Open AccessThe effect of relaxation techniques on edema, anxiety and depression in post-mastectomy lymphedema patients undergoing comprehensive decongestive therapy: A clinical trial
Author(s) -
Bahareh Abbasi,
Navid Mirzakhany,
Leila Angooti Oshnari,
Ali Irani,
Samaneh Hosseinzadeh,
Seyed Mehdi Tabatabaei,
Setareh Haghighat
Publication year - 2018
Publication title -
plos one
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.99
H-Index - 332
ISSN - 1932-6203
DOI - 10.1371/journal.pone.0190231
Subject(s) - lymphedema , mastectomy , medicine , depression (economics) , anxiety , edema , clinical trial , breast cancer , relaxation therapy , physical therapy , surgery , psychiatry , cancer , economics , macroeconomics
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.