A Randomized Clinical Trial of a Brief Hypnosis Intervention to Control Side Effects in Breast Surgery Patients

Abstract

Hypnosis was superior to attention control regarding propofol and lidocaine use; pain, nausea, fatigue, discomfort, and emotional upset at discharge; and institutional cost. Overall, the present data support the use of hypnosis with breast cancer surgery patients.

Randomized Controlled Trial of a Cognitive-Behavioral Therapy Plus Hypnosis Intervention to Control Fatigue in Patients Undergoing Radiotherapy for Breast Cancer

“…AC procedures were based on manualized approaches. 23,31 For AC participants, the interventionist did not lead the patient in imagery, relaxation, evaluation of thought processes, or even simple discussion. Rather, the interventionist allowed the patient to direct the flow of the conversation and provided supportive/empathic comments.…”

“…21 The literature 22 has supported the efficacy of hypnosis in controlling cancer treatment-related adverse effects, including fatigue in patients with BCa undergoing surgery. 23 Recognizing that the combination of CBT and hypnosis can increase clinical benefit, 18 we developed an intervention combining CBT and hypnosis for controlling fatigue during BCa radiotherapy. Initial results 5 revealed significant beneficial effects of CBTH on fatigue during radiotherapy, with medium to large effect sizes.…”

Optimizing pain management to facilitate Enhanced Recovery After Surgery pathways

“…It also reduced pain, nausea, fatigue, discomfort, and emotional upset at discharge. 94 Evidence also suggests that hypnosis can decrease pain after pediatric and adolescent surgeries and certain procedures (e.g., bone marrow aspiration), and it is at least as effective as distraction as an adjunct strategy for pain reduction. 95 …”

Psychogenic Carcinogenesis

“…From our own clinical experience, this method could be hypnotherapy, but with compulsory use of pathogenesis-related therapeutic suggestion. The use of hypnotherapy in oncology has a long history (Sacerdote, 1966), however, the therapeutic suggestion used for were exclusively symptomatic orientated (Marchioro et al, 2000;Montgomery et al, 2007;Jacobsen & Jim, 2008;Schnur et al, 2008;Monti et al, 2008). We purposefully developed the technique of hypnotherapy with the compulsory use of pathogenetically important therapeutic suggestions.…”