The effects of relaxation on reducing depression, anxiety and stress in women who underwent mastectomy for breast cancer
- PMID: 23493112
- PMCID: PMC3590692
The effects of relaxation on reducing depression, anxiety and stress in women who underwent mastectomy for breast cancer
Abstract
Background: Breast cancer is one of the most frequent malignancies among Iranian women. These patients suffer from a wide range of physical and mental (depression, anxiety and stress) signs and symptoms during the diagnostic and therapeutic processes. Despite the improvement in survival rates due to advances in medical care, different types of psychosocial interventions are still growingly needed considering the increasing number of cancer patients with longer survival times. The objective of this study was to determine the effect of relaxation on depression, anxiety and stress in women who underwent mastectomy for breast cancer.
Materials and methods: This clinical trial was conducted during about 4.5 months in a referral chemotherapy clinic of a teaching hospital in Isfahan, Iran. The participants consisted of 48 breast cancer patients who were selected by simple random sampling. They were randomly assigned into two groups of control and case. The control group was treated only by usual medical therapy, whereas the case group was treated by combined medical-relaxation therapy. Data collection tools were the validated Depression, Anxiety and Stress Scale (DASS42) and a demographic questionnaire. Data were analyzed by SPSS using descriptive statistics, repeated measures analysis of variance (ANOVA), chi-square test and paired t-test..
Findings: The baseline mean scores of depression, anxiety and stress were not significantly different between the case and control groups. However, the scores in the case group improved significantly after the treatment (p < 0.05). On the contrary, such improvement was not seen in the control group.
Conclusions: Relaxation therapy can be effective in the improvement of depression, anxiety and stress. Therefore, it can be recommended as an effective care program in patients with malignant disorders.
Keywords: Relaxation; anxiety; breast cancer; depression; mastectomy; stress.
Conflict of interest statement
References
-
- Kruk J, Aboul-Enein HY. Psychological stress and the risk of breast cancer: a case-control study. Cancer Detect Prev. 2004;28(6):399–408. - PubMed
-
- Country report of cancer cases in 2007. Tehran: Ministry of Health and Medical Education; Disease Management Center, Deputy of non-infectious and nonspecific diseases, Cancer Management; 2010. Department of Health.
-
- Sirus M, Ebrahimi A. Epidemiology of women's cancer tumors in Isfahan. Iranian Journal of Surgery. 2008;16(3):51–6.
-
- Taleghani F, Parsa Yekta Z, Nikbakht Nasrabadi AR. Coping with breast cancer in newly diagnosed women: a qualitative study. Iraninan Psychiatry and Clinical Psychology. 2006;12(3):282–8.
-
- Ramezani T. Depression and counseling need in women with breast cancer referring to chemotherapy centers in Kerman. Iraninan Psychiatry and Clinical Psychology. 2001;6(4):70–7.
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