Effects of basic badminton training on psychological recovery and sense of social belonging in female cancer survivors during rehabilitation
Abstract
This study aimed to examine the effects of fundamental badminton training on psychological recovery and sense of belonging in female cancer survivors during rehabilitation. There was a randomized controlled trial of 80 women cancer survivors (25-65 years) who had completed their initial cancer treatment in the past 6-24 months. Participants were assigned to a 12-week structured badminton training program (n = 40) or to usual care (n = 40). Bi-weekly sessions of 60 min of badminton intervention were conducted in small groups. Measurements were taken at baseline and following the intervention and at a 3-month follow-up with standardized measures of anxiety, depression, cancer-related fatigue, social connectedness, and quality of life. Results showed statistically significant improvement in the intervention group compared with controls in all markers of psychological recovery of anxiety (F[2,156] = 9.43, p < 0.001, η²p = 0.11), depression (F[2,156] = 8.67, p < 0.001, η²p = 0.10), and cancer-related fatigue (F[2,156] = 10.24, p < 0.001, η²p = 0.12). In addition, significant gains in measures of social connectedness (F[2,156] = 11.24, p < 0.001, η²p = 0.13) and quality of life were seen in the intervention group and were maintained at 3-month follow-up. Strong correlations were seen between gains in markers of psychological recovery and measures of social connectedness (r = −0.64 to −0.71, p < 0.001). These findings provide preliminary evidence that badminton training may enhance psychological recovery and social belonging in female cancer survivors during rehabilitation. However, the absence of active control groups and cultural specificity of findings limit generalizability, warranting further research in diverse populations before clinical implementation.
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References
1. Wang YH, Li JQ, Shi JF, et al. Depression and anxiety in relation to cancer incidence and mortality: a systematic review and meta-analysis of cohort studies. Molecular Psychiatry. 2020; 25: 1487-1499. doi: 10.1038/s41380-019-0595-x
2. Niedzwiedz CL, Knifton L, Robb KA, et al. Depression and anxiety among people living with and beyond cancer: A growing clinical and research priority. BMC Cancer. 2019; 19: 943. doi: 10.1186/s12885-019-6181-4
3. Philip EJ, Merluzzi TV. Psychosocial issues in post-treatment cancer survivors: Desire for support and challenges in identifying individuals in need. Journal of Psychosocial Oncology. 2016; 34(3): 223-239. doi: 10.1080/07347332.2016.1157716
4. Schmitz KH, Campbell AM, Stuiver MM, et al. Exercise is medicine in oncology: Engaging clinicians to help patients move through cancer. CA: A Cancer Journal for Clinicians. 2019; 69(6): 468-484. doi: 10.3322/caac.21579
5. Marziliano A, M. Tuman M, Moyer A. The relationship between post-traumatic stress and post-traumatic growth in cancer patients and survivors: A systematic review and meta-analysis. Psycho-Oncology. 2020; 29(4): 604-616. doi: 10.1002/pon.5314
6. Huang S, Huang M, Long F, Wang F. Post-traumatic growth experience of breast cancer patients: A qualitative systematic review and meta-synthesis. PLoS One. 2025; 20(1): e0316108. doi: 10.1371/journal.pone.0316108
7. Love C, Sabiston CM. Exploring the links between physical activity and posttraumatic growth in young adult cancer survivors. Psycho-Oncology. 2011; 20(3): 278-286. doi: 10.1002/pon.1733
8. Cafaro V, Rabitti E, Artioli G, et al. Promoting post-traumatic growth in cancer patients: A randomized controlled trial of guided written disclosure. Frontiers in Psychology. 2024; 15: 1285998. doi: 10.3389/fpsyg.2024.1285998
9. Patrick H, Williams GC. Self-determination theory: Its application to health behavior and complementarity with motivational interviewing. International Journal of Behavioral Nutrition and Physical Activity. 2012; 9: 18. doi: 10.1186/1479-5868-9-18
10. Milne HM, Wallman KE, Guilfoyle A, et al. Self-determination theory and physical activity among breast cancer survivors. Journal of Sport and Exercise Psychology. 2008; 30(1): 23-38. doi: 10.1123/jsep.30.1.23
11. Wilson PM, Blanchard CM, Nehl E, Baker F. Predicting physical activity and outcome expectations in cancer survivors: An application of Self-Determination Theory. Psycho-Oncology: Journal of the Psychological, Social and Behavioral Dimensions of Cancer. 2006; 15(7): 567-578. doi: 10.1002/pon.990
12. Lee YH, Lai GM, Lee DC, et al. Promoting physical and psychological rehabilitation activities and evaluating potential links among cancer-related fatigue, fear of recurrence, quality of life, and physiological indicators in cancer survivors. Integrative Cancer Therapies. 2018; 17(4): 1183-1194. doi: 10.1177/1534735418805149
13. Frikkel J, Götte M, Beckmann M, et al. Fatigue, barriers to physical activity and predictors for motivation to exercise in advanced Cancer patients. BMC Palliative Care. 2020; 19: 43. doi: 10.1186/s12904-020-00542-z
14. Liska TM, Kolen AM. The role of physical activity in cancer survivors’ quality of life. Health and Quality of Life Outcomes. 2020; 18: 197. doi: 10.1186/s12955-020-01448-3
15. Niu N, Huang R, Zhao J, Zeng Y. Health benefits of yoga for cancer survivors: an updated systematic review and meta-analysis. Asia-Pacific Journal of Oncology Nursing. 2024; 11(3): 100316. doi: 10.1016/j.apjon.2023.100316
16. Loo LW, Nishibun K, Welsh L, et al. Using a cultural dance program to increase sustainable physical activity for breast cancer survivors—A pilot study. Complementary Therapies in Medicine. 2019; 47: 102197. doi: 10.1016/j.ctim.2019.102197
17. Leach HJ, Potter KB, Hidde MC. A group dynamics-based exercise intervention to improve physical activity maintenance in breast cancer survivors. Journal of Physical Activity and Health. 2019; 16(9): 785-791. doi: 10.1123/jpah.2018-0667
18. Bandura A. Social cognitive theory of mass communication. In: Media Effects. Routledge; 2009. pp. 110-140.
19. McDonough MH, Beselt LJ, Kronlund LJ, et al. Social support and physical activity for cancer survivors: A qualitative review and meta-study. Journal of Cancer Survivorship. 2021; 15: 713-728. doi: 10.1007/s11764-020-00963-y
20. Mercier J, Ivers H, Savard J. A non-inferiority randomized controlled trial comparing a home-based aerobic exercise program to a self-administered cognitive-behavioral therapy for insomnia in cancer patients. Sleep. 2018; 41(10): zsy149. doi: 10.1093/sleep/zsy149
21. Durosini I, Triberti S, Sebri V, et al. Psychological benefits of a sport-based program for female cancer survivors: The role of social connections. Frontiers in Psychology. 2021; 12: 751077. doi: 10.3389/fpsyg.2021.751077
22. Soriano-Maldonado A, Carrera-Ruiz A, Diez-Fernandez DM, et al. Effects of a 12-week resistance and aerobic exercise program on muscular strength and quality of life in breast cancer survivors: Study protocol for the EFICAN randomized controlled trial. Medicine. 2019; 98(44): e17625. doi: 10.1097/MD.0000000000017625
23. Lirola MJ, Hernández-Rodríguez AI, Cuenca-Piqueras C, Prados-Megías ME. Resilience and renewal: The personal impact of physical activity in breast cancer survivors. BMC Women’s Health. 2025; 25: 257. doi: 10.1186/s12905-025-03791-3
24. Lassandro G, Trisciuzzi R, Palladino V, et al. Psychophysical health and perception of well-being between master badminton athletes and the adult Italian population. Acta Bio Medica: Atenei Parmensis. 2021; 92(4): e2021253. doi: 10.23750/abm.v92i4.9857
25. Cabello-Manrique D, Lorente JA, Padial-Ruz R, Puga-Gonzalez E. Play badminton forever: A systematic review of health benefits. International Journal of Environmental Research and Public Health. 2022; 19(15): 9077. doi: 10.3390/ijerph19159077
26. Patterson S, Pattison J, Legg H, et al. The impact of badminton on health markers in untrained females. Journal of Sports Sciences. 2017; 35(11): 1098-1106. doi: 10.1080/02640414.2016.1210819
27. Missel M, Borregaard B, Schoenau MN, Sommer MS. A sense of understanding and belonging when life is at stake—Operable lung cancer patients’ lived experiences of participation in exercise. European Journal of Cancer Care. 2019; 28(5): e13126. doi: 10.1111/ecc.13126
28. Bianco T, Eklund RC. Conceptual considerations for social support research in sport and exercise settings: The case of sport injury. Journal of Sport and Exercise Psychology. 2001; 23(2): 85-107. doi: 10.1123/jsep.23.2.85
29. Chen CC, Ryuh YJ, Donald M, Rayner M. The impact of badminton lessons on health and wellness of young adults with intellectual disabilities: A pilot study. International Journal of Developmental Disabilities. 2022; 68(5): 703-711. doi: 10.1080/20473869.2021.1882716
30. Annunziata MA, Muzzatti B, Bidoli E, et al. Hospital Anxiety and Depression Scale (HADS) accuracy in cancer patients. Supportive Care in Cancer. 2020; 28: 3921-3926. doi: 10.1007/s00520-019-05244-8
31. Fisher MI, Cohn JC, Harrington SE, et al. Screening and assessment of cancer-related fatigue: A clinical practice guideline for health care providers. Physical Therapy. 2022; 102(9): pzac120. doi: 10.1093/ptj/pzac120
32. Fox RS, Armstrong GE, Gaumond JS, et al. Social isolation and social connectedness among young adult cancer survivors: A systematic review. Cancer. 2023; 129(19): 2946-2965. doi: 10.1002/cncr.34934
33. Giesinger JM, Kieffer JM, Fayers PM, et al. Replication and validation of higher order models demonstrated that a summary score for the EORTC QLQ-C30 is robust. Journal of Clinical Epidemiology. 2016; 69: 79-88. doi: 10.1016/j.jclinepi.2015.08.007
34. Rodrigues B, Encantado J, Franco S, et al. Psychosocial correlates of physical activity in cancer survivors: A systematic review and meta-analysis. Journal of Cancer Survivorship. 2025; 19: 1385-1402. doi: 10.1007/s11764-024-01559-6
35. Eather N, Wade L, Pankowiak A, Eime R. The impact of sports participation on mental health and social outcomes in adults: A systematic review and the ‘Mental Health through Sport’ conceptual model. Systematic Reviews. 2023; 12: 102. doi: 10.1186/s13643-023-02264-8
36. Zanghi M, Petrigna L, Maugeri G, et al. The practice of physical activity on psychological, mental, physical, and social wellbeing for breast-cancer survivors: An umbrella review. International Journal of Environmental Research and Public Health. 2022; 19(16): 10391. doi: 10.3390/ijerph191610391
37. Murray RM, O’Loughlin E, Smith-Turchyn J, et al. Connecting women who are diagnosed and treated for breast cancer to engage in physical activity: A two-arm randomized controlled trial. BMC Sports Science, Medicine and Rehabilitation. 2025; 17: 96. doi: 10.1186/s13102-025-01131-4
38. Tyrus Korecki JR, Ganz PA, Partridge AH, et al. Moderators of intervention efficacy in the pathways to wellness trial of survivorship education and mindfulness meditation for younger breast cancer survivors. JCO Oncology Practice. 2024; 20(10): 1410-1419. doi: 10.1200/OP.23.00617
39. Bedi M, Devins GM. Cultural considerations for South Asian women with breast cancer. Journal of Cancer Survivorship. 2016; 10: 31-50. doi: 10.1007/s11764-015-0449-8
40. León-Salas B, Bilbao-González A, y Medina AM, et al. Cross-cultural adaptation, reliability and validity of the Spanish version of the long-term quality of life questionnaire. Frontiers in Oncology. 2024; 14: 1375125. doi: 10.3389/fonc.2024.1375125
41. Hardcastle SJ, Maxwell-Smith C, Cavalheri V, et al. A randomized controlled trial of promoting physical activity in regional and remote cancer survivors (PPARCS). Journal of Sport and Health Science. 2024; 13(1): 81-89. doi: 10.1016/j.jshs.2023.01.003
42. Friedenreich CM, Stone CR, Cheung WY, Hayes SC. Physical activity and mortality in cancer survivors: A systematic review and meta-analysis. JNCI Cancer Spectrum. 2020; 4(1): pkz080. doi: 10.1093/jncics/pkz080
