Cited by 102Cancer survivorship and careMindfulness and Compassion InterventionsComplementary and Alternative Medicine Studies

Yoga for depression and anxiety symptoms in people with cancer: A systematic review and meta‐analysis

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Gonzalez, Maria, Pascoe, Michaela C., Yang, Guoyan, de Manincor, Michael, Grant, Suzanne, Lacey, Judith, Firth, Joseph, Sarris, Jerome·2021·Psycho-Oncology

Abstract

Objective: Cancer and its treatment can lead to a variety of physical and emotional concerns impacting on those affected, including subclinical or clinical depression and anxiety, which in turn have a significant impact on wellbeing, quality of life and survival. The aim of this review was to evaluate the effect of yoga‐based interventions on self‐reported depression and anxiety symptoms in people with cancer in randomized controlled trials. Method: Six databases were searched to identify relevant studies. Systematic review procedures were followed including a quality assessment. Meta‐analysis of suitable studies was conducted. Results: 26 studies from our search criteria were eligible for inclusion for depressive and 16 for anxiety symptoms. Meta‐analyses revealed evidence for significant medium effects of yoga on depression symptoms ( N = 1,486, g = −0.419, 95% confidence interval [CI] = −0.558 to −0.281, p < 0.001) and anxiety ( N = 977, g = −0.347, 95% CI = −0.473 to −0.221, p < 0.001) compared to controls. Subgroup analyses for depressive symptoms revealed significant effects for all analyses performed (type of cancer, type of control, treatment status, duration of intervention or frequency of yoga sessions), with effect sizes being comparable between subgroups. Similar findings were found for anxiety symptoms except for treatment status, where the only significant effect was found when yoga was delivered during active treatment. Conclusions: This review provides evidence that in people with cancer, yoga‐based interventions are associated with amelioration of depression and anxiety symptoms and therefore a promising therapeutic modality for their management. However, the potential for risk of bias together with control group design challenges means the results should be interpreted with caution.

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  1. Bryant E. The Yoga Sutras of Patanjali. North Point Press, NY; 2009.
  2. Gonzalez, M;Pascoe, MC;Yang, G;de Manincor, M;Grant, S;Lacey, J;Firth, J;Sarris, J Title: Yoga for depression and anxiety symptoms in people with cancer: A systematic review and meta-analysis Date: 2021-08 Citation:
  3. Gonzalez, M., Pascoe, M. C., Yang, G., de Manincor, M., Grant, S., Lacey, J., Firth, J. & Sarris, J. (2021). Yoga for depression and anxiety symptoms in people with cancer: A systematic review and meta-analysis. PSYCHO-ONCOLOGY, 30 (8), pp.1196-1208. https:// doi.org/10.1002/pon.5671. Persistent Link: http://hdl.handle.net/11343/298380

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Authors
Gonzalez, M., Pascoe, M. C., Yang, G., de Manincor, M., Grant, S., Lacey, J., Firth, J., & Sarris, J.
Affiliations
  • Western Sydney University (AU)
  • Victoria University (AU)
  • NICM Health Research Institute Western Sydney University Penrith New South Wales Australia
  • Chris O’Brien Lifehouse (AU)
  • The University of Sydney (AU)
  • University of Manchester (GB)
  • The University of Melbourne (AU)
Corresponding author
Sarris, Jerome
Venue
Psycho-Oncology
Publisher
Wiley
Published
2021-03-24
Volume
30
Issue
8
Pages
1196-1208
ISSN
  • 1057-9249 (ISSN-L)
  • 1099-1611
OpenAlex
W3135788021
Cited by
102
References
82
Citations by year
2026: 17 · 2025: 17 · 2024: 28 · 2023: 29 · 2022: 9 · 2021: 2
FWCI
2.06
Type
journal article
Language
en
Open access
Locations
  • Psycho-Oncology (publishedVersion)
  • PubMed (publishedVersion)
  • Research Explorer (The University of Manchester) (publishedVersion, other-oa)
  • Minerva Access (University of Melbourne) (submittedVersion)
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
yoga, depression, anxiety, cancer patients, yoga intervention, psychological distress, quality of life, complementary therapy
MeSH terms
Anxiety, Depression, Humans, Neoplasms, Quality of Life, Yoga

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