Méditation de pleine conscience pour les patients en oncologie : adapter la pratique en temps de pandémie

Mindfulness Meditation for Oncology Patients: Adapting Practice in Times of Pandemic

  • A. Couillet Département des soins de support DISSPO, Centre Léon-Bérard, 28, rue Laennec, F-69008 Lyon, France
  • B. Mastroianni Département des soins de support DISSPO, Centre Léon-Bérard, 28, rue Laennec, F-69008 Lyon, France; Laboratoire Reshape U1290 université Claude-Bernard-Lyon-I, F-69100 Villeurbanne, France
  • J. Hailloud Département des soins de support DISSPO, Centre Léon-Bérard, 28, rue Laennec, F-69008 Lyon, France
  • M.-P. Le Bris Département des soins de support DISSPO, Centre Léon-Bérard, 28, rue Laennec, F-69008 Lyon, France
  • G. Chvetzoff Département des soins de support DISSPO, Centre Léon-Bérard, 28, rue Laennec, F-69008 Lyon, France
Article ID: 3944
5 Views

Abstract

Meditation workshops were offered to patients, and we observed their feasibility during their oncology care. They were adapted to Covid-19: one session face-to-face, the second by videoconference. Data were analyzed retrospectively. A mixed analysis was carried out: the quantitative part evaluated the participation in the workshops, the characteristics of the patients, and the impact of the workshops. The qualitative part focused on the appropriation of this tool by the patients. Concerning feasibility, 66.7% of patients completed the program without differences between face-to-face and videoconference groups. We find an improvement in mindfulness skills, a decrease in anxiety and physical pain, and an increase in nausea. Meditation seems to be an interesting tool for patients during their oncology care, both face-to-face and videoconference.

Résumé

Des ateliers de méditation ont été proposés aux patients, nous en avons étudié la faisabilité pendant les soins oncologiques. Ils ont été adaptés du fait de la Covid-19 : une session a eu lieu en présentiel, la suivante en distanciel. Les données ont été analysées de manière rétrospective. Une analyse mixte a été menée : le volet quantitatif a évalué la participation aux ateliers, les caractéristiques des patients et l’impact des ateliers, le volet qualitatif s’est concentré sur l’appropriation de cet outil par les patients. Concernant la faisabilité, 66,7 % des patients ont terminé le programme, il n’y avait pas de différence dans la participation en présentiel et en distanciel. Nous retrouvons une amélioration des compétences de pleine conscience, une diminution de l’anxiété et des douleurs physiques, une aggravation des nausées. La méditation semble être un outil intéressant pour les patients pendant leurs soins en oncologie, en présentiel et en distanciel.

References

1. Kabat-Zinn J (2009) Au cœur de la tourmente, la pleine conscience. J’ai lu Bien être, Paris, 794 p
2. Ott MJ, Norris RL, Bauer-Wu SM (2006) Mindfulness meditation for oncology patients: a discussion and critical review. Integr Cancer Ther 5:98–108
3. Schell LK, Monsef I, Wöckel A, Skoetz N (2019) Mindfulness based stress reduction for women diagnosed with breast cancer. Cochrane Database Syst Rev 3:CD011518
4. Piet J, Würtzen H, Zachariae R (2012) The effect of mindfulness based therapy on symptoms of anxiety and depression in adult cancer patients and survivors: a systematic review and metaanalysis. J Consult Clin Psychol 80:1007–20
5. Zhang Q, Zhao H, Zheng Y (2019) 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. Support Care Cancer 27:771–81
6. Xunlin NG, Lau Y, Klainin-Yobas P (2020) The effectiveness of mindfulness-based interventions among cancer patients and survivors: a systematic review and meta-analysis. Support Care Cancer 28:1563–78
7. Feng B, Hu X, Lu WW, et al (2021) Are mindfulness treatments effective for pain in cancer patients? A systematic review and meta-analysis. Eur J Pain 26:61–76
8. Pedro J, Monteiro-Reis S, Carvalho-Maia C, et al (2021) Evidence of psychological and biological effects of structured mindfulness-based interventions for cancer patients and survivors: a meta-review. Psychooncology 30:1836–48
9. Chen G, Wu Q, Jiang H, et al (2020) Fear of disease progression and psychological stress in cancer patients under the outbreak of Covid-19. Psychooncology 29:1395–8
10. Carlson L, Speca M (2015) La pleine conscience, votre alliée face au cancer. De Boeck, Louvain, 217p
11. Nissen ER, O’Connor M, Kaldo V, et al (2020) Internet-delivered mindfulness-based cognitive therapy for anxiety and depression in cancer survivors: a randomized controlled trial. Psychooncology 29:68–75
12. Compen F, Adang E, Bisseling E, et al (2020) Cost-utility of individual Internet-based and face-to-face mindfulness-based cognitive therapy compared with treatment as usual in reducing psychological distress in cancer patients. Psychooncology 29:294–303
13. Glynn BA, Khoo E, McLeay HML, et al (2020) Exploring cancer patients’ experiences of an online mindfulness-based program: a qualitative investigation. Mindfulness 11:1666–77
14. Aaronson NK, Ahmedzai S, Bergman B, et al (1993) The European Organization for Research and Treatment of cancer QLQC30: a quality-of-life instrument for use in international clinical trials in oncology. J Nat Cancer Inst 85:365–76
15. Bjelland I, Dahl AA, Haug TT, Neckelmann D (2002) The validity of the Hospital Anxiety and Depression Scale. An updated literature review. J Psychosom Res 52:69–77
16. Trousselard M, Steiler D, Raphel C, et al (2010) Validation of a French version of the Freiburg Mindfulness Inventory — short version: relationships between mindfulness and stress in an adult population. Biopsychosoc Med 12:4–8
17. Méry B, Froissart G, Vallard A, et al (2015) Dépistage de la détresse psychologique chez les patientes en cours de traitement du cancer du sein. Bull Cancer 102:845–53
18. Aubin-Auger I, Mercier A, Baumann L, et al (2008) Introduction à la recherche qualitative. Exercer. Rev Fr Med Gene 84:142–5
19. Coronado-Montoya S, Levis A, Kwakkenbos L, et al (2016) Reporting of positive results in randomized controlled trials of mindfulness-based mental health interventions. PLoS One 11: e0153220
20. Anderson JG, Taylor AG (2012) Use of complementary therapies for cancer symptom management: results of the 2007 National Health Interview Survey. J Altern Complement Med 18:235–41
21. Galante J, Friedrich C, Dawson AF, et al (2021) Mindfulness based programmes for mental health promotion in adults in non clinical settings: a systematic review and meta-analysis of randomized controlled trials. PLoS Med 18: e1003481
22. Santorelli SF (2014) Mindfulness-based stress reduction (MBSR): Standards of practice. Center for mindfulness in medicine, University of Massachusetts medical school 1–24
23. Couillet A, Malatier M, Le Bris M, et al (2021) Issues of mindfulness implementation for oncology caregivers. J Complement Integr Med (in press)
24. Fondation québécoise du cancer (2021) https://fqc.qc.ca/fr/information/immuno/principaux-cancers-traites-par-immunotherapie
25. Carlson LE, Ursuliak Z, Goodey E, et al (2001) The effects of a mindfulness meditation-based stress reduction program on mood and symptoms of stress in cancer outpatients: 6-month follow-up. Support Care Cancer 9:112–23
26. Parsons CE, Crane C, Parsons LJ, et al (2017) Home practice in mindfulness-based cognitive therapy and mindfulness-based stress reduction: a systematic review and meta-analysis of participants’ mindfulness practice and its association with outcomes. Behav Res Ther 95:29–41
27. Mikolasek M, Witt CM, Barth J (2018) Adherence to a mindfulness and relaxation self-care app for cancer patients: mixedmethods feasibility study. JMIR MHealth and UHealth 6:e11271
28. Oberoi S, Yang J, Woodgate RL, et al (2020) Association of mindfulness-based interventions with anxiety severity in adults with cancer: a systematic review and meta-analysis. JAMA Netw Open 3:e2012598
Published
2022-03-30
How to Cite
Couillet, A., Mastroianni, B., Hailloud, J., Le Bris, M.-P., & Chvetzoff, G. (2022). Méditation de pleine conscience pour les patients en oncologie : adapter la pratique en temps de pandémie. Psycho-Oncologie, 16(1). Retrieved from https://ojs.piscomed.com/index.php/PO/article/view/3944
Section
Article