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Symptom reduction in advanced cancer from multi-session mindful breathing : randomised controlled study

Objectives While single-session mindful breathing shows symptom reduction in palliative care, data on multi-session efficacy is lacking. This study aimed to determine the effectiveness of multi-session mindful breathing in reducing symptoms among patients with advanced cancer. Methods Adult patien...

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Main Authors: Tung, Yu Zhen, Diana Ng, Leh Ching, Natalie, Zi Lai, Ang, Chui Munn, Lim, Poh Khuen, Sheriza Izwa, Zainuddin, Lam, Chee Loong, Loh, Ee Chin, Chai, Chee Shee, Tan, Seng Beng
Format: Article
Language:English
Published: BMJ Publishing Group Ltd. 2025
Subjects:
R Medicine (General)
Online Access:http://ir.unimas.my/id/eprint/47622/3/Symptom%20reduction%20in%20advanced%20-%20Copy.pdf
http://ir.unimas.my/id/eprint/47622/
https://spcare.bmj.com/content/early/2025/02/17/spcare-2024-005086
https://doi.org/10.1136/spcare-2024-005086
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spelling my.unimas.ir-476222025-02-21T01:14:29Z http://ir.unimas.my/id/eprint/47622/ Symptom reduction in advanced cancer from multi-session mindful breathing : randomised controlled study Tung, Yu Zhen Diana Ng, Leh Ching Natalie, Zi Lai Ang, Chui Munn Lim, Poh Khuen Sheriza Izwa, Zainuddin Lam, Chee Loong Loh, Ee Chin Chai, Chee Shee Tan, Seng Beng R Medicine (General) Objectives While single-session mindful breathing shows symptom reduction in palliative care, data on multi-session efficacy is lacking. This study aimed to determine the effectiveness of multi-session mindful breathing in reducing symptoms among patients with advanced cancer. Methods Adult patients with advanced cancer who scored ≥4 in at least two or more symptoms based on the Edmonton Symptom Assessment Scale (ESAS) were recruited from January to March 2020 at the University of Malaya Medical Centre, Malaysia. Participants were randomly assigned to receive either four daily sessions of 30 min mindful breathing and standard care (intervention) or standard care alone (control). The outcome measured was the change in the ESAS score after each session. Results 80 patients were recruited and randomised equally into the intervention and control groups. The demographic and clinical characteristics between the two groups were not statistically different. For the intervention group, there were statistically significant reductions in the total ESAS scores following all four sessions of 30min mindful breathing (n1=40: z1=−5.09, p<0.001; z2=−3.77, p<0.001; z3=−4.38, p<0.001; z4=−3.27, p<0.05). For the control group, statistically significant reductions in the total ESAS scores were seen only after sessions 1 and 3 (n2=40: z1=−4.04, p<0.001; z3=−4.53, p<0.001). Conclusions Our result provides evidence that four daily sessions of 30min mindful breathing may be effective in reducing multiple symptoms rapidly in patients with advanced cancer . BMJ Publishing Group Ltd. 2025-02-19 Article PeerReviewed text en http://ir.unimas.my/id/eprint/47622/3/Symptom%20reduction%20in%20advanced%20-%20Copy.pdf Tung, Yu Zhen and Diana Ng, Leh Ching and Natalie, Zi Lai and Ang, Chui Munn and Lim, Poh Khuen and Sheriza Izwa, Zainuddin and Lam, Chee Loong and Loh, Ee Chin and Chai, Chee Shee and Tan, Seng Beng (2025) Symptom reduction in advanced cancer from multi-session mindful breathing : randomised controlled study. BMJ Supportive & Palliative Care. pp. 1-9. ISSN 2045-4368 https://spcare.bmj.com/content/early/2025/02/17/spcare-2024-005086 https://doi.org/10.1136/spcare-2024-005086
institution Universiti Malaysia Sarawak
building Centre for Academic Information Services (CAIS)
collection Institutional Repository
continent Asia
country Malaysia
content_provider Universiti Malaysia Sarawak
content_source UNIMAS Institutional Repository
url_provider http://ir.unimas.my/
language English
topic R Medicine (General)
spellingShingle R Medicine (General)
Tung, Yu Zhen
Diana Ng, Leh Ching
Natalie, Zi Lai
Ang, Chui Munn
Lim, Poh Khuen
Sheriza Izwa, Zainuddin
Lam, Chee Loong
Loh, Ee Chin
Chai, Chee Shee
Tan, Seng Beng
Symptom reduction in advanced cancer from multi-session mindful breathing : randomised controlled study
description Objectives While single-session mindful breathing shows symptom reduction in palliative care, data on multi-session efficacy is lacking. This study aimed to determine the effectiveness of multi-session mindful breathing in reducing symptoms among patients with advanced cancer. Methods Adult patients with advanced cancer who scored ≥4 in at least two or more symptoms based on the Edmonton Symptom Assessment Scale (ESAS) were recruited from January to March 2020 at the University of Malaya Medical Centre, Malaysia. Participants were randomly assigned to receive either four daily sessions of 30 min mindful breathing and standard care (intervention) or standard care alone (control). The outcome measured was the change in the ESAS score after each session. Results 80 patients were recruited and randomised equally into the intervention and control groups. The demographic and clinical characteristics between the two groups were not statistically different. For the intervention group, there were statistically significant reductions in the total ESAS scores following all four sessions of 30min mindful breathing (n1=40: z1=−5.09, p<0.001; z2=−3.77, p<0.001; z3=−4.38, p<0.001; z4=−3.27, p<0.05). For the control group, statistically significant reductions in the total ESAS scores were seen only after sessions 1 and 3 (n2=40: z1=−4.04, p<0.001; z3=−4.53, p<0.001). Conclusions Our result provides evidence that four daily sessions of 30min mindful breathing may be effective in reducing multiple symptoms rapidly in patients with advanced cancer .
format Article
author Tung, Yu Zhen
Diana Ng, Leh Ching
Natalie, Zi Lai
Ang, Chui Munn
Lim, Poh Khuen
Sheriza Izwa, Zainuddin
Lam, Chee Loong
Loh, Ee Chin
Chai, Chee Shee
Tan, Seng Beng
author_facet Tung, Yu Zhen
Diana Ng, Leh Ching
Natalie, Zi Lai
Ang, Chui Munn
Lim, Poh Khuen
Sheriza Izwa, Zainuddin
Lam, Chee Loong
Loh, Ee Chin
Chai, Chee Shee
Tan, Seng Beng
author_sort Tung, Yu Zhen
title Symptom reduction in advanced cancer from multi-session mindful breathing : randomised controlled study
title_short Symptom reduction in advanced cancer from multi-session mindful breathing : randomised controlled study
title_full Symptom reduction in advanced cancer from multi-session mindful breathing : randomised controlled study
title_fullStr Symptom reduction in advanced cancer from multi-session mindful breathing : randomised controlled study
title_full_unstemmed Symptom reduction in advanced cancer from multi-session mindful breathing : randomised controlled study
title_sort symptom reduction in advanced cancer from multi-session mindful breathing : randomised controlled study
publisher BMJ Publishing Group Ltd.
publishDate 2025
url http://ir.unimas.my/id/eprint/47622/3/Symptom%20reduction%20in%20advanced%20-%20Copy.pdf
http://ir.unimas.my/id/eprint/47622/
https://spcare.bmj.com/content/early/2025/02/17/spcare-2024-005086
https://doi.org/10.1136/spcare-2024-005086
_version_ 1825166853256773632
score 13.244413

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