Who Benefits Most from a Brief Mindfulness Intervention to Reduce Anxiety During Stereotactic Breast Biopsy: the Moderating Effect of Trait Mindfulness, Spiritual Well-being, and Distress Tolerance,Mindfulness

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Who Benefits Most from a Brief Mindfulness Intervention to Reduce Anxiety During Stereotactic Breast Biopsy: the Moderating Effect of Trait Mindfulness, Spiritual Well-being, and Distress Tolerance
Mindfulness ( IF 3.801 ) Pub Date : 2021-01-13 , DOI: 10.1007/s12671-020-01581-6
Chelsea G. Ratcliff , Shaelyn N. Fowler , Kelsey L. Sinclair , Sarah Prinsloo , Alejandro Chaoul , Stephanie G. Zepeda , Amy Spelman , Wei T. Yang , Lorenzo Cohen

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

(NCT03023215)

中文翻译：

谁在立体定向乳腺穿刺活检期间通过短暂的正念干预最大程度地减少焦虑而受益：特质正念，精神健康和痛苦容忍度的调节作用

目标

这项研究检查了特质正念，精神健康和痛苦承受能力，作为在立体定向乳腺活检（SBB）中报告的简短正念干预对焦虑的影响的调节剂。

方法

这是一项RCT的二级分析，该RCT检查了进行SBB的女性在焦虑状态下的指导冥想（GM；n = 30），集中呼吸（FB；n = 30）或标准护理（SC；n = 16）。在活检之前和期间，对GM和FB中的妇女进行了各自的干预指导10分钟。在基线时评估焦虑（0-10视觉模拟量表），特质正念（FFMQ），精神健康（FACIT-SP）和不适感（DI），并且在SBB期间每4分钟评估一次焦虑。多级建模检查了主持人逐组交互。使用中位数拆分对重要的三向交互进行分解。

结果

FFMQ的观察，FFMQ的描述，FACIT-SP的含义/和平和DI减轻了活检期间按组对焦虑的影响（p＜0.03）。对于那些FFMQ描述较高的人（FACIT-SP含义/和平或DI），与FB和SC相比，GM与焦虑症的减少幅度更大（p <0.05）。对于那些缺乏FFMQ描述，FFMQ观察和FACIT-SP-含义/和平的人，与SC相比，GM和FB焦虑症的减轻幅度更大（p <0.05）。