The Effects of Meditation on Breast Cancer Survivors' Psychological and Spiritual Well-being and Sleep Quality: A Randomized Controlled Trial in South Korea.

Yun MR, Song M, Jung KH, Yu BJ, Lee KJ.
Author Information

Author Affiliations: College of Nursing, Chung-Ang University (Dr Yun); College of Nursing, Seoul
National University (Dr Song); and Asan Medical Center, University of Ulsan College of Medicine (Dr Jung), Seoul, South Korea; Henry P. Becton School of Nursing and Allied Health, Fairleigh Dickinson University, Teaneck, New Jersey(Dr Yu); and Center for Human Completion, Seoul, South Korea (Mr Lee).



Most breast cancer survivors experience psychological and spiritual distress, including depression, anxiety, perceived stress, and loss of meaningfulness in life. This distress can negatively impact
physical health, quality of life, and quality of sleep.


The aim of this study was to compare and examine the effectiveness of Meditation (M) and a self-management education (SME) group on breast cancer survivors.


A randomized controlled trial was conducted with South Korean female breast cancer survivors (stages I-III). Self-reported questionnaires were administered to both MSM group (n = 22) and SME group (n = 24) to measure psychological and spiritual well-being, as well as quality of sleep.


Compared with the SME group, the M group reported a significant decrease in depression (P = .034), anxiety (P = .036), and perceived stress (P = .009) and an increase in quality of life (P < .001), satisfaction with life (P < .001), posttraumatic growth (P = .007), and quality of sleep (P = .010).


The Meditation may have positive therapeutic effects among breast cancer survivors. This meditation
program may be useful to manage psychological and spiritual distress, as well as improve quality of life and sleep, in clinical settings among breast cancer survivors.

Implication For Practice

This study demonstrated the clinical effectiveness and the feasibility of applying the Meditation method to breast cancer survivors. The participants had a high attendance rate in the program, which speaks to the likelihood of the applicability of the meditation program on an outpatient basis.


1. Golden-Kreutz DM, Andersen BL. Depressive symptoms after breast cancer surgery: relationships with global, cancer-related, and life event stress. Psychooncology. 2004;13(3):211-20.
2. Moadel A, Morgan C, Fatone A, Grennan J, Carter J, Laruffa G, et al. Seeking meaning and hope: self-reported spiritual and existential needs among an ethnically-diverse cancer patient population.
Psychooncology. 1999;8(5):378-85.
3. Shin HW, Noh DY, Lee ES, Nam SJ, Park BW, Ahn SH, et al. Correlates of existential well-being and their association with health-related quality of life in breast cancer survivors compared with the
general population. Breast Cancer Res Treat. 2009;118(1):139-50.
4. Kim JH. A psychological examination of vipassana meditation. Ducksung J Soc Sci. 1996;4:35-60.
5. National Center for Complementary and Integrative Health Web site.
2016.pdf. Accessed October 28, 2016.
6. Jeong JY, Kim JH, Kim M, Kim JI. The effects of meditation on hwa-byung symptoms, stress and coping styles. Korean J Str Res. 2015;23(2):63-77.
7. Yun MR, Choi EH, Kim KA, Yoo YG. Effects of meditation on the decrease of depression, anxiety, and stress response of adults with depression. J Korea Soc Wellness. 2015;10(3):109-21.
8. Lee IS, Oh JH, Kwon IS. Effects of meditation training on mental health according to the length of the training period. J Korea Contents Assoc. 2013;13(1):342-53.
9. Yoo YG, Lee DJ, Lee IS, Shin N, Park JY, Yoon MR, et al. The effects of meditation on depression, social anxiety, aggression, and salivary cortisol levels of elementary school children
in South Korea. J Pediatr Nurs. 2016;31(3):185-97.
10. Yun MR. Effects of Meditation program on breast cancer survivors’ psychological well-being [dissertation]. Seoul: Seoul National Univ.; 2014.
11. Giorgy A. Psychology as human science. New York: Harper & Row; 1970.