2019, Number 4
<< Back Next >>
salud publica mex 2019; 61 (4)
Non-pharmacological interventions to reduce depressive symptoms in women with breast cancer
Galván-García ÁF, Vértiz-Ramírez JJ, Sánchez-Domínguez MS, Sauceda-Valenzuela AL, Rueda-Neria CM, Poblano-Verástegui O
Language: Spanish
References: 106
Page: 532-541
PDF size: 346.81 Kb.
ABSTRACT
Objective. To describe and discuss the results of non-pharmacological
interventions (NPI) adjuvants in the treatment
of depressive symptoms among women with breast cancer
(BC).
Materials and methods. A systematic review on
NPI was performed, which was applied to patients with cancer
and depressive symptoms in seven databases. The review
was limited from January 1, 2006 to December 31, 2017 and
to English, Spanish and Portuguese languages. The medical
descriptors used were “breast neoplasm” and “depression”.
Results. There are several NPI that are able stimulate
the physical or psychosocial dimensions. In this article we
propose a classification based on nine identified therapeutic
strategies, among which exercise, psychotherapy and yoga
with meditation stand out.
Conclusions. Based on the
available evidence, we concluded that psychotherapy and yoga
with meditation reduce depressive symptoms in patients with
CaMa. More research is needed to determine the magnitude
of the reduction of depressive symptoms, according to their
severity, presence of comorbidities and diversity of INF.
REFERENCES
American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders DSM-IV-TR. Arligton: APA, 2003.
World Health Organization. International statistical classification of diseases and related health problems. Geneva:WHO 1992.
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;27:1-32.
Oh H, Ell K, Subica A. Depression and family interaction among lowincome, predominantly hispanic cancer patients: A longitudinal analysis. Support Care Cancer. 2014;22(2):427-34. https://doi.org/10.1007/s00520- 013-1993-2
Fann JR, Thomas-Rich AM, Katon WJ, Cowley D, Pepping M, McGregor BA, et al. Major depression after breast cancer: a review of epidemiology and treatment. Gen Hosp Psychiatry. 2008;30(2):112-26. https://doi. org/10.1016/j.genhosppsych.2007.10.008
Saquib N, Pierce JP, Saquib J, Flatt SW, Natarajan L, Bardwell WA, et al. Poor physical health predicts time to additional breast cancer events and mortality in breast cancer survivors. Psychooncology. 2011;20(3):252-9.
Ruiz P, Almansa P, Velandrino A, Moya M, Álvarez C. Sexualidad y calidad de vida en mujeres supervivientes de cáncer de mama. Género(s) e Sexualidade(s). Universidad de Murcia, 2011.
Ruiz P, Almansa P, Cuadrado V, Flores JA, Elena M del C. Efectos del cáncer de mama en la imagen corporal de mujeres. Congresso Internacional ‘Género (s) e Saúde: (In) Determinaçoes e Aproximaçoes’. Universidad de Murcia, 2013.
Howard-Anderson J, Ganz PA, Bower JE, Stanton AL. Quality of life, fertility concerns, and behavioral health outcomes in younger breast cancer survivors: a systematic review. J Natl Cancer Inst. 2012;104(5):386-405. http://doi.org/10.1093/jnci/djr541
Meneses-Echavez JF, Correa-Bautista JE, González-Jiménez E, Schmidt Río-Valle J, Elkins MR, Lobelo F, et al. The Effect of Exercise Training on Mediators of Inflammation in Breast Cancer Survivors: A Systematic Review with Meta-analysis. Cancer Epidemiol. Biomarkers Prev. 2016;25(7):1009- 17. https://doi.org/10.1158/1055-9965.EPI-15-1061
Kiecolt-Glaser JK, Bennett JM, Andridge R, Peng J, Shapiro CL, Malarkey WB, et al. Yoga’s impact on inflammation, mood, and fatigue in breast cancer survivors: A randomized controlled trial. J Clin Oncol. 2014;32(10):1040-9. https://doi.org/10.1200/JCO.2013.51.8860
Antoni MH, Lechner S, Diaz A, Vargas S, Holley H, Phillips K, et al. Cognitive behavioral stress management effects on psychosocial and physiological adaptation in women undergoing treatment for breast cancer. Brain Behav Immun. 2009;23(5):580-91. https://doi.org/10.1016/j.bbi.2008.09.005
Savard J, Simmard S, Giguère I, Ivers H, Morin CM, Maunsell E, et al. Randomized clinical trial on cognitive therapy for depression in women with metastatic breast cancer: psychological and immunological effects. Palliat Support Care. 2006;4(3):219-37.
McKiernan A, Steggles S, Guerin S, Carr A. A controlled trial of group cognitive behavior therapy for irish breast cancer patients. J Psychosoc Onco. 2010;28(2):143-156. https://doi.org/10.1080/07347330903570511
Kissane DW, Bloch S, Smith GC, Miach P, Clarke DM, Ikin J, et al. Cognitive- existential group psychotherapy for women with primary breast cancer: a randomised controlled trial. Psychooncology. 2003;12(6):532- 546. https://doi.org/10.1002/pon.683
Hopko DR, Clark CG, Cannity K, Bell JL. Pretreatment depression severity in breast cancer patients and its relation to treatment response to behavior therapy. Heal Psychol. 2016;35(1):10-8. https://doi.org/10.1037/ hea0000252
Beutel ME, Weißflog G, Leuteritz K, Wiltink J, Haselbacher A, Ruckes C, et al. Efficacy of Short-Term Psychodynamic Psychotherapy (STPP) with depressed breast cancer patients: Results of a randomized controlled multicenter trial. Ann Oncol. 2014;25(2):378-84. https://doi.org/10.1093/ annonc/mdt526
Hopko DR, Funderburk JS, Shorey RC, McIndoo CC, Ryba MM, File AA, et al. Behavioral activation and problem-solving therapy for depressed breast cancer patients: Preliminary support for decreased suicidal ideation. Behav Modif. 2013;37(6):747-67. https://doi. org/10.1177/0145445513501512
Cramer H, Lauche R, Paul A, Langhorst J, Kümmel S, Dobos GJ. Hypnosis in breast cancer care: A systematic review of randomized controlled trials. Integr Cancer Ther. 2015;14(1):5-15. https://doi. org/10.1177/1534735414550035
Spiegel D, Morrow GR, Classen C, Raubertas R, Stott PB, Mudaliar N, et al. Group psychotherapy for recently diagnosed breast cancer patients: A multicenter feasibility study. Psychooncology. 1999;8(6):482-93.
Lehto SM, Tolmunen T, Joensuu M, Saarinen PI, Valkonen-Korhonen M, Vanninen R, et al. Changes in midbrain serotonin transporter availability in atypically depressed subjects after one year of psychotherapy. Prog Neuro-Psychopharmacology Biol Psychiatry. 2008;32(1):229-37. https:// doi.org/10.1016/j.pnpbp.2007.08.013
Hsiao FH, Jow GM, Kuo WH, Chang KJ, Liu YF, Ho RT, et al. The effects of psychotherapy on psychological well-being and diurnal cortisol patterns in breast cancer survivors. Psychother Psychosom. 2012;81(3):173-182. https://doi.org/10.1159/000329178
Jassim GA, Whitford DL, Hickey A, Carter B. Psychological interventions for women with non-metastatic breast cancer. Cochrane Database Syst Rev. 2015;28(5):CD008729. https://doi.org/10.1002/14651858. CD008729.pub2
Mustafa M, Carson-Stevens A, Gillespie D, Edwards A. Psychological interventions for women with metastatic breast cancer. Cochrane Database Syst Rev. 2013;(6): CD004253. https://doi.org/10.1002/14651858. CD004253.pub4
Jim HS, Phillips KM, Chait S, Faul LA, Popa MA, Lee YH, et al. Metaanalysis of cognitive functioning in breast cancer survivors previously treated with standard-dose chemotherapy. J Clin Oncol. 2012;30(29):3578-87. https://doi.org/10.1200/JCO.2011.39.5640
Rudolph CA. A study of the benefits of cancer patients engaging in complementary therapies. University of Wisconsin-Stout, 2002 [citado junio 6, 2018]. Disponible en: https://minds.wisconsin.edu/bitstream/ handle/1793/40619/2002rudolphc.pdf?sequence=1
Garssen B, Boomsma MF, Meezenbroek Ede J, Porsild T, Berkhof K, Berbee M, et al. Stress management training for breast cancer surgery patients. Psychooncology. 2013;22(3): 572-80. https://doi.org/10.1002/ pon.3034
Teasdale JD, Segal Z, Williams JM. How does cognitive therapy prevent depressive relapse and why should attentional control (mindfullness) training help? An information-processing analysis. J Behav Res Ther. 1995;33(1):25-39.
Freeman L, Cohen L, Stewart M, White R, Link J, Palmer JL, et al. Imagery intervention for recovering breast cancer patients: Clinical trial of safety and efficacy. J Soc Integ Oncol. 2008;6(2):67-75.
Matousek RH, Pruessner JC, Dobkin PL. Changes in the cortisol awakening response (CAR) following participation in Mindfulness-Based Stress Reduction in women who completed treatment for breast cancer. Complement Ther Clin Pract. 2011;17(2):65-70. https://doi.org/10.1016/j. ctcp.2010.10.005
Hoffman CJ, Ersser SJ, Hopkinson JB, Nicholls PG, Harrington JE, Thomas PW. Effectiveness of Mindfulness-Based Stress Reduction in mood, breast- and endocrine-related quality of life, and well-being in stage 0 to III breast cancer: A randomized, controlled trial. J Clin Oncol. 2012;30(12):1335-42. https://doi.org/10.1200/JCO.2010.34.0331
Piet, J, Würtzen H, Zachariae R. The effect of Mindfulness-Based therapy on symptoms of anxiety and depression in adult cancer patients and survivors: A systematic review and meta-analysis. J Consult Clin Psychol. 2012;80(6);1007-20. https://doi.org/10.1037/a0028329
Sáenz R, Gutiérrez M, Alvarado R, Bejarano A, Monge K. Sistematización. Proyecto navegación de pacientes con cáncer de mama. Heredia: UNA, 2012.
Barsevick AM, Sweeney C, Haney E, Chung E. A systematic qualitative analysis of psychoeducational interventions for depression in patients with cancer. Oncol Nurs Forum. 2002;29(1):73-84. https://doi.org/10.1188/02. ONF.73-87
Nik NR, Selamat SH, Mohamed S, Ahmad SN, Midin M, Sidi H, et al. Clinical depression while caring for loved ones with breast cancer. Compr Psychiatry. 2014;55(1):S52-9. https://doi.org/10.1016/j.comppsych. 2013.03.003
Ho RT. Effects of dance movement therapy on chinese cancer patients: A pilot study in Hong Kong. Arts Psychother. 2005;32(5):337-45. https:// doi.org/10.1016/j.aip.2005.04.005
Jensens-Johansen MB, Christensen S, Valdimarsdottir H, Zakowski S, Jensen AB, Bovbjerg DH, et al. Effects of an expressive writing intervention on cancer-related distress in Danish breast cancer survivors- results from a nationwide randomized clinical trial. Psychooncology. 2013;22(7):1492- 500. https://doi.org/10.1002/pon.3193
Zhou KN, Li XM, Yan H, Dang SN, Wang DL. Effects of music therapy on depression and duration of hospital stay of breast cancer patients after radical mastectomy. Chin Med J (Engl). 2011;124(15);2321-7.
Olofsson A, Fossum B. Perspectives on music therapy in adult cancer care: a hermeneutic study. Oncol Nurs Forum. 2009;36(4):E223-31. https://doi.org/10.1188/09.ONF.E223-E231
Boehm K, Cramer H, Staroszynski T, Ostermann T. Arts therapies for anxiety, depression, and quality of life in breast cancer patients: a systematic review and meta-analysis. Evidence-Based Complement Altern Med. 2014;2014:103297. https://doi.org/10.1155/2014/103297
Meneses-Echávez JF, González-Jiménez E, Correa-Bautista JE, Ramírez- Vélez R. Efectividad del ejercicio físico en la fatiga de pacientes con cáncer durante el tratamiento activo: revisión sistemática y metaanálisis. Cad Saúde Pública. 2015; 31(4): 667-81. https://doi.org/10.1590/0102- 311X00114414
Van Oers, H. M. Exercise effects on mood in breast cancer patients. South African J Sport Med. 2013;25(2):55-9. https://doi.org/10.7196/ sajsm.481
Saxton JM, Scott EJ, Daley AJ, Woodroofe M, Mutrie N, Crank H, et al. Effects of an exercise and hypocaloric healthy eating intervention on indices of psychological health status, hypothalamic-pituitary-adrenal axis regulation and immune function after early-stage breast cancer: a randomised controlled trial. Breast Cancer Res. 2014;16(2): R39. https:// doi.org/10.1186/bcr3643
Ergun M, Eyigor S, Karaca B, Kisim A, Uslu R. Effects of exercise on angiogenesis and apoptosis-related molecules, quality of life, fatigue and depression in breast cancer patients. Eur J Cancer Care (Engl). 2013;22(5);626-37. https://doi.org/10.1111/ecc.12068
Shirley Sm, Fong S, Choi A, Luk WS, Yam T, Leung J, et al. Bone mineral density, balance performance, balance self-efficacy, and falls in breast cancer survivors with and without qigong training. Integr Cancer Ther. 2017;17(1):124-30. https://doi.org/10.1177/1534735416686687
Ottenbacher A, Sloane R, Snyder DC, Kraus W, Sprod L, Demark-Wahnefried W. Cancer-specific concerns and physical activity among recently diagnosed breast and prostate cancer survivors. Integr Cancer Ther. 2013;12(3):206-12. https://doi.org/10.1177/1534735412449734
Lawlor DA, Hopker SW. The effectiveness of exercise as an intervention in the management of depression: systematic review and meta-regression analysis of randomised controlled trials. BMJ. 2001;322(7289):763-7.
Brown JC, Huedo-Medina TB, Pescatello LS, Ryan SM, Pescatello SM, Moker E, et al. The efficacy of exercise in reducing depressive symptoms among cancer survivors: A meta-analysis. PLoS ONE. 2012;7(1): e30955. https://doi.org/10.1371/journal.pone.0030955
Furmaniak A, Menig M, Markes M. Exercise for women receiving adjuvant therapy for breast cancer. Cochrane Database Syst Rev. 2016;9: CD005001. https://doi.org/10.1002/14651858.CD005001.pub3
Greenlee H, Dupont-reyes MJ, Balneaves LG, Carlson LE, Cohen MR, Deng G, et al. Clinical practice guidelines on the evidence-based use of integrative therapies during and after breast cancer treatment. A Cancer J Clin. 2017;67(3)194-232. https://doi.org/10.3322/caac.21397
Hanai A, Ishiguro H, Sozu T, Tsuda M, Arai H, Mitani A, et al. Effects of a self-management program on antiemetic-induced constipation during chemotherapy among breast cancer patients: a randomized controlled clinical trial. Breast Cancer Res Treat. 2016;155(1):99-107. https://doi.org/10.1007/ s10549-015-3652-4
Bernat-Carles SF. Cáncer de mama y ejercicio físico. UdG Universitat de Girona, 2005 [citado junio 22, 2018]. Disponible en: http://www.sld.cu/ galerias/pdf/sitios/rehabilitacion-adulto/c_mama_y_ej_fisico.pdf
Shin ES, Seo KH, Lee SH, Jang JE, Jung YM, Kim MJ, et al. Massage with or without aromatherapy for symptom relief in people with cancer. Cochrane Database Syst Rev. 2016;(6): CD009873. https://doi. org/10.1002/14651858.CD009873.pub3
Pan YQ, Yang KH, Wang YL, Zhang LP, Liang HQ. Massage interventions and treatment-related side effects of breast cancer: a systematic review and meta-analysis. Int J Clin Oncol. 2014;19(5);829-42. https://doi. org/10.1007/s10147-013-0635-5
Mora-Ripoll R. Potential health benefits of simulated laughter: A narrative review of the literature and recommendations for future research. Complement Ther Med. 2011;19(3): 170-7. https://doi.org/10.1016/j. ctim.2011.05.003
Miller M, Fry WF. The Effect of mirthful laughter on the human cardiovascular system. Med Hypotheses. 2009;73(5):636-9. https://doi. org/10.1016/j.mehy.2009.02.044
Johnson P. The use of humor and its influences on spirituality and coping in breast cancer survivors. Oncol Nurs Forum. 2002;29(4):691-95.
Kim SH, Kim YH, Kim HJ, Lee SH, Yu SO. The effect of laughter therapy on depression, anxiety, and stress in patients with breast cancer undergoing radiotherapy. J Korean Oncol Nurs. 2009;9(2):155-62.
Kim SH, Kim YH, Kim HJ. Laughter and stress relief in cancer patients: a pilot study. Evidence-based Complement Altern Med. 2015;2015: 864739. https://doi.org/10.1155/2015/864739
Han HJ, Park A, Kim HS, Moon H, Park YH. The effects of laughter therapy on stress responses in patients with preoperative breast cancer. J Korean Oncol Nurs. 2011;11(2): 93-100.
Demir M. Effects of laughter therapy on anxiety, stress, depression and quality of life in cancer patients. J Cancer Sci Ther. 2015;7(9):272-73. https://doi.org/10.4172/1948-5956.1000362
Daley AJ, Crank H, Saxton JM, Mutrie N, Coleman R, Roalfe A. Randomized trial of exercise therapy in women treated for breast cancer. J Clin Oncol. 2007;25(13):1713-21. https://doi.org/10.1200/JCO.2006.09.5083
Culos-Reed S, Carlson L, Daroux L, Hately-Aldous S. A pilot study of yoga for breast cancer survivors: physical and psychological benefits. Psychooncology. 2006;15(10): 891-7.
Dodd MJ, Cho MH, Miaskowski C, Painter PL, Paul SM, Cooper BA, et al. A randomized controlled trial of home-based exercise for cancer-related fatigue in women during and after chemotherapy with or without radiation therapy. Cancer Nurs. 2010;33(4):245-57. https://doi.org/10.1097/ NCC.0b013e3181ddc58c
Shahriari M, Dehghan M, Pahlavanzadeh S, Hazini A. Effects of progressive muscle relaxation, guided imagery and deep diaphragmatic breathing on quality of life in elderly with breast or prostate cancer. J Educ Heal Promot. 2017;6(1). https://doi.org/10.4103/jehp.jehp_147_14
Cho EA, Oh HE. Effects of laughter therapy on depression, quality of life, resilience and immune responses in breast cancer survivors. J Korean Acad Nurs. 2011;41(3):285-93. https://doi.org/10.4040/ jkan.2011.41.3.285
Candy B, Jones L, Vickerstaff V, Tookman A, King M. Interventions for sexual dysfunction following treatments for cancer in women. Cochrane Database Syst Rev. 2016;2:CD005540. https://doi.org/10.1002/14651858. CD005540.pub3
Fobair P, Koopman C, DiMiceli S, O’Hanlan K, Butler LD, Classen C, et al. Psychosocial intervention for lesbians with primary breast cancer. Psychooncology. 2002;11(5):427-38. https://doi.org/10.1002/pon.624
Manne SL, Ostroff JS, Winkel G, Fox K, Grana G, Miller E. Couplefocused group intervention for women with early stage breast Cancer. J. Consult Clin Psychol. 2005;73(4):634-46. https://doi.org/10.1037/0022- 006X.73.4.634
Bradt J, Dileo C. Dance movement therapy for improving psychological and physical outcomes in cancer patients. Cochrane Database Syst Rev. 2008;(1):1-34. https://doi.org/10.1002/14651858.CD007103
Nakau M, Imanishi J, Watanabe S, Imanishi A, Baba T, Hirai K, et al. Spiritual care of cancer patients by integrated medicine in urban green space: A pilot study. Explore. 2013;9(2):87-90.
Ambler N, Rumsey N, Harcourt D, Khan F, Cawthorn S, Barker J. Specialist nurses counsellor interventions at the time of diagnosis of breast cancer: Comparing ‘advocacy’ with a conventional approach. J Adv Nurs. 1999;29(2):445-53.
Galiano-Castillo N, Ariza-García A, Cantero-Villanueva I, Fernández- Lao C, Días-Rodríguez L, Legerén-Alvarez M, et al. Telehealth system (e-CUIDATE) to improve quality of life in breast cancer survivors: Rationale and study protocol for a randomized clinical trial. Trials. 2013;14(1):187. https://doi.org/10.1186/1745-6215-14-187
Samarel N, Tulman L, Fawcett J. Effects of two types of social support and education on adaptation to early-stage breast cancer. Res Nurs Health. 2002;25(6):459-70. https://doi.org/10.1002/nur.10061
O’Brien M, O’Brien T, Yasky J. Un novedoso grupo terapéutico para mujeres con cáncer de mama avanzado: Una experiencia australiana. Rev argentina clínica psicológica. 2011;20(3):247-53.
Prades J, Ferro T. Necesidades de información en el cáncer de mama y de atención en la supervivencia [monografía en internet]. Barcelona: Federación española de cáncer de mama, 2013 [citado enero 7, 2018]. Disponible en: http://fecma.vinagrero.es/documentos/libronec.pdf
Bultz BD, Speca M, Brasher PM, Geggie PH, Page SA. A randomized controlled trial of a brief psychoeducational support group for partners of early stage breast cancer patients. Psychooncology. 2000;9(4):303-13.
Marcus AC, Garret KM, Cella D, Wenzel L, Brady MJ, Fairclogh D, et al. Can telephone counseling post-treatment improve psychosocial outcomes among early stage breast cancer survivors? Psychooncology. 2010;19(9):923-32. https://doi.org/10.1002/pon.1653
Samarel N, Fawcett J, Tulman L. Effect of support groups with coaching on adaptation to early stage breast cancer. Res Nur Health. 1997;20(1):15-26.
Graves KD, Carter CL, Anderson ES, Winnet RA. Quality of life pilot intervention for breast cancer patients: Use of social cognitive theory. Palliat Support Care. 2003;1(2): 121-34.
Lengacher CA, Bennet MP, Kip KE, Keller R, LaVence MS, Smith LS, et al. Frequency of use of complementary and alternative medicine in women with breast cancer. Oncol Nurs Forum. 2002;29(10):1445-52. https:// doi.org/10.1188/02.ONF.1445-1452
Weinberger T, Forrester A, Markov D, Chism K, Kunkel EJ. Women at a dangerous intersection: Diagnosis and treatment of depression and related disorders in patients with breast cancer. Psychiatr Clin North Am. 2010;33(2):409-42. https://doi.org/10.1016/j.psc.2010.01.005
Mohabbat-Bahar S, Golzari M, Moradi-Joo M, Akbari ME. Efficacy of group logotherapy on decreasing anxiety in women with breast cancer. Iran J Cancer Prev. 2014;7(3):165-70.
Hopko DR, Funderbuk JS, Shorey RC, McIndoo CC, Ryba MM, File AA, et al. Behavioral activation and problem-solving therapy for depressed breast cancer patients: preliminary support for decreased suicidal ideation. Behav Modif. 2013;37(6):747-67.
Garlick M, Wall K, Corwin D, Koopman C. Psycho-spiritual integrative therapy for women with primary breast cancer. J Clin Psychol Med Settings. 2011;18(1):78-90. https://doi.org/10.1007/s10880-011-9224-9
Öster I, Svensk AC, Magnusson E, Thyme KE, Sjõdin Met, Aström S, et al. Art therapy improves coping resources: A randomized, controlled study among women with breast cancer. Palliat Support Care. 2006;4(1):57-64.
87.American Cancer Society [sitio de internet]. Métodos complementarios y alternativos para la atención del cáncer. ¿Puedo utilizar sin peligro un tratamiento alternativo o complementario? [citado enero 7, 2018]. Disponible en: https://www.cancer.org/es/tratamiento/tratamientos- y-efectos-secundarios/medicina-complementaria-y-alternativa/ metodos-complementarios-y-alternativos-y-el-cancer/uso-seguro-de-lamedicina- complementaria-y-alternativa.html
88.Smith K, Pukall C. An evidence-based review of yoga as a complementary intervention for patients with cancer. Psychooncology. 2009;18(5):465-75. https://doi.org/10.1002/pon.1411
Da Silva TL, Ravindran LN, Ravindran AV. Yoga in the treatment of mood and anxiety disorders: A review. Asian J Psychiatr. 2009;2(1):6-16. https://doi.org/10.1016/j.ajp.2008.12.002
Ravindran AV, da Silva TL. Complementary and alternative therapies as add-on to pharmacotherapy for mood and anxiety disorders: a systematic review. J Affect Disord. 2013;150(3):707-19. https://doi.org/10.1016/j. jad.2013.05.042
Chao-Jung T, Lin HS, Lin WL, Chen SM, Huang WT, ChengSW. The effect of yoga exercise on improving depression, anxiety, and fatigue in women with breast cancer: A randomized controlled trial. J Nurs Res. 2014;22(3):155-64. https://doi.org/10.1097/jnr.0000000000000044
Danhauer SC, Milhalko SL, Russell GB, Campbell CR, Felder L, Daley K, et al. Restorative yoga for women with breast cancer: findings from a randomized pilot study. Psychooncology. 2014;18(4):360-68. https://doi. org/10.1002/pon.1503
Lengacher CA, Johnson-Mallard V, Post-White J, Moscoso MS, Jacobsen PB, Klein TW, et al. Randomized controlled trial of mindfulness-based stress reduction (MBSR) for survivors of breast cancer. Psychooncology. 2009;18(12):1261-72. https://doi.org/10.1002/pon.1529
Würtzen H, Dalton SO, Andersen KK, Elsass P, Flyger HL, Sumbundu A, et al. Who participates in a randomized trial of mindfulness-based stress reduction (MBSR) after breast cancer? A study of factors associated with enrollment among Danish breast cancer patients. Psychooncology. 2013;22(5):1180-85. https://doi.org/10.1002/pon.3094
Reich RR, Lengacher CA, Aliant CB, Kip KE, Peterson C, Ramesar S, et al. Mindfulness-Based Stress Reduction in post-treatment breast cancer patients: immediate and sustained effects across multiple symptom clusters. J Pain Symptom Manage. 2017;53(1):85-95. https://doi.org/10.1016/j. jpainsymman.2016.08.005
Carson JW, Carson KM, Porter LS, Keefe FJ, Seewaldt VL. Yoga of Awareness program for menopausal symptoms in breast cancer survivors: results from a randomized trial. Support. Care Cancer. 2009;17(10):1301- 9. http://doi.org/10.1007/s00520-009-0587-5
Vomvas D, Iconomu G, Soubasi E, Leotsindis M, Kalofonos HP, Beratis S, et al. Assessment of sexual function in patients with cancer undergoing radiotherapy- A single centre prospective study. Anticancer Res. 2013;32(2):657-64.
Baucom DH, Porter LS, Kirby JS, Gremore TM, Wiesenthal N, Aldridge W, et al. A couple-based intervention for female breast cancer. Psychooncology. 2008;18(3): 273-83. https://doi.org/10.1002/pon.1395
Duijts S, Faber M, Oldenburg H, Van BM, Aaronson N. Effectiveness of behavioral techniques and physical exercise on psychosocial functioning and health-related quality of life in breast cancer patients and survivors - a meta-analysis. Psychooncology. 2011;20(2):115-26. https://doi. org/10.1002/pon.1728
Cramer H, Lauche R, Klose P, Lange S, Langhorst J, Dobos GJ. Yoga for improving metohealth-related quality of life, mental health and cancer-related symptoms in women diagnosed with breast cancer. 2017;1: CD010802. https://doi.org/10.1002/14651858.CD010802.pub2
Carayol M, Bernand P, Boiché J, Riou F, Mercier B, Cousson-Gélie F, et al. Psychological effect of exercise in women with breast cancer receiving adjuvant therapy: What is the optimal dose needed? Ann Oncol. 2013;24(2):291-300. https://doi.org/10.1093/annonc/mds342
Steins C, Courneya KS, Velthuis MJ, Monninkhof EM, Jones LW, Friedenreich C, et al. Control group design, contamination and drop-out in exercise oncology trials: A systematic review. PLoS One. 2015;10(3): e0120996. https://doi.org/10.1371/journal.pone.0120996
Boesen EH, Karlsen R, Christensen J, Paaschburg B, Nielsen D, Bloch IS, et al. Psychosocial group intervention for patients with primary breast cancer: A randomised trial. Eur J Cancer. 2011;47(9):1363-72. https://doi. org/10.1016/j.ejca.2011.01.002
Yoo MS, Lee TL, Yoon JA. Effects of a cognitive-behavioral nursing intervention on anxiely and depression in women with breast cancer undergoing radiotherapy. J Korean Acad Nurs. 2009;39(2):157. https://doi. org/10.4040/jkan.2009.39.2.157
Banerjee B, Vadiraj HS, Ram A, Rao R, Jayapal M, Gopinath KS, et al. Effects of an integrated yoga program in modulating psychological stress and radiation-induced genotoxic stress in breast cancer patients undergoing radiotherapy. Integr Cancer Ther. 2007;6(3):242-50. https://doi. org/10.1177/1534735407306214
Hayes SC, Rye S, Disipio T, Yates P, Bashford J, Pyke C, et al. Exercise for health: A randomized, controlled trial evaluating the impact of a pragmatic, translational exercise intervention on the quality of life, function and treatment-related side effects following breast cancer. Breast Cancer Res Treat. 2013;137(1):175-86. https://doi.org/10.1007/s10549-012-2331-y