Feasibility of a mindful yoga program for women with metastatic breast cancer: results of a randomized pilot study

Porter, Laura S.; Carson, James W.; Olsen, Maren K.; Carson, Kimberly M.; Sanders, Linda; Jones, Lee W.; Westbrook, Kelly; Keefe, Francis J.

doi:10.1007/s00520-019-04710-7

Cited by 47 publications

(89 citation statements)

References 24 publications

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“…32 Given that this patient pool may have unique configurations of mindfulness facet scores due to this, further research is needed to establish generalizability to more diverse MBC samples, as well as men and patients diagnosed with other advanced cancers. 32 Given that this patient pool may have unique configurations of mindfulness facet scores due to this, further research is needed to establish generalizability to more diverse MBC samples, as well as men and patients diagnosed with other advanced cancers.…”

Section: Study Limitationsmentioning

confidence: 99%

“…Given that our sample was experiencing somewhat low levels of symptoms at baseline, which is unusual among advanced cancer populations, the intervention study demands (ie, 12 in-person study visits) may have prevented patients with higher symptom burden from enrolling. 32 Given that this patient pool may have unique configurations of mindfulness facet scores due to this, further research is needed to establish generalizability to more diverse MBC samples, as well as men and patients diagnosed with other advanced cancers. This study helps to set a foundation for future research on mindfulness specifically among women with MBC.…”

Section: Study Limitationsmentioning

confidence: 99%

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Greater mindfulness associated with lower pain, fatigue, and psychological distress in women with metastatic breast cancer

et al. 2019

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Objective Women with metastatic breast cancer (MBC) report high levels of disease‐related symptoms including pain, fatigue, psychological distress, and sleep disturbance. Mindfulness may be particularly relevant to women with MBC given the high symptom burden and psychological toll of this disease; however, the topic is understudied among this patient population. Therefore, we aimed to test the associations between mindfulness and patient‐reported symptoms among a sample of women with MBC. Methods Sixty‐four women with MBC completed baseline questionnaires of mindfulness (Five Facet Mindfulness Questionnaire‐Short Form [FFMQ‐SF]) and symptoms of pain severity and interference, fatigue, psychological distress, and sleep disturbance as part of a randomized controlled trial of a Mindful Yoga intervention. Correlational analyses of data collected at baseline tested associations between the five mindfulness facets (observing, describing, acting with awareness, nonjudging, and nonreactivity) and patient‐reported measures of symptoms. Results Overall, higher mindfulness was associated with lower symptom levels including lower pain severity, pain interference, fatigue, anxiety, depression, and sleep disturbance. However, degree of association varied by mindfulness facet. Nonreactivity, nonjudging, and describing showed the most frequent associations and largest effect sizes across symptoms, while observing showed the least frequent associations and lowest effect sizes. Conclusions Mindfulness—and in particular nonreactivity, nonjudging, and describing—may be a personal resource for women with MBC in coping with complex symptoms of this life‐threatening illness. Findings are discussed relative to their implications for interventions aimed at increasing mindfulness in this vulnerable population.

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Section: Study Limitationsmentioning

confidence: 99%

Section: Study Limitationsmentioning

confidence: 99%

Greater mindfulness associated with lower pain, fatigue, and psychological distress in women with metastatic breast cancer

et al. 2019

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“…Of the 19 RCTs that were included in Table 1, six RCTs included healthy participants [56][57][58][59][60][61], including nurses [57], teachers [58], and women in the menopausal transition period or postmenopausal period [56,[59][60][61]. Other 13 RCTs included breast cancer patients undergoing treatment [62][63][64][65], breast cancer patients who had completed treatment [13,[66][67][68], type 2 diabetes mellitus patients [69], fibromyalgia patients [70], knee osteoarthritis patients [71], restless leg syndrome patients [72], and patients experiencing dysfunctional uterine bleeding [73].…”

Section: Study and Participant Characteristicsmentioning

confidence: 99%

“…Overall, the 19 RCTs included were conducted in the United States [13, 56, 59, 60, 62-68, 71, 72], Brazil [61,70], India [58,73], Iran [69], and China [57]. Study participants were recruited from hospitals [57, 63-67, 69, 73], outpatient clinics [61,62] and schools [58]. The process of recruitment also included using purchased lists and health-plan enrollment files [56,59] and multiple other mechanisms, including flyers, newspaper advertisements, web-based announcements, brochures, public health departments, tumor registry systems, and doctor referrals [13,60,68,71,72].…”

Section: Study and Participant Characteristicsmentioning

confidence: 99%

“…Of the 19 included studies in Table 1, three reported using Iyengar Yoga [13,60,72]; two reported using Hatha Yoga [68,71]; two reported using Tibetan Yoga [61,64]; two reported using Restorative Yoga [66,67]; one reported using Vini Yoga [56]; one reported using Yoga Relaxation with MindSound Resonance Technique [58]; one reported using yoga breathing exercise in warm water [70]; and only seven RCTs revealed yoga programs with postures, breathing, relaxation or mediation, without defining the specific style of yoga [57,59,62,63,65,69,73]. All RCTs included yoga postures in their yoga intervention; 16 RCTs included yoga breathing; 15 RCTs included yoga relaxation; 12 RCTs included meditation; and 7 RCTs included all contents with postures, breathing, relaxation, and meditation for the yoga intervention group [57,59,63,65,67,69,73].…”

Section: Intervention Characteristicsmentioning

confidence: 99%

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Effect of yoga on sleep quality and insomnia in women with sleep problems: a systematic review and meta-analysis

Wang

Chen

Pan

et al. 2019

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Objectives To examine the effectiveness and safety of yoga for women with sleep problems by performing a systematic review and meta-analysis.Methods Medline/PubMed, Clincalkey, ScienceDirect, Embase, PsycINFO, and the Cochrane Library were searched throughout the month of June 2019. Randomized controlled trials comparing yoga groups with control groups in women with sleep problems were included. Two reviewers independently evaluated risk of bias by using the risk of bias tool suggested by the Cochrane Collaboration for programming and conducting systematic reviews and meta-analyses. The main outcome measure was sleep quality or the severity of insomnia, which was measured using subjective instruments, such as the Pittsburgh Sleep Quality Index (PSQI), Insomnia severity index (ISI), or objective instruments, such as polysomnography, actigraphy, and safety of the intervention. For each outcome, standardized mean difference (SMD) and 95% confidence intervals (CIs) were determined. Results Nineteen studies including 1832 participants were included in this systematic review. Meta-analyses revealed positive effects of yoga using PSQI or ISI scores in 16 randomized control trials (RCTs) compared with the control group in improving sleep quality in women, PSQI (SMD = −0.54; 95% CI = −0.89 to −0.19 ; P = 0.003). However, three RCTs revealed no effects of yoga compared with the control group in reducing the severity of insomnia in women using ISI (SMD = −0.13; 95% CI = −0.74 to 0.48; P = 0.69). Seven RCTs revealed no evidence for effects of yoga compared with the control group in improving sleep quality for women with breast cancer using PSQI (SMD = −0.15 ; 95% CI = −0.31 to 0.01; P = 0.5). Four RCTs revealed no evidence for the effects of yoga compared with the control group in improving the sleep quality for peri-or postmenopausal women using PSQI (SMD = −0.31; 95% CI = −0.95 to 0.33; P = 0.34).Yoga was not associated with serious adverse events. Discussion This systematic review and meta-analysis found that yoga intervention in some groups of women was beneficial in managing sleep problems. Despite certain disadvantages in methodology in the included studies, yoga may be recommended as a complementary therapy to women.

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Impact of physical exercise in advanced‐stage cancer patients: Systematic review and meta‐analysis

et al. 2022

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Feasibility of a mindful yoga program for women with metastatic breast cancer: results of a randomized pilot study

Cited by 47 publications

References 24 publications

Greater mindfulness associated with lower pain, fatigue, and psychological distress in women with metastatic breast cancer

Greater mindfulness associated with lower pain, fatigue, and psychological distress in women with metastatic breast cancer

Effect of yoga on sleep quality and insomnia in women with sleep problems: a systematic review and meta-analysis

Impact of physical exercise in advanced‐stage cancer patients: Systematic review and meta‐analysis

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