The effects of yoga and self-esteem on menopausal symptoms and quality of life in breast cancer survivors—A secondary analysis of a randomized controlled trial

Koch, AK; Rabsilber, S; Lauche, R; Kümmel, S; Dobos, G; Langhorst, J; Cramer, H

The effects of yoga and self-esteem on menopausal symptoms and quality of life in breast cancer survivors—A secondary analysis of a randomized controlled trial

Koch, AK Rabsilber, S Lauche, R

Kümmel, S Dobos, G Langhorst, J Cramer, H

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Publication Type:: Journal Article
Citation:: Maturitas, 2017, 105 pp. 95 - 99
Issue Date:: 2017-11-01

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Field	Value	Language
dc.contributor.author	Koch, AK	en_US
dc.contributor.author	Rabsilber, S	en_US
dc.contributor.author	Lauche, R https://orcid.org/0000-0002-4171-7935	en_US
dc.contributor.author	Kümmel, S	en_US
dc.contributor.author	Dobos, G	en_US
dc.contributor.author	Langhorst, J	en_US
dc.contributor.author	Cramer, H	en_US
dc.date.available	2017-05-04	en_US
dc.date.issued	2017-11-01	en_US
dc.identifier.citation	Maturitas, 2017, 105 pp. 95 - 99	en_US
dc.identifier.issn	0378-5122	en_US
dc.identifier.uri	http://hdl.handle.net/10453/114713
dc.description.abstract	© 2017 Elsevier B.V. Objectives Previous research has found that yoga can enhance quality of life and ease menopausal symptoms of breast cancer survivors. The study examined whether self-esteem mediated the effects of yoga on quality of life, fatigue and menopausal symptoms, utilizing validated outcome measures. Study design This is a secondary analysis of a randomized controlled trial comparing the effects of yoga with those of usual care in 40 breast cancer survivors who suffered from menopausal symptoms. All participants completed all 3 assessments (week 0, week 12, and week 24) and provided full data. Main outcome measures Outcomes were measured using self-rating instruments. Mediation analyses were performed using SPSS. Results Self-esteem mediated the effect of yoga on total menopausal symptoms (B = −2.11, 95% BCI [−5.40 to −0.37]), psychological menopausal symptoms (B = −0.94, 95% BCI [−2.30 to −0.01]), and urogenital menopausal symptoms (B = −0.66, 95% BCI [−1.65 to −0.15]), quality of life (B = 8.04, 95% BCI [3.15–17.03]), social well-being (B = 1.80, 95% BCI [0.54–4.21]), emotional well-being (B = 1.62, 95% BCI [0.70–3.34]), functional well-being (B = 1.84, 95% BCI [0.59–4.13]), and fatigue (B = 4.34, 95% BCI [1.28–9.55]). Self-esteem had no effect on somatovegetative menopausal symptoms (B = −0.50, 95% BCI n.s.) or on physical well-being (B = 0.79, 95% BCI n.s.). Conclusions Findings support the assumption that self-esteem plays a vital role in the beneficial effect of yoga and that yoga can have long-term benefits for women diagnosed with breast cancer and undergoing menopausal transition.	en_US
dc.relation.ispartof	Maturitas	en_US
dc.relation.isbasedon	10.1016/j.maturitas.2017.05.008	en_US
dc.subject.classification	Obstetrics & Reproductive Medicine	en_US
dc.subject.mesh	Humans	en_US
dc.subject.mesh	Breast Neoplasms	en_US
dc.subject.mesh	Fatigue	en_US
dc.subject.mesh	Yoga	en_US
dc.subject.mesh	Self Concept	en_US
dc.subject.mesh	Menopause	en_US
dc.subject.mesh	Quality of Life	en_US
dc.subject.mesh	Adult	en_US
dc.subject.mesh	Middle Aged	en_US
dc.subject.mesh	Female	en_US
dc.subject.mesh	Cancer Survivors	en_US
dc.title	The effects of yoga and self-esteem on menopausal symptoms and quality of life in breast cancer survivors—A secondary analysis of a randomized controlled trial	en_US
dc.type	Journal Article
utslib.citation.volume	105	en_US
utslib.for	1103 Clinical Sciences	en_US
utslib.for	1114 Paediatrics and Reproductive Medicine	en_US
pubs.embargo.period	Not known	en_US
pubs.organisational-group	/University of Technology Sydney
pubs.organisational-group	/University of Technology Sydney/Faculty of Health
pubs.organisational-group	/University of Technology Sydney/Strength - CHSP - Health Services and Practice
utslib.copyright.status	closed_access
pubs.publication-status	Published	en_US
pubs.volume	105	en_US

Abstract:

© 2017 Elsevier B.V. Objectives Previous research has found that yoga can enhance quality of life and ease menopausal symptoms of breast cancer survivors. The study examined whether self-esteem mediated the effects of yoga on quality of life, fatigue and menopausal symptoms, utilizing validated outcome measures. Study design This is a secondary analysis of a randomized controlled trial comparing the effects of yoga with those of usual care in 40 breast cancer survivors who suffered from menopausal symptoms. All participants completed all 3 assessments (week 0, week 12, and week 24) and provided full data. Main outcome measures Outcomes were measured using self-rating instruments. Mediation analyses were performed using SPSS. Results Self-esteem mediated the effect of yoga on total menopausal symptoms (B = −2.11, 95% BCI [−5.40 to −0.37]), psychological menopausal symptoms (B = −0.94, 95% BCI [−2.30 to −0.01]), and urogenital menopausal symptoms (B = −0.66, 95% BCI [−1.65 to −0.15]), quality of life (B = 8.04, 95% BCI [3.15–17.03]), social well-being (B = 1.80, 95% BCI [0.54–4.21]), emotional well-being (B = 1.62, 95% BCI [0.70–3.34]), functional well-being (B = 1.84, 95% BCI [0.59–4.13]), and fatigue (B = 4.34, 95% BCI [1.28–9.55]). Self-esteem had no effect on somatovegetative menopausal symptoms (B = −0.50, 95% BCI n.s.) or on physical well-being (B = 0.79, 95% BCI n.s.). Conclusions Findings support the assumption that self-esteem plays a vital role in the beneficial effect of yoga and that yoga can have long-term benefits for women diagnosed with breast cancer and undergoing menopausal transition.

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http://hdl.handle.net/10453/114713