Pruthi Sandhya, Stan Daniela L, Jenkins Sarah M, Huebner Marianne, Borg Beth A, Thomley Barbara S, Cutshall Susanne M, Singh Ravinder, Kohli Sadhna, Boughey Judy C, Lemaine Valerie, Solberg Nes Lise
Sandhya Pruthi, MD, and Daniela L. Stan, MD, are consultants, Division of General Internal Medicine, United States.
Sarah M. Jenkins is a statistician and Marianne Huebner, PhD, is a research consultant, Division of Biomedical Statistics and Informatics, United States.
Glob Adv Health Med. 2012 Nov;1(5):30-5. doi: 10.7453/gahmj.2012.1.5.010. Epub 2012 Nov 1.
A breast cancer diagnosis can entail numerous physical and psychosocial challenges. Yoga practice (YP) may contribute to improved well-being for these patients.
Investigate feasibility and impact of YP on quality of life (QoL), mood, fatigue, and perceived stress immediately after breast cancer diagnosis.
Thirty women were randomly assigned to a yoga group (YG) or control group (CG) immediately after cancer diagnosis.
Pilot study conducted at an academic medical center breast clinic.
Females (N = 30) who received a biopsy-proven breast cancer diagnosis without metastatic disease.
One individual YP session at baseline, then 2 individual and 8 weekly group sessions followed by weekly gentle yoga at home (DVD). Questionnaires and saliva samples (ie, cortisol) completed at baseline and 12 weeks postdiagnosis.
Both groups reported significant improvements in QoL postintervention but with no significant difference between groups. Emotional well-being, mood-related tension-anxiety, depression-dejection, and confusion-bewilderment scores improved for both groups, and cortisol and cortisone levels decreased. Lumpectomies were prevalent with YG (67%) and CG (47%). YP was rated as "very effective," providing relaxation (85%), stress relief (69%), and reduced muscle tension/general feeling of wellness (each 62%).
Feasibility of YP immediately after breast cancer diagnosis was good. Improvement in emotional well-being, anxiety, depression, and levels of confusion was found in both groups. To our knowledge, this is the first study examining the impact of YP immediately after breast cancer diagnosis. Further research in this area is warranted.
乳腺癌诊断可能带来众多身体和心理社会方面的挑战。瑜伽练习（YP）可能有助于改善这些患者的健康状况。
调查乳腺癌诊断后立即进行YP对生活质量（QoL）、情绪、疲劳和感知压力的可行性及影响。
30名女性在癌症诊断后立即被随机分配到瑜伽组（YG）或对照组（CG）。
在一家学术医疗中心的乳腺诊所进行的试点研究。
经活检证实患有乳腺癌且无转移疾病的女性（N = 30）。
干预措施YG：在基线时进行一次个人YP课程，然后进行2次个人课程和8次每周一次的小组课程，之后每周在家进行轻柔瑜伽（DVD）。在基线和诊断后12周完成问卷调查和唾液样本（即皮质醇）采集。
两组在干预后均报告生活质量有显著改善，但组间无显著差异。两组的情绪健康、与情绪相关的紧张焦虑、抑郁沮丧和困惑迷茫得分均有所改善，皮质醇和可的松水平下降。YG组（67%）和CG组（47%）中乳房肿块切除术较为普遍。YP被评为“非常有效”，具有放松效果（85%）、缓解压力（69%）以及减轻肌肉紧张/总体健康感（均为62%）。
乳腺癌诊断后立即进行YP的可行性良好。两组在情绪健康、焦虑、抑郁和困惑程度方面均有改善。据我们所知，这是第一项研究乳腺癌诊断后立即进行YP影响的研究。该领域有必要进行进一步研究。
