Yoga for depression and anxiety symptoms in people with cancer: A systematic review and meta-analysis.
anxiety
cancer
depression
integrative oncology
psycho-oncology
supportive cancer care
survivorship
yoga
Journal
Psycho-oncology
ISSN: 1099-1611
Titre abrégé: Psychooncology
Pays: England
ID NLM: 9214524
Informations de publication
Date de publication:
08 2021
08 2021
Historique:
received:
24
10
2020
accepted:
20
02
2021
pubmed:
26
3
2021
medline:
25
2
2023
entrez:
25
3
2021
Statut:
ppublish
Résumé
Cancer and its treatment can lead to a variety of physical and emotional concerns impacting on those affected, including subclinical or clinical depression and anxiety, which in turn have a significant impact on wellbeing, quality of life and survival. The aim of this review was to evaluate the effect of yoga-based interventions on self-reported depression and anxiety symptoms in people with cancer in randomized controlled trials. Six databases were searched to identify relevant studies. Systematic review procedures were followed including a quality assessment. Meta-analysis of suitable studies was conducted. 26 studies from our search criteria were eligible for inclusion for depressive and 16 for anxiety symptoms. Meta-analyses revealed evidence for significant medium effects of yoga on depression symptoms (N = 1,486, g = -0.419, 95% confidence interval [CI] = -0.558 to -0.281, p < 0.001) and anxiety (N = 977, g = -0.347, 95% CI = -0.473 to -0.221, p < 0.001) compared to controls. Subgroup analyses for depressive symptoms revealed significant effects for all analyses performed (type of cancer, type of control, treatment status, duration of intervention or frequency of yoga sessions), with effect sizes being comparable between subgroups. Similar findings were found for anxiety symptoms except for treatment status, where the only significant effect was found when yoga was delivered during active treatment. This review provides evidence that in people with cancer, yoga-based interventions are associated with amelioration of depression and anxiety symptoms and therefore a promising therapeutic modality for their management. However, the potential for risk of bias together with control group design challenges means the results should be interpreted with caution.
Types de publication
Journal Article
Meta-Analysis
Research Support, Non-U.S. Gov't
Review
Systematic Review
Langues
eng
Sous-ensembles de citation
IM
Pagination
1196-1208Informations de copyright
© 2020 John Wiley & Sons Ltd.
Références
Bray F, Ferlay J, Soerjomataram I, Siegel RL, Torre LA, Jemal A. Global cancer statistics 2018: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries. CA Cancer J Clin. 2018;68(6):394-424. https://doi.org/10.3322/caac.21492.
Allemani C, Matsuda T, Di Carlo V, et al. Global surveillance of trends in cancer survival 2000-14 (CONCORD-3): analysis of individual records for 37 513 025 patients diagnosed with one of 18 cancers from 322 population-based registries in 71 countries. Lancet. 2018;391(10125):1023-1075. https://doi.org/10.1016/s0140-6736(17)33326-3.
Mitchell AJ, Ferguson DW, Gill J, Paul J, Symonds P. Depression and anxiety in long-term cancer survivors compared with spouses and healthy controls: a systematic review and meta-analysis. Lancet Oncol. 2013;14(8):721-732. https://doi.org/10.1016/s1470-2045(13)70244-4.
Linden W, Vodermaier A, Mackenzie R, Greig D. Anxiety and depression after cancer diagnosis: prevalence rates by cancer type, gender, and age. J Affect Disord. 2012;141(2-3):343-351. https://doi.org/10.1016/j.jad.2012.03.025.
Mehnert A, Brähler E, Faller H, et al. Four-week prevalence of mental disorders in patients with cancer across major tumor entities. J Clin Oncol. 2014;32(31):3540-3546. https://doi.org/10.1200/jco.2014.56.0086.
Mitchell AJ, Chan M, Bhatti H, et al. Prevalence of depression, anxiety, and adjustment disorder in oncological, haematological, and palliative-care settings: a meta-analysis of 94 interview-based studies. Lancet Oncol. 2011;12(2):160-174. https://doi.org/10.1016/s1470-2045(11)70002-x.
Burton CL, Galatzer-Levy IR, Bonanno GA. Treatment type and demographic characteristics as predictors for cancer adjustment: prospective trajectories of depressive symptoms in a population sample. Health Psychol. 2015;34(6):602-609. https://doi.org/10.1037/hea0000145.
Maass SWMC, Roorda C, Berendsen AJ, Verhaak PFM, de Bock GH. The prevalence of long-term symptoms of depression and anxiety after breast cancer treatment: a systematic review. Maturitas. 2015;82(1):100-108. https://doi.org/10.1016/j.maturitas.2015.04.010.
Lu D, Andersson TML, Fall K, et al. Clinical diagnosis of mental disorders immediately before and after cancer diagnosis. JAMA Oncol. 2016;2(9):1188-1196. https://doi.org/10.1001/jamaoncol.2016.0483.
Fallowfield L, Ratcliffe D, Jenkins V, Saul J. Psychiatric morbidity and its recognition by doctors in patients with cancer. Br J Canc. 2001;84(8):1011-1015. https://doi.org/10.1054/bjoc.2001.1724.
Keller M, Sommerfeldt S, Fischer C, et al. Recognition of distress and psychiatric morbidity in cancer patients: a multi-method approach. Ann Oncol. 2004;15(8):1243-1249. https://doi.org/10.1093/annonc/mdh318.
Newell S, Sanson-Fisher RW, Girgis A, Bonaventura A. How well do medical oncologists' perceptions reflect their patients' reported physical and psychosocial problems? Data from a survey of five oncologists. Cancer. 1998;83(8):1640-1651.
Sanson-Fisher R, Girgis A, Boyes A, Bonevski B, Burton L, Cook P. The unmet supportive care needs of patients with cancer. Cancer. 2000;88(1):226-237. https://doi.org/10.1002/(sici)1097-0142(20000101)88:1<226::aid-cncr30>3.3.co;2-g.
Lin P-J, Peppone LJ, Janelsins MC, et al. Yoga for the management of cancer treatment-related toxicities. Curr Oncol Rep. 2018;20(1):5. https://doi.org/10.1007/s11912-018-0657-2.
Feuerstein G. The Deeper Dimension of Yoga: Theory and Practice. Boston, MA: Shambala Publications; 2003.
De Manincor M, Bensoussan A, Smith C, Fahey P, Bourchier S. Establishing key components of yoga interventions for reducing depression and anxiety, and improving well-being: a Delphi method study. BMC Compl Alternative Med. 2015;15:85. https://doi.org/10.1186/s12906-015-0614-7.
Bryant E. The Yoga Sutras of Patanjali. New York, NY: North Point Press; 2009.
Desikachar T. The Heart of Yoga - Developing a Personal Practice. Rochester, VT: Inner Traditions International; 1995.
Cramer H, Quinker D, Schumann D, Wardle J, Dobos G, Lauche R. Adverse effects of yoga: a national cross-sectional survey. BMC Compl Alternative Med. 2019;19(1):190. https://doi.org/10.1186/s12906-019-2612-7.
Uebelacker LA, Broughton MK. Yoga for depression and anxiety: a review of published research and implications for healthcare providers. R I Med J. 2013;99(3):20-22.2016.
Pascoe MC, Bauer IE. A systematic review of randomised control trials on the effects of yoga on stress measures and mood. J Psychiatr Res. 2015;68:270-282. https://doi.org/10.1016/j.jpsychires.2015.07.013.
Pascoe MC, Thompson DR, Ski CF. Yoga, mindfulness-based stress reduction and stress-related physiological measures: a meta-analysis. Psychoneuroendocrinology. 2017;86:152-168. https://doi.org/10.1016/j.psyneuen.2017.08.008.
Park CL, Elwy AR, Maiya M, et al. The essential properties of yoga questionnaire (EPYQ): psychometric properties. Int J Yoga Therap. 2018;28(1):23-38. https://doi.org/10.17761/2018-00016r2.
Judson PL, Abdallah R, Xiong Y, Ebbert J, Lancaster JM. Complementary and alternative medicine use in individuals presenting for care at a comprehensive cancer center. Integr Canc Ther. 2017;16(1):96-103. https://doi.org/10.1177/1534735416660384.
Hunter D, Marinakis C, Salisbury R, Cray A, Oates R. Complementary therapy use in metropolitan and regional Australian radiotherapy centres; do patients report effective outcomes? Support Care Canc. 2016;24(4):1803-1811. https://doi.org/10.1007/s00520-015-2972-6.
Wode K, Henriksson R, Sharp L, Stoltenberg A, Hök Nordberg J. Cancer patients' use of complementary and alternative medicine in Sweden: a cross-sectional study. BMC Compl Alternative Med. 2019;19(1):62. https://doi.org/10.1186/s12906-019-2452-5.
Fitzsimmons AG, Dahlke DV, Bergeron CD, et al. Impact of complementary and alternative medicine offerings on cancer patients' emotional health and ability to self-manage health conditions. Complement Ther Med. 2019;43:102-108. https://doi.org/10.1016/j.ctim.2019.01.011.
Galantino ML, Greene L, Archetto B, et al. A qualitative exploration of the impact of yoga on breast cancer survivors with aromatase inhibitor-associated arthralgias. Explore. 2012;8(1):40-47. https://doi.org/10.1016/j.explore.2011.10.002.
Huberty J, Eckert R, Larkey L, Gowin K, Mitchell J, Mesa R. Perceptions of myeloproliferative neoplasm patients participating in an online yoga intervention: a qualitative study. Integr Canc Ther. 2018;17(4):1150-1162. https://doi.org/10.1177/1534735418808595.
Van Puymbroeck M, Burk BN, Shinew KJ, Cronan Kuhlenschmidt M, Schmid AA. Perceived health benefits from yoga among breast cancer survivors. Am J Health Promot. 2013;27(5):308-315. https://doi.org/10.4278/ajhp.110316-QUAL-119.
van Uden-Kraan CF, Chinapaw MJM, Drossaert CHC, Verdonck-De Leeuw IM, Buffart LM. Cancer patients’ experiences with and perceived outcomes of yoga: results from focus groups. Support Care Canc. 2013;21(7):1861-1870. https://doi.org/10.1007/s00520-013-1728-4.
Zhang J, Yang KH, Tian JH, Wang CM. Effects of yoga on psychologic function and quality of life in women with breast cancer: a meta-analysis of randomized controlled trials. J Alternative Compl Med. 2012;18(11):994-1002. https://doi.org/10.1089/acm.2011.0514.
Cramer H, Lange S, Klose P, Paul A, Dobos G. Yoga for breast cancer patients and survivors: a systematic review and meta-analysis. BMC Canc. 2012;12:412. https://doi.org/10.1186/1471-2407-12-412.
Cramer H, Lauche R, Klose P, Lange S, Langhorst J, Dobos GJ. Yoga for improving health-related quality of life, mental health and cancer-related symptoms in women diagnosed with breast cancer. Cochrane Database Syst Rev. 2017;1(1):CD010802. https://doi.org/10.1002/14651858.CD010802.pub2.
Pan Y, Yang K, Wang Y, Zhang L, Liang H. Could yoga practice improve treatment-related side effects and quality of life for women with breast cancer? A systematic review and meta-analysis. Asia Pac J Clin Oncol. 2017;13(2):e79-e95. https://doi.org/10.1111/ajco.12329.
Zuo X-L, Li Q, Gao F, Yang L, Meng F-J. Effects of yoga on negative emotions in patients with breast cancer: a meta-analysis of randomized controlled trials. Int J Nurs Sci. 2016;3(3):299-306. https://doi.org/10.1016/j.ijnss.2016.07.009.
Lin K-Y, Hu Y-T, Chang K-J, Lin H-F, Tsauo J-Y. Effects of yoga on psychological health, quality of life, and physical health of patients with cancer: a meta-analysis. Evid Based Complement Alternat Med. 2011;2011:1-12. https://doi.org/10.1155/2011/659876.
Armer JS, Lutgendorf SK. The impact of yoga on fatigue in cancer survivorship: a meta-analysis. JNCI Cancer Spectr. 2019;4(2):pkz098. https://doi.org/10.1093/jncics/pkz098.
Buffart LM, van Uffelen JGZ, Riphagen, II, et al. Physical and psychosocial benefits of yoga in cancer patients and survivors, a systematic review and meta-analysis of randomized controlled trials. BMC Canc. 2012;12:559. https://doi.org/10.1186/1471-2407-12-559.
Moher D, Liberati A, Tetzlaff J, Altman DG. Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement. PLoS Med. 2009;6(7):e1000097. https://doi.org/10.1371/journal.pmed.1000097.
Borenstein M, Hedges L, Higgins J, Rothstein H. Comprehensive Meta-Analysis Version 3. NJ, Biostat: Engelwood; 2013.
DerSimonian R, Kacker R. Random-effects model for meta-analysis of clinical trials: an update. Contemp Clin Trials. 2007;28(2):105-114. https://doi.org/10.1016/j.cct.2006.04.004.
Higgins JPT, Altman DG, Gøtzsche PC, et al. The Cochrane Collaboration’s tool for assessing risk of bias in randomised trials. BMJ. 2011;343:d5928. https://doi.org/10.1136/bmj.d5928.
Adair M, Murphy B, Yarlagadda S, Deng J, Dietrich MS, Ridner SH. Feasibility and preliminary efficacy of tailored yoga in survivors of head and neck cancer: a pilot tudy. Integr Canc Ther. 2018;17(3):774-784. https://doi.org/10.1177/1534735417753540.
Culos-Reed SN, Carlson LE, Daroux LM, Hately-Aldous S. A pilot study of yoga for breast cancer survivors: physical and psychological benefits. Psycho Oncol. 2006;15(10):891-897. https://doi.org/10.1002/pon.1021.
Hardoerfer K, Jentschke E. Effect of yoga therapy on symptoms of anxiety in cancer patients. Oncol Res Treat. 2018;41(9):526-532. https://doi.org/10.1159/000488989.
Lanctot D, Dupuis G, Marcaurell R, Anestin AS, Bali M. The effects of the Bali Yoga Program (BYP-BC) on reducing psychological symptoms in breast cancer patients receiving chemotherapy: results of a randomized, partially blinded, controlled trial. J Compl Integr Med. 2016;13(4):405-412. https://doi.org/10.1515/jcim-2015-0089.
Huberty J, Eckert R, Dueck A, et al. Online yoga in myeloproliferative neoplasm patients: results of a randomized pilot trial to inform future research. BMC Compl Alternative Med. 2019;19(1):121. https://doi.org/10.1186/s12906-019-2530-8.
Danhauer SC, Mihalko SL, Russell GB, et al. Restorative yoga for women with breast cancer: findings from a randomized pilot study. Psycho Oncol. 2009;18(4):360-368. https://doi.org/10.1002/pon.1503.
Danhauer SC, Griffin LP, Avis NE, et al. Feasibility of implementing a community-based randomized trial of yoga for women undergoing chemotherapy for breast cancer. J Community Support Oncol. 2015;13(4):139-147. https://doi.org/10.12788/jcso.0125.
Banerjee B, Vadiraj HS, Ram A, et al. Effects of an integrated yoga program in modulating psychological stress and radiation-induced genotoxic stress in breast cancer patients undergoing radiotherapy. Integr Canc Ther. 2007;6(3):242-250. https://doi.org/10.1177/1534735407306214.
Bower JE, Garet D, Sternlieb B, et al. Yoga for persistent fatigue in breast cancer survivors: a randomized controlled trial. Cancer. 2012;118(15):3766-3775. https://doi.org/10.1002/cncr.26702.
Chandwani KD, Thornton B, Perkins GH, et al. Yoga improves quality of life and benefit finding in women undergoing radiotherapy for breast cancer. J Soc Integr Oncol. 2010;8(2):43-55.
Cohen L, Warneke C, Fouladi RT, Rodriguez MA, Chaoul-Reich A. Psychological adjustment and sleep quality in a randomized trial of the effects of a Tibetan yoga intervention in patients with lymphoma. Cancer. 2004;100(10):2253-2260. https://doi.org/10.1002/cncr.20236.
Cramer H, Pokhrel B, Fester C, et al. A randomized controlled bicenter trial of yoga for patients with colorectal cancer. Psycho Oncol. 2016;25(4):412-420. https://doi.org/10.1002/pon.3927.
Cramer H, Rabsilber S, Lauche R, Kümmel S, Dobos G. Yoga and meditation for menopausal symptoms in breast cancer survivors - a randomized controlled trial. Cancer. 2015;121(13):2175-2184. https://doi.org/10.1002/cncr.29330.
Derry HM, Jaremka LM, Bennett JM, et al. Yoga and self-reported cognitive problems in breast cancer survivors: a randomized controlled trial. Psycho Oncol. 2015;24(8):958-966. https://doi.org/10.1002/pon.3707.
Eyigor S, Uslu R, Apaydin S, Caramat I, Yesil H. Can yoga have any effect on shoulder and arm pain and quality of life in patients with breast cancer? A randomized, controlled, single-blind trial. Compl Ther Clin Pract. 2018;32:40-45. https://doi.org/10.1016/j.ctcp.2018.04.010.
Jong MC, Boers I, Schouten Van Der Velden AP, et al. A randomized study of yoga for fatigue and quality of life in women with breast cancer undergoing (neo) adjuvant chemotherapy. J Alternative Compl Med. 2018;24(9-10):942-953. https://doi.org/10.1089/acm.2018.0191.
Milbury K, Li J, Weathers S-P, et al. Pilot randomized, controlled trial of a dyadic yoga program for glioma patients undergoing radiotherapy and their family caregivers. Neurooncol Pract. 2019;6(4):311-320. https://doi.org/10.1093/nop/npy052.
Milbury K, Liao Z, Shannon V, et al. Dyadic yoga program for patients undergoing thoracic radiotherapy and their family caregivers: results of a pilot randomized controlled trial. Psycho Oncol. 2019;28(3):615-621. https://doi.org/10.1002/pon.4991.
Porter LS, Carson JW, Olsen M, et al. Feasibility of a mindful yoga program for women with metastatic breast cancer: results of a randomized pilot study. Support Care Canc. 2019;27(11):4307-4316. https://doi.org/10.1007/s00520-019-04710-7.
Pruthi S, Stan DL, Jenkins SM, et al. A randomized controlled pilot study assessing feasibility and impact of yoga practice on quality of life, mood, and perceived stress in women with newly diagnosed breast cancer. Glob Adv Health Med. 2012;1(5):30-35. https://doi.org/10.7453/gahmj.2012.1.5.010.
Rao RM, Raghuram N, Nagendra HR, et al. Effects of a yoga program on mood states, quality of life, and toxicity in breast cancer patients receiving conventional treatment: a randomized controlled trial. Indian J Palliat Care. 2017;23(3):237-246. https://doi.org/10.4103/ijpc.Ijpc_92_17.
Taylor TR, Barrow J, Makambi K, et al. A restorative yoga intervention for African-American breast cancer survivors: a pilot study. J Racial Ethn Health Disparities. 2018;5(1):62-72. https://doi.org/10.1007/s40615-017-0342-4.
Vadiraja HS, Raghavendra RM, Nagarathna R, et al. Effects of a yoga program on cortisol rhythm and mood states in early breast cancer patients undergoing adjuvant radiotherapy: a randomized controlled trial. Integr Canc Ther. 2009;8(1):37-46. https://doi.org/10.1177/1534735409331456.
Chandwani KD, Perkins G, Nagendra HR, et al. Randomized, controlled trial of yoga in women with breast cancer undergoing radiotherapy. J Clin Oncol. 2014;32(10):1058-1065. https://doi.org/10.1200/JCO.2012.48.2752.
Yagli NV, Ulger O. The effects of yoga on the quality of life and depression in elderly breast cancer patients. Compl Ther Clin Pract. 2015;21(1):7-10. https://doi.org/10.1016/j.ctcp.2015.01.002.
Zetzl T, Renner A, Pittig A, Jentschke E, Roch C, Van Oorschot B. Yoga effectively reduces fatigue and symptoms of depression in patients with different types of cancer. Support Care Canc. 2020. https://doi.org/10.1007/s00520-020-05794-2.
Vehling S, Mehnert A, Hartmann M, Oing C, Bokemeyer C, Oechsle K. Anxiety and depression in long-term testicular germ cell tumor survivors. Gen Hosp Psychiatr. 2016;38:21-25. https://doi.org/10.1016/j.genhosppsych.2015.09.001.
Cramer H, Ostermann T, Dobos G. Injuries and other adverse events associated with yoga practice: a systematic review of epidemiological studies. J Sci Med Sport. 2018;21(2):147-154. https://doi.org/10.1016/j.jsams.2017.08.026.
Kinser PA, Robins JL. Control group design: enhancing rigor in research of mind-body therapies for depression. Evid Based Complement Alternat Med. 2013;2013:1-10. https://doi.org/10.1155/2013/140467.
Park CL, Groessl E, Maiya M, et al. Comparison groups in yoga research: a systematic review and critical evaluation of the literature. Compl Ther Med. 2014;22(5):920-929. https://doi.org/10.1016/j.ctim.2014.08.008.
Jacobsen PB, Jim HS. Psychosocial interventions for anxiety and depression in adult cancer patients: achievements and challenges. CA Cancer J Clin. 2008;58(4):214-230. https://doi.org/10.3322/ca.2008.0003.
Laoutidis ZG, Mathiak K. Antidepressants in the treatment of depression/depressive symptoms in cancer patients: a systematic review and meta-analysis. BMC Psychiatr. 2013;13:140. https://doi.org/10.1186/1471-244x-13-140.
Fournier JC, DeRubeis RJ, Hollon SD, et al. Antidepressant drug effects and depression severity: a patient-level meta-analysis. J Am Med Assoc. 2010;303(1):47-53. https://doi.org/10.1001/jama.2009.1943.
Schneider S, Moyer A, Knapp-Oliver S, Sohl S, Cannella D, Targhetta V. Pre-intervention distress moderates the efficacy of psychosocial treatment for cancer patients: a meta-analysis. J Behav Med. 2010;33(1):1-14. https://doi.org/10.1007/s10865-009-9227-2.
Cramer H, Lauche R, Langhorst J, Dobos G. Is one yoga style better than another? A systematic review of associations of yoga style and conclusions in randomized yoga trials. Compl Ther Med. 2016;25:178-187. https://doi.org/10.1016/j.ctim.2016.02.015.