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Yoga and self-reported cognitive problems in breast cancer survivors: a randomized controlled trial.
Psychooncology 2015; 24(8):958-66P

Abstract

OBJECTIVES

Cancer survivors often report cognitive problems. Furthermore, decreases in physical activity typically occur over the course of cancer treatment. Although physical activity benefits cognitive function in noncancer populations, evidence linking physical activity to cognitive function in cancer survivors is limited. In our recent randomized controlled trial, breast cancer survivors who received a yoga intervention had lower fatigue and inflammation following the trial compared with a wait list control group. This secondary analysis of the parent trial addressed yoga's impact on cognitive complaints.

METHODS

Posttreatment stage 0-IIIA breast cancer survivors (n = 200) were randomized to a 12-week, twice-weekly Hatha yoga intervention or a wait list control group. Participants reported cognitive complaints using the Breast Cancer Prevention Trial Cognitive Problems Scale at baseline, immediately postintervention, and 3-month follow-up.

RESULTS

Cognitive complaints did not differ significantly between groups immediately postintervention (p = 0.250). However, at 3-month follow-up, yoga participants' Breast Cancer Prevention Trial Cognitive Problems Scale scores were an average of 23% lower than wait list participants' scores (p = 0.003). These group differences in cognitive complaints remained after controlling for psychological distress, fatigue, and sleep quality. Consistent with the primary results, those who practiced yoga more frequently reported significantly fewer cognitive problems at 3-month follow-up than those who practiced less frequently (p < 0.001).

CONCLUSIONS

These findings suggest that yoga can effectively reduce breast cancer survivors' cognitive complaints and prompt further research on mind-body and physical activity interventions for improving cancer-related cognitive problems.

Authors+Show Affiliations

Institute for Behavioral Medicine Research, The Ohio State University College of Medicine, The Ohio State University, Columbus, OH, USA. Department of Psychology, The Ohio State University, Columbus, OH, USA.Institute for Behavioral Medicine Research, The Ohio State University College of Medicine, The Ohio State University, Columbus, OH, USA.Department of Psychology, The University of North Carolina at Charlotte, Charlotte, NC, USA.College of Public Health, The Ohio State University, Columbus, OH, USA.College of Public Health, The Ohio State University, Columbus, OH, USA.Department of Internal Medicine, The Ohio State University College of Medicine, The Ohio State University, Columbus, OH, USA. Comprehensive Cancer Center, The Ohio State University College of Medicine, The Ohio State University, Columbus, OH, USA.Institute for Behavioral Medicine Research, The Ohio State University College of Medicine, The Ohio State University, Columbus, OH, USA. Department of Internal Medicine, The Ohio State University College of Medicine, The Ohio State University, Columbus, OH, USA. Comprehensive Cancer Center, The Ohio State University College of Medicine, The Ohio State University, Columbus, OH, USA.Institute for Behavioral Medicine Research, The Ohio State University College of Medicine, The Ohio State University, Columbus, OH, USA. Department of Psychology, The Ohio State University, Columbus, OH, USA.Department of Internal Medicine, The Ohio State University College of Medicine, The Ohio State University, Columbus, OH, USA. Comprehensive Cancer Center, The Ohio State University College of Medicine, The Ohio State University, Columbus, OH, USA.Department of Internal Medicine, The Ohio State University College of Medicine, The Ohio State University, Columbus, OH, USA. Comprehensive Cancer Center, The Ohio State University College of Medicine, The Ohio State University, Columbus, OH, USA.Institute for Behavioral Medicine Research, The Ohio State University College of Medicine, The Ohio State University, Columbus, OH, USA. Comprehensive Cancer Center, The Ohio State University College of Medicine, The Ohio State University, Columbus, OH, USA. Department of Molecular Virology, Immunology and Medical Genetics, The Ohio State University College of Medicine, The Ohio State University, Columbus, OH, USA.Institute for Behavioral Medicine Research, The Ohio State University College of Medicine, The Ohio State University, Columbus, OH, USA. Comprehensive Cancer Center, The Ohio State University College of Medicine, The Ohio State University, Columbus, OH, USA. Department of Psychiatry, The Ohio State University College of Medicine, The Ohio State University, Columbus, OH, USA.

Pub Type(s)

Journal Article
Randomized Controlled Trial
Research Support, N.I.H., Extramural
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

25336068

Citation

Derry, Heather M., et al. "Yoga and Self-reported Cognitive Problems in Breast Cancer Survivors: a Randomized Controlled Trial." Psycho-oncology, vol. 24, no. 8, 2015, pp. 958-66.
Derry HM, Jaremka LM, Bennett JM, et al. Yoga and self-reported cognitive problems in breast cancer survivors: a randomized controlled trial. Psychooncology. 2015;24(8):958-66.
Derry, H. M., Jaremka, L. M., Bennett, J. M., Peng, J., Andridge, R., Shapiro, C., ... Kiecolt-Glaser, J. K. (2015). Yoga and self-reported cognitive problems in breast cancer survivors: a randomized controlled trial. Psycho-oncology, 24(8), pp. 958-66. doi:10.1002/pon.3707.
Derry HM, et al. Yoga and Self-reported Cognitive Problems in Breast Cancer Survivors: a Randomized Controlled Trial. Psychooncology. 2015;24(8):958-66. PubMed PMID: 25336068.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Yoga and self-reported cognitive problems in breast cancer survivors: a randomized controlled trial. AU - Derry,Heather M, AU - Jaremka,Lisa M, AU - Bennett,Jeanette M, AU - Peng,Juan, AU - Andridge,Rebecca, AU - Shapiro,Charles, AU - Malarkey,William B, AU - Emery,Charles F, AU - Layman,Rachel, AU - Mrozek,Ewa, AU - Glaser,Ronald, AU - Kiecolt-Glaser,Janice K, Y1 - 2014/10/21/ PY - 2014/03/06/received PY - 2014/09/02/revised PY - 2014/09/17/accepted PY - 2014/10/23/entrez PY - 2014/10/23/pubmed PY - 2016/12/15/medline KW - cancer KW - cognition KW - oncology KW - physical activity KW - yoga SP - 958 EP - 66 JF - Psycho-oncology JO - Psychooncology VL - 24 IS - 8 N2 - OBJECTIVES: Cancer survivors often report cognitive problems. Furthermore, decreases in physical activity typically occur over the course of cancer treatment. Although physical activity benefits cognitive function in noncancer populations, evidence linking physical activity to cognitive function in cancer survivors is limited. In our recent randomized controlled trial, breast cancer survivors who received a yoga intervention had lower fatigue and inflammation following the trial compared with a wait list control group. This secondary analysis of the parent trial addressed yoga's impact on cognitive complaints. METHODS: Posttreatment stage 0-IIIA breast cancer survivors (n = 200) were randomized to a 12-week, twice-weekly Hatha yoga intervention or a wait list control group. Participants reported cognitive complaints using the Breast Cancer Prevention Trial Cognitive Problems Scale at baseline, immediately postintervention, and 3-month follow-up. RESULTS: Cognitive complaints did not differ significantly between groups immediately postintervention (p = 0.250). However, at 3-month follow-up, yoga participants' Breast Cancer Prevention Trial Cognitive Problems Scale scores were an average of 23% lower than wait list participants' scores (p = 0.003). These group differences in cognitive complaints remained after controlling for psychological distress, fatigue, and sleep quality. Consistent with the primary results, those who practiced yoga more frequently reported significantly fewer cognitive problems at 3-month follow-up than those who practiced less frequently (p < 0.001). CONCLUSIONS: These findings suggest that yoga can effectively reduce breast cancer survivors' cognitive complaints and prompt further research on mind-body and physical activity interventions for improving cancer-related cognitive problems. SN - 1099-1611 UR - https://www.unboundmedicine.com/medline/citation/25336068/Yoga_and_self_reported_cognitive_problems_in_breast_cancer_survivors:_a_randomized_controlled_trial_ L2 - https://doi.org/10.1002/pon.3707 DB - PRIME DP - Unbound Medicine ER -