The advantages of hypnosis intervention on breast cancer surgery and adjuvant therapy

Berlière, Martine; Roelants, Fabienne; Watremez, Christine; Docquier, Marie-Agnès; Piette, Nathan; Lamerant, Sarah; Megevand, Vladimir; Maanen, Aline Van; Piette, Philippe; Gerday, Amandine; Duhoux, François

doi:10.1016/j.breast.2017.10.017

Cited by 44 publications

(49 citation statements)

References 23 publications

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“…Furthermore, they suggest that benefits of hypnosis sedation on breast cancer treatment are very encouraging and they further promote the concept of integrative oncology. [39] The detailed mechanisms by which chemotherapy might influence the sensitivity to anesthesia remain to be elucidated.…”

Section: Discussionmentioning

confidence: 99%

Effects of neoadjuvant chemotherapy on the depth of total intravenous anesthesia in patients with breast cancer undergoing unilateral modified radical mastectomy

Fu²,

Zhang³

et al. 2018

Medicine

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Toxic effects of neoadjuvant chemotherapy (NC) on nervous, hepatorenal, and pulmonary systems might affect general anesthesia depth. This study aimed to evaluate the effects of NC on depth of total intravenous anesthesia.This prospective observational study enrolled 60 patients undergoing elective unilateral modified radical mastectomy during total intravenous anesthesia with propofol and remifentanil (January–June 2015; Liaocheng People's Hospital, China): the NC group (n = 30) received NC, while the control group (n = 30) did not. Propofol and remifentanil dosages were adjusted according to indexes of consciousness (IoC1: sedation; IoC2: analgesia) to control fluctuations of blood pressure and heart rate within 20% of baseline values. Parameters reflecting propofol/remifentanil dosages, intraoperative adverse events, and quality of anesthetic recovery were recorded.The duration of propofol infusion (1.3 ± 0.4 vs 1.8 ± 0.5 hours, P < .05), mean propofol dosage (8.0 ± 1.0 vs 9.3 ± 1.5 mg kg−1 h−1, P < .05), and adjustment frequency of target-controlled remifentanil infusion (2.9 ± 1.8 vs 4.4 ± 2.6 times/surgery, P < .05) were significantly lower in the NC group than in the control group; adjustment frequency of target-controlled propofol infusion was also numerically lower (2.0 ± 1.1 vs 2.7 ± 1.5 times/surgery, P = .053). Duration of remifentanil infusion, mean remifentanil dosage, voluntary eye opening, extubation time, and recovery score were not significantly different between groups. The incidence of tachycardia was lower in the NC group than in the control group (7.1% vs 37.0%, P < .05), but there was no significant difference in the incidence of total adverse events between groups.NC can enhance the sensitivity of breast cancer patients to the anesthetic effect of propofol.

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Section: Discussionmentioning

confidence: 99%

Effects of neoadjuvant chemotherapy on the depth of total intravenous anesthesia in patients with breast cancer undergoing unilateral modified radical mastectomy

Fu²,

Zhang³

et al. 2018

Medicine

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“…Of particular relevance here are effects that involve pain reduction, reduced need for medication, and shorter duration of surgery, with effect sizes indicating better clinical outcomes in patients receiving hypnosis than 89% of patients in control groups (Montgomery et al, 2002). Hypnosis has further been shown to be superior to other psychological techniques (e.g., therapeutic suggestions; Kekecs et al, 2014) and might also provide benefits when delivered during general anesthesia (Berlière et al, 2018;Lacroix et al, 2019;Nowak et al, 2020). While studies of long-term effects of hypnosis are scarce, one recent study indicates the potential for preventing CPSP with peri-operative hypnosis (Berlière et al, 2018) in line with the SURGE model of CPSP.…”

Section: How To Address the Problem: Managing Expectanciesmentioning

confidence: 99%

What Does CATS Have to Do With Cancer? The Cognitive Activation Theory of Stress (CATS) Forms the SURGE Model of Chronic Post-surgical Pain in Women With Breast Cancer

2021

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Chronic post-surgical pain (CPSP) represents a highly prevalent and significant clinical problem. Both major and minor surgeries entail risks of developing CPSP, and cancer-related surgery is no exception. As an example, more than 40% of women undergoing breast cancer surgery struggle with CPSP years after surgery. While we do not fully understand the pathophysiology of CPSP, we know it is multifaceted with biological, social, and psychological factors contributing. The aim of this review is to advocate for the role of response outcome expectancies in the development of CPSP following breast cancer surgery. We propose the Cognitive Activation Theory of Stress (CATS) as an applicable theoretical framework detailing the potential role of cortisol regulation, inflammation, and inflammatory-induced sickness behavior in CPSP. Drawing on learning theory and activation theory, CATS offers psychobiological explanations for the relationship between stress and health, where acquired expectancies are crucial in determining the stress response and health outcomes. Based on existing knowledge about risk factors for CPSP, and in line with the CATS position, we propose the SURGEry outcome expectancy (SURGE) model of CPSP. According to SURGE, expectancies impact stress physiology, inflammation, and fear-based learning influencing the development and persistence of CPSP. SURGE further proposes that generalized response outcome expectancies drive adaptive or maladaptive stress responses in the time around surgery, where coping dampens the stress response, while helplessness and hopelessness sustains it. A sustained stress response may contribute to central sensitization, alterations in functional brain networks and excessive fear-based learning. This sets the stage for a prolonged state of inflammatory-induced sickness behavior – potentially driving and maintaining CPSP. Finally, as psychological factors are modifiable, robust and potent predictors of CPSP, we suggest hypnosis as an effective intervention strategy targeting response outcome expectancies. We here argue that presurgical clinical hypnosis has the potential of preventing CPSP in women with breast cancer.

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“…Pain and anxiety are the most common side effects of surgery [10]. The use of hypnosis in clinical practice has long been used.…”

Section: Searching Techniques and Selection Criteriamentioning

confidence: 99%

Hypnosis is a Surgical Pain Intervention: A Systematic Review

Awaludin¹,

Nurachmah²,

Novitasari³

2020

Proceedings of the 1st International Conference on Community Health (ICCH 2019)

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Surgery is a medical procedure that can cause perioperative pain. Pain in the perioperative phase that received by the patient can cause various complications. Hypnosis is a part of complementary and alternative therapies that are able to cope with pain. The purpose of the review is to perform a systematic review of the literature. Hypnosis is a part of complementary and alternative therapies that are able to cope with pain in surgery. A comprehensive article search through EBSCO, PROQUEST, and Scopus, the original article was sought in the period of publication between 1999 and 2019. The original articles reported on the effectiveness of hypnosis with surgical patient inclusion criteria. A total of 1994 studies have been identified in the literature search. However, only 27 studies were eligible for analysis in this study. The instruments used were visual analogue scale and numeric rating scale questionnaire were used to identify the level of pain in the study. The outcome revealed that hypnosis can decrease level of pain in each perioperative phase significantly. Further research needs to be done to add strong evidence about the use of hypnosis for perioperative pain management.

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The advantages of hypnosis intervention on breast cancer surgery and adjuvant therapy

Cited by 44 publications

References 23 publications

Effects of neoadjuvant chemotherapy on the depth of total intravenous anesthesia in patients with breast cancer undergoing unilateral modified radical mastectomy

Effects of neoadjuvant chemotherapy on the depth of total intravenous anesthesia in patients with breast cancer undergoing unilateral modified radical mastectomy

What Does CATS Have to Do With Cancer? The Cognitive Activation Theory of Stress (CATS) Forms the SURGE Model of Chronic Post-surgical Pain in Women With Breast Cancer

Hypnosis is a Surgical Pain Intervention: A Systematic Review

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