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Impact of relaxation training according to the Yoga In Daily Life® system on anxiety after breast cancer surgery

  • Tine Kovačič EMAIL logo , Miha Zagoričnik and Miha Kovačič
Published/Copyright: July 16, 2013

Abstract

The purpose of this pilot study was to gather information on the immediate and short-term effects of relaxation training according to the Yoga In Daily Life® (YIDL®) system on anxiety of breast cancer patients. The YIDL® system is a holistic system being practised and taught worldwide and has been proven to be highly effective in the prevention and treatment of various diseases. The system aims to establish physical, mental, spiritual, and social health. Thirty-two patients at the Institute for Oncology Ljubljana were randomized to the experimental (n=16) and to the control groups (n=16). Both groups received the same standard physiotherapy for 1 week, while the experimental group additionally received 1-hour group relaxation training session according to the YIDL® system per day. At discharge, the experimental group was issued with audiocassette recordings containing similar instructions for relaxation training to be practiced for 3 weeks individually at home. Anxiety measures were obtained by blinded assessors using standardized questionnaires. The results indicate that relaxation training according to the YIDL® system could be a useful clinical physiotherapy intervention for breast cancer patients experiencing anxiety.

Acknowledgments

The authors kindly thank Dr. Ivan Verdenik and Mr. Jože Fras for their statistical wizardry and for sharing the intellectual prowess with us, and also to Assistant professor Jason Blake for proofreading.

References

1. Woodward V, Webb C. Women’s anxieties surrounding breast disorders: a systematic review of the literature. J Adv Nurs 2001;33:29–41.10.1046/j.1365-2648.2001.01635.xSearch in Google Scholar

2. Mols F, Vingerhoets AJ, Coebergh JW, van de Poll-Franse LV. Quality of life among long-term breast cancer survivors: A systematic review. Eur J Cancer 2005;41:2613–9.10.1016/j.ejca.2005.05.017Search in Google Scholar

3. Ambler N, Rumsey N, Harcourt D, Khan F, Cawthorn S, Barker J. Specialist nurse counsellor interventions at the time of diagnosis of breast cancer: comparing “advocacy” with a conventional approach. J Adv Nurs 1999;29:445–53.10.1046/j.1365-2648.1999.00902.xSearch in Google Scholar

4. McGregor BA, Antoni MH. Psychological intervention and health outcomes among women treated for breast cancer: a review of stress pathways and biological mediators. Brain Behav and Immun 2009;23:159–66.10.1016/j.bbi.2008.08.002Search in Google Scholar

5. Moyer A. Psychosocial outcomes of breast-conserving surgery versus mastectomy: a meta-analytic review. Health Psychol 1997;16:284–98.10.1037/0278-6133.16.3.284Search in Google Scholar

6. Meyerowitz BE. Psychosocial correlates of breast cancer and its treatment. Psychol Bull 1980;87:108–31.10.1037/0033-2909.87.1.108Search in Google Scholar

7. Gottesman, D, Lewis MS. Differences in crisis reactions among cancer and surgery patients. J Consult Clin Psychol 1982;50:381–8.10.1037/0022-006X.50.3.381Search in Google Scholar

8. Nerenz DR, Leventhal H, Love R. Factors contributing to the emotional distress during cancer chemotherapy. Cancer 1982;50:1020–7.10.1002/1097-0142(19820901)50:5<1020::AID-CNCR2820500534>3.0.CO;2-JSearch in Google Scholar

9. Hopwood P, Lawrence D, Cameron P, Ellis L, Foster E, Hall L, et al. Patients’ views of distress and interference with daily activities due to side effects from chemotherapy for early breast cancer: the TACT (Taxotere as Adjuvant ChemoTherapy) trial experience. Eur J Cancer Suppl 2000;4:88.10.1016/S1359-6349(06)80176-XSearch in Google Scholar

10. Nosarti C, Roberts JV, Crayford T, McKenzie K, David AS. Early psychological adjustment in breast cancer patients: a prospective study. J Psychosom Res 2002;53:1123–30.10.1016/S0022-3999(02)00350-1Search in Google Scholar

11. Kornblith AB, Ligibel J. Psychosocial and sexual functioning of survivors of breast cancer. Semin Oncol 2003;30:799–813.10.1053/j.seminoncol.2003.08.025Search in Google Scholar

12. Fawzy FI, Kemeny ME, Arndt LA, Pasnau RO. A structured Psychiatric intervention for cancer patients: Changes over time in methods of coping and affective disturbance. Arch Gen Psychiatry 1990;47:720–5.10.1001/archpsyc.1990.01810200028004Search in Google Scholar

13. Eakes GG. Chronic sorrow: a response to living with cancer. Oncol Nurs Forum 1993;29:1327–34.Search in Google Scholar

14. Breitbart W. Identifying patients at risk for, and treatment of major psychiatric complications of cancer. Support Cancer Care 1995;3:34–60.10.1007/BF00343921Search in Google Scholar

15. Lee MS, Love SB, Mitchell JB, Parker EM, Rubens RD, Watson JP, et al. Mastectomy or conservation for early breast cancer: psychological morbidity. Eur J Cancer 1992;28:1340–4.10.1016/0959-8049(92)90514-3Search in Google Scholar

16. Greer S, Moorey S, Baruch JD, Watson M, Robertson BM, Mason A, et al. Adjuvant psychological therapy for patients with cancer: a prospective randomised trial. Br Med J 1992;304:675–80.10.1136/bmj.304.6828.675Search in Google Scholar PubMed PubMed Central

17. Cunningham AJ, Watson K. How psychological therapy may prolong survival in cancer patients: new evidence and a simple theory. Integr Cancer Ther 2004;3:214–29.10.1177/1534735404267553Search in Google Scholar PubMed

18. Cunningham AJ. Group psychological therapy: an integral part of care for cancer patients. Integr Cancer Ther 2002;1:67–75.10.1177/153473540200100116Search in Google Scholar PubMed

19. Nelson JP. Struggling to gain meaning: Living with the uncertainty of breast cancer. Adv Nurs Sci 1996;18:59–76.10.1097/00012272-199603000-00007Search in Google Scholar PubMed

20. Montazeri A. Health related quality of life in breast cancer patients: a bibliographic review of the literature from 1974 to 2007. J Exp Clin Cancer Res 2008;27:32.10.1186/1756-9966-27-32Search in Google Scholar PubMed PubMed Central

21. Love S, Lindsey K. Dr. Susan love’s breast book. Cambridge: Perseus Publishing, 2000.Search in Google Scholar

22. Weihs KL, Menehan KD, Lincoln JM. The needs of the patient and family in relating to breast cancer: a biopsychosocial model of adaptation. In: Roses DF, editor. Breast cancer. Philadelphia: Churchill Livingstone, 1999:637–651.Search in Google Scholar

23. Maguire GP, Lee EG, Bevington DJ, Küchemann CS, Crabtree RJ, Cornell CE. Psychiatric problems in the first year after mastectomy. Br Med J 1978;1:963–5.10.1136/bmj.1.6118.963Search in Google Scholar PubMed PubMed Central

24. Kiebert GM, de Haes, JC, van den Velde CJ. The impact of breast-conserving treatment and mastectomy on the quality of life of early-stage breast cancer patients: a review. J Clin Oncol 1991;9:1059–70.10.1200/JCO.1991.9.6.1059Search in Google Scholar PubMed

25. Fisher B, Anderson S, Redmond CK, Wolmark N, Wickerman DL, Cronin WM. Reanalysis and results after 12 years of follow-up in a randomised clinical trial comparing total mastectomy with lumpectomy with or without irradiation in the treatment of breast cancer. N Eng J Med 1995;333:1456–61.10.1056/NEJM199511303332203Search in Google Scholar

26. Curling G, Burnet K. Breast screening and breast disorders. In: Women’s sexual help, 2nd ed. Andrews G, editor. London: Harcourt Publishers, 2001:303–349.Search in Google Scholar

27. Gotay CC, Wilson M. Use of quality of life outcome assessments in current cancer clinical trials. Eval Health Prof 1998;21:157–79.10.1177/016327879802100203Search in Google Scholar

28. Tobias JS, Houghton J, Henderson IC. Breast cancer: New horizons in research and treatment. New York: Oxford University Press, 2001.Search in Google Scholar

29. Dreher H. The scientific and moral imperative for broad-based psychosocial interventions for cancer. J Mind Body Health 1997;13:38–49.Search in Google Scholar

30. Walker LG, Walker MB, Ogston K, Heys SD, Ah-See AK, Miller ID, et al. Psychological, clinical and pathological effects of relaxation training and guided imagery during primary chemotherapy. Br J Cancer 1999;80:262–8.10.1038/sj.bjc.6690349Search in Google Scholar

31. Lerner BH. The breast cancer wars: hope, fear, and the pursuit of a cure in twentieth-century America. New York: Oxford University Press, 2001.Search in Google Scholar

32. Sims SE. Relaxation training as a technique for helping patients cope with the experience of cancer: a selective review of the literature. J Adv Nurs 1987;12:583–91.10.1111/j.1365-2648.1987.tb03048.xSearch in Google Scholar

33. Lichstein KL. Clinical relaxation strategies. Chichester. John Wiley and Sons, 1988.Search in Google Scholar

34. Bridge LR, Benson P, Pietroni PC, Priest RG. Relaxation and imagery in the treatment of breast cancer. Br Med J 1988;297:1169–72.10.1136/bmj.297.6657.1169Search in Google Scholar

35. Larsson G, Starrin B. Relaxation training as an integral part of caring activities for cancer patients: effects on wellbeing. Scand J Caring Sci 1992;6:179–85.10.1111/j.1471-6712.1992.tb00149.xSearch in Google Scholar

36. Hosaka T. A pilot study of a structured psychiatric intervention for Japanese women with breast cancer. Psychooncology 1996;5:59–64.10.1002/(SICI)1099-1611(199603)5:1<59::AID-PON209>3.0.CO;2-OSearch in Google Scholar

37. Moadel AB, Shah C, Wylie-Rosett J, Harris MS, Patel SR, Hall CB, et al. Randomized controlled trial of yoga among a multiethnic sample of breast cancer patients: effects on quality of life. J Clin Oncol 2007;25:4387–95.10.1200/JCO.2006.06.6027Search in Google Scholar

38. Yoo HJ, Ahn SH, Kim SB, Kim WK, Han OS. Efficacy of progressive muscle relaxation training and guided imagery (GI) in reducing side effects in patients with breast cancer and in improving their quality of life. Support Care Cancer 2005:13;826–33.10.1007/s00520-005-0806-7Search in Google Scholar

39. Vasterling J, Jenkins RA, Tope DM, Burish TG. Cognitive distraction and relaxation training for the control of side effects due to cancer chemotherapy. J Behav Med 1993;16:65–80.10.1007/BF00844755Search in Google Scholar

40. Decker TW, Cline-Elsen J. Relaxation therapy as an adjunct in radiation oncology. J Clin Psycol 1992;48:388–93.10.1002/1097-4679(199205)48:3<388::AID-JCLP2270480318>3.0.CO;2-OSearch in Google Scholar

41. Lyles JN, Burish TG, Krozely MG, Oldham RK. Efficacy of relaxation training and guided imagery in reducing the aversiveness of cancer chemotherapy. J Consult Clin Psycol 1982;50:509–24.10.1037/0022-006X.50.4.509Search in Google Scholar

42. Burish TG, Lyles JN. Effectiveness of relaxation training in reducing the adverse reactions to cancer chemotherapy. J Behav Med 1981;24:65–78.10.1007/BF00844848Search in Google Scholar

43. Gellert GA, Maxwell RM, Siegel BS. Survival of breast cancer patients receiving adjunctive psychosocial support therapy: a 10-year follow-up study. J Clin Oncol 1993;11:66–9.10.1200/JCO.1993.11.1.66Search in Google Scholar

44. Arathuzik D. Effects of cognitive-behavioural strategies on pain in cancer patients. Cancer Nurs 1994;17:207–14.10.1097/00002820-199406000-00005Search in Google Scholar

45. Spiegel D, Bloom JR, Kraemer HC, Gottheil E. Effect of psychological treatment on survival of patients with metastatic breast cancer. Lancet 1998;2:888–91.10.1016/S0140-6736(89)91551-1Search in Google Scholar

46. Silagy C, Lancaster T. The Cochrane Collaboration in primary care: an international resource for evidence based practice of family medicine. Family Med 1995;27:302–5.Search in Google Scholar

47. Turner PA, Whitfield TW. Physiotherapists’ use of evidence based practice: a cross-national study. Physiother Res Int 1997;2:17–29.10.1002/pri.76Search in Google Scholar

48. Bowling A. Research methods in health: investigating health and health services. Philadelphia: Open University Press, 2000.Search in Google Scholar

49. Sim J, Wright C. Research in health care: concepts, designs and methods. Cheltenham: Stanley Thornes Ltd., 2000.Search in Google Scholar

50. Spielberger CD. State-Trait Anxiety Inventory: a comprehensive bibliography. Paolo Alto: Consulting Psychologists Press Inc., 1983.10.1037/t06496-000Search in Google Scholar

51. Maheshwarananda PS. Yoga in daily life: the system. Vienna: Ibera Verlag/University Press, 2000.Search in Google Scholar

52. Sutton S. The psychological costs of breast cancer screening. In: Tobias JS, Houghton J, Henderson IC, editors. Breast cancer: new horizons in research and treatment. New York: Oxford University Press Inc., 2001:298–306.Search in Google Scholar

53. Rowden L. Relaxation and visualisation techniques in patients with breast cancer. Nurs Times 1984;12:42–4.Search in Google Scholar

54. Contach PH. Relaxation training for control of nausea and vomiting in patients receiving chemotherapy. Cancer Nurs 1983;8:277–83.10.1097/00002820-198308000-00005Search in Google Scholar

55. Snyder M. Progressive relaxation as a nursing intervention: an analysis. Adv Nurs Sci 1984;4:47–58.10.1097/00012272-198404000-00009Search in Google Scholar

56. MacFarlane ME, Sony SD. Women, breast lump discovery and associated stress. Health Care Women Int 1992;13:23–32.10.1080/07399339209515975Search in Google Scholar

57. Madden SR, Johnston MF, Parbhoo S. Evaluation of women worries and the effects of a preparatory booklet for patients attending a breast clinic. Breast 1994;3:169–72.10.1016/0960-9776(94)90070-1Search in Google Scholar

58. Cohen J. A power primer. Psychol Bull 1992;112:155–9.10.1037/0033-2909.112.1.155Search in Google Scholar

59. Cohen, S, Williamson, GM. Perceived stress in a probability sample of the United States. In: Spacapan A, Oskamp A, editors. The social psychology of health. California: SAGE Publications, 1988:31–67.Search in Google Scholar

Received: 2011-02-25
Accepted: 2011-04-17
Published Online: 2013-07-16

©2013 by Walter de Gruyter Berlin / Boston

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