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Descriptors:
Psychological Patterns; Metacognition; Physical Activities; Intervention; Stress Management; Well Being; Health Services; Program Implementation; Teacher Education; Physiology; Teaching Experience

Abstract:
The use of Yoga and other complementary healthcare interventions for both clinical and non-clinical populations has increased substantially in recent years. In this context, we describe the implementation of Hatha Yoga in the Mindfulness-Based Stress Reduction (MBSR) program of Kabat-Zinn and colleagues. This is embedded in a more general consideration of Yoga's place in complementary healthcare. In providing this overview, we comment on the nature and quality of current research on Yoga, summarize current physiological and psychological explanations of its effects, and discuss practical issues related to teacher training and experience. Note:The following two links are not-applicable for text-based browsers or screen-reading software. Show Hide Full Abstract

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Descriptors:
Spouses; Cancer; Identification; Patients; Psychology; Depression (Psychology); Stress Variables; Chronic Illness; Psychological Patterns; Symptoms (Individual Disorders); Females; Correlation; Coping; Mental Health; Physical Health; Males

Abstract:
Objective: The objective of this study was to examine how the chronicity of stress affects psychological stress-responses, depressive symptoms, and "in vivo" immunocompetence in spouses of women with metastatic breast cancer. Methods: Participants were 34 spouses of breast cancer patients. Their wives had been living with a diagnosis of recurrence metastatic breast cancer for a mean of 2.3 (SD = 3.6) years. Stress chronicity was defined as the length of time since the partner's diagnosis with metastatic breast cancer. Self-reports of psychological stress responses (IES) and depression (CES-D) were taken, and in vivo immunocompetence was assessed by delayed type hypersensitivity (DTH) responses to skin test antigens. Results: Clinically significant levels of depressive symptoms (CES-D greater than 16) were reported in 15% of participants. Suppression of the DTH response was greater in men who had been living longer with an ill spouse (Spearman r = -0.39, p = 0.011), those who reported more psychological stress (r = 0.37, p = 0.16), and those who had more severe depressive symptoms (r = -0.28, p = 0.054). There was no association between the duration of disease and spouse's depression, however, those who had been living longer with an ill partner reported less psychological stress. Conclusions: This study substantiates a relationship between depression and cell-mediated immunity in spouses with a seriously ill partner. Further, these results suggest that the duration of stress is an important factor of stress-induced immunosuppression. They also highlight the potential importance of interventions to alleviate depression among family members of cancer patients. (Contains 1 table.) Note:The following two links are not-applicable for text-based browsers or screen-reading software. Show Hide Full Abstract

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