Fatigue during breast cancer radiotherapy: An initial randomized study of cognitive–behavioral therapy plus hypnosis.

Montgomery, Guy H.; Kangas, Maria; David, Daniel; Hallquist, Michael N.; Green, Sheryl; Bovbjerg, Dana H.; Schnur, Julie B.

doi:10.1037/a0013582

Cited by 99 publications

(89 citation statements)

References 27 publications

(33 reference statements)

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“…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. Although these findings were encouraging, there were limitations, including a relatively small sample (n ϭ 42), the lack of a professional attention control (AC) group, and that fatigue measurement ended at the conclusion of radiotherapy.…”

Section: Journal Of Clinical Oncology O R I G I N a L R E P O R T V Omentioning

confidence: 99%

“…Hypnosis then began with relaxing imagery followed by suggestions for reduced distress and reduced fatigue during radiotherapy. 5,29 The standardized hypnosis session concluded by providing patients with instructions for how to use hypnosis on their own. 30 At the end of the session, each patient was given a CBTH workbook that had been developed by our group (Data Supplement).…”

Section: Methodsmentioning

confidence: 99%

“…Patients receiving radiotherapy rate fatigue as their most prevalent and severe symptom. 3 Fatigue increases over the course of radiotherapy, [3][4][5] and off-treatment fatigue occurs among some BCa survivors. 6,7 In fact, one study found that up to 40% of patients who received radiotherapy for BCa reported fatigue 1 year after treatment.…”

Section: Introductionmentioning

confidence: 99%

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

Montgomery

David

Kangas

et al. 2014

JCO

Self Cite

106

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Purpose The objective of this study was to test the efficacy of cognitive-behavioral therapy plus hypnosis (CBTH) to control fatigue in patients with breast cancer undergoing radiotherapy. We hypothesized that patients in the CBTH group receiving radiotherapy would have lower levels of fatigue than patients in an attention control group. Patients and Methods Patients (n = 200) were randomly assigned to either the CBTH (n = 100; mean age, 55.59 years) or attention control (n = 100; mean age, 55.97 years) group. Fatigue was measured at four time points (baseline, end of radiotherapy, 4 weeks, and 6 months after radiotherapy). Fatigue was measured using the Functional Assessment of Chronic Illness Therapy (FACIT) –Fatigue subscale and Visual Analog Scales (VASs; Fatigue and Muscle Weakness). Results The CBTH group had significantly lower levels of fatigue (FACIT) at the end of radiotherapy (z, 6.73; P < .001), 4-week follow-up (z, 6.98; P < .001), and 6-month follow-up (z, 7.99; P < .001) assessments. Fatigue VAS scores were significantly lower in the CBTH group at the end of treatment (z, 5.81; P < .001) and at the 6-month follow-up (z, 4.56; P < .001), but not at the 4-week follow-up (P < .07). Muscle Weakness VAS scores were significantly lower in the CBTH group at the end of treatment (z, 9.30; P < .001) and at the 6-month follow-up (z, 3.10; P < .02), but not at the 4-week follow-up (P < .13). Conclusion The results support CBTH as an evidence-based intervention to control fatigue in patients undergoing radiotherapy for breast cancer. CBTH is noninvasive, has no adverse effects, and its beneficial effects persist long after the last intervention session. CBTH seems to be a candidate for future dissemination and implementation.

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Section: Journal Of Clinical Oncology O R I G I N a L R E P O R T V Omentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

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

Montgomery

David

Kangas

et al. 2014

JCO

Self Cite

106

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“…Différentes études réalisées avecd es patientes atteintes d'un cancer du sein ont montré l'efficacité d'une intervention combinant hypnose et thérapie cognitivo-comportementale [79][80][81] et d'une intervention combinant auto-hypnose et techniques d'autobienveillance, consistant à apprendre à prendre soin de soi-même, à s'écouter et se respecter davantage [82], pour diminuer la fatigue des participantes. Différentes interventions basées sur l'hypnose et disponibles sur Internet ont été proposées à des patients ayant terminé leurs traitements contre un cancer (tous diagnostics acceptés) depuis plusieurs années.…”

Section: Impact De L'hypnose Sur La Fatigue Et Les Difficultésd Es Omunclassified

Intérêt et utilisation de l’hypnose pour améliorer le bien-être physique et psychologique en oncologie

Grégoire

Faymonville

Jérusalem

et al. 2017

Hegel

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RésuméLe cancer et ses traitements ont de nombreux effets secondaires :d ouleurs, fatigue, difficultés de sommeil, nausées, vomissements, bouffées de chaleur,d é tresse émotionnelle. Ces symptômes impactent négativement la qualité de vie des patients et perdurent souvent pendant des années après les traitements. Malgré la difficultéàtraiter ces effets secondaires au moyend 'approches pharmacologiques, l'hypnose as ouvent été laisséed ec ôté en oncologie. L'hypnose est définie comme un état de conscience modifié au cours duquel des processus d'attention et de concentration focalisées permettent au sujet une absorption dans son monde intérieur associée à une relative mise en suspens de la conscience de l'environnement. Durant cette procédure, un professionnel suggère au patient des changements dans ses sensations, perceptions, pensées ou comportements. Plusieurs études ont mis en évidence l'efficacité de l'hypnose pour diminuer la douleur provoquée par les traitements et procédureso ncologiques. L'hypnose est également utile dans le cadre de la gestion de la fatigue liéea uc ancer.D es interventions combinant hypnose et thérapie cognitivocomportementale ou auto-bienveillance ont montré des effets positifs à ce niveau. Para illeurs, l'hypnose permet une amélioration de la détresse émotionnelle liéeaux procédures médicales et du bien-être psychologique général, ainsi qu'une diminution de certains symptômes physiques comme les nausées et les bouffées de chaleur.L es techniques de neuro-imagerie mettente né vidence des processus cérébraux spécifiques à l'état d'hypnose. Nous pouvons ainsi mieux comprendre les mécanismes sous-jacents aux modifications comportementales rapportées par les patients qui bénéficient de l'hypnose dans leur prise en charge. Mots-clés

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“…In one trial of radiotherapy, this symptom was stabilized by cognitive-behavioral therapy plus hypnosis, while the control group showed a linear increase of fatigue scores over the same period (Montgomery, 2009). …”

Section: Treatment Side-effectsmentioning

confidence: 99%

Hypnosis in Cancer Patients: Can We Do Better?

Kwiatkowski¹

2012

Psychology - Selected Papers

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Fatigue during breast cancer radiotherapy: An initial randomized study of cognitive–behavioral therapy plus hypnosis.

Abstract: The results suggest that CBTH is an effective means for controlling and potentially preventing fatigue in breast cancer radiotherapy patients.

Cited by 99 publications

References 27 publications

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

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

Intérêt et utilisation de l’hypnose pour améliorer le bien-être physique et psychologique en oncologie

Hypnosis in Cancer Patients: Can We Do Better?

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