Integrative Approaches to Stress Management

Cancer J. 2019 Sep/Oct;25(5):329-336. doi: 10.1097/PPO.0000000000000395.


This narrative review provides an overview of the scope of psychosocial distress and stress in cancer patients and survivors and the potential negative consequences of untreated symptoms. Evidence-based interventions to treat these symptoms are reviewed, beginning with a summary of published clinical practice guidelines, followed by more detailed reviews of the specific integrative interventions with the largest empirical support: cognitive-behavioral stress management, yoga, mindfulness-based interventions, and massage. We also comment on use of natural health products because of their popularity. Finally, we conclude with recommendations to improve the quality of research in integrative interventions for stress management.

Publication types

  • Research Support, Non-U.S. Gov't
  • Review

MeSH terms

  • Cancer Survivors / psychology
  • Disease Management
  • Evidence-Based Practice
  • Humans
  • Integrative Oncology* / methods
  • Mind-Body Therapies
  • Neoplasms / psychology*
  • Practice Guidelines as Topic
  • Stress, Psychological*
  • Yoga

Grant support