Exploring the Effects of Variety and Amount of Mindfulness Practices on Depression, Anxiety, and Stress Symptoms: Longitudinal Study on a Mental Health–Focused eHealth System for Patients With Breast or Prostate Cancer

Abstract BackgroundPatients with cancer often face depression and anxiety, and mindfulness-based interventions, including internet-based versions, can effectively reduce these symptoms and improve their quality of life. This study aims to investigate the impact of internet-bas...

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Main Authors: Francesca Malandrone, Sara Urru, Paola Berchialla, Pierre Gilbert Rossini, Francesco Oliva, Silvia Bianchi, Manuel Ottaviano, Sergio Gonzalez-Martinez, Vladimir Carli, Gaetano Valenza, Enzo Pasquale Scilingo, Sara Carletto, Luca Ostacoli
Format: Article
Language:English
Published: JMIR Publications 2024-11-01
Series:JMIR Mental Health
Online Access:https://mental.jmir.org/2024/1/e57415
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author Francesca Malandrone
Sara Urru
Paola Berchialla
Pierre Gilbert Rossini
Francesco Oliva
Silvia Bianchi
Manuel Ottaviano
Sergio Gonzalez-Martinez
Vladimir Carli
Gaetano Valenza
Enzo Pasquale Scilingo
Sara Carletto
Luca Ostacoli
author_facet Francesca Malandrone
Sara Urru
Paola Berchialla
Pierre Gilbert Rossini
Francesco Oliva
Silvia Bianchi
Manuel Ottaviano
Sergio Gonzalez-Martinez
Vladimir Carli
Gaetano Valenza
Enzo Pasquale Scilingo
Sara Carletto
Luca Ostacoli
author_sort Francesca Malandrone
collection DOAJ
description Abstract BackgroundPatients with cancer often face depression and anxiety, and mindfulness-based interventions, including internet-based versions, can effectively reduce these symptoms and improve their quality of life. This study aims to investigate the impact of internet-based mindfulness-based interventions (e-MBIs) on anxiety, depression, and stress symptoms in patients with prostate or breast cancer. ObjectiveThe primary aims are to assess the association between the amount and variety of e-MBI practices and symptom reduction. Second, this study aims to examine how baseline information such as sociodemographic characteristics, dispositional mindfulness (DM), and dispositional self-compassion (DSC) correlate with both app usage and symptom reduction. MethodsParticipants included 107 patients with cancer (68 women with breast cancer and 38 men with prostate cancer) enrolled in a hospital setting. They were assigned to the intervention group of the NEVERMIND project, using the e-BMI module via the NEVERMIND app. A longitudinal design involved Pearson correlation analysis to determine the relationship between the amount and duration of e-MBI practices. Linear regression analysis was conducted to gauge the dose-response effect, evaluating the impact of DM and DSC on depression, anxiety, and stress. Negative binomial regression was conudcted to study sociodemographic factors’ influence on the amount of practice in e-MBIs. ResultsThe participants with more diverse and sustained mindfulness practices experienced significant reductions in depression, anxiety, and stress. A high correlation (0.94) between e-MBI practices and symptom reduction was also highlighted. Male, married, and highly educated patients were more likely to engage in mindfulness. Even if DM and DSC did not impact the amount or variety of practices correlated, they were correlated with symptom reduction, showing that higher levels were associated with significant reductions in depression, anxiety, and stress. ConclusionsWhile more e-MBI practice is linked to reduced anxiety, depression, and stress, this study emphasizes the crucial role of variety of practice over amount. DM and DSC are key in shaping intervention effectiveness and may act as protectors against psychological distress. Using app log data, our research provides a unique perspective on e-MBI impact, contributing to cancer care understanding and guiding future studies.
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spelling doaj-art-e57f43fd78664b539e7bb7deedb289a92024-11-28T21:31:19ZengJMIR PublicationsJMIR Mental Health2368-79592024-11-0111e57415e5741510.2196/57415Exploring the Effects of Variety and Amount of Mindfulness Practices on Depression, Anxiety, and Stress Symptoms: Longitudinal Study on a Mental Health–Focused eHealth System for Patients With Breast or Prostate CancerFrancesca Malandronehttp://orcid.org/0000-0002-9438-8637Sara Urruhttp://orcid.org/0000-0002-2912-8214Paola Berchiallahttp://orcid.org/0000-0001-5835-5638Pierre Gilbert Rossinihttp://orcid.org/0000-0001-6657-737XFrancesco Olivahttp://orcid.org/0000-0002-4826-705XSilvia Bianchihttp://orcid.org/0009-0001-6935-6887Manuel Ottavianohttp://orcid.org/0000-0003-0002-4988Sergio Gonzalez-Martinezhttp://orcid.org/0000-0003-1256-6389Vladimir Carlihttp://orcid.org/0000-0001-6922-0675Gaetano Valenzahttp://orcid.org/0000-0001-6574-1879Enzo Pasquale Scilingohttp://orcid.org/0000-0003-2588-4917Sara Carlettohttp://orcid.org/0000-0002-4951-7479Luca Ostacolihttp://orcid.org/0000-0002-6874-1396 Abstract BackgroundPatients with cancer often face depression and anxiety, and mindfulness-based interventions, including internet-based versions, can effectively reduce these symptoms and improve their quality of life. This study aims to investigate the impact of internet-based mindfulness-based interventions (e-MBIs) on anxiety, depression, and stress symptoms in patients with prostate or breast cancer. ObjectiveThe primary aims are to assess the association between the amount and variety of e-MBI practices and symptom reduction. Second, this study aims to examine how baseline information such as sociodemographic characteristics, dispositional mindfulness (DM), and dispositional self-compassion (DSC) correlate with both app usage and symptom reduction. MethodsParticipants included 107 patients with cancer (68 women with breast cancer and 38 men with prostate cancer) enrolled in a hospital setting. They were assigned to the intervention group of the NEVERMIND project, using the e-BMI module via the NEVERMIND app. A longitudinal design involved Pearson correlation analysis to determine the relationship between the amount and duration of e-MBI practices. Linear regression analysis was conducted to gauge the dose-response effect, evaluating the impact of DM and DSC on depression, anxiety, and stress. Negative binomial regression was conudcted to study sociodemographic factors’ influence on the amount of practice in e-MBIs. ResultsThe participants with more diverse and sustained mindfulness practices experienced significant reductions in depression, anxiety, and stress. A high correlation (0.94) between e-MBI practices and symptom reduction was also highlighted. Male, married, and highly educated patients were more likely to engage in mindfulness. Even if DM and DSC did not impact the amount or variety of practices correlated, they were correlated with symptom reduction, showing that higher levels were associated with significant reductions in depression, anxiety, and stress. ConclusionsWhile more e-MBI practice is linked to reduced anxiety, depression, and stress, this study emphasizes the crucial role of variety of practice over amount. DM and DSC are key in shaping intervention effectiveness and may act as protectors against psychological distress. Using app log data, our research provides a unique perspective on e-MBI impact, contributing to cancer care understanding and guiding future studies.https://mental.jmir.org/2024/1/e57415
spellingShingle Francesca Malandrone
Sara Urru
Paola Berchialla
Pierre Gilbert Rossini
Francesco Oliva
Silvia Bianchi
Manuel Ottaviano
Sergio Gonzalez-Martinez
Vladimir Carli
Gaetano Valenza
Enzo Pasquale Scilingo
Sara Carletto
Luca Ostacoli
Exploring the Effects of Variety and Amount of Mindfulness Practices on Depression, Anxiety, and Stress Symptoms: Longitudinal Study on a Mental Health–Focused eHealth System for Patients With Breast or Prostate Cancer
JMIR Mental Health
title Exploring the Effects of Variety and Amount of Mindfulness Practices on Depression, Anxiety, and Stress Symptoms: Longitudinal Study on a Mental Health–Focused eHealth System for Patients With Breast or Prostate Cancer
title_full Exploring the Effects of Variety and Amount of Mindfulness Practices on Depression, Anxiety, and Stress Symptoms: Longitudinal Study on a Mental Health–Focused eHealth System for Patients With Breast or Prostate Cancer
title_fullStr Exploring the Effects of Variety and Amount of Mindfulness Practices on Depression, Anxiety, and Stress Symptoms: Longitudinal Study on a Mental Health–Focused eHealth System for Patients With Breast or Prostate Cancer
title_full_unstemmed Exploring the Effects of Variety and Amount of Mindfulness Practices on Depression, Anxiety, and Stress Symptoms: Longitudinal Study on a Mental Health–Focused eHealth System for Patients With Breast or Prostate Cancer
title_short Exploring the Effects of Variety and Amount of Mindfulness Practices on Depression, Anxiety, and Stress Symptoms: Longitudinal Study on a Mental Health–Focused eHealth System for Patients With Breast or Prostate Cancer
title_sort exploring the effects of variety and amount of mindfulness practices on depression anxiety and stress symptoms longitudinal study on a mental health focused ehealth system for patients with breast or prostate cancer
url https://mental.jmir.org/2024/1/e57415
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