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
Hauptverfasser: Boxleitner, Gisela, Jolie, Shelley, Shaffer, Dana, Pasacreta, Nicholas, Bai, Mei, McCorkle, Ruth
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container_end_page 361
container_issue 5
container_start_page 355
container_title Journal of integrative and complementary medicine (Print)
container_volume 23
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.
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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. 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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. 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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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