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

Rao, Raghavendra; Nagarathna, Raghuram; Nagendra, HR; Usharani, M; Gopinath, KS; Diwakar, Ravi B; Patil, Shekar; Bilimagga, Ramesh S; Rao, Nalini

doi:10.4103/0973-1075.156486

Cited by 37 publications

(48 citation statements)

References 46 publications

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“…For the outcome of anxiety and stress reduction, the use of meditation moved from grade B to grade A because of results from a fifth trial, in addition to the previously published 4 trials, showing beneficial effects. The use of yoga for depression and mood disturbance was downgraded from grade A to grade B because of 4 new published studies demonstrating conflicting results . The use of yoga for improving QOL changed from grade C to grade B, because 2 additional trials demonstrated beneficial effects .…”

Section: Literature Review On the Use Of Complementary And Integrativmentioning

confidence: 99%

“…Yoga is recommended for improving mood disturbances and depressive symptoms in women with breast cancer (grade B). This recommendation is based on the results from 15 RCTs, completed between 2006 and 2015, that used a yoga intervention to reduce physical symptoms and psychological distress, including depression (see Supporting Information Table 3) . Depression or depressive symptoms were the primary or secondary outcome for all studies included in this review.…”

Section: Literature Review On the Use Of Complementary And Integrativmentioning

confidence: 99%

“…Five different yoga interventions were tested in study samples ranging in size from 23 to 200 participants. Five trials assessed an intensive, integrated yoga program that was customized for patients with breast cancer, including asanas, pranayama, and yoga nidra . Five trials implemented Iyengar yoga, a traditional form of Hatha yoga, and passive backbends .…”

Section: Literature Review On the Use Of Complementary And Integrativmentioning

confidence: 99%

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Clinical practice guidelines on the evidence‐based use of integrative therapies during and after breast cancer treatment

Greenlee

DuPont-Reyes

Balneaves³

et al. 2017

CA A Cancer J Clinicians

600

459

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Patients with breast cancer commonly use complementary and integrative therapies as supportive care during cancer treatment and to manage treatment-related side effects. However, evidence supporting the use of such therapies in the oncology setting is limited. This report provides updated clinical practice guidelines from the Society for Integrative Oncology on the use of integrative therapies for specific clinical indications during and after breast cancer treatment, including anxiety/stress, depression/mood disorders, fatigue, quality of life/physical functioning, chemotherapy-induced nausea and vomiting, lymphedema, chemotherapy-induced peripheral neuropathy, pain, and sleep disturbance. Clinical practice guidelines are based on a systematic literature review from 1990 through 2015. Music therapy, meditation, stress management, and yoga are recommended for anxiety/stress reduction. Meditation, relaxation, yoga, massage, and music therapy are recommended for depression/mood disorders. Meditation and yoga are recommended to improve quality of life. Acupressure and acupuncture are recommended for reducing chemotherapy-induced nausea and vomiting. Acetyl-L-carnitine is not recommended to prevent chemotherapy-induced peripheral neuropathy due to a possibility of harm. No strong evidence supports the use of ingested dietary supplements to manage breast cancer treatment-related side effects. In summary, there is a growing body of evidence supporting the use of integrative therapies, especially mind-body therapies, as effective supportive care strategies during breast cancer treatment. Many integrative practices, however, remain understudied, with insufficient evidence to be definitively recommended or avoided.

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Section: Literature Review On the Use Of Complementary And Integrativmentioning

confidence: 99%

Section: Literature Review On the Use Of Complementary And Integrativmentioning

confidence: 99%

Section: Literature Review On the Use Of Complementary And Integrativmentioning

confidence: 99%

See 1 more Smart Citation

Clinical practice guidelines on the evidence‐based use of integrative therapies during and after breast cancer treatment

Greenlee

DuPont-Reyes

Balneaves³

et al. 2017

CA A Cancer J Clinicians

600

459

View full text Add to dashboard Cite

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“…Similarly, an additional yoga program to usual treatment (e.g., surgery followed by adjuvant radiotherapy or chemotherapy) provided significant improvements in depressive symptoms' severity on the Beck's Depression Inventory as compared to supportive therapy in a RCT involving patients with stage II and III breast cancer 189 . However, other RCTs did not confirm these data 190 .…”

Section: Physical Activitymentioning

confidence: 99%

Depression in cancer: The many biobehavioral pathways driving tumor progression

Bortolato

Hyphantis

Valpione

et al. 2017

Cancer Treatment Reviews

261

179

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Major Depressive Disorder (MDD) is common among cancer patients, with prevalence rates up to four-times higher than the general population. Depression confers worse outcomes, including non-adherence to treatment and increased mortality in the oncology setting. Advances in the understanding of neurobiological underpinnings of depression have revealed shared biobehavioral mechanisms may contribute to cancer progression. Moreover, psychosocial stressors in cancer promote:(1) inflammation and oxidative/nitrosative stress; (2) a decreased immunosurveillance; and (3) a dysfunctional activation of the autonomic nervous system and of the hypothalamic-pituitary-adrenal axis. Consequently, the prompt recognition of depression among patients with cancer who may benefit of treatment strategies targeting depressive symptoms, cognitive dysfunction, fatigue and sleep disturbances, is a public health priority. Moreover, behavioral strategies aiming at reducing psychological distress and depressive symptoms, including addressing unhealthy diet and life-style choices, as well as physical inactivity and sleep dysfunction, may represent important strategies not only to treat depression, but also to improve wider cancer-related outcomes. Herein, we provide a comprehensive review of the intertwined biobehavioural pathways linking depression to cancer progression. In addition, the clinical implications of these findings are critically reviewed.

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“…Yoga intervention decreased depressive symptoms more than the controls from their baseline. The antidepressant effects of yoga intervention could be explained by reduction in the levels of psychophysiological arousal such as decrease in sympathetic activity, balance in the autonomic nervous system responses, alterations in neuroendocrine arousal, and decrease in morning cortisol [32].…”

Section: Yogamentioning

confidence: 99%