Restorative yoga for women with breast cancer: findings from a randomized pilot study
Open accessAbstract
Objectives: Restorative yoga (RY) is a gentle type of yoga that may be beneficial for cancer patients and post‐treatment survivors. Study goals were: to determine the feasibility of implementing a RY intervention for women with breast cancer; and to examine group differences in self‐reported emotional, health‐related quality of life, and symptom outcomes. Methods: Women with breast cancer (n=44; mean age 55.8 years) enrolled in this study; 34% were actively undergoing cancer treatment. Study participants were randomized to the intervention (10 weekly 75‐minute RY classes) or a waitlist control group. Participants completed questionnaires at Week 0 (baseline) and Week 10 (immediately post‐intervention for the yoga group). Results: Group differences favoring the yoga group were seen for mental health, depression, positive affect, and spirituality (peace/meaning). Significant baseline*group interactions were observed for negative affect and emotional well‐being. Women with higher negative affect and lower emotional well‐being at baseline derived greater benefit from the yoga intervention compared to those with similar values at baseline in the control group. The yoga group demonstrated a significant within‐group improvement in fatigue; no significant difference was noted for the control group. Conclusions: Although limited by sample size, these pilot data suggest potential benefit of RY on emotional outcomes and fatigue in cancer patients. This study demonstrates that a RY intervention is feasible for women with breast cancer; implications for study design and implementation are noted with an emphasis on program adoption and participant adherence. Copyright © 2009 John Wiley & Sons, Ltd.
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Previous research suggests that cancer patients with higher distress or depressive symptoms, or elevated sleep disturbance, derive greater benefit from psychosocial or behavioural interventions.
“previous research suggests that cancer patients with higher distress or depressive symptoms (Andersen et al., 2010;Antoni et al., 2001;Danhauer et al., 2009), or elevated sleep disturbance (Ratcliff et al., 2016), derive greater benefit from psychosocial or behavioural interventions.”
From The effects of physical activity on cortisol and sleep: A systematic review and meta-analysis. (2022) · cites this paper as Danhauer et al., 2009
The Results (Mental health and health-related quality of life; page unavailable) report that women with breast cancer who had higher baseline negative affect or lower emotional well-being benefited more from restorative yoga than comparable controls. The paper also reports an overall improvement in depression, but not that women with higher baseline depressive symptoms benefited more. Its finding concerns women with breast cancer receiving restorative yoga, rather than cancer patients and psychosocial or behavioural interventions generally; the sleep-disturbance clause is attributed to a different citation. (LLM, conf=0.86)
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- Authors
- Danhauer, S. C., Mihalko, S. L., Russell, G. B., Campbell, C. R., Felder, L., Daley, K., & Levine, E. A.
- Affiliations
- Wake Forest University Health Sciences (US)
- University of North Carolina at Charlotte (US)
- Corresponding author
- Danhauer, Suzanne C.
- Venue
- Psycho-Oncology
- Publisher
- Wiley
- Published
- 2009-02-25
- Volume
- 18
- Issue
- 4
- Pages
- 360-368
- ISSN
- 1057-9249 (ISSN-L)
- 1099-1611
- PMC
- PMC3930083
- OpenAlex
- W2004001929
- Cited by
- 285
- References
- 5
- Citations by year
- 2026: 6 · 2025: 13 · 2024: 15 · 2023: 12 · 2022: 11 · 2021: 12 · 2020: 10 · 2019: 16 · 2018: 21 · 2017: 16 · 2016: 12 · 2015: 28 · 2014: 27 · 2013: 21 · 2012: 38
- FWCI
- 10.67
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Psycho-Oncology (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Funders
- Wake Forest University
- National Cancer Institute (P30CA012197)
- Topics
- Health Sciences › Medicine › Oncology › Cancer survivorship and care
- Social Sciences › Psychology › Clinical Psychology › Mindfulness and Compassion Interventions
- Health Sciences › Medicine › Complementary and alternative medicine › Complementary and Alternative Medicine Studies
- Keywords
- restorative yoga, breast cancer, emotional well-being, depression, positive affect, spirituality, fatigue, health-related quality of life, cancer survivors, intervention adherence
- MeSH terms
- Adult, Aged, Breast Neoplasms, Feasibility Studies, Female, Health Promotion, Health Status, Humans, Middle Aged, Neoplasm Staging, Pilot Projects, Quality of Life, Surveys and Questionnaires, Yoga
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