fangcang hospitals: A randomized controlled trial","volume":"16","author":"Li","year":"2023","journal-title":"Psychol Res Behav Manag"},{"key":"B15","doi-asserted-by":"publisher","DOI":"10.1007\/s00520-021-06540-y","article-title":"Impact of mindfulness-based stress reduction on female sexual function and mental health in patients with breast cancer","volume":"30","author":"Chang","year":"2022","journal-title":"Support Care Cancer"},{"key":"B16","doi-asserted-by":"publisher","first-page":"94","DOI":"10.1080\/13548506.2016.1146405","article-title":"Randomized controlled trial of mindfulness-based stress reduction (MBSR) on posttraumatic growth of Chinese breast cancer survivors","volume":"22","author":"Zhang","year":"2017","journal-title":"Psychol Health Med"},{"key":"B17","doi-asserted-by":"publisher","DOI":"10.3389\/fpsyt.2021.738579","article-title":"The psychological effect of internet-based mindfulness-based stress reduction on the survivors of breast cancer during the COVID-19","volume":"12","author":"Kang","year":"2021","journal-title":"Front Psychiatry"},{"key":"B18","doi-asserted-by":"publisher","DOI":"10.1002\/14651858.CD011518.pub2","article-title":"Mindfulness-based stress reduction for women diagnosed with breast cancer","volume":"3","author":"Schell","year":"2019","journal-title":"Cochrane Database Syst Rev"},{"key":"B19","doi-asserted-by":"publisher","DOI":"10.1097\/ncc.0000000000000889","article-title":"Short-term effects of randomized mindfulness-based intervention in female breast cancer survivors: A systematic review and meta-analysis","volume":"44","author":"Chang","year":"2021","journal-title":"Cancer Nurs"},{"key":"B20","doi-asserted-by":"publisher","DOI":"10.1007\/s00520-018-4570-x","article-title":"Effectiveness of mindfulness-based stress reduction (MBSR) on symptom variables and health-related quality of life in breast cancer patients-a systematic review and meta-analysis","volume":"27","author":"Zhang","year":"2019","journal-title":"Support Care Cancer"},{"key":"B21","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0306643","article-title":"Effects of mindfulness-based stress reduction on quality of life of breast cancer patient: A systematic review and meta-analysis","volume":"19","author":"Wang","year":"2024","journal-title":"PloS One"},{"key":"B22","doi-asserted-by":"publisher","first-page":"619","DOI":"10.1186\/s40359-024-02092-y","article-title":"The use of mindfulness-based stress reduction (MBSR) for breast cancer patients-meta-analysis","volume":"12","author":"Dong","year":"2024","journal-title":"BMC Psychol"},{"key":"B23","doi-asserted-by":"publisher","DOI":"10.1097\/ncc.0000000000001427","article-title":"The impact of mindfulness-based meditation and yoga on stress, body image, self-esteem, and sexual adjustment in breast cancer patients undergoing modified radical mastectomy: A randomized controlled trial","volume":"48","author":"Pehlivan","year":"2025","journal-title":"Cancer Nurs"},{"key":"B24","doi-asserted-by":"publisher","first-page":"75","DOI":"10.1089\/jicm.2024.0184","article-title":"Efficacy of mindfulness-based stress reduction for breast cancer (MBSR(BC)) a treatment for cancer-related cognitive impairment (CRCI): A randomized controlled trial","volume":"31","author":"Lengacher","year":"2025","journal-title":"J Integr Complement Med"},{"key":"B25","doi-asserted-by":"publisher","first-page":"49","DOI":"10.1097\/hnp.0000000000000538","article-title":"Effects of mindfulness-based stress reduction therapy on posttraumatic growth and quality of life in patients with breast cancer under early chemotherapy: A randomized controlled trial","volume":"39","author":"Zhu","year":"2025","journal-title":"Holist Nurs Pract"},{"key":"B26","doi-asserted-by":"publisher","DOI":"10.3389\/fonc.2024.1425563","article-title":"Effects of mindfulness-based stress reduction on cancer-related fatigue in patients with breast cancer: a meta-analysis of randomized controlled trials","volume":"14","author":"Lan","year":"2024","journal-title":"Front Oncol"},{"key":"B27","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.n71","article-title":"The PRISMA 2020 statement: an updated guideline for reporting systematic reviews","volume":"372","author":"Page","year":"2021","journal-title":"Bmj"},{"key":"B28","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1016\/0197-2456(95)00134-4","article-title":"Assessing the quality of reports of randomized clinical trials: is blinding necessary","volume":"17","author":"Jadad","year":"1996","journal-title":"Control Clin Trials"},{"key":"B29","doi-asserted-by":"publisher","DOI":"10.3389\/fonc.2022.1039320","article-title":"Extended adjuvant endocrine therapy for women with hormone receptor-positive early breast cancer: A meta-analysis with trial sequential analysis of randomized controlled trials","volume":"12","author":"Xie","year":"2022","journal-title":"Front Oncol"},{"key":"B30","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2288-11-41","article-title":"Quantifying, displaying and accounting for heterogeneity in the meta-analysis of RCTs using standard and generalised Q statistics","volume":"11","author":"Bowden","year":"2011","journal-title":"BMC Med Res Methodol"},{"key":"B31","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2015-010247","article-title":"Plea for routinely presenting prediction intervals in meta-analysis","volume":"6","author":"IntHout","year":"2016","journal-title":"BMJ Open"},{"key":"B32","doi-asserted-by":"publisher","DOI":"10.1002\/sim.1186","article-title":"Quantifying heterogeneity in a meta-analysis","volume":"21","author":"Higgins","year":"2002","journal-title":"Stat Med"},{"key":"B33","doi-asserted-by":"publisher","DOI":"10.2307\/2533446","article-title":"Operating characteristics of a rank correlation test for publication bias","volume":"50","author":"Begg","year":"1994","journal-title":"Biometrics"},{"key":"B34","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.315.7109.629","article-title":"Bias in meta-analysis detected by a simple, graphical test","volume":"315","author":"Egger","year":"1997","journal-title":"Bmj"},{"key":"B35","doi-asserted-by":"publisher","first-page":"39","DOI":"10.1186\/s12874-017-0315-7","article-title":"Trial sequential analysis in systematic reviews with meta-analysis","volume":"17","author":"Wetterslev","year":"2017","journal-title":"BMC Med Res Methodol"},{"key":"B36","doi-asserted-by":"publisher","DOI":"10.1200\/jco.2012.47.5210","article-title":"Randomized controlled trial of mindfulness-based cancer recovery versus supportive expressive group therapy for distressed survivors of breast cancer","volume":"31","author":"Carlson","year":"2013","journal-title":"J Clin Oncol"},{"key":"B37","doi-asserted-by":"publisher","DOI":"10.1177\/1534735412473640","article-title":"A randomized controlled trial of mindfulness-based stress reduction for women with early-stage breast cancer receiving radiotherapy","volume":"12","author":"Henderson","year":"2013","journal-title":"Integr Cancer Ther"},{"key":"B38","doi-asserted-by":"publisher","DOI":"10.1200\/jco.2010.34.0331","article-title":"Effectiveness of mindfulness-based stress reduction in mood, breast- and endocrine-related quality of life, and well-being in stage 0 to III breast cancer: a randomized, controlled trial","volume":"30","author":"Hoffman","year":"2012","journal-title":"J Clin Oncol"},{"key":"B39","doi-asserted-by":"publisher","DOI":"10.1002\/cam4.1052","article-title":"Mindfulness and its efficacy for psychological and biological responses in women with breast cancer","volume":"6","author":"Kenne Sarenmalm","year":"2017","journal-title":"Cancer Med"},{"key":"B40","doi-asserted-by":"publisher","first-page":"591","DOI":"10.1007\/s10865-021-00214-0","article-title":"Mindfulness-based stress reduction for breast cancer survivors (MBSR(BC)): evaluating mediators of psychological and physical outcomes in a large randomized controlled trial","volume":"44","author":"Lengacher","year":"2021","journal-title":"J Behav Med"},{"key":"B41","doi-asserted-by":"publisher","DOI":"10.1002\/pon.1529","article-title":"Randomized controlled trial of mindfulness-based stress reduction (MBSR) for survivors of breast cancer","volume":"18","author":"Lengacher","year":"2009","journal-title":"Psychooncology"},{"key":"B42","doi-asserted-by":"publisher","DOI":"10.1002\/pon.3603","article-title":"The effects of mindfulness-based stress reduction on objective and subjective sleep parameters in women with breast cancer: a randomized controlled trial","volume":"24","author":"Lengacher","year":"2015","journal-title":"Psychooncology"},{"key":"B43","doi-asserted-by":"publisher","DOI":"10.1200\/jco.2015.65.7874","article-title":"Examination of broad symptom improvement resulting from mindfulness-based stress reduction in breast cancer survivors: A randomized controlled trial","volume":"34","author":"Lengacher","year":"2016","journal-title":"J Clin Oncol"},{"key":"B44","doi-asserted-by":"publisher","first-page":"86","DOI":"10.1007\/s10865-011-9346-4","article-title":"Mindfulness based stress reduction in post-treatment breast cancer patients: an examination of symptoms and symptom clusters","volume":"35","author":"Lengacher","year":"2012","journal-title":"J Behav Med"},{"key":"B45","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejon.2022.102219","article-title":"Mindfulness-based stress reduction with acupressure for sleep quality in breast cancer patients with insomnia undergoing chemotherapy: A randomized controlled trial","volume":"61","author":"Liu","year":"2022","journal-title":"Eur J Oncol Nurs"},{"key":"B46","doi-asserted-by":"publisher","DOI":"10.1177\/1534735420946819","article-title":"The effect of mindfulness-based stress reduction group counseling on psychological and inflammatory responses of the women with breast cancer","volume":"19","author":"Mirmahmoodi","year":"2020","journal-title":"Integr Cancer Ther"},{"key":"B47","first-page":"175","article-title":"The effect of group mindfulness - based stress reduction program and conscious yoga on the fatigue severity and global and specific life quality in women with breast cancer","volume":"29","author":"Rahmani","year":"2015","journal-title":"Med J Islam Repub Iran"},{"key":"B48","doi-asserted-by":"publisher","first-page":"85","DOI":"10.1016\/j.jpainsymman.2016.08.005","article-title":"Mindfulness-based stress reduction in post-treatment breast cancer patients: Immediate and sustained effects across multiple symptom clusters","volume":"53","author":"Reich","year":"2017","journal-title":"J Pain Symptom Manage"},{"key":"B49","doi-asserted-by":"publisher","DOI":"10.1177\/1099800413519494","article-title":"Baseline immune biomarkers as predictors of MBSR(BC) treatment success in off-treatment breast cancer patients","volume":"16","author":"Reich","year":"2014","journal-title":"Biol Res Nurs"},{"key":"B50","doi-asserted-by":"publisher","DOI":"10.1155\/2022\/4020550","article-title":"Mindfulness-based stress reduction in breast cancer survivors with chronic neuropathic pain: A randomized controlled trial","volume":"2022","author":"Shergill","year":"2022","journal-title":"Pain Res Manag"},{"key":"B51","doi-asserted-by":"publisher","DOI":"10.1097\/hnp.0000000000000580","article-title":"Mindfulness-based stress reduction for quality of life, psychological distress, and cognitive emotion regulation strategies in patients with breast cancer under early chemotherapy-a randomized controlled trial","volume":"37","author":"Zhu","year":"2023","journal-title":"Holist Nurs Pract"},{"key":"B52","doi-asserted-by":"publisher","DOI":"10.1007\/bf00845519","article-title":"The clinical use of mindfulness meditation for the self-regulation of chronic pain","volume":"8","author":"Kabat-Zinn","year":"1985","journal-title":"J Behav Med"},{"key":"B53","doi-asserted-by":"publisher","DOI":"10.1176\/ajp.149.7.936","article-title":"Effectiveness of a meditation-based stress reduction program in the treatment of anxiety disorders","volume":"149","author":"Kabat-Zinn","year":"1992","journal-title":"Am J Psychiatry"},{"key":"B54","doi-asserted-by":"publisher","DOI":"10.1093\/jnci\/djx057","article-title":"Chemotherapy and post-traumatic stress in the causation of cognitive dysfunction in breast cancer patients","volume":"109","author":"Hermelink","year":"2017","journal-title":"J Natl Cancer Inst"},{"key":"B55","doi-asserted-by":"publisher","DOI":"10.1155\/ecc\/1656569","article-title":"Effects of mindfulness interventions on anxiety, depression, and quality of life in patients undergoing chemotherapy for breast cancer: a systematic review and meta-analysis","volume":"2025","author":"Xiang","year":"2025","journal-title":"Eur J Cancer Care"},{"key":"B56","doi-asserted-by":"publisher","DOI":"10.1111\/jmwh.13012","article-title":"Long-term effects of breast cancer surgery, treatment, and survivor care","volume":"64","author":"Lovelace","year":"2019","journal-title":"J Midwifery Womens Health"},{"key":"B57","doi-asserted-by":"publisher","DOI":"10.1007\/s00520-016-3417-6","article-title":"Quality of life (QOL) and symptom burden (SB) in patients with breast cancer","volume":"25","author":"Hamer","year":"2017","journal-title":"Support Care Cancer"},{"key":"B58","doi-asserted-by":"publisher","DOI":"10.1038\/s41386-019-0403-y","article-title":"Quitting starts in the brain: a randomized controlled trial of app-based mindfulness shows decreases in neural responses to smoking cues that predict reductions in smoking","volume":"44","author":"Janes","year":"2019","journal-title":"Neuropsychopharmacology"},{"key":"B59","doi-asserted-by":"publisher","DOI":"10.1002\/cncr.29076","article-title":"Long-term psychological benefits of cognitive-behavioral stress management for women with breast cancer: 11-year follow-up of a randomized controlled trial","volume":"121","author":"Stagl","year":"2015","journal-title":"Cancer"},{"key":"B60","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0269519","article-title":"The effects of mindfulness-based interventions on symptoms of depression, anxiety, and cancer-related fatigue in oncology patients: a systematic review and meta-analysis","volume":"17","author":"Chayadi","year":"2022","journal-title":"PloS One"},{"key":"B61","doi-asserted-by":"publisher","DOI":"10.21037\/tcr-22-2530","article-title":"The efficacy of mindfulness-based stress reduction vs. standard or usual care in patients with breast cancer: a systematic review and meta-analysis of randomized controlled trials","volume":"11","author":"Wu","year":"2022","journal-title":"Transl Cancer Res"},{"key":"B62","doi-asserted-by":"publisher","first-page":"51","DOI":"10.1007\/s11764-015-0450-2","article-title":"Cancer-related fatigue and associated disability in post-treatment cancer survivors","volume":"10","author":"Jones","year":"2016","journal-title":"J Cancer Surviv"},{"key":"B63","doi-asserted-by":"publisher","DOI":"10.1002\/pon.4984","article-title":"Mindfulness and metacognition in facing with fear of recurrence: a proof-of-concept study with breast-cancer women","volume":"28","author":"Cheli","year":"2019","journal-title":"Psychooncology"},{"key":"B64","doi-asserted-by":"publisher","first-page":"5","DOI":"10.1080\/16506073.2015.1098724","article-title":"Acceptance- and mindfulness-based interventions for the treatment of chronic pain: a meta-analytic review","volume":"45","author":"Veehof","year":"2016","journal-title":"Cognit Behav Ther"},{"key":"B65","doi-asserted-by":"publisher","DOI":"10.1097\/00005650-199603000-00003","article-title":"A 12-item short-form health survey: construction of scales and preliminary tests of reliability and validity","volume":"34","author":"Ware","year":"1996","journal-title":"Med Care"},{"key":"B66","doi-asserted-by":"publisher","DOI":"10.1007\/s11764-020-00903-w","article-title":"Breast cancer survivors living with chronic neuropathic pain show improved brain health following mindfulness-based stress reduction: a preliminary diffusion tensor imaging study","volume":"14","author":"Mioduszewski","year":"2020","journal-title":"J Cancer Surviv"},{"key":"B67","doi-asserted-by":"publisher","DOI":"10.1007\/s12671-020-01546-9","article-title":"Reduced emotional reactivity in breast cancer survivors with chronic neuropathic pain following mindfulness-based stress reduction (MBSR): an fMRI pilot investigation","volume":"12","author":"Hatchard","year":"2021","journal-title":"Mindfulness"},{"key":"B68","doi-asserted-by":"publisher","DOI":"10.1007\/bf02103658","article-title":"The posttraumatic growth inventory: measuring the positive legacy of trauma","volume":"9","author":"Tedeschi","year":"1996","journal-title":"J Trauma Stress"},{"key":"B69","doi-asserted-by":"publisher","DOI":"10.1080\/13548506.2014.969747","article-title":"Posttraumatic growth moderates the effects of posttraumatic stress symptoms on adjustment and positive affective reactions in digestive system cancer patients","volume":"20","author":"Ben-Zur","year":"2015","journal-title":"Psychol Health Med"},{"key":"B70","doi-asserted-by":"publisher","DOI":"10.1002\/pon.5484","article-title":"Finding the silver linings: psychosocial correlates of posttraumatic growth among husbands of Chinese breast cancer survivors","volume":"29","author":"Yeung","year":"2020","journal-title":"Psychooncology"},{"key":"B71","doi-asserted-by":"publisher","DOI":"10.3389\/fpsyt.2019.00208","article-title":"Resilience in cancer patients","volume":"10","author":"Seiler","year":"2019","journal-title":"Front Psychiatry"},{"key":"B72","doi-asserted-by":"publisher","first-page":"47","DOI":"10.1016\/j.ejon.2017.04.007","article-title":"The mediating role of resilience in the relationship between social support and posttraumatic growth among colorectal cancer survivors with permanent intestinal ostomies: a structural equation model analysis","volume":"29","author":"Dong","year":"2017","journal-title":"Eur J Oncol Nurs"},{"key":"B73","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpsychores.2019.109916","article-title":"Mindfulness-based stress reduction can alleviate cancer-related fatigue: a meta-analysis","volume":"130","author":"Xie","year":"2020","journal-title":"J Psychosom Res"},{"key":"B74","doi-asserted-by":"publisher","first-page":"49","DOI":"10.1186\/s13058-023-01645-0","article-title":"Acupuncture for chemotherapy-associated insomnia in breast cancer patients: an assessor-participant blinded, randomized, sham-controlled trial","volume":"25","author":"Zhang","year":"2023","journal-title":"Breast Cancer Res"}],"container-title":["Frontiers in Oncology"],"original-title":[],"link":[{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fonc.2026.1780224\/full","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,7,29]],"date-time":"2026-07-29T04:49:07Z","timestamp":1785300547000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fonc.2026.1780224\/full"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,7,29]]},"references-count":74,"alternative-id":["10.3389\/fonc.2026.1780224"],"URL":"https:\/\/doi.org\/10.3389\/fonc.2026.1780224","relation":{},"ISSN":["2234-943X"],"issn-type":[{"value":"2234-943X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,7,29]]},"article-number":"1780224"}}