Mind-Body-Medizin in der Integrativen Onkologie

Zusammenfassung

„Integrative Onkologie“, die begleitende Behandlung onkologischer Patienten durch evidenzbasierte naturheilkundliche Methoden, wird in den USA bereits an allen großen Krebszentren angeboten. Einen speziellen Stellenwert hat dabei die Mind-Body-Medizin – eine Weiterentwicklung der deutschen Ordnungstherapie durch Impulse aus der Stress-, aber auch der Motivations- und Hirnforschung. In Kooperation mit dem Memorial Sloan Kettering Cancer Center New York wird Integrative Onkologie am Brustzentrum und den gynäkologischen Abteilungen der Kliniken Essen-Mitte praktiziert, unter wissenschaftlicher Begleitung des Lehrstuhls für Naturheilkunde und Integrative Medizin der Universität Duisburg-Essen. Ziel ist nicht nur die Linderung der Nebenwirkungen einer onkologischen Therapie, sondern eine gesundheitsfördernde Lebensstiländerung. Ein teilstationäres 11-wöchiges Gruppenprogramm in einer Tagesklinik hilft der Verankerung im individuellen Lebensumfeld. Auf einer jährlich stattfindenden Mind-Body- Medizin Summer School können Mediziner und andere Therapeuten Methoden erpro- ben und Hintergrundinformationen erhalten.

Summary

„Integrative Oncology“ - evidence-based CAM-treatment accompanying the therapy of oncological patients – is part of every major cancer center within the US. Of special importance is mind body medicine, a development of the German „Ordnungstherapie“ using impulses of stress- as well as motivation and brain sciences. Integrative Oncology has been established in cooperation with the New York Memorial Sloan Kettering Cancer Center at the Breast Center and the gynaecological departments of Kliniken Essen-Mitte, scientifically approved by the Chair for Naturopathy and Integrative Medicine of Duisburg-Essen University. Its aim is not only the alleviation of side-effects of the oncological treatment but also a salutogenic change of lifestyle. An 11-weeks group centered outpatient program helps to embed the therapeutic aims into individual lifestyle. At an annual Mind Body Medicine Summer School medical doctors and other therapeuts can try out different methods and receive background information.

Schlüsselwörter

Integrative Onkologie - Naturheilkunde - Mind-Body-Medizin - Stress - Nebenwirkungen - onkologische Therapie - Lebensstiländerung - Tagesklinik - Sport - Bewegung - Achtsamkeitsmeditation - Yoga - Gruppenunterstützung - Ernährung - Depression - Wechselwirkungen - Chemotherapie - Bestrahlung - Mind Body Summer School

Keywords

Integrative Oncology - naturopathy - mind body medicine - stress - side-effects - oncological therapy - life style change - outpatient clinic - sports - activity - mindfulness meditation - yoga - group support - nutrition - depression - interactions - chemotherapy - radiation therapy - Mind Body Summer School

• Literatur

• 1 Nagaraja AS, Armaiz-Pena GN, Lutgendorf SK, Sood AK. Why stress is BAD for cancer patients. J Clin Invest 2013; 123(2): 558-560
• 2 Bleiker EM, Hendriks JH, Otten JD et al. Personality factors and breast cancer risk: a 13-year follow-up. J Nati Cancer Inst 2008; 100: 213-218
• 3 Bulletin of the National Cancer Institute, 31. October 2006.
• 4 Cassileth BR, Deng GE, Gomez JE et al. Complementary therapies and integrative oncology in lung cancer: ACCP evidence-based clinical practice guidelines (2nd edition). Chest 2007; 132(3 Suppl): 340s-354s
• 5 Chida Y, Steptoe A, Powell LH. Religiosity/spirituality and mortality. A systematic quantitative review. Psychother Psychosom 2009; 78: 81-90
• 6 Chiesa A, Serretti A. Mindfulness-based stress reduction for stress management in healthy people: a review and meta-analysis. J Altern Complement Med 2009; 15: 593-600
• 7 Cohen L, Cole SW, Sood AK et al. Depressive symptoms and cortisol rhythmicity predict survival in patients with renal cell carcinoma: role of inflammatory signaling. PLoS One 2012; 7(8): e42324
• 8 Cramer H, Lange S, Klose P et al. Yoga for breast cancer patients and survivors: a systematic review and meta-analysis. BMC Cancer 2012; 12: 412
• 9 Cramer H, Lange S, Klose P et al. Can yoga improve fatigue in breast cancer patients? A systematic review. Acta Oncol 2012; 51: 559-560
• 10 Cramer H, Lauche R, Paul A, Dobos G. Mindfulness-based stress reduction for breast cancer - a systematic review and meta-analysis. Curr Oncol 2012; 5: e329-e342
• 11 Daubenmier JJ, Weidner G, Ornish D et al. Lifestyle and health-related quality of life of men with prostata cancer managed with active surveillance. Urology 2006; 67(1): 125-130
• 12 Deng GE, Frenkel M, Cohen L et al. Evidence Based Clinical Practice Guidelines for Integrative Oncology: Complementary Therapie and Botanicals. J Soc Integr Oncol 2009; 7(3): 85-120
• 13 Deng GE, Rausch SM, Jones LW et al. Complementary therapies and integrative medicine in lung cancer: diagnosis and management of lung cancer, 3rd ed: American College of Chest Physicians evidence-based clinical practice guidelines. Chest 2013; 143(5 Suppl): e420S-436S
• 14 Dobos GJ, Paul A Hrsg. Mind-Body-Medizin.. München: Elsevier; 2011
• 15 Dobos GJ, Voiss P, Schwidde I et al. Integrative oncology for breast cancer patients: introduction of an expert-based model. BMC Cancer 2012; 12: 539
• 16 Dobos G, Overhamm T, Büssing A et al. Integrating mindfulness in supportive cancer care: a process-outcome study on a mindfulness-based day care clinic for cancer survivors. Support Care Cancer 2015; 23(10): 2945-2955
• 17 Duijts SF, Zeegers MP, Borne BV. The association between stressful life events and breast cancer risk: a meta-analysis. Int J Cancer 2003; 107(6): 1023-9
• 18 Fair W. Back to the future – the role of complementary medicine. Urology 1999; 162: 411-442
• 19 Frattaroli J, Weidner G, Ornish D et al. Clinical events in prostate cancer lifestyle trial: results from two years of follow-up. Urology 2008; 72(6): 1319-23
• 20 Goodwin PJ et al. The effect of group-psychosocial support on survival in metastatic breast cancer. N Engl J Med 2001; 345: 1719-1726
• 21 Greenlee H, Balneaves L, Carlson LE et al. Clinical practice guidelines on the use of integrative therapies as supportive care in patients treated for breast cancer. J Natl Cancer Inst Monograph 2014; 50: 346-358
• 22 Hanahan D, Weinberg RA. Hallmarks of Cancer: The Next Generation. Cell 2011; 144(5): 646-674
• 23 Hamer M, Chida Y, Molloy GJ. Psychological distress and cancer mortality. J Psychosom Res 2009; 66(3): 255-258
• 24 http://www.ago-online.de/fileadmin/downloads/leitlinien/mamma/Maerz2016/de/2016D%2024_Komplementaere%20Therapie.pdf
• 25 Kroenke CH, Kubzansky LD, Schernhammer ES et al. Social networks, social support, and survival after breast cancer diagnosis. J Clin Oncol 2006; 24(7): 1105-1111
• 26 Lesi G, Razzini G, Musti MA et al. Acupuncture as an integrative approach for the treatment of hot flashes in women with breast cancer: a prospective multicenter randomized controlled trial (AcCliMaT). J Clin Oncol 2016; pii: JCO632893
• 27 Lillberg K, Verkasalo PK, Kaprio J et al. Stressful life events and risk of breast cancer in 10,808 women: a cohort study. Am J Epidemiol 2003; 157(5): 415-423
• 28 Lutgendorf SK, De Geest K, Bender D et al. Social influences on clinical outcomes of patients with ovarian cancer. J Clin Oncol 2012; 30(23): 2885-2890
• 29 Mead GE, Morley W, Campbell P et al. Exercise for depression. Cochrane Database Syst Rev 2008; Oct 8 (4): CD004366
• 30 Palesh O, Butler LD, Koopman C et al. Stress history and breast cancer recurrence. J Psychosom Res 2007; 63(3): 233-239
• 31 Petticrew M. Cancer-stress link: the truth. Nurs Times 1999; 95(9): 52-53
• 32 Pierce JP, Stefanick ML, Flatt SW. Greater survival after breast cancer in physically active women with high vegetable-fruit intake regardless of obesity. J Clin Oncol 2007; 25: 2345-2351
• 33 Pilkington K et al. Yoga for depression: the research evidence. J Affect Disord 2005; 89: 13-24
• 34 Pinquart M, Duberstein PR. Associations of social networks with cancer mortality: a meta-analysis. Crit Rev Oncol Hematol 2010; 75(2): 122-137
• 35 Reynolds P, Kaplan GA. Social connections and risk for cancer: prospective evidence from the Alameda County Study. Behav Med 1990; 16(3): 101-110
• 36 Sagar SM et al. Integrative oncology: a Canadian and international perspective. Curr Oncol 2008; 15(s2): 71-73
• 37 Sarris J et al. Adjuvant use of nutritional and herbal medicines with antidepressants, mood stabilizers and benzodiazipenes. J Psychiatr Res 2010; 44: 32-41
• 38 Satin JR et al. Depression as a predictor of disease progression and mortality in cancer patients: a meta-analysis. Cancer 2009; 115: 5349-5361
• 39 Sprehn GC, Chambers JE, Saykin AJ et al. Decreased cancer survival in individuals separated at time of diagnosis: critical period for cancer pathophysiology?. Cancer 2009; 115(21): 5108-5116