Carlson Linda E, Zelinski Erin, Toivonen Kirsti, Flynn Michelle, Qureshi Maryam, Piedalue Katherine-Ann, Grant Rachel
Tom Baker Cancer Centre, Holy Cross Site, 2202 2nd St SW, Calgary, AB, T2S 3C1, Canada.
Department of Oncology, University of Calgary, Holy Cross Site, 2202 2nd St SW, Calgary, AB, T2S 3C1, Canada.
Curr Oncol Rep. 2017 Aug 18;19(10):67. doi: 10.1007/s11912-017-0626-1.
Many people living with cancer use complementary therapies, and some of the most popular are mind-body therapies (MBTs), including relaxation and imagery, hypnosis, yoga, meditation, tai chi and qigong, and art therapies. The efficacy of these modalities was reviewed by assessing recent findings in the context of cancer care.
These therapies show efficacy in treating common cancer-related side effects, including nausea and vomiting, pain, fatigue, anxiety, depressive symptoms and improving overall quality of life. Some also have effects on biomarkers such as immune function and stress hormones. Overall studies lack large sample sizes and active comparison groups. Common issues around clearly defining treatments including standardizing treatment components, dose, intensity, duration and training of providers make generalization across studies difficult. MBTs in cancer care show great promise and evidence of efficacy for treating many common symptoms. Future studies should investigate more diverse cancer populations using standardized treatment protocols and directly compare various MBTs to one another.
许多癌症患者使用补充疗法，其中一些最受欢迎的是身心疗法（MBT），包括放松与意象疗法、催眠、瑜伽、冥想、太极拳和气功，以及艺术疗法。通过评估癌症护理背景下的最新研究结果，对这些疗法的疗效进行了综述。
这些疗法在治疗常见的癌症相关副作用方面显示出疗效，包括恶心和呕吐、疼痛、疲劳、焦虑、抑郁症状，并改善整体生活质量。一些疗法还对生物标志物有影响，如免疫功能和应激激素。总体而言，研究缺乏大样本量和活跃的对照组。围绕明确界定治疗方法存在一些常见问题，包括治疗成分的标准化、剂量、强度、持续时间以及提供者的培训，这使得跨研究进行概括变得困难。癌症护理中的身心疗法在治疗许多常见症状方面显示出巨大的前景和疗效证据。未来的研究应该使用标准化的治疗方案调查更多样化的癌症人群，并直接比较各种身心疗法。
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