Cecile <span>A.</span> Lengacher, RN, PhD
Researcher

Cecile A. Lengacher, RN, PhD

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Overview

Dr. Cecile Lengacher's funded research focuses on Psychoneuroimmunology and complementary/alternative interventions for women with breast cancer.

Discipline

    • Health Outcomes & Behavior Program

Education & Training

    • Marquette University, Milwaukee, Wisconsin, MSN - Medical Surgical Nursing Education
    • Marquette University, Milwaukee, Wisconsin, PhD - Educational Psychology Emphasis on Statistics and Research
Research

Dr. Lengacher’s research includes women’s health, psycho-oncology, psychoneuroimmunology, and complementary alternative medicine. This expertise spans basic science to clinical research. An important aspect of her psycho-oncology research is symptom management through delivery of complementary alternative medicine  therapies.  She is currently conducting an NCI-funded study examining the effects of mindfulness-based stress reduction on symptom management and biomarkers such as cytokines, stress hormones, and cellular adhesion markers.

Publications

  • Lengacher CA, Reich RR, Ramesar S, Alinat CB, Moscoso M, Cousin L, Marino VR, Elias MN, Paterson CL, Rodriguez CS, Wang HL, Kip KE, Meng H, Park JY. Feasibility of the mobile mindfulness-based stress reduction for breast cancer (mMBSR(BC)) program for symptom improvement among breast cancer survivors. Psychooncology. 2017 Jun. Pubmedid: 28665541.
  • D'Aoust RF, Rossiter AG, Elliott A, Ji M, Lengacher C, Groer M. Women Veterans, a Population at Risk for Fibromyalgia: The Associations Between Fibromyalgia, Symptoms, and Quality of Life. Mil Med. 2017 Jul;182(7):e1828-e1835. Pubmedid: 28810979.
  • Reich RR, Lengacher CA, Klein TW, Newton C, Shivers S, Ramesar S, Alinat CB, Paterson C, Le A, Park JY, Johnson-Mallard V, Elias M, Moscoso M, Goodman M, Kip KE. A Randomized Controlled Trial of the Effects of Mindfulness-Based Stress Reduction (MBSR[BC]) on Levels of Inflammatory Biomarkers Among Recovering Breast Cancer Survivors. Biol Res Nurs. 2017 Jul;19(4):456-464. Pubmedid: 28460534.
  • Reich RR, Lengacher CA, Alinat CB, Kip KE, Paterson C, Ramesar S, Han HS, Ismail-Khan R, Johnson-Mallard V, Moscoso M, Budhrani-Shani P, Shivers S, Cox CE, Goodman M, Park J. Mindfulness-Based Stress Reduction in Post-treatment Breast Cancer Patients: Immediate and Sustained Effects Across Multiple Symptom Clusters. J Pain Symptom Manag. 2017 Jan;53(1):85-95. Pubmedid: 27720794.
  • Lengacher CA, Reich RR, Paterson CL, Ramesar S, Park JY, Alinat C, Johnson-Mallard V, Moscoso M, Budhrani-Shani P, Miladinovic B, Jacobsen PB, Cox CE, Goodman M, Kip KE. Examination of Broad Symptom Improvement Resulting From Mindfulness-Based Stress Reduction in Breast Cancer Survivors: A Randomized Controlled Trial. J Clin Oncol. 2016 Aug;34(24):2827-2834. Pubmedid: 27247219. Pmcid: PMC5012660.
  • Lengacher CA, Reich RR, Kip KE, Paterson CL, Park HY, Ramesar S, Jim HS, Alinat CB, Park JY. Moderating Effects of Genetic Polymorphisms on Improvements in Cognitive Impairment in Breast Cancer Survivors Participating in a 6-Week Mindfulness-Based Stress Reduction Program. Biol Res Nurs. 2015 Jul;17(4):393-404. Pubmedid: 25882604.
  • Ebbert JA, Donovan KA, Lengacher CA, Fabri D, Reich R, Daley E, Thompson EL, Wenham RM. Right Place, Right Time: Preferences of Women with Ovarian Cancer for Delivery of CAM Education. Medicines (Basel). 2015 Aug;2(3):236-250. Pubmedid: 28930210. Pmcid: PMC5456219.
  • Lengacher CA, Reich RR, Paterson CL, Jim HS, Ramesar S, Alinat CB, Budhrani PH, Farias JR, Shelton MM, Moscoso MS, Park JY, Kip KE. The effects of mindfulness-based stress reduction on objective and subjective sleep parameters in women with breast cancer: a randomized controlled trial. Psychooncology. 2015 Apr;24(4):424-432. Pubmedid: 24943918. Pmcid: PMC4487655.
  • Budhrani PH, Lengacher CA, Kip K, Tofthagen C, Jim H. An integrative review of subjective and objective measures of sleep disturbances in breast cancer survivors. Clin J Oncol Nurs. 2015 Apr;19(2):185-191. Pubmedid: 25840384.
  • Reich RR, Lengacher CA, Kip KE, Shivers SC, Schell MJ, Shelton MM, Widen RH, Newton C, Barta MK, Paterson CL, Farias JR, Cox CE, Klein TW. Baseline immune biomarkers as predictors of MBSR(BC) treatment success in off-treatment breast cancer patients. Biol Res Nurs. 2014 Oct;16(4):429-437. Pubmedid: 24477514. Pmcid: PMC4604564.
  • Lengacher CA, Reich RR, Kip KE, Barta M, Ramesar S, Paterson CL, Moscoso MS, Carranza I, Budhrani PH, Kim SJ, Park HY, Jacobsen PB, Schell MJ, Jim HS, Post-White J, Farias JR, Park JY. Influence of mindfulness-based stress reduction (MBSR) on telomerase activity in women with breast cancer (BC). Biol Res Nurs. 2014 Oct;16(4):438-447. Pubmedid: 24486564. Pmcid: PMC4559344.
  • Paterson C, Lengacher C, Park J. MBSR, Mindfulness and Genetics: A Review of the Literature. J Altern Complement Med. 2014 May;20(5):A144-A145. Pubmedid: 25688420.
  • Lengacher CA, Ramesar S, Reich RR, Paterson C, Moscoso M, Carranza I. A Pilot Study Examining the Feasibility of the MBSR(BC) Home-Based Approach via an iPad. J Altern Complement Med. 2014 May;20(5):A93. Pubmedid: 25688420.
  • Budhrani PH, Lengacher CA, Kip KE, Tofthagen C, Jim H. Minority Breast Cancer Survivors: The Association between Race/Ethnicity, Objective Sleep Disturbances, and Physical and Psychological Symptoms. Nurs Res Pract. 2014 Aug;2014:858403. Pubmedid: 25101174. Pmcid: PMC4101933.
  • Lengacher CA, Shelton MM, Reich RR, Barta MK, Johnson-Mallard V, Moscoso MS, Paterson C, Ramesar S, Budhrani P, Carranza I, Lucas J, Jacobsen PB, Goodman MJ, Kip KE. Mindfulness based stress reduction (MBSR(BC)) in breast cancer: evaluating fear of recurrence (FOR) as a mediator of psychological and physical symptoms in a randomized control trial (RCT). J Behav Med. 2014 Apr;37(2):185-195. Pubmedid: 23184061. Pmcid: PMC3627743.
  • Kip KE, Rosenzweig L, Hernandez DF, Shuman A, Diamond DM, Girling SA, Sullivan KL, Wittenberg T, Witt AM, Lengacher CA, Anderson B, McMillan SC. Accelerated Resolution Therapy for treatment of pain secondary to symptoms of combat-related posttraumatic stress disorder. Eur J Psychotraumatol. 2014;5. Pubmedid: 24959325. Pmcid: PMC4014659.
  • Lengacher CA, Kip KE, Post-White J, Fitzgerald S, Newton C, Barta M, Jacobsen PB, Shelton MM, Moscoso M, Johnson-Mallard V, Harris E, Loftus L, Cox C, Le N, Goodman M, Djeu J, Widen RH, Bercu BB, Klein TW. Lymphocyte Recovery After Breast Cancer Treatment and Mindfulness-Based Stress Reduction (MBSR) Therapy. Biol Res Nurs. 2013 Jan;15(1):37-47. Pubmedid: 22084404.
  • Kip KE, Rosenzweig L, Hernandez DF, Shuman A, Sullivan KL, Long CJ, Taylor J, McGhee S, Girling SA, Wittenberg T, Sahebzamani FM, Lengacher CA, Kadel R, Diamond DM. Randomized controlled trial of accelerated resolution therapy (ART) for symptoms of combat-related post-traumatic stress disorder (PTSD). Mil Med. 2013 Dec;178(12):1298-1309. Pubmedid: 24306011.
  • Kip KE, Sullivan KL, Lengacher CA, Rosenzweig L, Hernandez DF, Kadel R, Kozel FA, Shuman A, Girling SA, Hardwick MJ, Diamond DM. Brief treatment of co-occurring post-traumatic stress and depressive symptoms by use of accelerated resolution therapy(®). Front Psychiatry. 2013;4:11. Pubmedid: 23482431. Pmcid: PMC3591743.
  • Lengacher CA, Kip KE, Barta M, Post-White J, Jacobsen P, Groer M, Lehman B, Moscoso MS, Kadel R, Le N, Loftus L, Stevens CA, Malafa MP, Shelton MM. A pilot study evaluating the effect of mindfulness-based stress reduction on psychological status, physical status, salivary cortisol, and interleukin-6 among advanced-stage cancer patients and their caregivers. J Holist Nurs. 2012 Sep;30(3):170-185. Pubmedid: 22442202.
  • Kip KE, Elk CA, Sullivan KL, Kadel R, Lengacher CA, Long CJ, Rosenzweig L, Shuman A, Hernandez DF, Street JD, Girling SA, Diamond DM. Brief Treatment of Symptoms of Post-Traumatic Stress Disorder (PTSD) by Use of Accelerated Resolution Therapy (ART(®)). Behav Sci (Basel). 2012 Jun;2(2):115-134. Pubmedid: 25379218. Pmcid: PMC4217580.
  • Lengacher CA, Reich RR, Post-White J, Moscoso M, Shelton MM, Barta M, Le N, Budhrani P. Mindfulness based stress reduction in post-treatment breast cancer patients: an examination of symptoms and symptom clusters. J Behav Med. 2012 Feb;35(1):86-94. Pubmedid: 21506018.
  • Lengacher CA, Johnson-Mallard V, Barta M, Fitzgerald S, Moscoso MS, Post-White J, Jacobsen PB, Molinari Shelton M, Le N, Budhrani P, Goodman M, Kip KE. Feasibility of a mindfulness-based stress reduction program for early-stage breast cancer survivors. J Holist Nurs. 2011 Jun;29(2):107-117. Pubmedid: 21041554.
  • Bennett MP, Lengacher C. Humor and Laughter May Influence Health IV. Humor and Immune Function. Evid Based Complement Alternat Med. 2009 Jun;6(2):159-164. Pubmedid: 18955287. Pmcid: PMC2686627.
  • Lengacher CA, Johnson-Mallard V, Post-White J, Moscoso MS, Jacobsen PB, Klein TW, Widen RH, Fitzgerald SG, Shelton MM, Barta M, Goodman M, Cox CE, Kip KE. Randomized controlled trial of mindfulness-based stress reduction (MBSR) for survivors of breast cancer. Psychooncology. 2009 Dec;18(12):1261-1272. Pubmedid: 19235193.
  • Bennett MP, Lengacher C. Humor and Laughter May Influence Health: III. Laughter and Health Outcomes. Evid Based Complement Alternat Med. 2008 Mar;5(1):37-40. Pubmedid: 18317546. Pmcid: PMC2249748.
  • Yang C, Lengacher C, Beckstead J, Shiau S. The Women's Role Strain Inventory: a Chinese translation and psychometric analyses for Taiwanese women. Int J Nurs Stud. 2008 Jan;45(1):85-94. Pubmedid: 17010349.
  • Beckstead J, Yang C, Lengacher C. Assessing cross-cultural validity of scales: a methodological review and illustrative example. Int J Nurs Stud. 2008 Jan;45(1):110-119. Pubmedid: 17081547.
  • Lengacher C, Bennett M, Gonzalez L, Gilvary D, Cox C, Cantor A, Jacobsen PB, Yang C, Djeu J. Immune responses to guided imagery during breast cancer treatment. Biol Res Nurs. 2008 Jan;9(3):205-214. Pubmedid: 18077773.
  • Gonzalez L, Lengacher C. Coping with breast cancer: a qualitative analysis of reflective journals. Issues Ment Health Nurs. 2007 May;28(5):489-510. Pubmedid: 17613149.
  • Johnson-Mallard V, Lengacher CA, Kromrey JD, Campbell DW, Jevitt CM, Daley E, Schmitt K. Increasing knowledge of sexually transmitted infection risk. Nurse Pract. 2007 Feb;32(2):26-32. Pubmedid: 17264791.
  • Johnson-Mallard V, Lengacher C, Kromrey J, Campbell D, Jevitt C, Daley E, Schmitt K. Increasing Knowledge of Sexually Transmitted Infection Risk. Nurse Pract. 2007 Feb;32(2):26-32.
  • Bennett MP, Lengacher CA. Humor and laughter may influence health. I. History and background. Evid Based Complement Alternat Med. 2006 Mar;3(1):61-63. Pubmedid: 16550224. Pmcid: PMC1375238.
  • Bennett M, Lengacher C. Humor and Laughter May Influence Health: II. Complementary Therapies and Humorin a Clinical Population. Evid Based Complement Alternat Med. 2006 Jun;3(2):187-90. Epub 2. Pubmedid: 16786047.
  • Wane D, Lengacher CA. Integrative review of lycopene and breast cancer. Oncol Nurs Forum. 2006 Jan;33(1):127-137. Pubmedid: 16470241.
  • Lengacher C, Bennett M, Kip K, Gonzalez L, Jacobsen P, Cox C. Relief of symptoms, side effects, and psychological distress through use of complementary and alternative medicine in women with breast cancer. Oncol Nurs Forum. 2006 Jan;33(1):97-104. Pubmedid: 16470237.
  • Lengacher C, Gonzalez L, Bennett M. The effects of relaxation-guided imagery on psychological variables and natural killer cell, and cytokine (IL-2) induced NK activity in breast cancer patients. Brain Behav Immun. 2002;16(2):198-198. Pubmedid: noPMID.
  • Lengacher C, Bennett M, Kip K, Keller R, Smith L, LaVance M, Cox C, Reintgen D. Frequency of use of complementary alternative therapies in women with breast cancer. Oncol Nurs Forum. 2002;29(10):1445-1452. Pubmedid: 12432415.
  • Lengacher C, Gonzalez L, Giuliano R, Reintgen D, Cox C. The process of clinical trials: a model for successful clinical trial participation. Oncol Nurs Forum. 2001;28(7):1115-1120. Pubmedid: 11517845.
  • Berarducci A, Burns P, Lengacher C, Sellers E. Health-promoting educational practices related to osteoporosis. Appl Nurs Res. 2000;13(4):173-180. Pubmedid: 11078782.
  • Moody L, Voss A, Lengacher C. Assessing abuse among the elderly living in public housing. J Nurs Meas. 2000;8(1):61-70. Pubmedid: 11026166.
  • Gonzalez L, Web M, Lowry L, Lengacher C. Baccalaureate nursing education and home health: a collaborative alliance. Nurs Connect. 1999;12(1):35-48. Pubmedid: 10401400.
  • Page P, Lengacher C, Holsonback C, Himmegreen D, Pappalardo L, Lipano M, Lein K. Quality of care-risk adjustment outcomes research model: testing the effects of a community based educational self management program for children with asthma. Nurs Connect. 1999;12(3):47-58. Pubmedid: 10788904.
  • Bennett M, Lengacher C. Use of complementary therapies in a rural cancer population. Oncol Nurs Forum. 1999;26(8):1287-1294. Pubmedid: 10497768.
  • Mabe PR, Lengacher CA. Redesigning emergency care: financial and cost analysis of services provided. Nurs Econ. 1998 Mar;16(2):75-82. Pubmedid: 9592522 .
  • Berarducci A, Lengacher CA. Self-efficacy: an essential component of advanced-practice nursing. Nursingconnections. 1998 Dec;11(1):55-67. Pubmedid: 9644482 .
  • Bennett M, Lengacher C. Design and testing of a complementary therapy rating scale in rural persons with cancer. Alternative Health Pract. 1998;4(3):179-202. Pubmedid: noPMID.
  • Berarducci A, Lengacher C. Self-efficacy: an essential component of advanced practice nursing. Nurs Connect. 1998;2(1):55-67. Pubmedid: noPMID.
  • Mabe, P, Lengacher C. Redesigning emergency care: financial and cost analysis of services provided. Nurs Econ. 1998;16(2):75-82. Pubmedid: 9592522.
  • Lengacher C, Bennett M, Gonzalez L, Cox C, Reintgen D, Cantor A, Djeu J. Review of literature: Psychoneuroimmunology, immune system link: stress, depression, health behaviors and breast cancer. Alternative Health Pract. 1998;4:95-107. Pubmedid: noPMID.
  • Lengacher C, Bennett M, Gonzalez L, Cox C, Reintgen D, Cantor A, Djeu J. Psychoneuroimmunology, immune system link, stress, depression,health behaviors and breast cancer. Alternative Health Care. 1998;4(2):95-108. Pubmedid: noPMID.
  • VanCott ML, Lengacher CA, Heinemann D, Mabe P, Swymer S, Bistritz D. The use of focus groups to assist in the design and implementation of a new nursing practice model. J Nurs Staff Dev. 1997 Mar;13(2):83-87. Pubmedid: 9155343 .
  • Lengacher CA. A reliability and validity study of the Women's Role Strain Inventory. J Nurs Meas. 1997 Dec;5(2):139-150. Pubmedid: 9538586 .
  • Lengacher CA, Mabe PR, Heinemann D, VanCott ML, Kent K, Swymer S. Collaboration in research: testing the PIPC model on clinical and nonclinical outcomes. Nursingconnections. 1997 Apr;10(1):17-30. Pubmedid: 9171689 .
  • Lengacher C. Collaboration in research: testing the PIPC model on clinical and nonclinical outcomes. Nurs Connect. 1997;10(1):117-130. Pubmedid: 9171689.
  • VanCott M, Lengacher C, Heinemann D, Mabe P, Swymer S, Bistritz D. The use of focus groups to assist in designing a new nursing practice model. J Nurs Staff Dev. 1997;13(2):83-87. Pubmedid: 9155343.
  • Lengacher C. A reliability and validity study of the Women's Role Strain Inventory. J Nurs Measure. 1997;5(2):139-150. Pubmedid: 9538586.
  • Heinemann D, Lengacher CA, VanCott ML, Mabe P, Swymer S. Partners in patient care: measuring the effects on patient satisfaction and other quality indicators. Nurs Econ. 1996 Sep;14(5):276-285. Pubmedid: 8998022 .
  • Lengacher CA, Mabe PR, Heinemann D, VanCott ML, Swymer S, Kent K. Effects of the PIPC model on outcome measures of productivity and costs. Nurs Econ. 1996 Jul;14(4):205-12, 238. Pubmedid: 8826307 .
  • Lengacher C, Mabe C, Heinemann D, VanCott M, Swymer S, Kent K. Effects of the partner's in care practice model on outcome measures of productivity and costs. Nurs Econ. 1996;14(4):205-212+. Pubmedid: 8826307.
  • Heinemann D, Lengacher C, VanCott M, Mabe P, Swymer S. Partners in care: measuring the effects on patient satisfaction and selected quality of care indicators. Nurs Econ. 1996;14(5):276-285. Pubmedid: 8998022.
  • Lengacher CA, Mabe PR, VanCott ML, Heinemann D, Kent K. Team-building process in launching a practice model. Nursingconnections. 1995 Jun;8(2):51-59. Pubmedid: 7651550 .
  • Lengacher CA, Mabe PR, Kent K, Allred R. Design, implementation, and evaluation of an educational program for a new practice model. J Nurs Staff Dev. 1995 Jul;11(4):195-200. Pubmedid: 7643228 .
  • Lengacher C, Mabe P, Kent K, Allred R. Design, implementation and evaluation of an educational program for a new nursing practice model. J Nurs Staff Dev. 1995;11(4):195-220. Pubmedid: 7643228.
  • Lengacher C, Mabe P, VanCott M, Heinemann D, Kent K. Team-building process in launching a practice model. Nurs Connect. 1995;8(2):51-59. Pubmedid: 7651550.
  • Lengacher CA, Kent K, Mabe PR, Heinemann D, VanCott ML, Bowling CD. Effects of the partners in care practice model on nursing outcomes. Nurs Econ. 1994 Nov;12(6):300-308. Pubmedid: 7885486 .
  • Lengacher CA. Effects of professional development seminars on role conception, role deprivation, and self-esteem of generic baccalaureate students. Nursingconnections. 1994 Apr;7(1):21-34. Pubmedid: 8202168 .
  • Lengacher C, Kent K, Mabe P, Heinemann D, VanCott M, Bowling C. Effects of the partners in care practice model on nursing outcomes. Nurs Econ. 1994;12(6):300-308.
  • Lengacher CA. Development of a predictive model for role strain in registered nurses returning to school. J Nurs Educ. 1993 Sep;32(7):301-308. Pubmedid: 828446073.
  • Lengacher CA. Comparative analysis of role strain and self-esteem across academic programs. Nursingconnections. 1993 Oct;6(3):33-46. Pubmedid: 8107896 .
  • Lengacher CA, Mabe PR. Nurse extenders. J Nurs Adm. 1993 Mar;23(3):16-19. Pubmedid: 8473922 .
  • Lengacher CA. Development and study of an instrument to measure role strain. J Nurs Educ. 1993 Feb;32(2):71-77. Pubmedid: 8388049 .
  • Lengacher CA, Mabe PR, Bowling CD, Heinemann D, Kent K, Van Cott ML. Redesigning nursing practice. The partners in patient care model. J Nurs Adm. 1993 Dec;23(12):31-37. Pubmedid: 8254434 .
  • VanCott ML, Lengacher C. Review of research related to educational re-entry for the registered nurse: 1985-1991. Nln Publ. 1993 Apr;(14-2511):79-96. Pubmedid: 8516115 .
  • Lengacher C, Mabe P, Bowling C, Heinemann D, Kent K, VanCott M. Redesigning nursing practice: the partners in patient care model. J Nurs Adm. 1993;23(12):31-37.
  • Lengacher CA, Gorzeman J. Partnership between education and service for psychiatric staff education. J Nurs Staff Dev. 1992 Jan;8(1):14-17. Pubmedid: 1740724 .
  • Lengacher CA. The economic benefits to service and education of a critical care learning experience for baccalaureate students. Nurs Econ. 1992 Jan;10(1):72-73. Pubmedid: 1732823 .
  • Lengacher CA, Keller R. Comparison of role conception and role deprivation in LPN-transition students and traditional ADN students in a specially designed associate program. J Nurs Educ. 1992 Feb;31(2):79-84. Pubmedid: 1314301.
  • Lengacher CA, Keller R. Comparison of role conception and role deprivation in LPN-transition students and traditional ADN students in a specially designed associate program. J Nurs Educ. 1992 Feb;31(2):79-84. Pubmedid: 1314301 .
  • Lengacher CA, Tittle MB. Critical care in a baccalaureate program. Nursingconnections. 1992 Apr;5(1):3-10. Pubmedid: 1589042 .
  • Lengacher CA. An articulation model encompassing structure and process. Adv Clin Care. 1990 Sep;5(5):42-44. Pubmedid: 2393508 .
  • Lengacher CA, Keller R. Academic predictors of success on the NCLEX-RN examination for associate degree nursing students. J Nurs Educ. 1990 Apr;29(4):163-169. Pubmedid: 2159063 .
  • Curran CL, Lengacher CA. RN re-entry programs: programmatic and personal considerations. Nurse Educ. 1982 May;7(3):29-32. Pubmedid: 6918830 .
  • Berarducci A, Lengacher C, Keller R. The impact of osteoporosis continuing education on nurses' knowledge and attitudes. J Contin Educ Nurs. 33(5):210-216. Pubmedid: 12269759.
  • Lengacher C, Bennett M, Kipp K, Berarducci A, Cox C. Design and testing of the use of a complementary and alternative therapies survey in women with breast cancer. Oncol Nurs Forum. 30(5):811-821. Pubmedid: 12949594.
  • Lengacher C. Role strain, role stress, and anxiety in nursing education: theoretical and research analysis from 1988-1995. In: Stevens K, ed. Review of research in nursing education: volume VI. New York, NY: National Leauge For Nursing Press; 1996;40-66.
  • Lengacher, Sellers E, Strickland O, Dilorio C. Study of the realiability/validity of the women's role strain inventory. In: Measurement of Nursing Outcomes: Focus on the patient/client outcomes. 2nd ed. New York, NY: Springer Publishers; 2003;109-127.
  • VanCott M, Lengacher C, Heinemann D, Mabe P, Swymer S, Bistritz D. 1997;33-37.
  • Lengacher CA, Kip KE, Reich RR, Craig BM, Mogos M, Ramesar S, Paterson CL, Farias JR, Pracht E. A Cost-Effective Mindfulness Stress Reduction Program: A Randomized Control Trial for Breast Cancer Survivors. Nurs Econ. 33(4):210-8, 232. Pubmedid: 26477119.
  • Paterson CL, Lengacher CA, Donovan KA, Kip KE, Tofthagen CS. Body Image in Younger Breast Cancer Survivors: A Systematic Review. Cancer Nurs. 39(1):E39-E58. Pubmedid: 25881807. Pmcid: PMC4607543.
  • Lengacher C. Psychoneuroimmunology. In: Clark C, ed. The encyclopedia of complementary health practices. New York, NY: Springer Publishers; 1999;459-461.