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The effect of relaxation techniques on edema, anxiety and depression in post-mastectomy lymphedema patients undergoing comprehensive decongestive therapy: A clinical trial

OBJECTIVES: Lymphedema is sometimes accompanied by high degrees of anxiety and depression. This study aimed to assess the effects of relaxation techniques on the level of edema, anxiety and depression in women undergoing Comprehensive Decongestive Therapy (CDT). DESIGN: This clinical trial compared...

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Autores principales: Abbasi, Bahareh, Mirzakhany, Navid, Angooti Oshnari, Leila, Irani, Ashkan, Hosseinzadeh, Samaneh, Tabatabaei, Seyed Mehdi, Haghighat, Shahpar
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Public Library of Science 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5755759/
https://www.ncbi.nlm.nih.gov/pubmed/29304095
http://dx.doi.org/10.1371/journal.pone.0190231
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author Abbasi, Bahareh
Mirzakhany, Navid
Angooti Oshnari, Leila
Irani, Ashkan
Hosseinzadeh, Samaneh
Tabatabaei, Seyed Mehdi
Haghighat, Shahpar
author_facet Abbasi, Bahareh
Mirzakhany, Navid
Angooti Oshnari, Leila
Irani, Ashkan
Hosseinzadeh, Samaneh
Tabatabaei, Seyed Mehdi
Haghighat, Shahpar
author_sort Abbasi, Bahareh
collection PubMed
description OBJECTIVES: Lymphedema is sometimes accompanied by high degrees of anxiety and depression. This study aimed to assess the effects of relaxation techniques on the level of edema, anxiety and depression in women undergoing Comprehensive Decongestive Therapy (CDT). DESIGN: This clinical trial compared two treatment methods in 31 women with post-mastectomy lymphedema, including 15 cases who received CDT and 16 who received RCDT (Relaxation plus CDT). The edema volume, anxiety and depression scores were compared at the first and last sessions of the first phase of the treatment and six weeks afterwards. RESULTS: The edema, anxiety and depression scores were 63.6%, 54.1% and 65.5% in the RCDT group and 60.7%, 31.4% and 35.2% in the CDT group. There were significant differences between the two groups in terms of the reduction in depression (p = 0.024) and anxiety (p = 0.011) scores throughout the study. This significant relationship was due to the differences in the depression score in the 3(rd) and 9(th) weeks of the study between the two groups. Similarly, anxiety levels differed significantly between the two groups at the 9(th) week of the study (P = 0.013). CONCLUSION: Relaxation techniques reduced the anxiety and depression scores and the volume of edema in the patients with lymphedema. The addition of this intervention to the therapeutic package for lymphedema patients requires further studies in terms of cost-effectiveness.
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spelling pubmed-57557592018-01-26 The effect of relaxation techniques on edema, anxiety and depression in post-mastectomy lymphedema patients undergoing comprehensive decongestive therapy: A clinical trial Abbasi, Bahareh Mirzakhany, Navid Angooti Oshnari, Leila Irani, Ashkan Hosseinzadeh, Samaneh Tabatabaei, Seyed Mehdi Haghighat, Shahpar PLoS One Research Article OBJECTIVES: Lymphedema is sometimes accompanied by high degrees of anxiety and depression. This study aimed to assess the effects of relaxation techniques on the level of edema, anxiety and depression in women undergoing Comprehensive Decongestive Therapy (CDT). DESIGN: This clinical trial compared two treatment methods in 31 women with post-mastectomy lymphedema, including 15 cases who received CDT and 16 who received RCDT (Relaxation plus CDT). The edema volume, anxiety and depression scores were compared at the first and last sessions of the first phase of the treatment and six weeks afterwards. RESULTS: The edema, anxiety and depression scores were 63.6%, 54.1% and 65.5% in the RCDT group and 60.7%, 31.4% and 35.2% in the CDT group. There were significant differences between the two groups in terms of the reduction in depression (p = 0.024) and anxiety (p = 0.011) scores throughout the study. This significant relationship was due to the differences in the depression score in the 3(rd) and 9(th) weeks of the study between the two groups. Similarly, anxiety levels differed significantly between the two groups at the 9(th) week of the study (P = 0.013). CONCLUSION: Relaxation techniques reduced the anxiety and depression scores and the volume of edema in the patients with lymphedema. The addition of this intervention to the therapeutic package for lymphedema patients requires further studies in terms of cost-effectiveness. Public Library of Science 2018-01-05 /pmc/articles/PMC5755759/ /pubmed/29304095 http://dx.doi.org/10.1371/journal.pone.0190231 Text en © 2018 Abbasi et al http://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Research Article
Abbasi, Bahareh
Mirzakhany, Navid
Angooti Oshnari, Leila
Irani, Ashkan
Hosseinzadeh, Samaneh
Tabatabaei, Seyed Mehdi
Haghighat, Shahpar
The effect of relaxation techniques on edema, anxiety and depression in post-mastectomy lymphedema patients undergoing comprehensive decongestive therapy: A clinical trial
title The effect of relaxation techniques on edema, anxiety and depression in post-mastectomy lymphedema patients undergoing comprehensive decongestive therapy: A clinical trial
title_full The effect of relaxation techniques on edema, anxiety and depression in post-mastectomy lymphedema patients undergoing comprehensive decongestive therapy: A clinical trial
title_fullStr The effect of relaxation techniques on edema, anxiety and depression in post-mastectomy lymphedema patients undergoing comprehensive decongestive therapy: A clinical trial
title_full_unstemmed The effect of relaxation techniques on edema, anxiety and depression in post-mastectomy lymphedema patients undergoing comprehensive decongestive therapy: A clinical trial
title_short The effect of relaxation techniques on edema, anxiety and depression in post-mastectomy lymphedema patients undergoing comprehensive decongestive therapy: A clinical trial
title_sort effect of relaxation techniques on edema, anxiety and depression in post-mastectomy lymphedema patients undergoing comprehensive decongestive therapy: a clinical trial
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5755759/
https://www.ncbi.nlm.nih.gov/pubmed/29304095
http://dx.doi.org/10.1371/journal.pone.0190231
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