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The Effect of Relaxation Techniques on Edema, Anxiety and Depression in Post-Mastectomy Lymphedema Patients Undergoing Comprehensive Decongestive Therapy: A Clinical Trial Publisher Pubmed



Abbasi B1 ; Mirzakhany N1 ; Oshnari LA2 ; Irani A1 ; Hosseinzadeh S3 ; Tabatabaei SM4 ; Haghighat S5
Authors
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Authors Affiliations
  1. 1. School of Rehabilitation Sciences, Shahid Beheshti University of Medical Sciences, Tehran, Iran
  2. 2. Shohada Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran
  3. 3. Biostatistics Department, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran
  4. 4. Occupational Therapy, School of Rehabilitation Sciences, Shahid Beheshti University of Medical Sciences, Tehran, Iran
  5. 5. Quality of Life Department, Breast Cancer Research Center, Motamed Cancer Institute, ACECR, Tehran, Iran

Source: PLoS ONE Published:2018


Abstract

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 3rd and 9th weeks of the study between the two groups. Similarly, anxiety levels differed significantly between the two groups at the 9th 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. © 2018 Abbasi et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
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