Effect of Relaxation Training Techniques on Anxiety and Depression among Breast Cancer Patients

Authors

  • Mosleh Kareem Department of Psychiatry and Mental Health Nursing, College of Nursing, Hawler Medical University, Erbil, Iraq
  • Diyar Hussein Taher Department of Psychiatry, College of Medicine, Hawler Medical University, Erbil, Iraq

DOI:

https://doi.org/10.3889/oamjms.2022.10462

Keywords:

Anxiety, Depression, Breast cancer and relaxation

Abstract

 

Background and objectives: non-pharmacological treatment for depression and anxiety includes a variety of treatments, such as various types of psychotherapy, education, and supporting measures. Behavioral treatments such as progressive muscle relaxation and abdominal breathing exercises have been shown to be effective in the treatment of anxiety and depression in cancer patients. Therefor this study aimed to evaluate the effect of progressive muscle relaxation and abdominal breathing exercise techniques on anxiety and depression among breast cancer patients in Erbil City- Iraq.

Methods:  A quasi-experimental study was conducted at Rizgary Teaching Hospital-department of oncology and Nanakali Oncology Hospital at Erbil city-Iraq, Patients from both hospitals were selected as the intervention and control group respectively. Patients were assessed through; the demographic data questionnaire, Hospital anxiety and depression scale.

Results: A total of 88 patients 44 from the control group and 44 patients from the study group participated. At the end of the study, there were significant improvements in anxiety and depression (p-value was 0.001) result was observed in both post-tests at 4-week and at 8-week.

Conclusion: The women who got progressive muscle relaxation and abdominal breathing exercise techniques had lower anxiety and depression levels than those who only received routine nursing care, according to the findings. Oncology nurses should educate patients with breast cancer to use the progressive muscle relaxation technique to reduce their anxiety and depression.

Keywords: Anxiety, Depression, Breast cancer and Relaxation.

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References

Elias F, Rabah H, Salih M, Boushnak M, Said C. Effectiveness of breast cancer screening campaigns from 2012 to 2017 by analysis of stage at diagnosis, Lebanon. East Mediterr Health J. 2021;27(6):580-8-6. Available from: http://www.emro.who.int/emhj-volume-27-2021/volume-27-issue-6/effectiveness-of-breast-cancer-screening-campaigns-from-2012-to-2017-by-analysis-of-stage-at-diagnosis-lebanon.html [Last accessed on 2021 May 25]. DOI: https://doi.org/10.26719/emhj.21.013

Al-Gburi AS, Alwan NA. Correlation between breast self-examination practices and demographic characteristics, risk factors and clinical stage of breast cancer among iraqi patients. Open Access Maced J Med Sci. 2019;7(19):3216-20. https://doi.org/10.3889/oamjms.2019.805 DOI: https://doi.org/10.3889/oamjms.2019.805

Podvorica E, Kraja J, Rrustemi N, Dugolli X, Hyseni E. Anxiety and depression in patients with breast cancer: A cross-sectional study. Open Access Maced J Med Sci. 2022;10(G):138-43. https://doi.org/10.3889/oamjms.2022.8310 DOI: https://doi.org/10.3889/oamjms.2022.8310

Al-Kafajy M. Breast cancer risk trends of Iraqi women. Medico Legal Update. 2020;20:383-6. https://doi.org/10.37506/mlu.v20i1.388 DOI: https://doi.org/10.37506/mlu.v20i1.388

Akel R, Darsa H, Anouti B, Mukherji D, Temraz S, Raslan R, et al. Anxiety, depression and quality of life in breast cancer patients in the levant. Asian Pac J Cancer Prev. 2017;18(10):2809-16. https://doi.org/10.22034/APJCP.2017.18.10.2809 PMid:29072421

Umberto V, Aron G, Paolo V, Oreste D, Gentilini M, Cristina L. Breast cancer innovations in research and management. In: Fioretti C, Mazzocco K, Pravettoni G, editors. Psychological Support in Breast Cancer Patients: A Personalized Approach. Switzerland, Cham: Springer International Publishing AG; 2017. Available from: https://www.eu/index.php/mjms/article/ view/7740 [Last accessed on 2021 May 25].

Hassan MR, Shah SA, Ghazi HF, Mujar Noor MM, Samsuri MF, Baharom N. Anxiety and depression among breast cancer patients in an urban setting in Malaysia. Asian Pac J Cancer Prev. 2015;16(9):4031-5. https://doi.org/10.7314/apjcp.2015.16.9.4031 PMid:25987081 DOI: https://doi.org/10.7314/APJCP.2015.16.9.4031

Wulandari P, Livana PH. Factors that Influence the Incidence of Depression in Breast Cancer Patients. Open Access Maced J Med Sci. 2022;10:393-9. https://doi.org/10.3889/oamjms.2022.7740 DOI: https://doi.org/10.3889/oamjms.2022.7740

Hanan YA, Asmaa AA, Ahmed EM. Depression and anxiety among females with breast cancer in Sohag University: Results of an interview study. Remedy Open Access Psychiatry. 2017;2:1080. Available from: https://www.researchgate.net/publication/324731824 [Last accessed on 2021 May 25].

Batrawi MA, El Sayed HA, Hussein HA, Mawella SM, Madbouly NM, Fawzi SM. Qualitative versus quantitative study of distress in a sample of young age breast cancer survivors. Egypt J Psychiatry. 2017;38(3):172-8. Available from: http://new.ejpsy.eg.net/text.asp?2017/38/3/172/217209 DOI: https://doi.org/10.4103/ejpsy.ejpsy_20_17

Bellver-Pérez A, Peris-Juan C, Santaballa-Beltrán A. Effectiveness of group therapy in women with localized breast cancer. Int J Clin Health Psychol. 2019;19(2):107-14. https://doi.org/10.1016/j.ijchp.2019.02.001. DOI: https://doi.org/10.1016/j.ijchp.2019.02.001

Sharma A, Zhang J. Depression and its predictors among breast cancer patients in Nepal. ASEAN J Psychiatry. 2015;16(1):20. Available from: https://citeseerx.ist.psu.edu/viewdoc/download?doi=10.1.1.674.9558&rep=rep1&type=pdf [Last accessed on 2021 May 25].

Ng CG, Mohamed S, Kaur K, Sulaiman AH, Zainal NZ, Taib NA, et al. Perceived distress and its association with depression and anxiety in breast cancer patients. PLoS One. 2017;12(3):e0172975. https://doi.org/0.1371/journal.pone.0172975 PMid:28296921

Ismail KH, Tahir DH, Barzinji BK. Depression and anxiety in women with breast cancer in Erbil city: A case-control study. Zanco J Med Sci. 2012;16(1):69. https://www.zjms.hmu.edu.krd/index.php/zjms/article/view/398/357 DOI: https://doi.org/10.15218/zjms.2012.0011

Ramasamy S, Suganya, Panneerselvam PG, Kumar A, Nayak R. Progressive muscle relaxation technique on anxiety and depression among persons affected by leprosy. J Exerc Rehabil. 2018;14(3):375-81. https://doi.org/10.12965/jer.1836158.079 PMid:30018921 DOI: https://doi.org/10.12965/jer.1836158.079

Young-Jae K, Nam-Sook S. Effects of progressive muscle relaxation on nausea, vomiting, fatigue, anxiety, and depression in cancer patients undergoing chemotherapy. J Korean Oncol Nurs. 2010;10(2):171-9. https://doi.org/10.4040/jkan.2004.34.7.1326 DOI: https://doi.org/10.5388/jkon.2010.10.2.171

El Din A, Darweesh M, Ebraheemsayied N, Ahmed ZA, Mabrouk S. Effect of relaxation training techniques and psychoeducational program on depression and anxiety among cancer patients. J Nurs Health Sci. 2018;7(4):70-7. https://doi.org/10.9790/1959-0704017077

Song QH, Xu RM, Zhang QH, Ma M, Zhao HP. Relaxation training during chemotherapy for breast cancer improves mental health and lessens adverse events. Int J Clin Exp Med. 2013;6(10):979-84. PMid:24260607

Charalambous A, Giannakopoulou M, Bozas E, Paikousis L. A randomized controlled trial for the effectiveness of progressive muscle relaxation and guided imagery as anxiety reducing interventions in breast and prostate cancer patients undergoing chemotherapy. Evid Based Complement Altern Med. 2015;2015:270876. https://doi.org/10.1155/2015/270876. DOI: https://doi.org/10.1155/2015/270876

Kashani F, Babaee S, Bahrami M, Valiani M. The effects of relaxation on reducing depression, anxiety and stress in women who underwent mastectomy for breast cancer. Iran J Nurs Midwifery Res J. 2012;17(1):30-3. PMid:23493112

Darweesh A, Ebraheem N, Ahmed Z, Khallaf SM, Sanaamostafakhalifa SM. Effect of relaxation training techniques and psychoeducational program on depression and anxiety among cancer patients. J Nurs Health Sci. 2018;7(4):70-7. https://doi.org/10.9790/1959-0704017077

Charalambous A, Giannakopoulou M, Bozas E, Marcou Y, Kitsios P, Paikousis L. Guided imagery and progressive muscle relaxation as a cluster of symptoms management intervention in patients receiving chemotherapy: A randomized control trial. PLoS One. 2016;11(6):e0156911. https://doi.org/10.1371/journal.pone.0156911 PMid:27341675 DOI: https://doi.org/10.1371/journal.pone.0156911

Kareem MS, Omer YB, Omer BO. Assessment of depression severity among cancer patients in nanakaly hospital in Erbil City. Zanco J Med Sci. 2017;21(3):1922-9. https://doi.org/10.15218/zjms.2017.052 DOI: https://doi.org/10.15218/zjms.2017.052

Omer W, Al-Hadithi T. Developing a socioeconomic index for health research in Iraq. East Mediterr Health J. 2017;23(10):670- 6. https://doi.org/10.26719/2017.23.10.670 DOI: https://doi.org/10.26719/2017.23.10.670

Djukanovic I, Carlsson J, Arestedt K. Is the hospital anxiety and depression scale (HADS) a valid measure in a general population 65-80 years old? A psychometric evaluation study. Health Qual Life Outcomes. 2017;15:193. https://doi.org/10.1186/s12955-017-0759-9 DOI: https://doi.org/10.1186/s12955-017-0759-9

Bourne EJ. The Anxiety and Phobia Workbook. Oakland: New Harbinger Publications; 2011.

Mushtaq B, Khan AA. Jacobson muscle relaxation technique (JPMR) (20 Min). JOJ Nurs Health Care. 2018;8(1):555726. https://doi.org/10.19080/JOJNHC.2018.08.555726 DOI: https://doi.org/10.19080/JOJNHC.2017.08.555726

Yilmaz SG, Arslan S. Effects of progressive relaxation exercises on anxiety and comfort of Turkish breast cancer patients receiving chemotherapy. Asian Pac J Cancer Prev. 2015;16(1):217-20. https://doi.org/10.7314/apjcp.2015.16.1.217 PMid:25640354 DOI: https://doi.org/10.7314/APJCP.2015.16.1.217

Huang XH, Lai JH, Huang TW. Mediating effects of depression on anxiety and leisure constraints in patients with breast cancer. BMC Women’s Health. 2019;19(1):141. https://doi.org/10.1186/s12905-019-0838-7 DOI: https://doi.org/10.1186/s12905-019-0838-7

Tsaras K, Papathanasiou IV, Mitsi D, Veneti A, Kelesi M, Zyga S, et al. Assessment of depression and anxiety in breast cancer patients: Prevalence and associated factors. Asian Pac J Cancer Prev. 2018;19(6):1661-9. https://doi.org/10.22034/APJCP.2018.19.6.1661 PMid:29938451

Alagizy HA, Soltan MR, Soliman SS, Hegazy NN, Gohar SF. Anxiety, depression and perceived stress among breast cancer patients: Single institute experience. Middle East Curr Psychiatry. 2020;27:29. https://doi.org/10.1186/s43045-020-00036-x DOI: https://doi.org/10.1186/s43045-020-00036-x

Chen X, Zheng Y, Zheng W, Gu K, Chen Z, Lu W, et al. Prevalence of depression and its related factors among Chinese women with breast cancer. Acta Oncol. 2009;48(8):1128-36. https://doi.org/10.3109/02841860903188650 PMid:19863220 DOI: https://doi.org/10.3109/02841860903188650

Isa MR, Moy FM, Razack AH, Zainuddin ZM, Zainal NZ. Impact of applied progressive deep muscle relaxation training on the level of depression, anxiety and stress among prostate cancer patients: A quasi experimental study. Asian Pac J Cancer Prev. 2013;14(4):2231-42. https://doi.org/10.7314/apjcp.2013.14.4.2237 PMid:23725119 DOI: https://doi.org/10.7314/APJCP.2013.14.4.2237

Stewart WC, Wetselaar MJ, Nelson LA, Stewart JA. Review of the effect of religion on anxiety. Int J Depress Anxiety. 2019;2:16. https://doi.org/10.23937/2643-4059/1710016 DOI: https://doi.org/10.23937/2643-4059/1710016

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Published

2022-08-18

How to Cite

1.
Kareem M, Taher DH. Effect of Relaxation Training Techniques on Anxiety and Depression among Breast Cancer Patients. Open Access Maced J Med Sci [Internet]. 2022 Aug. 18 [cited 2024 Apr. 25];10(G):674-81. Available from: https://oamjms.eu/index.php/mjms/article/view/10462

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Nursing in Internal Medicine

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