The effect of an online mindfulness self-compassion training program on psychological distress in caregivers of patients with cancer

Authors

1 Department of Nursing, Nursing and Midwifery Faculty, Isfahan University of Medical Sciences, Isfahan, Iran

2 Department of Adult Health Nursing, Nursing and Midwifery Faculty, Isfahan University of Medical Sciences, Isfahan, Iran

Abstract

Background: Family caregivers of patients with cancer deal with high levels of psychological distress. Objectives: This study aimed to investigate the effect of online mindfulness self-compassion (MSC) training programs on psychological distress in family caregivers of patients with cancer. Methods: This quasi-experimental study was conducted in 2020 on 92 family caregivers of patients with cancer. The participants were conveniently recruited from the family caregivers of patients referred to Seyed Al-Shohada Oncology Hospital, in Isfahan, Iran, and randomly allocated to two groups to receive either 1.5 months of online MSC training program or be treated as usual. All participants completed the Kessler psychological distress scale before, immediately after, and 1 month after the intervention. Data were analyzed using the Mann–Whitney U, Chi-square, repeated measures analysis of variance, t, and least significant difference post hoc tests. Results: The mean baseline psychological distress scores were 36.39 ± 4.71 and 35.97 ± 4.06 in the intervention and control groups, respectively (P > 0.05). Immediately after the intervention and 1 month after, the mean scores of psychological distress decreased significantly in the intervention group to reach 26.30 ± 3.91 and 27.73 ± 3.49 (P < 0.001), but no significant changes were found in the mean distress scores of the control group in the second and third measurements. Conclusion: The implementation of an online MSC training program reduced the psychological distress of family caregivers of patients with cancer. Therefore, the same program can be implemented to support such caregivers.

Keywords


1. Spilioti ED, Galanis PA, Kalokairinou AG. The effects of music
on cancer patients submitted to chemotherapy treatment. Int J
Caring Sci 2017;10:1465‑77.
2. Roshandel G, Ghanbari‑Motlagh A, Partovipour E, Salavati F,
Hasanpour‑Heidari S, Mohammadi G, et al. Cancer incidence in
Iran in 2014: Results of the Iranian National Population‑based
Cancer Registry. Cancer Epidemiol 2019;61:50‑8.
3. Reimnitz L, Silverman MJ. A randomized pilot study of music
therapy in the form of patient‑preferred live music on fatigue,
energy and pain in hospitalized adult oncology patients on a
blood and marrow transplant unit. Arts Health 2020;12:154‑68.
4. DiGiacomo M, Hatano Y, Phillips J, Lewis J, Abernethy AP,
Currow DC. Caregiver characteristics and bereavement needs:
Findings from a population study. Palliat Med 2017;31:465‑74.
5. Hsieh CC, Yu CJ, Chen HJ, Chen YW, Chang NT, Hsiao FH.
Dispositional mindfulness, self‑compassion, and compassion
from others as moderators between stress and depression
in caregivers of patients with lung cancer. Psychooncology2019;28:1498‑505.
6. Oechsle K, Ullrich A, Marx G, Benze G, Wowretzko F, Zhang Y,
et al. Prevalence and predictors of distress, anxiety, depression,
and quality of life in bereaved family caregivers of patients with
advanced cancer. Am J Hosp Palliat Care 2020;37:201‑13.
7. Rajeshwari A, Revathi R, Prasad N, Michelle N. Assessment of
distress among patients and primary caregivers: Findings from a
chemotherapy outpatient unit. Indian J Palliat Care 2020;26:42‑6.
8. Karabekiroğlu A, Demir EY, Aker S, Kocamanoğlu B,
Karabulut GS. Predictors of depression and anxiety among
caregivers of hospitalised advanced cancer patients. Singapore
Med J 2018;59:572‑7.
9. Abbasnezhad M, Rahmani A, Ghahramanian A, Roshangar F,
Eivazi J, Azadi A, et al. Cancer care burden among primary
family caregivers of Iranian hematologic cancer patients. Asian
Pac J Cancer Prev 2015;16:5499‑505.
10. Delaney MC. Caring for the caregivers: Evaluation of the effect
of an eight‑week pilot mindful self‑compassion (MSC) training
program on nurses’ compassion fatigue and resilience. PLoS One
2018;13:e0207261.
11. Poorhosseini Dehkordi R, Sajjadian I, Sharbafchi MR. The
effectiveness of compassion‑focused therapy on perceived stress
and psychological distress in the women suffering from breast
cancer. Q J Health Psychol 2019;8:37‑52.
12. Lathren C, Bluth K, Campo R, Tan W, Futch W. Young
adult cancer survivors’ experiences with a mindful
self‑compassion (MSC) video‑chat intervention: A qualitative
analysis. Self Identity 2018;17:646‑65.
13. Brooker J, Julian J, Millar J, Prince HM, Kenealy M, Herbert K,
et al. A feasibility and acceptability study of an adaptation of
the Mindful Self‑Compassion program for adult cancer patients.
Palliat Support Care 2020;18:130‑40.
14. Haukaas RB, Gjerde IB, Varting G, Hallan HE, Solem S.
A randomized controlled trial comparing the attention training
technique and mindful self‑compassion for students with
symptoms of depression and anxiety. Front Psychol 2018;9:827.
15. Friis AM, Johnson MH, Cutfield RG, Consedine NS.
Kindness matters: A randomized controlled trial of a mindful
self‑compassion intervention improves depression, distress,
and HbA1c among patients with diabetes. Diabetes Care
2016;39:1963‑71.
16. Garcia AC, Camargos Junior JB, Sarto KK, Silva Marcelo CA,
Paiva EM, Nogueira DA, et al. Quality of life, self‑compassion
and mindfulness in cancer patients undergoing chemotherapy:
A cross‑sectional study. Eur J Oncol Nurs 2021;51:101924.
17. Salabifard S, Tajeri B, Rafiepoor A. The effectiveness of a
positive psychology‑based intervention on post‑traumatic
growth, self‑compassion and hope in women with breast cancer.
Community Health 2021;14: 34-44.
18. Tobin R, Dunkley DM. Self‑critical perfectionism and lower
mindfulness and self‑compassion predict anxious and depressive
symptoms over two years. Behav Res Ther 2021;136:103780.
19. Pérez‑Aranda A, García‑Campayo J, Gude F, Luciano JV,
Feliu‑Soler A, González‑Quintela A, et al. Impact of mindfulness
and self‑compassion on anxiety and depression: The mediating
role of resilience. Int J Clin Health Psychol 2021;21:100229.
20. Khosrobeigi M, Hafezi F, Naderi F, Ehteshamzadeh P.
Effectiveness of self‑compassion training on hopelessness and
resilience in parents of children with cancer. Explore (NY)
2022;18:357‑61.
21. Zessin U, Dickhäuser O, Garbade S. The relationship between
self‑compassion and well‑being: A meta‑analysis. Appl Psychol
Health Well Being 2015;7:340‑64.
22. López A, Sanderman R, Ranchor AV, Schroevers MJ.
Compassion for others and self‑compassion: Levels, correlates,
and relationship with psychological well‑being. Mindfulness (N
Y) 2018;9:325‑31.
23. Salarhaji N, Tahmasebi S. Moderating role of self‑compassion in
relation to psychopathological symptoms and god attachment in
women with breast cancer. Arch Breast Cancer 2019; 6:21‑8.
24. Finlay‑Jones A, Kane R, Rees C. Self‑compassion online: A pilot
study of an internet‑based self‑compassion cultivation program
for psychology trainees. J Clin Psychol 2017;73:797‑816.
25. Finlay‑Jones A, Boyes M, Perry Y, Sirois F, Lee R, Rees C.
Online self‑compassion training to improve the wellbeing of
youth with chronic medical conditions: Protocol for a randomised
control trial. BMC Public Health 2020;20:106.
26. Kessler RC, Andrews G, Colpe LJ, Hiripi E, Mroczek DK,
Normand SL, et al. Short screening scales to monitor population
prevalences and trends in non‑specific psychological distress.
Psychol Med 2002;32:959‑76.
27. Andrews G, Slade T. Interpreting scores on the Kessler
Psychological Distress Scale (K10). Aust N Z J Public Health
2001;25:494‑7.
28. Vaziry S, Kashani FL. Identity styles and psychological distress.
Thought Behav Clin Psychol 2013;7:77‑88.
29. Schellekens MP, Karremans JC, van der Drift MA, Molema J,
van den Hurk DG, Prins JB, et al. Are mindfulness and
self‑compassion related to psychological distress and
communication in couples facing lung cancer? A dyadic
approach. Mindfulness (N Y) 2017;8:325‑36.
30. Thimm JC. Relationships between early maladaptive schemas,
mindfulness, self‑compassion, and psychological distress. Int J
Psychol Psychol Ther 2017;17:3‑17.
31. Eriksson T, Germundsjö L, Åström E, Rönnlund M. Mindful
self‑compassion training reduces stress and burnout symptoms
among practicing psychologists: A randomized controlled trial of
a brief web‑based intervention. Front Psychol 2018;9:2340.