Mindfulness Cognitive Therapy for Cancer Patients
Project/Area Number |
18K07476
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Research Category |
Grant-in-Aid for Scientific Research (C)
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Allocation Type | Multi-year Fund |
Section | 一般 |
Review Section |
Basic Section 52010:General internal medicine-related
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Research Institution | Keio University |
Principal Investigator |
Fujisawa Daisuke 慶應義塾大学, 医学部(信濃町), 准教授 (30327639)
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Project Period (FY) |
2018-04-01 – 2023-03-31
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Project Status |
Completed (Fiscal Year 2022)
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Budget Amount *help |
¥4,290,000 (Direct Cost: ¥3,300,000、Indirect Cost: ¥990,000)
Fiscal Year 2020: ¥1,300,000 (Direct Cost: ¥1,000,000、Indirect Cost: ¥300,000)
Fiscal Year 2019: ¥1,170,000 (Direct Cost: ¥900,000、Indirect Cost: ¥270,000)
Fiscal Year 2018: ¥1,820,000 (Direct Cost: ¥1,400,000、Indirect Cost: ¥420,000)
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Keywords | マインドフルネス / がん / うつ病 / 不安 / 不眠 / 緩和ケア / 慢性痛 / 内受容感覚 / 睡眠 / うつ / QOL / 痛み / QOL / 心理療法 / がん支持療法 |
Outline of Final Research Achievements |
Application of mindfulness-based cognitive therapy (MBCT) to cancer patients was investigated. In FY2018, MBCT program in a group format (2 hours weekly, 8 weeks) was developed. In FY2019, it was modified to an individual format (1-hour, 8 sessions in flexible intervals), in order to increase its applicability. The structure of each session was; review of previous session (5 minutes), review of homework (10 min), mindfulness exercise (15-30 min), review of exercise (10 min), and setting homework (5 min). The program was applied to seven cancer patients, under the approval of the ethics committee. All the participants completed the program and showed improvement in depression and anxiety (HADS), symptom burden (ESAS) and sleep. After FY 2020, face-to-face implementation was made difficult due to COVID-19. The program was implemented in an online format to patients with chronic pain (including cancer patients) afterward. The feasibility of the program was demonstrated.
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Academic Significance and Societal Importance of the Research Achievements |
本研究では、マインドフルネス認知療法を集団・個人の両方の形式でプログラム化し、実施可能性を検証した。マインドフルネス認知療法は本来対面・集団療法形式であるが、個人療法形式、および、オンラインでの実施可能性を検討できたことは、今後の国内外における普及において有意義である。当初の計画を変更したが、がん患者を含む慢性痛患者において、不安・抑うつ、痛みの拡大視、内受容感覚における改善が見られ、マインドフルネス認知療法の今後の普及や治療メカニズム解明に資すると考えられた。
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Report
(6 results)
Research Products
(203 results)
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[Journal Article] Influence of dosing pattern of antipsychotics on treatment outcome of delirium in patients with advanced cancer.2023
Author(s)
Abe A, Fujisawa D, Miyajima K, Takeuchi E, Takeuchi M, Mimura M, Imai K, Uemura K, Watanabe H, Matsuo N, Matsuda Y, Maeda I, Ogawa A, Yoshiuchi K, Iwase S.
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Journal Title
Jpn J Clin Oncol.
Volume: 53
Issue: 4
Pages: 321-326
DOI
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Peer Reviewed
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[Journal Article] Most Important Things and Associated Factors With Prioritizing Daily Life in Patients With Advanced Lung Cancer2022
Author(s)
Kameyama N, Sato T, Arai D, Fujisawa D, Takeuchi M, Nakachi I, Kawada I, Yasuda H, Ikemura S, Terai H, Nukaga S, Nakano Y, Hirano T, Minematsu N, Asakura T, Kamatani T, Tanaka K, Suzuki S, Miyawaki M, Naoki K, Fukunaga K, Soejima K
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Journal Title
JCO Oncol Pract.
Volume: 18(12)
Issue: 12
Pages: e1977-e1986
DOI
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Peer Reviewed
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[Journal Article] Trends of concerns from diagnosis in patients with advanced lung cancer and their family caregivers: A 2-year longitudinal study.2021
Author(s)
Sato T, Fujisawa D, Arai D, Nakachi I, Takeuchi M, Nukaga S, Kobayashi K, Ikemura S, Terai H, Yasuda H, Kawada I, Sato Y, Satomi R, Takahashi S, Haraguchi Hashiguchi M, Nakamura M, Oyamada Y, Terashima T, Sayama K, Saito F, Sakamaki F, Inoue T, Naoki K, Fukunaga K, Soejima K.
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Journal Title
Palliative Medicine
Volume: Mar 24
Issue: 5
Pages: 943-951
DOI
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Peer Reviewed / Open Access
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[Journal Article] Longitudinal Assessment of Prognostic Understanding in Patients with Advanced Lung Cancer and Its Association with Their Psychological Distress.2021
Author(s)
Arai D, Sato T, Nakachi I, Fujisawa D, Takeuchi M, Sato Y, Kawada I, Yasuda H, Ikemura S, Terai H, Nukaga S, Inoue T, Nakamura M, Oyamada Y, Terashima T, Sayama K, Saito F, Sakamaki F, Naoki K, Fukunaga K, Soejima K.
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Journal Title
Oncologist
Volume: 26
Issue: 12
Pages: e2265-e2273
DOI
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Peer Reviewed / Open Access
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[Journal Article] Effectiveness of suicide prevention gatekeeper training for university teachers in Japan.2021
Author(s)
Hashimoto N, Takeda H, Fujii Y, Suzuki Y, Kato TA, Fujisawa D, Aoyama-Uehara A, Otsuka K, Mitsui N, Asakura S, Kusumi I.
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Journal Title
Asian Journal of Psychiatry
Volume: 60
Pages: 102661-102661
DOI
Related Report
Peer Reviewed
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[Journal Article] Low-Dose Trazodone for Delirium in Patients with Cancer Who Received Specialist Palliative Care: A Multicenter Prospective Study2021
Author(s)
Maeda I, Inoue S, Uemura K, Tanimukai H, Hatano Y, Yokomichi N, Amano K, Tagami K, Yoshiuchi K, Ogawa A, Iwase S.
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Journal Title
J Palliat Med.
Volume: in press
Issue: 6
Pages: 914-918
DOI
Related Report
Peer Reviewed
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[Journal Article] Association between loneliness and the use of online peer support groups among cancer patients with minor children: a cross-sectional web-based study.2021
Author(s)
Kosugi K, Nishiguchi Y, Miura T, Fujisawa D, Kawaguchi T, Izumi K, Takehana J, Uehara Y, Usui Y, Terada T, Inoue Y, Natsume M, Yajima MY, Watanabe YS, Okizaki A, Matsushima E, Matsumoto Y.
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Journal Title
Journal of Pain and Symptom Management
Volume: 61(5)
Issue: 5
Pages: 955-962
DOI
Related Report
Peer Reviewed
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[Journal Article] A nurse-led, screening-triggered early specialized palliative care intervention program for patients with advanced lung cancer: study protocol for a multicenter randomized controlled trial.2020
Author(s)
Fujisawa,D, Umemura S, Okizaki A, Satomi E, Yamaguchi T, Miyaji T, Mashiko T, Kobayashi N, Kinoshita H, Mori M, Morita T, Uchitomi Y, Goto K, Ohe Y, Matsumoto Y.
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Journal Title
BMJ Open
Volume: 10(11)
Issue: 11
Pages: e037759-e037759
DOI
Related Report
Peer Reviewed / Open Access
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[Journal Article] A pilot validation study of the Japanese translation of the Positive and Negative Syndrome Scale (PANSS).2020
Author(s)
Hashimoto N, Takahashi K, Fujisawa D, Aoyama K, Nakagawa A, Okamura N, Toyomaki A, Oka M, Takanobu K, Okubo R, Narita H, Kitagawa K, Udo N, Maeda T, Watanabe S, Oyanagi Y, Miyazaki A, Ito K, Kusumi I.
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Journal Title
Asian Journal of Psychiatry
Volume: 54
Pages: 102210-102210
DOI
Related Report
Peer Reviewed
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[Journal Article] Study protocol for evaluating the efficacy of Mindfulness for health professionals building resilience and compassion program (MaHALO program): a randomized, waiting-list controlled trial.2020
Author(s)
Tamura N, Park S, Sato Y, Takita Y, Morishita J, Ninomiya A, Kosugi T, Sado M, Mimura M, Fujisawa D
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Journal Title
The Journal of Psychosocial Oncology Research and Practice
Volume: 2(2)
Issue: 2
Pages: e22-e22
DOI
Related Report
Peer Reviewed / Open Access
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[Journal Article] Mindfulness-Based Cognitive Therapy for Psychological Distress, Fear of Cancer Recurrence, Fatigue, Spiritual Well-Being, and Quality of Life in Patients With Breast Cancer?A Randomized Controlled Trial2020
Author(s)
Park S, Sato Y, Takita Y, Tamura N, Ninomiya A, Kosugi T, Sado M, Nakagawa A, Takahashi M, Hayashida T, Fujisawa D
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Journal Title
Journal of Pain and Symptom Management
Volume: -
Issue: 2
Pages: 381-389
DOI
Related Report
Peer Reviewed
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[Journal Article] Study protocol for evaluating the efficacy of Mindfulness for health professionals building resilience and compassion program (MaHALO program): a randomized, waiting-list controlled trial2020
Author(s)
Tamura N, Park S, Sato Y, Takita Y, Morishita J, Ninomiya A, Kosugi T, Sado M, Mimura M, Fujisawa D*.
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Journal Title
The Journal of Psychosocial Oncology Research and Practice
Volume: -
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Peer Reviewed / Open Access
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[Journal Article] Prognostic Understanding at Diagnosis and Associated Factors in Patients with Advanced Lung Cancer and Their Caregivers2018
Author(s)
Sato T, Soejima K, Fujisawa D, Takeuchi M, Arai D, Nakachi I, Kaoki K, Kawada I, Yasuda H, Ishioka K, Nukaga S, Kobayashi K, Masaki K, Inoue T, Hikima K, Nakamura M, Ohgino K, Oyamada Y, Funatsu Y, Terashima T, Miyao N, Sayama K, Saito F, Sakamaki F, Betsuyaku T
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Journal Title
The Oncologist
Volume: 23
Issue: 10
Pages: 1218-1229
DOI
Related Report
Peer Reviewed / Open Access
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[Presentation] Mindfulness-based cognitive therapy improved depression, anxiety, fear of cancer recurrence, fatigue, and QoL in patients with breast cancer - a randomized control trial.2018
Author(s)
Daisuke Fujisawa, Sunre Park, Yasuko Sato, Mitsuhiro Sado, Yuka Takita, Noriko Tamura, Mari Takeuchi, Atsuo Nakagawa, Akira Ninomiya, Teppei Kosugi
Organizer
The 20th World Congress of Psycho-Oncology
Related Report
Int'l Joint Research
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[Presentation] Nurse-led, screening-triggered early specialized palliative care intervention program for advanced lung cancer patients:randomized controlled trial.2018
Author(s)
Matsumoto Y, Fujisawa D, Morita T, Yamaguchi T, Shigeki U, Miyaji T, Mashiko T, Kobayashi N, Okizaki A, Mori M, Kinoshita H, Uchitomi Y
Organizer
Palliative Care Clinical Studies Collaborative 9th Annual Research Forum
Related Report
Int'l Joint Research
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[Presentation] 精神疾患併存が肝移植レシピエントの生存に与える影響2018
Author(s)
木村宏之, 岸辰一, 岡田剛史, 成田尚, 田中輝明, 町野彰彦, 松本洋輔, 藤澤大介, 大橋綾子, 光安博志, 野間俊一, 西村勝治, 川嵜弘詔, 小倉靖弘, 尾崎紀夫
Organizer
日本移植学会
Related Report
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[Presentation] 医療従事者へのマインドフルネスプログラム(Mindfulness for health professionals building resilience and compassion:MHALOプログラム)の実施可能性に関する研究2018
Author(s)
朴順禮, 藤澤大介, 佐藤寧子, 佐渡充洋, 二宮朗, 小杉哲平, 瀧田結香, 田村法子, 森下純子, 竹内麻理, 橋口さおり
Organizer
第23回日本緩和医療学会学術大会
Related Report
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