Clinical case report: yoga for fatigue in five young adult survivors of childhood cancer

Evans, Subhadra, Seidman, Laura, Sternlieb, Beth, Casillas, Jacqueline, Zeltzer, Lonnie and Tsao, Jennie 2017, Clinical case report: yoga for fatigue in five young adult survivors of childhood cancer, Journal of adolescent and young adult oncology, vol. 6, no. 1, pp. 96-101, doi: 10.1089/jayao.2016.0013.

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Title Clinical case report: yoga for fatigue in five young adult survivors of childhood cancer
Author(s) Evans, SubhadraORCID iD for Evans, Subhadra
Seidman, Laura
Sternlieb, Beth
Casillas, Jacqueline
Zeltzer, Lonnie
Tsao, Jennie
Journal name Journal of adolescent and young adult oncology
Volume number 6
Issue number 1
Start page 96
End page 101
Total pages 6
Publisher Mary Ann Liebert Publishers
Place of publication New Rochelle, N.Y.
Publication date 2017-03-01
ISSN 2156-535X
Keyword(s) cancer survivors
integrative medicine
Science & Technology
Life Sciences & Biomedicine
Summary PURPOSE: Cancer-related fatigue (CRF) is a distressing consequence of cancer and its treatment. CRF impacts many young adult (YA) survivors of childhood cancer, compromising work, social relationships, and daily activities. No satisfactory treatment exists. This pilot study aimed to assess the feasibility, safety, and preliminary efficacy of an 8-week twice/week Iyengar yoga (IY) intervention for treating persistent fatigue in YA survivors of childhood cancer. METHODS: Using a single-arm mixed-methods design, adult childhood cancer survivors aged between 18 and 39 years were recruited from a survivorship clinic at a single institution. Quantitative: The primary outcome was fatigue as measured by the Functional Assessment of Chronic Illness Therapy-Fatigue. Secondary outcomes included vitality, social functioning, multidimensional fatigue, mood, and sleep. Weekly self-report monitoring data were collected. Qualitative: Participants also completed a post-intervention interview, major themes evaluated. RESULTS: Five participants enrolled into the study and four completed the intervention. Attendance was 92% and there were no adverse events. Baseline mobility was highly varied, with one YA having had a hemipelvectomy. Quantitative data revealed significantly improved fatigue, social functioning, somatization, and general and emotional manifestations of fatigue following yoga. Qualitative data cross validated, clarified, and expanded upon the quantitative findings. CONCLUSIONS: The study suggests that a brief IY intervention is safe for YA survivors of childhood cancer, even for those with physical disabilities. Preliminary efficacy was demonstrated for the primary outcome of fatigue. Qualitative data elucidated additional improvements, such as work-related social functioning, and a sense of calm and relaxation.
Language eng
DOI 10.1089/jayao.2016.0013
Field of Research 170106 Health, Clinical and Counselling Psychology
Socio Economic Objective 920102 Cancer and Related Disorders
HERDC Research category C1 Refereed article in a scholarly journal
ERA Research output type C Journal article
Copyright notice ©2016, Mary Ann Liebert
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Document type: Journal Article
Collections: Faculty of Health
School of Psychology
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