Lopez Gabriel, Chaoul Alejandro, Powers-James Catherine, Eddy Carol A, Mallaiah Smitha, Gomez Telma I, Williams Janet L, Wei Qi, Bruera Eduardo, Cohen Lorenzo
1 The University of Texas MD Anderson Cancer Center, Houston, TX, USA.
Integr Cancer Ther. 2018 Dec;17(4):1087-1094. doi: 10.1177/1534735418795301. Epub 2018 Aug 31.
Complementary and integrative health approaches such as yoga provide support for psychosocial health. We explored the effects of group-based yoga classes offered through an integrative medicine center at a comprehensive cancer center.
Patients and caregivers had access to two yoga group classes: a lower intensity (YLow) or higher intensity (YHigh) class. Participants completed the Edmonton Symptom Assessment System (ESAS; scale 0-10, 10 most severe) immediately before and after the class. ESAS subscales analyzed included global (GDS; score 0-90), physical (PHS; 0-60), and psychological distress (PSS; 0-20). Data were analyzed examining pre-yoga and post-yoga symptom scores using paired t-tests and between types of classes using ANOVAs.
From July 18, 2016, to August 8, 2017, 282 unique participants (205 patients, 77 caregivers; 85% female; ages 20-79 years) attended one or more yoga groups (mean 2.3). For all participants, we observed clinically significant reduction/improvement in GDS, PHS, and PSS scores and in symptoms (ESAS decrease ≥1; means) of anxiety, fatigue, well-being, depression, appetite, drowsiness, and sleep. Clinically significant improvement for both patients and caregivers was observed for anxiety, depression, fatigue, well-being, and all ESAS subscales. Comparing yoga groups, YLow contributed to greater improvement in sleep versus YHigh (-1.33 vs -0.50, P = .054). Improvement in fatigue for YLow was the greatest mean change (YLow -2.12).
A single yoga group class resulted in clinically meaningful improvement of multiple self-reported symptoms. Further research is needed to better understand how yoga class content, intensity, and duration can affect outcomes.
诸如瑜伽之类的补充与整合健康方法为心理社会健康提供支持。我们探讨了通过一家综合癌症中心的整合医学中心提供的团体瑜伽课程的效果。
患者和护理人员可以参加两种瑜伽团体课程：低强度（YLow）或高强度（YHigh）课程。参与者在课程开始前和结束后立即完成埃德蒙顿症状评估系统（ESAS；量表0 - 10，10表示最严重）。分析的ESAS子量表包括总体（GDS；得分0 - 90）、身体（PHS；0 - 60）和心理困扰（PSS；0 - 20）。使用配对t检验分析瑜伽前和瑜伽后症状评分的数据，并使用方差分析分析不同课程类型之间的数据。
从2016年7月18日至2017年8月8日，282名独特的参与者（205名患者，77名护理人员；85%为女性；年龄20 - 79岁）参加了一个或多个瑜伽团体（平均2.3次）。对于所有参与者，我们观察到GDS、PHS和PSS评分以及焦虑、疲劳、幸福感、抑郁、食欲、嗜睡和睡眠症状（ESAS降低≥1；均值）在临床上有显著降低/改善。在焦虑、抑郁、疲劳、幸福感以及所有ESAS子量表方面，患者和护理人员均观察到临床上的显著改善。比较瑜伽团体，与YHigh相比，YLow对睡眠的改善更大（-1.33对-0.50，P = 0.054）。YLow在疲劳方面的改善是最大的平均变化（YLow -2.12）。
单次瑜伽团体课程导致多种自我报告症状在临床上有意义的改善。需要进一步研究以更好地理解瑜伽课程内容、强度和时长如何影响结果。
