Advertisement

Mind-body medicine use by women diagnosed with breast cancer: results of a nationally representative survey

  • Petra Voiß
  • Melanie Désirée HöxtermannEmail author
  • Gustav Dobos
  • Holger Cramer
Original Article
  • 19 Downloads

Abstract

Purpose

Worldwide breast cancer is the most commonly diagnosed cancer in women and often associated with a profound physiological stress reaction. Mind-body medicine modalities have been proven effective in reducing stress symptoms. This article will cover the prevalence of MBM use in women with and without breast cancer in the US population and detect predictors of MBM use in women diagnosed with breast cancer.

Methods

The 2017 National Health Interview Survey (NHIS) was used to study the prevalence of breast cancer and the use of mind-body medicine (MBM) among individuals with breast cancer in the US population. Using chi-squared tests and backward stepwise multiple logistic regression analyses, predictors of MBM use in women with breast cancer in the past 12 months were identified.

Results

The prevalence of breast cancer in women was 3.1%. Among women diagnosed with breast cancer, 25.2% had used MBM in the past 12 months. Spiritual meditation (14.3%), followed by yoga (9.6%), and mindfulness meditation (4.3%) were the most commonly used MBM approaches for women with breast cancer diagnosis. Only higher education independently predicted the use of MBM among them.

Conclusions

In this nationally representative sample of the USA, the most common used MBM approach was spiritual meditation, while this approach is much less researched than the evidence based approaches of yoga and mindfulness meditation. Especially stressed individuals worldwide could benefit from MBM the literature suggests. Particularly in the acute survivorship stage, influencing the initial stress reaction could be beneficial.

Keywords

Breast neoplasms Cancer Complementary therapies Health survey Mind-body medicine Oncology 

Notes

Funding information

The authors Petra Voiß and Melanie Désirée Höxtermann were supported by a Grant from the Karl and Veronica Carstens Foundation, Essen, Germany.

Compliance with ethical standards

Conflict of interest

All authors declare that they have no conflict of interest.

Ethical approval

NCHS Research Ethics Review Board approved NHIS data collection. The protocol was approved by the NCHS ERB on June 12, 2015 (Protocol #2015-08).

Disclaimer

The Karl and Veronica Carstens Foundation had no influence on the design and conduct of the study; the collection, management, analysis and interpretation of the data; the preparation, review or approval of the manuscript; or the decision to submit the manuscript for publication.

References

  1. 1.
    Bray F, Ferlay J, Soerjomataram I, Siegel RL, Torre LA, Jemal A (2018) Global cancer statistics 2018: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries. CA Cancer J Clin 68:394–424.  https://doi.org/10.3322/caac.21492 CrossRefGoogle Scholar
  2. 2.
    Siegel RL, Miller KD, Jemal A (2018) Cancer statistics, 2018. CA Cancer J Clin 68(1):7–30.  https://doi.org/10.3322/caac.21442 CrossRefGoogle Scholar
  3. 3.
    Howlader N, Noone A, Krapcho M, Miller D, Bishop K, Kosary CL, Yu M, Ruhl J, Tatalovich Z, Mariotto A, Lewis DR, Chen HS, Feuer EJ, Cronin KA (eds) (2017) SEER cancer statistics review, 1975-2014. National Cancer InstituteGoogle Scholar
  4. 4.
    Andrykowski MA, Cordova MJ, Studts JL, Miller TW (1998) Posttraumatic stress disorder after treatment for breast cancer: prevalence of diagnosis and use of the PTSD checklist-civilian version (PCL-C) as a screening instrument. J Consult Clin Psychol 66(3):586–590CrossRefGoogle Scholar
  5. 5.
    Lupien SJ, McEwen BS, Gunnar MR, Heim C (2009) Effects of stress throughout the lifespan on the brain, behaviour and cognition. Nat Rev Neurosci 10(6):434–445.  https://doi.org/10.1038/nrn2639 CrossRefGoogle Scholar
  6. 6.
    Chida Y, Hamer M, Wardle J, Steptoe A (2008) Do stress-related psychosocial factors contribute to cancer incidence and survival? Nat Clin Pract Oncol 5(8):466–475.  https://doi.org/10.1038/ncponc1134 CrossRefGoogle Scholar
  7. 7.
    Santos MC, Horta BL, Amaral JJ, Fernandes PF, Galvao CM, Fernandes AF (2009) Association between stress and breast cancer in women: a meta-analysis. Cad Saude Publica 25(Suppl 3):S453–S463CrossRefGoogle Scholar
  8. 8.
    Antoni MH, Lutgendorf SK, Cole SW, Dhabhar FS, Sephton SE, McDonald PG, Stefanek M, Sood AK (2006) The influence of bio-behavioural factors on tumour biology: pathways and mechanisms. Nat Rev Cancer 6(3):240–248.  https://doi.org/10.1038/nrc1820 CrossRefGoogle Scholar
  9. 9.
    Yang EV, Glaser R (2002) Stress-induced immunomodulation and the implications for health. Int Immunopharmacol 2(2–3):315–324CrossRefGoogle Scholar
  10. 10.
    Reiche EM, Nunes SO, Morimoto HK (2004) Stress, depression, the immune system, and cancer. Lancet Oncol 5(10):617–625.  https://doi.org/10.1016/s1470-2045(04)01597-9 CrossRefGoogle Scholar
  11. 11.
    Harris LN, Bauer MR, Wiley JF, Hammen C, Krull JL, Crespi CM, Weihs KL, Stanton AL (2017) Chronic and episodic stress predict physical symptom bother following breast cancer diagnosis. J Behav Med 40(6):875–885.  https://doi.org/10.1007/s10865-017-9855-x CrossRefGoogle Scholar
  12. 12.
    Härtl K, Engel J, Herschbach P, Reinecker H, Sommer H, Friese K (2010) Personality traits and psychosocial stress: quality of life over 2 years following breast cancer diagnosis and psychological impact factors. Psycho-oncology 19(2):160–169.  https://doi.org/10.1002/pon.1536 CrossRefGoogle Scholar
  13. 13.
    Palesh O, Butler LD, Koopman C, Giese-Davis J, Carlson R, Spiegel D (2007) Stress history and breast cancer recurrence. J Psychosom Res 63(3):233–239.  https://doi.org/10.1016/j.jpsychores.2007.05.012 CrossRefGoogle Scholar
  14. 14.
    Greenlee H, DuPont-Reyes MJ, Balneaves LG, Carlson LE, Cohen MR, Deng G, Johnson JA, Mumber M, Seely D, Zick SM, Boyce LM, Tripathy D (2017) Clinical practice guidelines on the evidence-based use of integrative therapies during and after breast cancer treatment. CA Cancer J Clin 67(3):194–232.  https://doi.org/10.3322/caac.21397 CrossRefGoogle Scholar
  15. 15.
    Lyman GH, Greenlee H, Bohlke K, Bao T, DeMichele AM, Deng GE, Fouladbakhsh JM, Gil B, Hershman DL, Mansfield S, Mussallem DM, Mustian KM, Price E, Rafte S, Cohen L (2018) Integrative therapies during and after breast cancer treatment: ASCO endorsement of the SIO clinical practice guideline. J Clin Oncol Off J Am Soc Clin Oncol 36(25):2647–2655.  https://doi.org/10.1200/jco.2018.79.2721 CrossRefGoogle Scholar
  16. 16.
    National Cancer Institute at the National Institutes of Health (2018) https://www.cancer.gov/publications/dictionaries/cancer-terms/def/mind-body-practice. Accessed 08.29.2018
  17. 17.
    Haller H, Winkler MM, Klose P, Dobos G, Kummel S, Cramer H (2017) Mindfulness-based interventions for women with breast cancer: an updated systematic review and meta-analysis. Acta Oncol 56(12):1665–1676.  https://doi.org/10.1080/0284186x.2017.1342862 CrossRefGoogle Scholar
  18. 18.
    Lengacher CA, Reich RR, Paterson CL, Ramesar S, Park JY, Alinat C, Johnson-Mallard V, Moscoso M, Budhrani-Shani P, Miladinovic B, Jacobsen PB, Cox CE, Goodman M, Kip KE (2016) Examination of broad symptom improvement resulting from mindfulness-based stress reduction in breast cancer survivors: a randomized controlled trial. J Clin Oncol Off J Am Soc Clin Oncol 34(24):2827–2834.  https://doi.org/10.1200/jco.2015.65.7874 CrossRefGoogle Scholar
  19. 19.
    Molassiotis A, Fernadez-Ortega P, Pud D, Ozden G, Scott JA, Panteli V, Margulies A, Browall M, Magri M, Selvekerova S, Madsen E, Milovics L, Bruyns I, Gudmundsdottir G, Hummerston S, Ahmad AM, Platin N, Kearney N, Patiraki E (2005) Use of complementary and alternative medicine in cancer patients: a European survey. Ann Oncol 16(4):655–663.  https://doi.org/10.1093/annonc/mdi110 CrossRefGoogle Scholar
  20. 20.
    King N, Balneaves LG, Levin GT, Nguyen T, Nation JG, Card C, Truant T, Carlson LE (2015) Surveys of cancer patients and cancer health care providers regarding complementary therapy use, communication, and information needs. Integr Cancer Ther 14(6):515–524.  https://doi.org/10.1177/1534735415589984 CrossRefGoogle Scholar
  21. 21.
    Boon HS, Olatunde F, Zick SM (2007) Trends in complementary/alternative medicine use by breast cancer survivors: comparing survey data from 1998 and 2005. BMC Womens Health 7:4.  https://doi.org/10.1186/1472-6874-7-4 CrossRefGoogle Scholar
  22. 22.
    Garland SN, Valentine D, Desai K, Li S, Langer C, Evans T, Mao JJ (2013) Complementary and alternative medicine use and benefit finding among cancer patients. J Altern Complement Med 19(11):876–881.  https://doi.org/10.1089/acm.2012.0964 CrossRefGoogle Scholar
  23. 23.
    Barnes PM, Powell-Griner E, McFann K, Nahin RL (2004) Complementary and alternative medicine use among adults: United States, 2002. Adv Data 343:1–19Google Scholar
  24. 24.
    Burke A, Lam CN, Stussman B, Yang H (2017) Prevalence and patterns of use of mantra, mindfulness and spiritual meditation among adults in the United States. BMC Complement Altern Med 17(1):316.  https://doi.org/10.1186/s12906-017-1827-8 CrossRefGoogle Scholar
  25. 25.
    Goncalves JP, Lucchetti G, Menezes PR, Vallada H (2015) Religious and spiritual interventions in mental health care: a systematic review and meta-analysis of randomized controlled clinical trials. Psychol Med 45(14):2937–2949.  https://doi.org/10.1017/s0033291715001166 CrossRefGoogle Scholar
  26. 26.
    Cramer H, Lange S, Klose P, Paul A, Dobos G (2012) Yoga for breast cancer patients and survivors: a systematic review and meta-analysis. BMC Cancer 12:412.  https://doi.org/10.1186/1471-2407-12-412 CrossRefGoogle Scholar
  27. 27.
    Cramer H, Lauche R, Klose P, Lange S, Langhorst J, Dobos GJ (2017) Yoga for improving health-related quality of life, mental health and cancer-related symptoms in women diagnosed with breast cancer. Cochrane Database Syst Rev 1:Cd010802.  https://doi.org/10.1002/14651858.CD010802.pub2 Google Scholar
  28. 28.
    Lin KY, Hu YT, Chang KJ, Lin HF, Tsauo JY (2011, 2011) Effects of yoga on psychological health, quality of life, and physical health of patients with cancer: a meta-analysis. Evid Based Complement Alternat Med 659876–659812.  https://doi.org/10.1155/2011/659876
  29. 29.
    Zainal NZ, Booth S, Huppert FA (2013) The efficacy of mindfulness-based stress reduction on mental health of breast cancer patients: a meta-analysis. Psycho-oncology 22(7):1457–1465.  https://doi.org/10.1002/pon.3171 CrossRefGoogle Scholar
  30. 30.
    Speca M, Carlson LE, Goodey E, Angen M (2000) A randomized, wait-list controlled clinical trial: the effect of a mindfulness meditation-based stress reduction program on mood and symptoms of stress in cancer outpatients. Psychosom Med 62(5):613–622CrossRefGoogle Scholar
  31. 31.
    Bower JE, Crosswell AD, Stanton AL, Crespi CM, Winston D, Arevalo J, Ma J, Cole SW, Ganz PA (2015) Mindfulness meditation for younger breast cancer survivors: a randomized controlled trial. Cancer 121(8):1231–1240.  https://doi.org/10.1002/cncr.29194 CrossRefGoogle Scholar
  32. 32.
    Campo RA, Leniek KL, Gaylord-Scott N, Faurot KR, Smith S, Asher G, Porterfield D, Gaylord SA (2016) Weathering the seasons of cancer survivorship: mind-body therapy use and reported reasons and outcomes by stages of cancer survivorship. Support Care Cancer 24(9):3783–3791.  https://doi.org/10.1007/s00520-016-3200-8 CrossRefGoogle Scholar
  33. 33.
    Antoni MH, Lehman JM, Kilbourn KM, Boyers AE, Culver JL, Alferi SM, Yount SE, McGregor BA, Arena PL, Harris SD, Price AA, Carver CS (2001) Cognitive-behavioral stress management intervention decreases the prevalence of depression and enhances benefit finding among women under treatment for early-stage breast cancer. Health Psychol 20(1):20–32CrossRefGoogle Scholar
  34. 34.
    Stagl JM, Bouchard LC, Lechner SC, Blomberg BB, Gudenkauf LM, Jutagir DR, Gluck S, Derhagopian RP, Carver CS, Antoni MH (2015) Long-term psychological benefits of cognitive-behavioral stress management for women with breast cancer: 11-year follow-up of a randomized controlled trial. Cancer 121(11):1873–1881.  https://doi.org/10.1002/cncr.29076 CrossRefGoogle Scholar
  35. 35.
    Foley E, Baillie A, Huxter M, Price M, Sinclair E (2010) Mindfulness-based cognitive therapy for individuals whose lives have been affected by cancer: a randomized controlled trial. J Consult Clin Psychol 78(1):72–79.  https://doi.org/10.1037/a0017566 CrossRefGoogle Scholar

Copyright information

© Springer-Verlag GmbH Germany, part of Springer Nature 2019

Authors and Affiliations

  1. 1.Department of Internal and Integrative Medicine, Kliniken Essen-Mitte, Faculty of MedicineUniversity of Duisburg-EssenEssenGermany
  2. 2.Australian Research Centre in Complementary and Integrative Medicine (ARCCIM), Faculty of HealthUniversity of Technology SydneySydneyAustralia

Personalised recommendations