JOURNAL OF FUNCTIONAL VENTILATION AND PULMONOLOGY [Journal de la Fonction Ventilatoire et de Pneumologie]

ABSTRACT:

Background: Sleep disturbances, particularly insomnia, are highly prevalent among women with cancer and frequently co-occur with physical symptom burden and biological dysregulation related to stress and inflammation. Mindfulness-based interventions (MBIs) have been increasingly integrated into supportive cancer care; however, the scope, characteristics, and outcome domains of existing evidence remain fragmented across disciplines.

Objectives: This scoping review aims to map the existing evidence on the effectiveness of mindfulness-based interventions in improving sleep outcomes, physical symptoms, and related biological outcomes among women with cancer, and to identify key knowledge gaps to inform future research and clinical practice.

Methods: A scoping review will be conducted following the Joanna Briggs Institute methodology and reported in accordance with PRISMA-ScR guidelines. Comprehensive searches will be performed in PubMed (MEDLINE), Scopus, Web of Science Core Collection, and CINAHL. Eligible studies will include interventional studies reporting quantitative outcomes that evaluate MBIs – such as Mindfulness-Based Stress Reduction (MBSR), Mindfulness-Based Cognitive Therapy (MBCT), Mindful Self-Compassion (MSC), Mindfulness-Based Art Therapy (MBAT), mindfulness-based yoga or movement, and digital mindfulness programs – among adult women with cancer. Outcomes of interest will include sleep and insomnia-related outcomes, physical symptoms (e.g., pain, fatigue), and biological markers related to stress, inflammation, or autonomic regulation. Data will be charted and synthesized descriptively.

Results: The review is expected to characterize the range of MBI modalities, study designs, cancer populations, and outcome measures currently reported in the literature. Preliminary mapping is anticipated to reveal a strong emphasis on patient-reported sleep outcomes, with comparatively limited and heterogeneous evidence on biological mechanisms and objective sleep measures.

Conclusion: By systematically mapping the available evidence, this scoping review will clarify the current landscape of MBIs for sleep and symptom management in women with cancer. The findings will highlight methodological gaps and research priorities, supporting the integration of evidence-based, mind–body approaches into multidisciplinary sleep and oncology care.

English Keywords (3–5 keywords): mindfulness, sleep disturbances, sleep disorder, women, cancer, oncology

RÉSUMÉ:

Contexte: Les troubles du sommeil, en particulier l'insomnie, sont très fréquents chez les femmes atteintes de cancer et coexistent souvent avec une charge symptomatique physique ainsi qu'une dysrégulation biologique liée au stress et à l'inflammation. Les interventions basées sur la pleine conscience (MBI - Mindfulness-Based Interventions) sont de plus en plus intégrées aux soins de support en oncologie; cependant, la portée, les caractéristiques et les domaines de résultats des preuves existantes demeurent fragmentés entre les disciplines.

Objectifs: Cette revue de la portée vise à cartographier les preuves existantes sur l'efficacité des interventions basées sur la pleine conscience pour améliorer les troubles du sommeil, les symptômes physiques et les résultats biologiques associés chez les femmes atteintes de cancer, et à identifier les principales lacunes dans les connaissances afin d'orienter la recherche future et la pratique clinique.

Méthodes: Une revue de la portée sera menée selon la méthodologie de l'Institut Joanna Briggs (JBI) et rapportée conformément aux directives PRISMA-ScR. Des recherches exhaustives seront effectuées dans les bases de données PubMed (MEDLINE), Scopus, Web of Science Core Collection et CINAHL. Les études éligibles comprendront des études interventionnelles rapportant des résultats quantitatifs évaluant les MBI — telles que la réduction du stress basée sur la pleine conscience (MBSR), la thérapie cognitive basée sur la pleine conscience (MBCT), l'autocompassion en pleine conscience (MSC), l'art-thérapie basée sur la pleine conscience (MBAT), le yoga ou le mouvement en pleine conscience, ainsi que les programmes de pleine conscience numériques — chez des femmes adultes atteintes de cancer. Các tiêu chí đánh giá bao gồm chất lượng giấc ngủ và các kết quả liên quan đến chứng mất ngủ, các triệu chứng thể chất (ví dụ: đau, mệt mỏi) và các dấu ấn sinh học liên quan đến căng thẳng, viêm hoặc điều hòa thần kinh tự chủ. Dữ liệu sẽ được lập bảng và tổng hợp dưới dạng mô tả.

Résultats: La revue devrait caractériser l'éventail des modalités de MBI, les schémas d'étude, les populations cancéreuses et les mesures de résultats actuellement rapportés dans la littérature. Une cartographie préliminaire devrait révéler une forte emphase sur các kết quả về giấc ngủ do bệnh nhân tự báo cáo, với bằng chứng tương đối hạn chế và không đồng nhất về các cơ chế sinh học cũng như các phép đo giấc ngủ khách quan.

Conclusion: En cartographiant systématiquement les preuves disponibles, cette revue de la portée clarifiera le paysage actuel des MBI pour la gestion du sommeil et des symptômes chez les femmes atteintes de cancer. Les conclusions mettront en évidence les lacunes méthodologiques et các ưu tiên nghiên cứu, hỗ trợ việc tích hợp các phương pháp tiếp cận thân - tâm dựa trên bằng chứng vào chăm sóc đa chuyên khoa về giấc ngủ và ung thư.

Mots-clés (3–5 mots): pleine conscience, troubles du sommeil, femmes, cancer, oncologie.