LymphedemaV1, Main, Exploration, bibRecord, 001085

Examining Mediators and Moderators of Yoga for Women With Breast Cancer Undergoing Radiotherapy

Identifieur interne : 001085 ( Main/Exploration ); précédent : 001084; suivant : 001086

Examining Mediators and Moderators of Yoga for Women With Breast Cancer Undergoing Radiotherapy

Auteurs : Chelsea G. Ratcliff [États-Unis] ; Kathrin Milbury [États-Unis] ; Kavita D. Chandwani [États-Unis] ; Alejandro Chaoul [États-Unis] ; George Perkins [États-Unis] ; Raghuram Nagarathna [Inde] ; Robin Haddad [États-Unis] ; Hongasandra Ramarao Nagendra [Inde] ; N. V. Raghuram [Inde] ; Amy Spelman [États-Unis] ; Banu Arun [États-Unis] ; Qi Wei [États-Unis] ; Lorenzo Cohen [États-Unis]

Source :

Integrative cancer therapies [ 1534-7354 ] ; 2016.

RBID : PMC:4972683

Abstract

Hypothesis

This study examines moderators and mediators of a yoga intervention targeting quality-of-life (QOL) outcomes in women with breast cancer receiving radiotherapy.

Methods

Women undergoing 6 weeks of radiotherapy were randomized to a yoga (YG; n = 53) or stretching (ST; n = 56) intervention or a waitlist control group (WL; n = 54). Depressive symptoms and sleep disturbances were measured at baseline. Mediator (posttraumatic stress symptoms, benefit finding, and cortisol slope) and outcome (36-item Short Form [SF]-36 mental and physical component scales [MCS and PCS]) variables were assessed at baseline, end-of-treatment, and 1-, 3-, and 6-months posttreatment.

Results

Baseline depressive symptoms (P = .03) and sleep disturbances (P < .01) moderated the Group × Time effect on MCS, but not PCS. Women with high baseline depressive symptoms in YG reported marginally higher 3-month MCS than their counterparts in WL (P = .11). Women with high baseline sleep disturbances in YG reported higher 3-months MCS than their counterparts in WL (P < .01) and higher 6-month MCS than their counterparts in ST (P = .01). YG led to greater benefit finding than ST and WL across the follow-up (P = .01). Three-month benefit finding partially mediated the effect of YG on 6-month PCS. Posttraumatic stress symptoms and cortisol slope did not mediate treatment effect on QOL.

Conclusion

Yoga may provide the greatest mental-health–related QOL benefits for those experiencing pre-radiotherapy sleep disturbance and depressive symptoms. Yoga may improve physical-health–related QOL by increasing ability to find benefit in the cancer experience.

Url:

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4972683

DOI: 10.1177/1534735415624141
PubMed: 26867802
PubMed Central: 4972683

Affiliations:

Inde, États-Unis

Le document en format XML

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<author><name sortKey="Ratcliff, Chelsea G" sort="Ratcliff, Chelsea G" uniqKey="Ratcliff C" first="Chelsea G." last="Ratcliff">Chelsea G. Ratcliff</name>
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<author><name sortKey="Chaoul, Alejandro" sort="Chaoul, Alejandro" uniqKey="Chaoul A" first="Alejandro" last="Chaoul">Alejandro Chaoul</name>
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<country xml:lang="fr">États-Unis</country>
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<author><name sortKey="Nagarathna, Raghuram" sort="Nagarathna, Raghuram" uniqKey="Nagarathna R" first="Raghuram" last="Nagarathna">Raghuram Nagarathna</name>
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<country xml:lang="fr">Inde</country>
<wicri:regionArea>Swami Vivekananda Yoga Anusandhana Samsthana, Bengaluru</wicri:regionArea>
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<author><name sortKey="Haddad, Robin" sort="Haddad, Robin" uniqKey="Haddad R" first="Robin" last="Haddad">Robin Haddad</name>
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<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>The University of Texas MD Anderson Cancer Center, Houston, TX</wicri:regionArea>
<wicri:noRegion>TX</wicri:noRegion>
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<author><name sortKey="Nagendra, Hongasandra Ramarao" sort="Nagendra, Hongasandra Ramarao" uniqKey="Nagendra H" first="Hongasandra Ramarao" last="Nagendra">Hongasandra Ramarao Nagendra</name>
<affiliation wicri:level="1"><nlm:aff id="A6">Swami Vivekananda Yoga Anusandhana Samsthana, Bengaluru, India</nlm:aff>
<country xml:lang="fr">Inde</country>
<wicri:regionArea>Swami Vivekananda Yoga Anusandhana Samsthana, Bengaluru</wicri:regionArea>
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</affiliation>
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<author><name sortKey="Raghuram, N V" sort="Raghuram, N V" uniqKey="Raghuram N" first="N. V." last="Raghuram">N. V. Raghuram</name>
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<country xml:lang="fr">Inde</country>
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</affiliation>
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<author><name sortKey="Spelman, Amy" sort="Spelman, Amy" uniqKey="Spelman A" first="Amy" last="Spelman">Amy Spelman</name>
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<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>The University of Texas MD Anderson Cancer Center, Houston, TX</wicri:regionArea>
<wicri:noRegion>TX</wicri:noRegion>
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<author><name sortKey="Arun, Banu" sort="Arun, Banu" uniqKey="Arun B" first="Banu" last="Arun">Banu Arun</name>
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<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>The University of Texas MD Anderson Cancer Center, Houston, TX</wicri:regionArea>
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<author><name sortKey="Wei, Qi" sort="Wei, Qi" uniqKey="Wei Q" first="Qi" last="Wei">Qi Wei</name>
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<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>The University of Texas MD Anderson Cancer Center, Houston, TX</wicri:regionArea>
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<author><name sortKey="Cohen, Lorenzo" sort="Cohen, Lorenzo" uniqKey="Cohen L" first="Lorenzo" last="Cohen">Lorenzo Cohen</name>
<affiliation wicri:level="1"><nlm:aff id="A4">The University of Texas MD Anderson Cancer Center, Houston, TX, USA</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>The University of Texas MD Anderson Cancer Center, Houston, TX</wicri:regionArea>
<wicri:noRegion>TX</wicri:noRegion>
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<series><title level="j">Integrative cancer therapies</title>
<idno type="ISSN">1534-7354</idno>
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<front><div type="abstract" xml:lang="en"><sec id="S1"><title>Hypothesis</title>
<p id="P1">This study examines moderators and mediators of a yoga intervention targeting quality-of-life (QOL) outcomes in women with breast cancer receiving radiotherapy.</p>
</sec>
<sec id="S2"><title>Methods</title>
<p id="P2">Women undergoing 6 weeks of radiotherapy were randomized to a yoga (YG; n = 53) or stretching (ST; n = 56) intervention or a waitlist control group (WL; n = 54). Depressive symptoms and sleep disturbances were measured at baseline. Mediator (posttraumatic stress symptoms, benefit finding, and cortisol slope) and outcome (36-item Short Form [SF]-36 mental and physical component scales [MCS and PCS]) variables were assessed at baseline, end-of-treatment, and 1-, 3-, and 6-months posttreatment.</p>
</sec>
<sec id="S3"><title>Results</title>
<p id="P3">Baseline depressive symptoms (<italic>P</italic>
 = .03) and sleep disturbances (<italic>P</italic>
 < .01) moderated the Group × Time effect on MCS, but not PCS. Women with high baseline depressive symptoms in YG reported marginally higher 3-month MCS than their counterparts in WL (<italic>P</italic>
 = .11). Women with high baseline sleep disturbances in YG reported higher 3-months MCS than their counterparts in WL (<italic>P</italic>
 < .01) and higher 6-month MCS than their counterparts in ST (<italic>P</italic>
 = .01). YG led to greater benefit finding than ST and WL across the follow-up (<italic>P</italic>
 = .01). Three-month benefit finding partially mediated the effect of YG on 6-month PCS. Posttraumatic stress symptoms and cortisol slope did not mediate treatment effect on QOL.</p>
</sec>
<sec id="S4"><title>Conclusion</title>
<p id="P4">Yoga may provide the greatest mental-health–related QOL benefits for those experiencing pre-radiotherapy sleep disturbance and depressive symptoms. Yoga may improve physical-health–related QOL by increasing ability to find benefit in the cancer experience.</p>
</sec>
</div>
</front>
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<affiliations><list><country><li>Inde</li>
<li>États-Unis</li>
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<tree><country name="États-Unis"><noRegion><name sortKey="Ratcliff, Chelsea G" sort="Ratcliff, Chelsea G" uniqKey="Ratcliff C" first="Chelsea G." last="Ratcliff">Chelsea G. Ratcliff</name>
</noRegion>
<name sortKey="Arun, Banu" sort="Arun, Banu" uniqKey="Arun B" first="Banu" last="Arun">Banu Arun</name>
<name sortKey="Chandwani, Kavita D" sort="Chandwani, Kavita D" uniqKey="Chandwani K" first="Kavita D." last="Chandwani">Kavita D. Chandwani</name>
<name sortKey="Chaoul, Alejandro" sort="Chaoul, Alejandro" uniqKey="Chaoul A" first="Alejandro" last="Chaoul">Alejandro Chaoul</name>
<name sortKey="Cohen, Lorenzo" sort="Cohen, Lorenzo" uniqKey="Cohen L" first="Lorenzo" last="Cohen">Lorenzo Cohen</name>
<name sortKey="Haddad, Robin" sort="Haddad, Robin" uniqKey="Haddad R" first="Robin" last="Haddad">Robin Haddad</name>
<name sortKey="Milbury, Kathrin" sort="Milbury, Kathrin" uniqKey="Milbury K" first="Kathrin" last="Milbury">Kathrin Milbury</name>
<name sortKey="Perkins, George" sort="Perkins, George" uniqKey="Perkins G" first="George" last="Perkins">George Perkins</name>
<name sortKey="Ratcliff, Chelsea G" sort="Ratcliff, Chelsea G" uniqKey="Ratcliff C" first="Chelsea G." last="Ratcliff">Chelsea G. Ratcliff</name>
<name sortKey="Ratcliff, Chelsea G" sort="Ratcliff, Chelsea G" uniqKey="Ratcliff C" first="Chelsea G." last="Ratcliff">Chelsea G. Ratcliff</name>
<name sortKey="Spelman, Amy" sort="Spelman, Amy" uniqKey="Spelman A" first="Amy" last="Spelman">Amy Spelman</name>
<name sortKey="Wei, Qi" sort="Wei, Qi" uniqKey="Wei Q" first="Qi" last="Wei">Qi Wei</name>
</country>
<country name="Inde"><noRegion><name sortKey="Nagarathna, Raghuram" sort="Nagarathna, Raghuram" uniqKey="Nagarathna R" first="Raghuram" last="Nagarathna">Raghuram Nagarathna</name>
</noRegion>
<name sortKey="Nagendra, Hongasandra Ramarao" sort="Nagendra, Hongasandra Ramarao" uniqKey="Nagendra H" first="Hongasandra Ramarao" last="Nagendra">Hongasandra Ramarao Nagendra</name>
<name sortKey="Raghuram, N V" sort="Raghuram, N V" uniqKey="Raghuram N" first="N. V." last="Raghuram">N. V. Raghuram</name>
</country>
</tree>
</affiliations>
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   |texte=   Examining Mediators and Moderators of Yoga for Women With Breast Cancer Undergoing Radiotherapy
}}

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Examining Mediators and Moderators of Yoga for Women With Breast Cancer Undergoing Radiotherapy

Examining Mediators and Moderators of Yoga for Women With Breast Cancer Undergoing Radiotherapy

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