TY - JOUR
T1 - Who Benefits Most from a Brief Mindfulness Intervention to Reduce Anxiety During Stereotactic Breast Biopsy
T2 - the Moderating Effect of Trait Mindfulness, Spiritual Well-being, and Distress Tolerance
AU - Ratcliff, Chelsea G.
AU - Fowler, Shaelyn N.
AU - Sinclair, Kelsey L.
AU - Prinsloo, Sarah
AU - Chaoul, Alejandro
AU - Zepeda, Stephanie G.
AU - Spelman, Amy
AU - Yang, Wei T.
AU - Cohen, Lorenzo
N1 - Funding Information:
This work was supported by a National Cancer Institute cancer prevention fellowship for Chelsea G. Ratcliff (Grant Number R25T CA057730, PI: Shine Chang) and the National Cancer Institute Cancer Center Support (Grant Number A016672).
Publisher Copyright:
© 2021, The Author(s), under exclusive licence to Springer Science+Business Media, LLC part of Springer Nature.
PY - 2021/5
Y1 - 2021/5
N2 - Objectives: This study examined trait mindfulness, spiritual well-being, and distress tolerance as moderators of the effect of a brief mindfulness intervention on anxiety reported during stereotactic breast biopsy (SBB). Methods: This is a secondary analysis of an RCT examining guided meditation (GM; n = 30), focused breathing (FB; n = 30), or standard care (SC; n = 16) on anxiety for women undergoing SBB. Women in GM and FB were guided through their respective interventions for 10 min before and during biopsy. Anxiety (0–10 visual analogue scale), trait mindfulness (FFMQ), spiritual well-being (FACIT-SP), and discomfort intolerance (DI) were assessed at baseline, and anxiety was assessed every 4 min during SBB. Multilevel modeling examined moderator-by-group-by-time interactions. Significant 3-way interactions were decomposed using a median split. Results: FFMQ observing, FFMQ describing, FACIT-SP meaning/peace, and DI moderated the group-by-time effects on anxiety during biopsy (p’s < 0.03). For those high in FFMQ describing, FACIT-SP-Meaning/Peace, or DI, GM was associated with a steeper reduction in anxiety compared to FB and SC (p’s < 0.05). For those low in FFMQ describing, FFMQ observing, and FACIT-SP-Meaning/Peace, both GM and FB were associated with a steeper reduction in anxiety compared to SC (p’s < 0.05). Conclusions: Individuals high in mindful describing, high in the meaning/peace aspect of spiritual well-being, and high in distress intolerance may benefit most from GM. Individuals low in attentional aspects of mindfulness (i.e., describing and observing) and low in the meaning/peace aspect of spiritual well-being may benefit from either a GM or FB intervention. Trial Registration ClinicalTrial.org<RefTarget Address="https://clinicaltrials.gov" TargetType="URL" />: (NCT03023215)
AB - Objectives: This study examined trait mindfulness, spiritual well-being, and distress tolerance as moderators of the effect of a brief mindfulness intervention on anxiety reported during stereotactic breast biopsy (SBB). Methods: This is a secondary analysis of an RCT examining guided meditation (GM; n = 30), focused breathing (FB; n = 30), or standard care (SC; n = 16) on anxiety for women undergoing SBB. Women in GM and FB were guided through their respective interventions for 10 min before and during biopsy. Anxiety (0–10 visual analogue scale), trait mindfulness (FFMQ), spiritual well-being (FACIT-SP), and discomfort intolerance (DI) were assessed at baseline, and anxiety was assessed every 4 min during SBB. Multilevel modeling examined moderator-by-group-by-time interactions. Significant 3-way interactions were decomposed using a median split. Results: FFMQ observing, FFMQ describing, FACIT-SP meaning/peace, and DI moderated the group-by-time effects on anxiety during biopsy (p’s < 0.03). For those high in FFMQ describing, FACIT-SP-Meaning/Peace, or DI, GM was associated with a steeper reduction in anxiety compared to FB and SC (p’s < 0.05). For those low in FFMQ describing, FFMQ observing, and FACIT-SP-Meaning/Peace, both GM and FB were associated with a steeper reduction in anxiety compared to SC (p’s < 0.05). Conclusions: Individuals high in mindful describing, high in the meaning/peace aspect of spiritual well-being, and high in distress intolerance may benefit most from GM. Individuals low in attentional aspects of mindfulness (i.e., describing and observing) and low in the meaning/peace aspect of spiritual well-being may benefit from either a GM or FB intervention. Trial Registration ClinicalTrial.org<RefTarget Address="https://clinicaltrials.gov" TargetType="URL" />: (NCT03023215)
KW - Brief mindfulness-based intervention
KW - Distress tolerance
KW - Mindfulness
KW - Procedural anxiety
KW - Spiritual well-being
KW - Stereotactic breast biopsy
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UR - http://www.scopus.com/inward/citedby.url?scp=85099413471&partnerID=8YFLogxK
U2 - 10.1007/s12671-020-01581-6
DO - 10.1007/s12671-020-01581-6
M3 - Article
AN - SCOPUS:85099413471
SN - 1868-8527
VL - 12
SP - 1127
EP - 1137
JO - Mindfulness
JF - Mindfulness
IS - 5
ER -