Use of Integrative Therapies During and After Breast Cancer Treatment

Publication Date: April 24, 2017


  • Use of music therapy, meditation, stress management and yoga for anxiety/stress reduction.

  • Use of meditation, relaxation, yoga, massage and music therapy for depression/mood disorders.

  • Use of meditation and yoga to improve quality of life.

  • Use of acupressure and acupuncture for reducing CINV.

  • There is a lack of strong evidence supporting the use of ingested dietary supplements or botanical agents as supportive care and/or to manage breast cancer treatment‐related side effects.

Implementing integrative therapies in a clinical setting requires a coordinated team approach with well‐trained providers. Training and credentialing for many integrative providers varies by jurisdictions. Best practices suggest that providers be trained to the highest standard of their profession and educated in other relevant disciplines.

Recommendation Grading




Use of Integrative Therapies During and After Breast Cancer Treatment

Authoring Organization

Publication Month/Year

April 24, 2017

Document Type


External Publication Status


Country of Publication


Document Objectives

This report provides updated clinical practice guidelines from the Society for Integrative Oncology on the use of integrative therapies for specific clinical indications during and after breast cancer treatment, including anxiety/stress, depression/mood disorders, fatigue, quality of life/physical functioning, chemotherapy‐induced nausea and vomiting, lymphedema, chemotherapy‐induced peripheral neuropathy, pain, and sleep disturbance.

Inclusion Criteria

Female, Adult, Older adult

Health Care Settings

Ambulatory, Hospital, Outpatient

Intended Users

Nurse, nurse practitioner, physician, physician assistant


Counseling, Management

Diseases/Conditions (MeSH)

D003863 - Depression, D001943 - Breast Neoplasms, D001007 - Anxiety


breast cancer, depression, anxiety, sleep disorders, Breast Cancer

Source Citation

Greenlee, H., DuPont‐Reyes, M.J., Balneaves, L.G., Carlson, L.E., Cohen, M.R., Deng, G., Johnson, J.A., Mumber, M., Seely, D., Zick, S.M., Boyce, L.M. and Tripathy, D. (2017), Clinical practice guidelines on the evidence‐based use of integrative therapies during and after breast cancer treatment. CA: A Cancer Journal for Clinicians, 67: 194-232. doi:10.3322/caac.21397

Supplemental Methodology Resources

Data Supplement, Methodology Supplement


Number of Source Documents
Literature Search Start Date
January 1, 1990
Literature Search End Date
December 31, 2013