Psychological adjustment and sleep quality in a randomized trial of the effects of a Tibetan yoga intervention in patients with lymphoma
Psychological adjustment and sleep quality in a randomized trial of the effects of a Tibetan yoga intervention in patients with lymphoma
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DOI：
10.1002/cncr.20236
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发表时间：
2004-05-15
期刊：
影响因子：
6.2
通讯作者：
Chaoul-Reich, A
中科院分区：
文献类型：
--
作者：
Cohen, L;Warneke, C;Chaoul-Reich, A
背景。研究表明，针对癌症环境量身定制的减压计划可以帮助患者应对治疗的影响，提高他们的生活质量。瑜伽是一门古老的东方科学，结合了减压技术，包括调节呼吸、视觉想象、冥想以及各种姿势。方法。39名正在接受治疗或在过去12个月内结束治疗的淋巴瘤患者被分配到TY组或等候名单对照组。TY组患者每周参加7次瑜伽课程，等待名单对照组患者在3个月的随访评估后自由参加TY计划。89%的电视参与者至少完成了2-3个瑜伽课程，58%的人至少完成了5个瑜伽课程。随访期间，TY组患者的睡眠障碍评分明显低于等候名单对照组（5.8比8.1,P < 0.004）。这包括更好的主观睡眠质量（P < 0.02）、更快的睡眠潜伏期（P < 0.01）、更长的睡眠持续时间（P < 0.03）和更少的睡眠药物使用（P < 0.02）。两组在干预或回避、状态焦虑、抑郁或疲劳方面无显著差异。参与率表明，电视节目对癌症患者来说是可行的，而且这种节目显著改善了与睡眠有关的结果。然而，两组之间的其他结果没有显著差异。癌症2004;100:2253-60。(C) 2004年美国癌症协会。
BACKGROUND. Research suggests that stress-reduction programs tailored to the cancer setting help patients cope with the effects of treatment and improve their quality of life. Yoga, an ancient Eastern science, incorporates stress-reduction techniques that include regulated breathing, visual imagery, and meditation as well as various postures. The authors examined the effects of the Tibetan yoga (TY) practices of Tsa lung and Trul khor, which incorporate controlled breathing and visualization, mindfulness techniques, and low-impact postures in patients with lymphoina.METHODS. Thirty-nine patients with lymphoma who were undergoing treatment or who had concluded treatment within the past 12 months were assigned to a TY group or to a wait-list control group. Patients in the TY group participated in 7 weekly yoga sessions, and patients in the wait-list control group were free to participate in the TY prograrn after the 3-month follow-tip assessment.RESULTS. Eighty nine percent of TY participants completed at least 2-3 three yoga sessions, and 58% completed at least 5 sessions. Patients in the TY group reported significantly lower sleep disturbance scores during follow-up compared with patients in the wait-list control group (5.8 vs. 8.1; P < 0.004). This included better subjective sleep quality (P < 0.02), faster sleep latency (P < 0.01), longer sleep duration (P < 0.03), and less use of sleep medications (P < 0.02). There were no significant differences between groups in terms of intrusion or avoidance, state anxiety, depression, or fatigue.CONCLUSIONS. The participation rates suggested that a TY program is feasible for patients with cancer and that such a program significantly improves sleep-related outcomes. However, there were no significant differences between groups for the other outcomes. Cancer 2004;100:2253-60. (C) 2004 American Cancer Society.