BACKGROUNDResearch suggests that stressâreduction 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 stressâreduction 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 lowâimpact postures in patients with lymphoma.METHODSThirtyânine 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 waitâlist control group. Patients in the TY group participated in 7 weekly yoga sessions, and patients in the waitâlist control group were free to participate in the TY program after the 3âmonth followâup assessment.RESULTSEighty nine percent of TY participants completed at least 2â3 three yoga sessions, and 58% completed at least 5 sessions. Patients in the TY group reported significantly lower sleep disturbance scores during followâup compared with patients in the waitâlist 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.CONCLUSIONSThe participation rates suggested that a TY program is feasible for patients with cancer and that such a program significantly improves sleepârelated outcomes. However, there were no significant differences between groups for the other outcomes. Cancer 2004. © 2004 American Cancer Society.