Effects of an integrated yoga program on self-reported depression scores in breast cancer patients undergoing conventional treatment: A randomized controlled trial

Autor: Nagarathna Raghuram, Kodaganur S. Gopinath, H R Nagendra, Ramesh S Bilimagga, Ravi B Diwakar, S. Patil, Raghavendra M Rao, Malur R. Usharani, Nalini Rao
Rok vydání: 2015
Předmět:
Superior hypogastric
Volunteers
Audiometric patterns
Sociodemographic parameters
Relaxation
Intrathecal drug delivery system
medicine.medical_treatment
Bed sore
Continuing professional development
Disease
Pressure ulcer
law.invention
Bedside ultrasound
Randomized controlled trial
law
Palliative radiotherapy
Cancer pain
Interventions
Ultrasonography
Cancer
Decubitus ulcer
lcsh:R5-920
Depression
Health Policy
Celiac plexus block
humanities
Checklist
Neurolytic
Palliative care
Musculoskeletal injury
Original Article
lcsh:Medicine (General)
Lumbar sympathectomy
174Behavioral intervention
medicine.medical_specialty
Prevalence of pain
Guidelines
Home care
Breast cancer
medicine
Chemotherapy
Vertebroplasty
Radiotherapy
business.industry
Regional cancer center
Yoga
Public Health
Environmental and Occupational Health
medicine.disease
Behavioral intervention
Epidural opioids
Supportive psychotherapy
Radiofrequency
Severe pain
Physical therapy
Educational needs
North West India
business
Neurolysis
Progressive disease
Evidence-based
Zdroj: Indian Journal of Palliative Care, Vol 21, Iss 2, Pp 174-181 (2015)
Indian Journal of Palliative Care
ISSN: 0973-1075
DOI: 10.4103/0973-1075.156486
Popis: Aim: To compare the effects of yoga program with supportive therapy on self-reported symptoms of depression in breast cancer patients undergoing conventional treatment. Patients and Methods: Ninety-eight breast cancer patients with stage II and III disease from a cancer center were randomly assigned to receive yoga (n = 45) and supportive therapy (n = 53) over a 24-week period during which they underwent surgery followed by adjuvant radiotherapy (RT) or chemotherapy (CT) or both. The study stoppage criteria was progressive disease rendering the patient bedridden or any physical musculoskeletal injury resulting from intervention or less than 60% attendance to yoga intervention. Subjects underwent yoga intervention for 60 min daily with control group undergoing supportive therapy during their hospital visits. Beck′s Depression Inventory (BDI) and symptom checklist were assessed at baseline, after surgery, before, during, and after RT and six cycles of CT. We used analysis of covariance (intent-to-treat) to study the effects of intervention on depression scores and Pearson correlation analyses to evaluate the bivariate relationships. Results: A total of 69 participants contributed data to the current analysis (yoga, n = 33, and controls, n = 36). There was 29% attrition in this study. The results suggest an overall decrease in self-reported depression with time in both the groups. There was a significant decrease in depression scores in the yoga group as compared to controls following surgery, RT, and CT (P < 0.01). There was a positive correlation (P < 0.001) between depression scores with symptom severity and distress during surgery, RT, and CT. Conclusion: The results suggest possible antidepressant effects with yoga intervention in breast cancer patients undergoing conventional treatment.
Databáze: OpenAIRE
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