Authors: | Deng, G.; Cassileth, B. R. |
Article Title: | Integrative oncology: Complementary therapies for pain, anxiety, and mood disturbance |
Abstract: | Many people with cancer experience pain, anxiety, and mood disturbance. Conventional treatments do not always satisfactorily relieve these symptoms, and some patients may not be able to tolerate their side effects. Complementary therapies such as acupuncture, mind-body techniques, massage, and other methods can help relieve symptoms and improve physical and mental well-being. Self-hypnosis and relaxation techniques help reduce procedural pain. Acupuncture is well documented to relieve chronic cancer pain. Massage and meditation improve anxiety and other symptoms of distress. Many dietary supplements contain biologically active constituents with effects on mood. However, not all complementary therapies are appropriate or useful, and even helpful complementary modalities may not be optimal under some circumstances. Situations when precaution is indicated include acute onset of symptoms and severe symptoms, which require immediate mainstream intervention. Dietary supplements are associated with serious negative consequences under some circumstances. The authors summarize the research on these modalities and discuss the rationale, expectation, and necessary precautions involved with combining complementary therapies and mainstream care. Practical clinical issues are addressed. © American Cancer Society, Inc., 2005. |
Keywords: | treatment outcome; unclassified drug; clinical trial; constipation; placebo; drug potentiation; gastrointestinal hemorrhage; side effect; cancer patient; cancer radiotherapy; neurosurgery; antineoplastic agent; neoplasms; treatment indication; unindexed drug; liver toxicity; pain; bleeding; opiate; withdrawal syndrome; steroid; cancer pain; diet supplementation; irinotecan; depression; food composition; disease severity; drug mechanism; heart infarction; nonsteroid antiinflammatory agent; medical research; medical oncology; antidepressant agent; benzodiazepine derivative; tamoxifen; anxiety disorder; cognitive therapy; distress syndrome; satisfaction; expectation; platinum derivative; alternative medicine; complementary therapies; dietary supplements; seizure; herbaceous agent; music therapy; alpha tocopherol; acupuncture; chronic pain; meditation; physical activity; symptomatology; drug metabolism; medical documentation; drug blood level; taxane derivative; drug abuse; psychosis; behavior therapy; hypnosis; massage; relaxation training; medical care; analgesia; neuropathic pain; mental health; anxiety disorders; glutamine; patient care planning; mood disorder; interprofessional relations; wellbeing; spine metastasis; phenylalanine; acute disease; analgesic agent; tricyclic antidepressant agent; mood disorders; thioctic acid; s adenosylmethionine; laxative; anxiolytic agent; kava; central depressant agent; ephedra extract; hypericum perforatum extract; barbituric acid derivative; ginkgo biloba extract; monoamine oxidase inhibitor; passionflower extract |
Journal Title: | CA - A Cancer Journal for Clinicians |
Volume: | 55 |
Issue: | 2 |
ISSN: | 0007-9235 |
Publisher: | Wiley-Blackwell |
Date Published: | 2005-03-01 |
Start Page: | 109 |
End Page: | 116 |
Language: | English |
PUBMED: | 15761079 |
PROVIDER: | scopus |
DOI/URL: | |
Notes: | --- - "Cited By (since 1996): 70" - "Export Date: 24 October 2012" - "CODEN: CAMCA" - "Source: Scopus" |