Effectiveness of yoga on anxiety, depression and stress level of breast cancer patients undergoing chemotherapy

Authors

  • Kamli Prakash Department of Nursing, Himalayan College of Nursing, Swami Rama Himalayan University, Dehradun Uttarakhand, India
  • Sunil Saini Department of Oncology, Cancer Research Institute, Swami Rama Himalayan University, Dehradun Uttarakhand, India

DOI:

https://doi.org/10.18203/2320-6012.ijrms20175511

Keywords:

Breast cancer, Chemotherapy, Stress level, Yoga

Abstract

Background: Breast cancer has ranked number one cancer among Indian females. Women undergoing chemotherapy experience many side effects including alteration in their body image. The present study assessed effectiveness of yoga on anxiety, depression and stress level of breast cancer patients undergoing chemotherapy.

Methods: Quantitative Research approach and Randomized Clinical Controlled Trial with Time series design was adopted in the present study. The consecutive sampling technique was done to recruit 100 breast cancer patients fulfilling the eligibility criteria. Recruited patients were randomized to control (N=52) and experiment (N=48) groups by concealed randomization. Written informed consent was taken from each participant. Baseline data was collected during cycle one by using Anxiety depression and stress scale. The patients in the experimental group were taught Diaphragmatic breathing, systematic relaxation and alternate nostril breathing and Joints and Gland neck and shoulder exercises, and were instructed to practice them twice daily at home. They were supervised in practicing these when they received second, third, fourth, fifth and sixth cycles of chemotherapy. Participants in control group received routine care. Data was again collected after 21 days during second, third, fourth, fifth and sixth cycles of chemotherapy.

Results: Analysis revealed that at the baseline breast cancer patients in control and experimental group were homogenous in terms of their Sociodemographic and anxiety depression and stress scores. After the yoga intervention the experimental group showed statistically significant difference in anxiety scores from control group during second, third and sixth cycles (p 0.01, p 0.02, p 0.02), in depression score during the second, third, fourth, fifth and sixth cycles (p 0.02, p 0.02, p 0.02, p 0.001, p 0.000), and in stress scores during third cycle (p 0.01) of chemotherapy.

Conclusions: On the basis of findings of the study it was concluded that yoga was effective in reducing the anxiety, depression and stress of breast cancer patients undergoing chemotherapy. Therefore, it is recommended as complementary therapy for patients receiving treatment for cancer.

 

References

GLOBOCAN (IARC), Section of Cancer Surveillance; 2012. Available from: globocan.iarc.fr/old/FactSheets/cancers/breast-new. asp.

Cleeland CH, Mendoza T, Wang XS, Chou CH, Harle M, Morrissey M, et al. Assessing Symptom Distress in Cancer Patients. Cancer. 2000;89:1634-46.

Kathleen E, Quon Br, Quin D, Dwight-Johnson M, Wells A, Lee P-J, et al. Improving Treatment of Depression among Low-Income Patients with Cancer: The Design of the ADAPt-Srudy. Gen Hosp Psychiatr. 2007;29(3):223-31.

Hodgson H. Does reflexology impact on cancer patients’ quality of life? Nursing Standard. 2000; 14(31):33-8.

Nouri MJ, Nayer SM, Sharmeh SM, Ghanbari Z, Amini HZ, Tayebi A. The effect of foot reflexology massage and Bensone relaxation on anxiety. J Behavioral Sci. 2009;3(2):160-5.

Banerjee B. Effects of an Integrated Yoga Program in Modulating Psychological Stress and Radiation-Induced Genotoxic Stress in Breast Cancer Patients Undergoing Radiotherapy. Integrative Cancer Therapies. 2007;6(3);242-50.

Rao RM, Nagendra HR, Raghuram N, Vinay C, Chandrashekara S, Gopinath KS, et al. 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;1:11-20.

Pandey M, Sarita GP, Devi N, Thomas BC, Hussain BM and Krishnan R. Distress, anxiety, and depression in cancer patients undergoing chemotherapy. World J Surg Oncol. 2006;4:68.

Dhruva A, Miaskowski C, Abrams D, Acree M, Cooper B, Goodman S, Hecht FM. Yoga breathing for cancer chemotherapy-associated symptoms and quality of life: results of a pilot randomized controlled trial. J Alternative Complementar Medic. 2012;18(5):473-9.

Sudarshan M, Petrucci A, Dumitra S, Duplisea J, Wexler S, Meterissian S. Yoga therapy for breast cancer patients: A prospective cohort study. Complentary Therapies in Clinical Practice. 2013;19(4):227-9.

Saniah AR, Zainal NZ. Anxiety Depression and Coping Strategies in Breast Cancer Patients on Chemotherapy. Malaysian J Psychiatr E J. 2010;19:2.

Shayan A, Jamshidi F, Masoumi SZ, Ataollahi M, Gholamzadeh S, Zarenezhad M. Effectiveness of Stress Management Consultation for Quality of Life and Stress of Women Suffering from Breast Cancer. Global Journal of Health Science. 2016;8(11):311-9.

Charalambous A, Giannakopoulou M, Bozas E, Paikousis L, “A Randomized Controlled Trial for the Effectiveness of Progressive Muscle Relaxation and Guided Imagery as Anxiety Reducing Interventions in Breast and Prostate Cancer Patients Undergoing Chemotherapy,” Evidence-Based Complementary and Alternative Medicine. 2015;10.

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Published

2017-12-23

How to Cite

Prakash, K., & Saini, S. (2017). Effectiveness of yoga on anxiety, depression and stress level of breast cancer patients undergoing chemotherapy. International Journal of Research in Medical Sciences, 6(1), 74–81. https://doi.org/10.18203/2320-6012.ijrms20175511

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Section

Original Research Articles