Effects of Tibetan Yoga on Fatigue and Sleep in Cancer

藏式瑜伽对癌症疲劳和睡眠的影响

• 批准号: 8020103
• 负责人: Lorenzo Cohen
• 金额: $ 30.26万
• 依托单位: UNIVERSITY OF TX MD ANDERSON CAN CTR
• 依托单位国家: 美国
• 财政年份: 2006
• 资助国家: 美国
• 起止时间: 2006-03-10 至 2013-01-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8020103
• 关键词: Acute; Adjuvant; Adjuvant Chemotherapy; Adverse effects; Aftercare; Attention; Breast Cancer Treatment; Breathing; Cancer Patient; Cessation of life; Characteristics; Cognitive; Combined Modality Therapy; Country; Diagnosis; Disease; Disease Progression; Distress; Emotional; Fatigue; Fright; Health; Imagery; Intervention; Life; Lymphoma; Malignant Neoplasms; Measurement; Measures; Mediating; Mediator of activation protein; Meditation; Mental Health; Morbidity - disease rate; Neoadjuvant Therapy; Operative Surgical Procedures; Participant; Patients; Personal Satisfaction; Physical Function; Physical therapy; Pilot Projects; Posture; Process; Psychological Side Effects; Psychosocial Factor; Pulmonary function tests; Quality of life; Radiation therapy; Randomized; Recovery; Recurrence; Research; Research Personnel; Schedule; Science; Sleep; Sleep disturbances; Social Network; Social support; Source; Spirituality; Stress; Support Groups; Techniques; Testing; Tibet; Time; Trauma; Treatment Efficacy; Treatment Protocols; Woman; Yoga; active method; base; cancer therapy; chemotherapy; coping; design; experience; fitness; follow-up; improved; indexing; intervention effect; intervention program; malignant breast neoplasm; mindfulness; optimism; post intervention; programs; psychologic; social; social model; stressor; treatment effect; visual imagery

DESCRIPTION (provided by applicant): Cancer and its treatment are associated with considerable distress, impaired quality of life, poor mental health, and reduced physical function. This is particularly true for women with breast cancer who receive multimodal treatment over an extended period of time. Many women undergo surgery and chemotherapy, which are often followed by radiotherapy. It is important to develop programs that can be incorporated into the treatment schedule that can help ameliorate the treatment-related morbidity that accumulates over time. Research suggests that stress-reduction programs tailored to the cancer treatment setting may help patients cope with the acute effects of treatment and improve their quality of life after treatment. Yoga, an ancient Eastern science, incorporates stress-reduction techniques including regulated breathing, visual imagery, and meditation, as well as various postures. Although different forms of yoga are practiced in many Eastern countries, most of what is known about yoga in the West comes from the Indian tradition. Less well know are the yogic practices from Tibet. For thousands of years, Tibetan's have been employing a form of yoga that incorporates controlled breathing and visualization, mindfulness techniques, and postures. We have designed and pilot-tested a Tibetan yoga program for cancer patients and found that it is feasible to conduct the intervention, and there is some initial indication that the intervention improves adjustment. We hypothesize that the yoga program we designed will be particularly useful for women with breast cancer who are undergoing adjuvant treatment for their disease as the focus is on controlled breathing, visualization, and mindfulness techniques, as well as some low impact gentle postures. The proposed study will assess the physical and psychological benefits of a Tibetan yoga program for women with breast cancer undergoing adjuvant chemotherapy. Patients with breast cancer who are scheduled to receive chemotherapy will be randomly assigned to either a Tibetan yoga group or an Educational Support group. This research will also evaluate the extent to which psychosocial factors mediate and/or moderate the intervention program and predict patients' recovery and adjustment to treatment. The effects of the intervention should be evident throughout recovery and across physical and psychological indices.

描述（由申请人提供）：癌症及其治疗与相当大的痛苦、生活质量受损、心理健康状况不佳和身体机能下降有关。对于长期接受多模式治疗的乳腺癌女性来说尤其如此。许多女性接受手术和化疗，随后通常进行放疗。制定可纳入治疗计划的计划非常重要，这有助于改善随时间累积的治疗相关发病率。研究表明，针对癌症治疗环境量身定制的减压计划可以帮助患者应对治疗的急性影响并改善治疗后的生活质量。瑜伽是一门古老的东方科学，融合了减压技巧，包括调节呼吸、视觉想象、冥想以及各种姿势。尽管许多东方国家都练习不同形式的瑜伽，但西方对瑜伽的了解大多来自印度传统。西藏的瑜伽练习却鲜为人知。几千年来，藏族一直采用一种瑜伽形式，结合了控制呼吸和想象、正念技巧和姿势。我们为癌症患者设计并试点了藏式瑜伽项目，发现进行干预是可行的，并且有一些初步迹象表明干预可以改善调整。我们假设我们设计的瑜伽课程对于正在接受辅助治疗的乳腺癌女性特别有用，因为重点是控制呼吸、想象和正念技巧，以及一些低冲击力的温和姿势。拟议的研究将评估西藏瑜伽项目对接受辅助化疗的乳腺癌女性的身体和心理益处。计划接受化疗的乳腺癌患者将被随机分配到西藏瑜伽组或教育支持组。这项研究还将评估心理社会因素介导和/或调节干预计划的程度，并预测患者的康复和对治疗的调整。干预措施的效果在整个康复过程中以及身体和心理指标上应该是显而易见的。