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. 2022 Jul;30(7):5911-5919.
doi: 10.1007/s00520-022-07022-5. Epub 2022 Apr 6.

Testing psychosocial mediators of a mind-body resiliency intervention for cancer survivors

Lucy Finkelstein-Fox  1   2   3 , Autumn W Rasmussen  4   5 , Daniel L Hall  4   5   6 , Giselle K Perez  4   5   6 , Amy H Comander  7   8 , Jeffrey Peppercorn  7   8 , Reid Anctil  4   5   9 , Cathy Wang  4   5   10 , Elyse R Park  4   5   6   8
Affiliations

Testing psychosocial mediators of a mind-body resiliency intervention for cancer survivors

Lucy Finkelstein-Fox et al. Support Care Cancer. 2022 Jul.

Abstract

Purpose: Group-based mind-body interventions such as the Stress Management and Resiliency Training-Relaxation Response Resiliency Program (SMART-3RP) hold promise for enhancing resiliency among cancer survivors. Mechanisms underlying improvements in psychological outcomes are theoretically established but remain unexamined empirically.

Methods: Adult cancer survivors (n = 105) participating in the SMART-3RP completed surveys of resiliency and five hypothesized mediators: coping (ability to relax physical tension and assertive social support-seeking), mindfulness, positive affect, and worry. Pre-post intervention changes were assessed using repeated-measures t-tests. Bivariate correlations between change scores and a more conservative within-person parallel mediation model tested covariance between resiliency and mediators.

Results: Participants experienced moderate to large improvements in all patient-reported outcomes (ds = 1.01-0.46). Increased resiliency was significantly associated with increases in mindfulness, positive affect, and assertive social support-seeking (rs = 0.36-0.50); smaller associations with increased relaxation and decreased worry were not significant. Mindfulness and positive affect explained the largest proportion of variance in resiliency increase in the full multivariate model.

Conclusions: Cancer survivors completing the SMART-3RP had increased resiliency, which was associated with improvements in mindfulness, positive affect, and the ability to assertively seek social support. Enhancing mindfulness and positive affect were critical components for enhancing resiliency. Implications for resiliency interventions with cancer survivors are discussed.

Keywords: Cancer; Mind–body therapies; Neoplasms; Relaxation; Resiliency; Survivorship.

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Conflict of interest statement

The authors declare no competing interests.

Figures

Fig. 1
Fig. 1
Final path model with unstandardized coefficients (n = 105). Notes: ***p < 0.001; **p < 0.01, *p < 0.05. The triangle at the left side of the diagram represents an intercept of pre-post change in mediators (i.e., treatment effect). Coefficients are unstandardized. Covariances between exogenous variables are omitted from this diagram for parsimony. Relaxation refers to participants’ perceived ability to relax physical tension; social support refers to participants’ ability to assertively seek social support as needed
See this image and copyright information in PMC

References

    1. Park CL, Dibble KE, Sinnott S, Sanft T, Bellizzi KM (2020) Resilience trajectories of cancer survivors: a meaning-making perspective. In: Navigating Life Transitions for Meaning. Elsevier. 129–144. 10.1016/B978-0-12-818849-1.00008-4
    1. Gilbert SM, Miller DC, Hollenbeck BK, Montie JE, Wei JT. Cancer survivorship – challenges and changing paradigms. J Urol. 2008;179(2):431–438. doi: 10.1016/j.juro.2007.09.029. - DOI - PMC - PubMed
    1. Medicine I of, National Research Council (2006) From cancer patient to cancer survivor: lost in transition. (Hewitt M, Greenfield S, Stovall E, eds.). The National Academies Press. 10.17226/11468
    1. Perez GK, Walsh EA, Quain K, Abramson JS, Park ER. A virtual resiliency program for lymphoma survivors: helping survivors cope with post-treatment challenges. Psychol Health. 2021;36(11):1352–1367. doi: 10.1080/08870446.2020.1849699. - DOI - PMC - PubMed
    1. Perez GK, Salsman JM, Fladeboe K, Kirchhoff AC, Park ER, Rosenberg AR. Taboo topics in adolescent and young adult oncology: strategies for managing challenging but important conversations central to adolescent and young adult cancer survivorship. Am Soc Clin Oncol Educ Book. 2020;40:1–15. doi: 10.1200/EDBK_279787. - DOI - PMC - PubMed