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BMJ. 1988 November 5; 297(6657): 1169–1172.
PMCID: PMC1835041

Relaxation and imagery in the treatment of breast cancer.

Abstract

OBJECTIVE--To see whether stress could be alleviated in patients being treated for early breast cancer. DESIGN--Controlled randomised trial lasting six weeks. SETTING--Outpatient radiotherapy department in a teaching hospital. PATIENTS--One hundred fifty four women with breast cancer stage I or II after first session of six week course of radiotherapy, of whom 15 dropped out before end of study. INTERVENTION--Patients saw one of two researchers once a week for six weeks. Controls were encouraged to talk about themselves; relaxation group was taught concentration on individual muscle groups; relaxation and imagery group was also taught to imagine peaceful scene of own choice to enhance relaxation. Relaxation and relaxation plus imagery groups were given tape recording repeating instructions and told to practise at least 15 minutes a day. END POINT--Improvement of mood and of depression and anxiety on self rating scales. MEASUREMENTS AND MAIN RESULTS--Initial scores for profile of mood states and Leeds general scales for depression and anxiety were the same in all groups. At six weeks total mood disturbance score was significantly less in the intervention groups, women in the combined intervention group being more relaxed than those receiving relaxation training only; mood in the control group was worse. Women aged 55 and over benefited most. There was no difference in Leeds scores among the groups. CONCLUSIONS--Patients with early breast cancer benefit from relaxation training.

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Selected References

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  • LESHAN LL, WORTHINGTON RE. Personality as factor in the pathogenesis of cancer: a review of the literature. Br J Med Psychol. 1956;29(1):49–56. [PubMed]
  • Jacobs TJ, Charles E. Life events and the occurrence of cancer in children. Psychosom Med. 1980 Jan;42(1):11–24. [PubMed]
  • Schonfield J. Psychological and life-experience differences between Israeli women with benign and cancerous breast lesions. J Psychosom Res. 1975;19(4):229–234. [PubMed]
  • Greer S, Morris T. The study of psychological factors in breast cancer: problems of method. Soc Sci Med. 1978 May;12(3A):129–134. [PubMed]
  • Cox T, Mackay C. Psychosocial factors and psychophysiological mechanisms in the aetiology and development of cancers. Soc Sci Med. 1982;16(4):381–396. [PubMed]
  • Greer S. Cancer and the mind. Maudsley Bequest Lecture delivered before the Royal College of Psychiatrists, February 1983. Br J Psychiatry. 1983 Dec;143:535–543. [PubMed]
  • Peck A. Emotional reactions to having cancer. Am J Roentgenol Radium Ther Nucl Med. 1972 Mar;114(3):591–599. [PubMed]
  • Greer S, Silberfarb PM. Psychological concomitants of cancer: current state of research. Psychol Med. 1982 Aug;12(3):563–573. [PubMed]
  • Patel C, Marmot MG, Terry DJ. Controlled trial of biofeedback-aided behavioural methods in reducing mild hypertension. Br Med J (Clin Res Ed) 1981 Jun 20;282(6281):2005–2008. [PMC free article] [PubMed]
  • Patel C, Marmot MG, Terry DJ, Carruthers M, Hunt B, Patel M. Trial of relaxation in reducing coronary risk: four year follow up. Br Med J (Clin Res Ed) 1985 Apr 13;290(6475):1103–1106. [PMC free article] [PubMed]
  • Fleming U. Relaxation therapy for far-advanced cancer. Practitioner. 1985 May;229(1403):471–475. [PubMed]
  • Spiegel D, Bloom JR, Yalom I. Group support for patients with metastatic cancer. A randomized outcome study. Arch Gen Psychiatry. 1981 May;38(5):527–533. [PubMed]
  • Snaith RP, Bridge GW, Hamilton M. The Leeds scales for the self-assessment of anxiety and depression. Br J Psychiatry. 1976 Feb;128:156–165. [PubMed]
  • McLean J. The use of relaxation techniques in general practice. Practitioner. 1986 Dec;230(1422):1079–1084. [PubMed]
  • Lyles JN, Burish TG, Krozely MG, Oldham RK. Efficacy of relaxation training and guided imagery in reducing the aversiveness of cancer chemotherapy. J Consult Clin Psychol. 1982 Aug;50(4):509–524. [PubMed]
  • Peck A, Boland J. Emotional reactions to radiation treatment. Cancer. 1977 Jul;40(1):180–184. [PubMed]
  • Forester BM, Kornfeld DS, Fleiss J. Psychiatric aspects of radiotherapy. Am J Psychiatry. 1978 Aug;135(8):960–963. [PubMed]
  • Greer S, Morris T. Psychological attributes of women who develop breast cancer: a controlled study. J Psychosom Res. 1975 Apr;19(2):147–153. [PubMed]
  • Jansen MA, Muenz LR. A retrospective study of personality variables associated with fibrocystic disease and breast cancer. J Psychosom Res. 1984;28(1):35–42. [PubMed]
  • Maguire GP, Tait A, Brooke M, Thomas C, Howat JM, Sellwood RA, Bush H. Psychiatric morbidity and physical toxicity associated with adjuvant chemotherapy after mastectomy. Br Med J. 1980 Nov 1;281(6249):1179–1180. [PMC free article] [PubMed]
  • Zigmond AS, Snaith RP. The hospital anxiety and depression scale. Acta Psychiatr Scand. 1983 Jun;67(6):361–370. [PubMed]
  • Fallowfield LJ, Baum M, Maguire GP. Effects of breast conservation on psychological morbidity associated with diagnosis and treatment of early breast cancer. Br Med J (Clin Res Ed) 1986 Nov 22;293(6558):1331–1334. [PMC free article] [PubMed]
  • Sims SE. Relaxation training as a technique for helping patients cope with the experience of cancer: a selective review of the literature. J Adv Nurs. 1987 Sep;12(5):583–591. [PubMed]

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