Can Yoga Be Considered as an Effective Supportive Psychological Intervention with an Impact on the Quality of Life for Breast Cancer Survivors?

Maynoosh Moqimi, Mina Shabani, Saeedeh Mazloomzadeh, Sahar Valimoqaddam, Sediqe Dehnaei, Zahra Shajari, Reza Eghdam Zamiri

Abstract


163

Objective:

In order to address the current lack of knowledge regarding the effects of yoga as an ancient oriental science, in reduction of stress and increasing quality of life (QoL) on breast cancer patients, we’ve designed a randomized clinical trial.

Material and methods: 27 breast cancer patients, who had completed their standard medical therapies, including surgery (modified radical mastectomy), chemotherapy and radio therapy were recruited from the Mehrane Charity Centre. The patients were randomly assigned to a yoga intervention group (n: 16) and a wait list-control group (n: 11) for 32 sessions (16 weeks) of a yoga program. The pre- and post-yoga quality of life assessments for the patients were conducted using the Iranian Version of the EORTC QLQ-BR23 questionnaire.

Results: After 16 weeks of yoga intervention and evaluation of physical, social, emotional, functional and sexual and body image well being, it was revealed that our experimental group with a mean age of 48.5±6.6 years old had a significant decrease in emotional and sexual disturbance and experienced an improvement of  positive body imaging compared with control group (mean age: 46.9±8 years old) (P value<0.05). Furthermore, significant improvement in functional, emotional, and body image well being was observed after yoga intervention in the experimental group in comparison to baseline condition (P value<0.05).

Conclusion: Results of this study provide evidence for beneficial effects of a yoga program on the quality of life among breast cancer survivors.

Keywords:

Yoga, Breast cancer, Quality of life


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References


Hortobagyi GN, de la Garza SJ, Pritchard K, Amadori D, Haidinger R, Hudis CA. The global breast cancer burden: variations in epidemiology and survival. Clin Breast Cancer 2005; 6: 391-401.

Key TJ, Verkasalo PK, Banks E. Epidemiology of breast cancer. Lancet Oncol 2001; 2: 133-40.

Yankaskas BC. Epidemiology of breast cancer in young women. Breast Dis 2005; 23: 3-8.

Yen JY, Ko CH, Yen CF, Yang MJ, Wu CY, Juan CH, Hou MF. Quality of life, depression, and stress in breast cancer women outpatients receiving active therapy in Taiwan. Psychiatry and Clinical Neurosciences 2006; 60: 147–153

Key TJ, Verkasalo PK, Banks E. Epidemiology of breast cancer. Lancet Oncol 2001; 2: 133-40.

Massie MJ. Prevalence of depression in patients with cancer. J Natl Cancer Inst Monogr 2004; 57-71.

Morris T, Greer HS, White P. Psychological and social adjustment to mastectomy: a two-year follow-up study. Cancer 1977; 40: 2381-7.

Morasso G, Costantini M, Viterbori P, Bonci F, Del Mastro L, Musso M. Predicting mood disorders in breast cancer patients. Eur J Cancer 2001; 37: 216-23.

Moadel B, Chirag S, Wylie-Rosett J. Randomized Controlled Trial of Yoga among a Multiethnic Sample of Breast Cancer Patients: Effects on Quality of Life. J Clin Oncol 2007; 25:4387-4395

Sample of Breast Cancer Patients. Effects on Quality of Life. J Clin Oncol 2007; 25:4387-4395.

Ozlem U¨ lger, Naciye Vardar Yag. Effects of yoga on the quality of life in cancer patients. Complementary Therapies in Clinical Practice 2010; 16: 60–63.

Fawzy FI, Fawzy NW, Arndt LA, Pasnau RO. Critical review of psychosocial interventions in cancer care. Arch Gen Psychiatry 1995; 52:100–13.

Raghuraj R, Telles S. Effect of yoga-based and forced unionstril breathing on the autonomic nervous system. Percept Mot Skills 2003; 96:79-80.

Bordeleau L, Szalai JP, Ennis M. Quality of life in a randomized trial of group psychosocial support in metastatic breast cancer. overall effects of the intervention and an exploration of missing data. J Clin Oncol 2003; 21:1944-1951.

Classen C, Butler LD, Koopman C. Supportive- expressive group therapy and distress in patients with metastatic breast cancer: a randomized clinical intervention trial. Arch Gen Psychiatry 2001:58:49

Deane KA, Degner LF. Information needs uncertainty and anxiety in women who had a breast biopsy with benign outcome. Cancer Nursing 1998; 21:117–26

Deane KA, Degner LF. Information needs uncertainty and anxiety in women who had a breast biopsy with benign outcome. Cancer Nursing 1998; 21:117–26.

Hughson AV, Cooper AF, McArdle CS, Smith DC. Psychosocial morbidity in patients awaiting breast biopsy. J Psychosom Res 1988; 32:173–80.

Singh S, Malhotra V, Singh KP, Madhu SV, Tandon OP. Role of yoga in modifying certain cardiovascular functions in type 2 diabetic patients. J Assoc Physicians India 2004;52:203–6.

Wallace RK, Benson H, Wilson AF. A wakeful hypometabolic physiologic state. Am J Physiol 1971; 221:795–9.

Ray US, Mukhopadhyaya S, Purkayastha SS, Asnani V, Tomer OS, Prashad R. Effect of yogic exercises on physical and mental health of young fellowship course trainees. Indian J Physiol Pharmacol 2001; 45:37–53.

Selvamurthy W, Ray US, Hegde KS, Sharma RP. Physiological responses to cold (10 degrees C. in men after six months' practice of yoga exercises. Int J Biometeorol 1988; 32:188–93.

Raub JA. Psychophysiologic effects of Hatha Yoga on musculoskeletal and cardiopulmonary function. A literature review. J Altern Complement Med 2002; 8:797–812.

Solberg EE, Halvorsen R, Sundgot-Borgen J, Ingjer F, Holen A. Meditation: A modulator of immune response to physical stress? A brief report. Br J Sports Med 1995; 29:255–7.

Brown RP, Gerbarg Pl. Sudarshan Kriya Yogic breathing in the treatment of stress, anxiety and depression. Part II-clinical applications and guidelines. J Altern Complement Med 2005; 11:711–7.

Harinath K, Malhotra AS, Pal K, Prasad R, Kumar R, Kain TC. Effects of Hatha yoga and Omkar meditation on cardiorespiratory performance, psychologic profile and melatonin secretion. J Altern Complement Med 2004; 10:261–8.

Tooley GA, Armstrong SM, Norman TR, Sali A. Acute increases in night-time plasma melatonin levels following a period of meditation. Biol Psychol 2000; 53:69–78.

Lavey R, Sherman T, Mueser KT, Osborne DD, Currier M, Wolfe R. The effects of yoga on mood in psychiatric inpatients. Psychiatr Rehabil J 2005; 28:399–402

Carson JW, Keefe FJ, Lynch TR. Lovingkindness meditation for chronic low back pain: results from a pilot trial. J Holist Nurs 2005; 23:1-18.

Carson JW, Keefe FJ, Affleck G. A comparison of conventional pain coping skills training and pain coping skills training with a maintenance training component: a daily diary analysis of short- and long-term treatment effects. J Pain 2006; 7:615-625.

Stone AA, Kessler RC, Haythornthwaite JA. Measuring daily events and experiences: decisions for the researcher. J Pers 1991; 59:575-607.

Singh S, Malhotra V, Singh KP, Madhu SV, Tandon OP. Role of yoga in modifying certain cardiovascular functions in type 2 diabetic patients. J Assoc Physicians India 2004; 52:203–6

Montazeri A, Harirchi I, Vahdani M, Khaleghi F, Jarvandi S, Ebrahimi M, Haji-Mahmoodi M. The EORTC breast cancer-specific quality of life questionnaire (EORTC QLQ-BR23.: translation and validation study of the Iranian version. Qual Life Res 2000; 9:177-184

Tasmuthl, K von Smitten2 and E Kalsol. Pain and other symptoms during the first year after radical and conservative surgery for breast cancer, British Journal of Cancer 1996; 74: 2024-2031

Bower J, Woolery A, Sternlieb B, Garet D. Yoga for Cancer Patients and Survivors. Cancer control 2005; 12: 165-171

Manocha R, Marks GB, Kenchington P. Sahaja yoga in the management of moderate to severe asthma: a randomized controlled trial. Thorax 2002; 57:110-115

Garfinkel MS, Singhal A, Katz WA. Yoga-based intervention for carpal tunnel syndrome: a randomized trial. JAMA 1998; 280:1601-1603.

Garfinkel MS, Schumacher HR Jr, Husain A. Evaluation of a yoga based regimen for treatment of osteoarthritis of the hands. J Rheumatol; 1994; 21:2341-2343.

Janakiramaiah N, Gangadhar BN, Naga Venkatesha Murthy PJ. Antidepressant efficacy of Sudarshan Kriya Yoga (SKY) in melancholia: a randomized comparison with electroconvulsive therapy (ECT) and imipramine. J Affect Disord 2000; 57:255-259.

Khumar SS, Kaur P, Kaur S. Effectiveness of shavasana on depression among university students. Indian J Clin Psychol 1993; 20:82-87

Ray US, Mukhopadhyaya S, Purkayastha SS. Effect of yogic exercises on physical and mental health of young fellowship course trainees. Indian J Physiol Pharmacool 2001; 45:37-53.

Malathi A, Damodaran A. Stress due to exams in medical students role of yoga. Indian J Physiol Pharmacol 1999; 43:218-224.

Cohen L, Warneke C, Fouladi RT, Rodriguez MA, Chaoul-Reich A. Psychological adjustment and sleep quality in a randomized trial of the effects of a Tibetan yoga intervention in patients with lymphoma. Cancer 2004; 100(10):2253-60.

Moadel AB, Shah C, Wylie-Rosett J, Harris MS, Patel SR, Hall CB, Sparano JA. Randomized controlled trial of yoga among a multiethnic sample of breast cancer patients: effects on quality of life. J Clin Onco 2007; 25(28):4387-95.

Danhauer SC, Mihalko SL, Russell GB, Campbell CR, Felder L, Daley K, Levine EA.Restorative yoga for women with breast cancer: findings from a randomized pilot study. Psychooncology 2009;18(4):360-8.

Vadiraja HS, Rao MR, Nagarathna R, Nagendra HR, Rekha M, Vanitha N, Gopinath KS, Srinath BS, Vishweshwara MS, Madhavi YS, Ajaikumar BS, Bilimagga SR, et al.

Effects of yoga program on quality of life and affect in early breast cancer patients undergoing adjuvant radiotherapy: a randomized controlled trial. Complement Ther Med 2009; 17(5-6):274-8.

Kovačič T, Kovačič M. Impact of relaxation training according to Yoga In Daily Life® system on perceived stress after breast cancer surgery. Integr Cancer Ther 2011; 10(1):16-26.

Rao RM, Nagendra H R, Raghuram N, Vinay C, Chandrashekara S, Gopinath K S, Srinath B S. Influence of yoga on mood states, distress, quality of life and immune outcomes in early stage breast cancer patients undergoing surgery. Int J Yoga 2008; 1(1): 11–20


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