Comparison of Two Types of Meditation on Patients' Psychosocial Responses During Radiation Therapy for Head and Neck Cancer
Objectives: Radiation treatment for head and neck cancer introduces adaptive demands and subjects patients to significant and unique psychosocial challenges. There is growing evidence that meditation is useful in lessening anxiety and depression in cancer patients. This study compared the effects of...
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Veröffentlicht in: | Journal of integrative and complementary medicine (Print) 2017-05, Vol.23 (5), p.355-361 |
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creator | Boxleitner, Gisela Jolie, Shelley Shaffer, Dana Pasacreta, Nicholas Bai, Mei McCorkle, Ruth |
description | Objectives:
Radiation treatment for head and neck cancer introduces adaptive demands and subjects patients to significant and unique psychosocial challenges. There is growing evidence that meditation is useful in lessening anxiety and depression in cancer patients. This study compared the effects of two types of meditation training on the psychological responses of patients with head and neck cancer during radiation therapy.
Design:
Randomized clinical trial.
Setting:
Smilow Cancer Hospital at Yale New Haven.
Patients:
A total of 29 patients with head and neck cancers were recruited and 28 patients were followed during their radiation therapy over 12 weeks.
Interventions:
Depending on their group assignment, patients were taught one of two standardized meditations: meditation with a coach or self-meditation with a CD.
Outcome measures:
Patient psychosocial responses were defined as anxiety, depression, and emotional distress and were measured by the Hospital and Anxiety Depression Scale (HADS) and the Emotional Distress Thermometer. Measures were self-reported and collected by the nurse manager at baseline and 6 and 12 weeks during the patient's scheduled weekly visit.
Results:
No significant mean differences were found between the two meditation groups on all three outcomes: anxiety, depression, and emotional distress. Patients in both the meditation with a coach and self-meditation with a CD groups reported less distress from baseline and at 6 and 12 weeks, as evidenced by the HADS anxiety scale.
Conclusions:
This study demonstrated two equally effective meditation techniques that can be implemented with patients experiencing high stress during radiation treatments in any health care setting to decrease patient anxiety, depression, and emotional distress. The data established self-meditation with a CD as a more cost-effective alternative to meditation with a coach, which requires intensive training and time commitment for patients. |
doi_str_mv | 10.1089/acm.2016.0214 |
format | Article |
fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_1891887333</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>1923292256</sourcerecordid><originalsourceid>FETCH-LOGICAL-c365t-70c0606f76da938d10c7f3c236554bc04e40825ebaa71215e0c7e354b89da3343</originalsourceid><addsrcrecordid>eNqFkc1v1DAQxa0KRMvCsdfKUg_lksWfsXOstkCRClTVcra8zoS6TezUToRW_PM42sKBC754Zt5vnkZ6CJ1SsqZEN--tG9aM0HpNGBVH6IRKqSqliH5RaqJkJSWXx-h1zg-EECEa9godMy24okKdoF-bOIw2-RwDjh3e_ox4ux8hL80XaP1kJ79IAd-WCsKUL_Bt3rv7mKPztsd3kMcYctm4mpMPP_Cdbf1haXsPyY573MWEr8G22IYWfwX3iDc2OEhv0MvO9hnePv8r9P3jh-3murr59unz5vKmcryWU6WIIzWpO1W3tuG6pcSpjjtWRCl2jggQRDMJO2sVZVRC0YEXSTet5VzwFXp38B1TfJohT2bw2UHf2wBxzobqhmqteHkrdP4P-hDnFMp1hjaMs4YxWReqOlAuxZwTdGZMfrBpbygxSyqmpGKWVMySSuHPnl3n3QDtX_pPDAXgB2AZ2xB6DztI039sfwM-vJhf</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1923292256</pqid></control><display><type>article</type><title>Comparison of Two Types of Meditation on Patients' Psychosocial Responses During Radiation Therapy for Head and Neck Cancer</title><source>MEDLINE</source><source>Alma/SFX Local Collection</source><creator>Boxleitner, Gisela ; Jolie, Shelley ; Shaffer, Dana ; Pasacreta, Nicholas ; Bai, Mei ; McCorkle, Ruth</creator><creatorcontrib>Boxleitner, Gisela ; Jolie, Shelley ; Shaffer, Dana ; Pasacreta, Nicholas ; Bai, Mei ; McCorkle, Ruth</creatorcontrib><description>Objectives:
Radiation treatment for head and neck cancer introduces adaptive demands and subjects patients to significant and unique psychosocial challenges. There is growing evidence that meditation is useful in lessening anxiety and depression in cancer patients. This study compared the effects of two types of meditation training on the psychological responses of patients with head and neck cancer during radiation therapy.
Design:
Randomized clinical trial.
Setting:
Smilow Cancer Hospital at Yale New Haven.
Patients:
A total of 29 patients with head and neck cancers were recruited and 28 patients were followed during their radiation therapy over 12 weeks.
Interventions:
Depending on their group assignment, patients were taught one of two standardized meditations: meditation with a coach or self-meditation with a CD.
Outcome measures:
Patient psychosocial responses were defined as anxiety, depression, and emotional distress and were measured by the Hospital and Anxiety Depression Scale (HADS) and the Emotional Distress Thermometer. Measures were self-reported and collected by the nurse manager at baseline and 6 and 12 weeks during the patient's scheduled weekly visit.
Results:
No significant mean differences were found between the two meditation groups on all three outcomes: anxiety, depression, and emotional distress. Patients in both the meditation with a coach and self-meditation with a CD groups reported less distress from baseline and at 6 and 12 weeks, as evidenced by the HADS anxiety scale.
Conclusions:
This study demonstrated two equally effective meditation techniques that can be implemented with patients experiencing high stress during radiation treatments in any health care setting to decrease patient anxiety, depression, and emotional distress. The data established self-meditation with a CD as a more cost-effective alternative to meditation with a coach, which requires intensive training and time commitment for patients.</description><identifier>ISSN: 1075-5535</identifier><identifier>ISSN: 2768-3605</identifier><identifier>EISSN: 1557-7708</identifier><identifier>EISSN: 2768-3613</identifier><identifier>DOI: 10.1089/acm.2016.0214</identifier><identifier>PMID: 28437147</identifier><language>eng</language><publisher>United States: Mary Ann Liebert, Inc</publisher><subject>Aged ; Anxiety ; Anxiety - etiology ; Anxiety - therapy ; Cancer ; Cancer therapies ; Depression - etiology ; Depression - therapy ; Emotions ; Female ; Head & neck cancer ; Head and Neck Neoplasms - complications ; Head and Neck Neoplasms - psychology ; Head and Neck Neoplasms - radiotherapy ; Humans ; Male ; Meditation ; Meditation - methods ; Mental depression ; Middle Aged ; Original Articles ; Patients ; Radiation ; Radiation therapy ; Radiotherapy - adverse effects</subject><ispartof>Journal of integrative and complementary medicine (Print), 2017-05, Vol.23 (5), p.355-361</ispartof><rights>2017, Mary Ann Liebert, Inc.</rights><rights>(©) Copyright 2017, Mary Ann Liebert, Inc.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c365t-70c0606f76da938d10c7f3c236554bc04e40825ebaa71215e0c7e354b89da3343</citedby><cites>FETCH-LOGICAL-c365t-70c0606f76da938d10c7f3c236554bc04e40825ebaa71215e0c7e354b89da3343</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27901,27902</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/28437147$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Boxleitner, Gisela</creatorcontrib><creatorcontrib>Jolie, Shelley</creatorcontrib><creatorcontrib>Shaffer, Dana</creatorcontrib><creatorcontrib>Pasacreta, Nicholas</creatorcontrib><creatorcontrib>Bai, Mei</creatorcontrib><creatorcontrib>McCorkle, Ruth</creatorcontrib><title>Comparison of Two Types of Meditation on Patients' Psychosocial Responses During Radiation Therapy for Head and Neck Cancer</title><title>Journal of integrative and complementary medicine (Print)</title><addtitle>J Altern Complement Med</addtitle><description>Objectives:
Radiation treatment for head and neck cancer introduces adaptive demands and subjects patients to significant and unique psychosocial challenges. There is growing evidence that meditation is useful in lessening anxiety and depression in cancer patients. This study compared the effects of two types of meditation training on the psychological responses of patients with head and neck cancer during radiation therapy.
Design:
Randomized clinical trial.
Setting:
Smilow Cancer Hospital at Yale New Haven.
Patients:
A total of 29 patients with head and neck cancers were recruited and 28 patients were followed during their radiation therapy over 12 weeks.
Interventions:
Depending on their group assignment, patients were taught one of two standardized meditations: meditation with a coach or self-meditation with a CD.
Outcome measures:
Patient psychosocial responses were defined as anxiety, depression, and emotional distress and were measured by the Hospital and Anxiety Depression Scale (HADS) and the Emotional Distress Thermometer. Measures were self-reported and collected by the nurse manager at baseline and 6 and 12 weeks during the patient's scheduled weekly visit.
Results:
No significant mean differences were found between the two meditation groups on all three outcomes: anxiety, depression, and emotional distress. Patients in both the meditation with a coach and self-meditation with a CD groups reported less distress from baseline and at 6 and 12 weeks, as evidenced by the HADS anxiety scale.
Conclusions:
This study demonstrated two equally effective meditation techniques that can be implemented with patients experiencing high stress during radiation treatments in any health care setting to decrease patient anxiety, depression, and emotional distress. The data established self-meditation with a CD as a more cost-effective alternative to meditation with a coach, which requires intensive training and time commitment for patients.</description><subject>Aged</subject><subject>Anxiety</subject><subject>Anxiety - etiology</subject><subject>Anxiety - therapy</subject><subject>Cancer</subject><subject>Cancer therapies</subject><subject>Depression - etiology</subject><subject>Depression - therapy</subject><subject>Emotions</subject><subject>Female</subject><subject>Head & neck cancer</subject><subject>Head and Neck Neoplasms - complications</subject><subject>Head and Neck Neoplasms - psychology</subject><subject>Head and Neck Neoplasms - radiotherapy</subject><subject>Humans</subject><subject>Male</subject><subject>Meditation</subject><subject>Meditation - methods</subject><subject>Mental depression</subject><subject>Middle Aged</subject><subject>Original Articles</subject><subject>Patients</subject><subject>Radiation</subject><subject>Radiation therapy</subject><subject>Radiotherapy - adverse effects</subject><issn>1075-5535</issn><issn>2768-3605</issn><issn>1557-7708</issn><issn>2768-3613</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2017</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkc1v1DAQxa0KRMvCsdfKUg_lksWfsXOstkCRClTVcra8zoS6TezUToRW_PM42sKBC754Zt5vnkZ6CJ1SsqZEN--tG9aM0HpNGBVH6IRKqSqliH5RaqJkJSWXx-h1zg-EECEa9godMy24okKdoF-bOIw2-RwDjh3e_ox4ux8hL80XaP1kJ79IAd-WCsKUL_Bt3rv7mKPztsd3kMcYctm4mpMPP_Cdbf1haXsPyY573MWEr8G22IYWfwX3iDc2OEhv0MvO9hnePv8r9P3jh-3murr59unz5vKmcryWU6WIIzWpO1W3tuG6pcSpjjtWRCl2jggQRDMJO2sVZVRC0YEXSTet5VzwFXp38B1TfJohT2bw2UHf2wBxzobqhmqteHkrdP4P-hDnFMp1hjaMs4YxWReqOlAuxZwTdGZMfrBpbygxSyqmpGKWVMySSuHPnl3n3QDtX_pPDAXgB2AZ2xB6DztI039sfwM-vJhf</recordid><startdate>20170501</startdate><enddate>20170501</enddate><creator>Boxleitner, Gisela</creator><creator>Jolie, Shelley</creator><creator>Shaffer, Dana</creator><creator>Pasacreta, Nicholas</creator><creator>Bai, Mei</creator><creator>McCorkle, Ruth</creator><general>Mary Ann Liebert, Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7T5</scope><scope>7TK</scope><scope>7TS</scope><scope>H94</scope><scope>7X8</scope></search><sort><creationdate>20170501</creationdate><title>Comparison of Two Types of Meditation on Patients' Psychosocial Responses During Radiation Therapy for Head and Neck Cancer</title><author>Boxleitner, Gisela ; Jolie, Shelley ; Shaffer, Dana ; Pasacreta, Nicholas ; Bai, Mei ; McCorkle, Ruth</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c365t-70c0606f76da938d10c7f3c236554bc04e40825ebaa71215e0c7e354b89da3343</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2017</creationdate><topic>Aged</topic><topic>Anxiety</topic><topic>Anxiety - etiology</topic><topic>Anxiety - therapy</topic><topic>Cancer</topic><topic>Cancer therapies</topic><topic>Depression - etiology</topic><topic>Depression - therapy</topic><topic>Emotions</topic><topic>Female</topic><topic>Head & neck cancer</topic><topic>Head and Neck Neoplasms - complications</topic><topic>Head and Neck Neoplasms - psychology</topic><topic>Head and Neck Neoplasms - radiotherapy</topic><topic>Humans</topic><topic>Male</topic><topic>Meditation</topic><topic>Meditation - methods</topic><topic>Mental depression</topic><topic>Middle Aged</topic><topic>Original Articles</topic><topic>Patients</topic><topic>Radiation</topic><topic>Radiation therapy</topic><topic>Radiotherapy - adverse effects</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Boxleitner, Gisela</creatorcontrib><creatorcontrib>Jolie, Shelley</creatorcontrib><creatorcontrib>Shaffer, Dana</creatorcontrib><creatorcontrib>Pasacreta, Nicholas</creatorcontrib><creatorcontrib>Bai, Mei</creatorcontrib><creatorcontrib>McCorkle, Ruth</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Immunology Abstracts</collection><collection>Neurosciences Abstracts</collection><collection>Physical Education Index</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of integrative and complementary medicine (Print)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Boxleitner, Gisela</au><au>Jolie, Shelley</au><au>Shaffer, Dana</au><au>Pasacreta, Nicholas</au><au>Bai, Mei</au><au>McCorkle, Ruth</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Comparison of Two Types of Meditation on Patients' Psychosocial Responses During Radiation Therapy for Head and Neck Cancer</atitle><jtitle>Journal of integrative and complementary medicine (Print)</jtitle><addtitle>J Altern Complement Med</addtitle><date>2017-05-01</date><risdate>2017</risdate><volume>23</volume><issue>5</issue><spage>355</spage><epage>361</epage><pages>355-361</pages><issn>1075-5535</issn><issn>2768-3605</issn><eissn>1557-7708</eissn><eissn>2768-3613</eissn><abstract>Objectives:
Radiation treatment for head and neck cancer introduces adaptive demands and subjects patients to significant and unique psychosocial challenges. There is growing evidence that meditation is useful in lessening anxiety and depression in cancer patients. This study compared the effects of two types of meditation training on the psychological responses of patients with head and neck cancer during radiation therapy.
Design:
Randomized clinical trial.
Setting:
Smilow Cancer Hospital at Yale New Haven.
Patients:
A total of 29 patients with head and neck cancers were recruited and 28 patients were followed during their radiation therapy over 12 weeks.
Interventions:
Depending on their group assignment, patients were taught one of two standardized meditations: meditation with a coach or self-meditation with a CD.
Outcome measures:
Patient psychosocial responses were defined as anxiety, depression, and emotional distress and were measured by the Hospital and Anxiety Depression Scale (HADS) and the Emotional Distress Thermometer. Measures were self-reported and collected by the nurse manager at baseline and 6 and 12 weeks during the patient's scheduled weekly visit.
Results:
No significant mean differences were found between the two meditation groups on all three outcomes: anxiety, depression, and emotional distress. Patients in both the meditation with a coach and self-meditation with a CD groups reported less distress from baseline and at 6 and 12 weeks, as evidenced by the HADS anxiety scale.
Conclusions:
This study demonstrated two equally effective meditation techniques that can be implemented with patients experiencing high stress during radiation treatments in any health care setting to decrease patient anxiety, depression, and emotional distress. The data established self-meditation with a CD as a more cost-effective alternative to meditation with a coach, which requires intensive training and time commitment for patients.</abstract><cop>United States</cop><pub>Mary Ann Liebert, Inc</pub><pmid>28437147</pmid><doi>10.1089/acm.2016.0214</doi><tpages>7</tpages></addata></record> |
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source | MEDLINE; Alma/SFX Local Collection |
subjects | Aged Anxiety Anxiety - etiology Anxiety - therapy Cancer Cancer therapies Depression - etiology Depression - therapy Emotions Female Head & neck cancer Head and Neck Neoplasms - complications Head and Neck Neoplasms - psychology Head and Neck Neoplasms - radiotherapy Humans Male Meditation Meditation - methods Mental depression Middle Aged Original Articles Patients Radiation Radiation therapy Radiotherapy - adverse effects |
title | Comparison of Two Types of Meditation on Patients' Psychosocial Responses During Radiation Therapy for Head and Neck Cancer |
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