From:  Practical non-pharmacological interventions to improve quality of life for cancer patients and caregivers

 Summary of mindfulness and guided imagery applications in cancer.

DomainDetails
Primary benefits• Reduced anxiety, depression, and emotional distress
• Improved sleep and mood
• Decreased caregiver burden and burnout
• Enhanced coping and emotional resilience
Mechanisms of action• Regulation of the HPA axis and cortisol levels
• Activation of prefrontal and insular brain regions (emotion regulation)
• Parasympathetic nervous system activation
• Reduced inflammatory cytokine activity
Delivery formats• Mobile apps (e.g., Headspace, Insight Timer)
• Audio recordings (e.g., for guided imagery)
• Group classes (MBSR)
• Short daily practices (5–15 min)
Settings for use• Hospitals and outpatient clinics
• Home care and hospice settings
• Dyadic patient-caregiver sessions
Practical advantages• Low cost, highly scalable
• Minimal training required for basic use
• Adaptable to physical limitations and disease stage
Safety considerations• Generally safe and well tolerated
• Caution in trauma-exposed individuals; consider trauma-informed mindfulness approaches
• Emotional responses should be monitored when used in early grief or advanced disease

Mindfulness and guided imagery are particularly well-suited for integration into holistic care plans and patient empowerment strategies across various stages of cancer and settings. HPA: hypothalamic-pituitary-adrenal; MBSR: mindfulness-based stress reduction.