Effects of cognitive combined with mindfulness-based stress reduction and sleep in patients with diabetes and endometrial cancer

doi:10.5498/wjp.v15.i4.100849

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World Journal of Psychiatry

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2220-3206

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Baishideng Publishing Group Inc, 7041 Koll Center Parkway, Suite 160, Pleasanton, CA 94566, USA

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World J Psychiatry. Apr 19, 2025; 15(4): 100849
Published online Apr 19, 2025. doi: 10.5498/wjp.v15.i4.100849

Effects of cognitive combined with mindfulness-based stress reduction and sleep in patients with diabetes and endometrial cancer

Qing-Song Zhang, Wei Zhang, Yun Mao, Xiao-Shi Wang, Jin-Wei Zhang, Ying-Jiu Cao

Qing-Song Zhang, Wei Zhang, Xiao-Shi Wang, Jin-Wei Zhang, Ying-Jiu Cao, Department of Gynecology, The Affiliated Wuxi People's Hospital of Nanjing Medical University, Wuxi People's Hospital, Wuxi Medical Center, Nanjing Medical University, Wuxi 214000, Jiangsu Province, China

Yun Mao, Infection Control Division, The Affiliated Wuxi People's Hospital of Nanjing Medical University, Wuxi People's Hospital, Wuxi Medical Center, Nanjing Medical University, Wuxi 214000, Jiangsu Province, China

Co-first authors: Qing-Song Zhang and Wei Zhang.

Co-corresponding authors: Jin-Wei Zhang and Ying-Jiu Cao.

Author contributions: Zhang QS and Zhang W contributed equally to this work; Zhang QS and Zhang W designed the study; Zhang QS, Mao Y, Wang XS, Zhang JW, Zhang W, and Cao YJ contributed to the analysis of the manuscript; Zhang QS and Zhang W were involved in the data and writing of this article. All authors have read and approved the final manuscript. The two co-first authors (Zhang QS and Zhang W) and the two co-corresponding authors (Zhang JW and Cao YJ) have made equal contributions for several reasons. Equal research work: Zhang QS and Zhang W have undertaken work of equal importance and workload in the research project. Similar professional knowledge contributions: Each relied on their professional knowledge and contributed the same strength to the success of the research. Cooperation and collaboration: During the entire research process, Zhang JW and Cao YJ displayed close cooperation and collaboration and jointly promoted research progress. Zhang QS and Zhang W jointly participated in the formulation of the research plan, including clarification of the research objectives, selection of methods, and design of the experimental process. They discussed and determined the most appropriate research plan. The two shared the task of data collection equally to ensure the accuracy and integrity of the data. During data analysis, they jointly interpreted the data to ensure the reliability of the results. Zhang JW and Cao YJ provided valuable opinions and suggestions and jointly improved the content and structure of the manuscript.

Supported by Wuxi Municipal Health Commission Maternal and Child Health Research Project, No. FYKY202301.

Institutional review board statement: This study was reviewed and approved by the institutional review board of the Affiliated Wuxi People’s Hospital of Nanjing Medical University [(2023) Research Ethics Review No. KY23138].

Clinical trial registration statement: The study was registered at the Clinical Trial Center (www.researchregistry. com) with registration number: Researchregistry10227.

Informed consent statement: All study participants and their legal guardians provided written informed consent before participating in the study.

Conflict-of-interest statement: The authors declare no conflicts of interest.

CONSORT 2010 statement: The authors have read the CONSORT 2010 statement, and the manuscript was prepared and revised according to the CONSORT 2010 statement.

Data sharing statement: No additional data are available.

Corresponding author: Jin-Wei Zhang, MMed, Attending Doctor, Department of Gynecology, The Affiliated Wuxi People's Hospital of Nanjing Medical University, Wuxi People's Hospital, Wuxi Medical Center, Nanjing Medical University, No. 299 Qingyang Road, Liangxi District, Wuxi 214000, Jiangsu Province, China. 15961882137@163.com

Received: December 5, 2024
Revised: January 16, 2025
Accepted: February 13, 2025
Published online: April 19, 2025
Processing time: 110 Days and 1.1 Hours

Abstract

BACKGROUND

Seek highly effective treatment measures for improving mood and sleep.

AIM

To explore the effects of mood and depression in patients with endometrial cancer after cognitive behavioral therapy (CBT) and mindfulness-based stress reduction.

METHODS

In a prospective study, 90 patients with diabetes, endometrial cancer, and depression were selected from January 2023 to January 2024 in our hospital. There were 45 patients in the control group and 45 patients in the observation group. In addition to the conventional treatment, the control group received cognitive behavioral treatment, and the observation group: Control group was given to compare changes in mood state and sleep quality before and after the intervention. Follow-up was performed3 months after treatment completion.

RESULTS

Before treatment, the mood and sleep quality scores between the two groups (P > 0.05); in the observation group, the 5 negative mood scores were lower and lower than the control group; the 2 positive mood scores were higher than in the control group, and the difference was statistically significant (P < 0.05); compared with before treatment, the 7 sleep quality scores and Pittsburgh sleep quality index scale total score in the observation group and lower in the control group (P < 0.05).

CONCLUSION

In patients with diabetes and endometrial cancer, mood state and sleep quality significantly improved after CBT and breathing relaxation. These findings provide new and effective treatment strategies in clinical practice.

Keywords: Cognitive behavioral therapy; Mindfulness and stress reduction intervention; Diabetes; Endometrial cancer; Depression; Mood; Sleep quality

Core Tip: Implementing a scientific and highly efficient cognitive and behavioral therapy program, integrated with a mindfulness-based stress reduction intervention, holds paramount importance for significantly enhancing the mood state and sleep quality of patients diagnosed with both endometrial cancer and depression. This combined approach not only addresses the psychological aspects of their condition but also fosters a holistic well-being, thereby contributing to better overall health outcomes.