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Trait mindfulness is protective for development of psychological distress in women with early breast cancer

dc.contributor.authorManica, Isabel
dc.contributor.authorAlmeida, Sílvia
dc.contributor.authorLemos, Raquel
dc.contributor.authorSousa, Berta
dc.contributor.authorOliveira-Maia, Albino J.
dc.contributor.authorOliveira-Maia, AJ
dc.contributor.institutionNOVA Medical School|Faculdade de Ciências Médicas (NMS|FCM)
dc.contributor.pblTaylor & Francis
dc.date.accessioned2025-06-25T21:18:16Z
dc.date.available2025-06-25T21:18:16Z
dc.date.issued2025-06
dc.descriptionFunding Information: BS and AJO-M were supported by the BOUNCE project (grant agreement number 777167), AJO-M and RL are supported by the FAITH project (grant agreement number 875358), and AJO-M is supported by the PsyPal project (grant agreement number 101137378) and a Starting Grant from the European Research Council (grant agreement number 950357), all funded by the European Union\u2019s Horizon research and innovation programme. Both IM and RL receive funding from Funda\u00E7\u00E3o para a Ci\u00EAncia e Tecnologia (FCT), Portugal: IM under a PhD studentship (2024.02643.BD), and RL by the 2018 Scientific Employment Stimulus (CEECIND/04157/2018). Publisher Copyright: © 2025 The Author(s). Published by Informa UK Limited, trading as Taylor & Francis Group.
dc.description.abstractBackground: Breast cancer causes significant psychological and physical burden, with survivors often reporting persistent psychological symptoms, such as anxiety and depression, along with somatic symptoms like fatigue and pain. Psychological factors may protect from the development of long-term distress and help identify patients with greater needs for supervision and/or care. Here we aimed to study the predictive role of mindfulness as a trait in determining affective and somatic symptoms 12 months after cancer diagnosis. Methods: Women with a diagnosis of breast cancer were recruited at the onset of systemic treatments and compared with healthy women from the general population. Over a 12-month period, participants were periodically assessed using the Mindfulness Attention Awareness Scale (MAAS), the Hospital Anxiety and Depression Scale, the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire–Core 30 and the Positive and Negative Affect Scale. Regression models were employed to assess the predictive associations of baseline mindfulness trait with symptoms after 12 months. Results: The study included 282 participants, 243 of whom contributed complete data for analysis. The Portuguese version of MAAS demonstrated adequate psychometric properties for patients with breast cancer, supporting its use to address our main aim. Mindfulness trait scores remained stable across time, did not differ significantly between patients and healthy participants, and were similarly stable across time for patients undergoing different treatments. Also in the clinical group, MAAS scores at baseline significantly predicted affective, but not somatic symptoms, 12 months later, with higher levels of mindfulness predicting more clinically significant distress. Conclusions: In women with a recent diagnosis of breast cancer, mindfulness trait appears unaffected by diagnosis or its treatments, serving as a protective factor against affective, but not somatic, symptoms, in the first year following diagnosis.en
dc.description.versionpublishersversion
dc.description.versionpublished
dc.format.extent1075225
dc.identifier.doi10.1080/21642850.2025.2517599
dc.identifier.issn2164-2850
dc.identifier.otherPURE: 119508366
dc.identifier.otherPURE UUID: 32c2c10f-c601-4c54-bed7-ac527002fe69
dc.identifier.otherScopus: 105008337456
dc.identifier.urihttp://hdl.handle.net/10362/184479
dc.identifier.urlhttps://www.scopus.com/pages/publications/105008337456
dc.language.isoeng
dc.peerreviewedyes
dc.subjectAnxiety
dc.subjectbreast cancer
dc.subjectdepression
dc.subjectmindfulness
dc.subjectsomatic symptoms
dc.subjectHealth(social science)
dc.subjectGeneral Psychology
dc.subjectBehavioral Neuroscience
dc.subjectSDG 3 - Good Health and Well-being
dc.titleTrait mindfulness is protective for development of psychological distress in women with early breast canceren
dc.typejournal article
degois.publication.issue1
degois.publication.titleHealth Psychology and Behavioral Medicine
degois.publication.volume13
dspace.entity.typePublication
person.familyNameOliveira-Maia
person.givenNameAlbino Jorge
person.identifier.ciencia-idED15-6691-FEC7
person.identifier.orcid0000-0001-5071-3007
person.identifier.ridB-7976-2009
person.identifier.scopus-author-id14060820700
rcaap.rightsopenAccess
relation.isAuthorOfPublication402bb6ca-e5db-422a-9d43-a807d4076d38
relation.isAuthorOfPublication.latestForDiscovery402bb6ca-e5db-422a-9d43-a807d4076d38

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