Psychoeducational interventions to alleviate hot flashes

Tremblay, Anouk; Sheeran, Lisa; Aranda, Sanchia

doi:10.1097/gme.0b013e31805c08dc

Cited by 67 publications

(47 citation statements)

References 34 publications

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“…The intervention time was often 90 min for 6 weeks. Most of these studies have demonstrated improvements in the distress and bother related to hot fl ashes , but not the number or severity of hot fl ashes themselves Duijts et al 2012 ;Mann et al 2012 ;Tremblay et al 2008 ;Balabanovic et al 2012 ). One study, using a cognitive behavioral intervention for hot fl ashes in women with breast cancer, included a qualitative interview to learn about women's perception of the effect of the intervention on their symptoms .…”

Section: Hot Flashesmentioning

confidence: 97%

“…Recent randomized trials have evaluated cognitive behavioral therapy (CBT) for hot fl ashes, and at least three have been done in women with breast cancer. Most of these interventions have utilized a combination of cognitive and behavioral approaches, most commonly, paced breathing and relaxation, education about menopause, cognitive strategies to address negative thinking or attitudes and catastrophizing, and behaviors to improve sleep and manage stress and anxiety Duijts et al 2012 ;Mann et al 2012 ;Tremblay et al 2008 ;Balabanovic et al 2012 ). Many of the studies have used usual care or "no treatment" control groups.…”

Section: Hot Flashesmentioning

confidence: 98%

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Symptoms: Menopause, Infertility, and Sexual Health

Barton

Ganz

2015

Improving Outcomes for Breast Cancer Survivors

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By 2022, the number of survivors is expected to grow to nearly 18 million. Therefore, addressing acute and chronic negative sequelae of a cancer diagnosis and its treatments becomes a health imperative. For women with a history of breast cancer, one of the common goals of treatment and prevention of recurrence is to reduce circulating concentrations of estradiol, especially in women with hormone receptor positive breast cancer. Hormone deprivation after a diagnosis of breast cancer impacts physiological targets other than in the breast tissue and can result in unwanted side effects, all of which can negatively impact quality of life and function and cause distress. Symptoms that are most strongly linked by evidence to hormone changes after cancer diagnosis and treatment include hot flashes, night sweats, sleep changes, fatigue, mood changes, and diminishing sexual function, including vaginal atrophy (decreased arousal, dryness and dyspareunia), infertility, decreased desire and negative self-image. Weight gain and resulting body image changes are often concomitants of the abrupt onset of treatment-induced menopause. The purpose of this chapter is to briefly review what is known about the advent of premature menopause in women treated for breast cancer, menopausal symptoms that are exacerbated by endocrine treatments for breast cancer, and the associated concerns of hot flashes and related menopausal symptoms, sexual health and fertility issues. We will discuss limitations in the current research and propose strategies that address current limitations in order to move the science forward.

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Section: Hot Flashesmentioning

confidence: 97%

Section: Hot Flashesmentioning

confidence: 98%

Symptoms: Menopause, Infertility, and Sexual Health

Barton

Ganz

2015

Improving Outcomes for Breast Cancer Survivors

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“…A review of 14 studies, involving 475 patients who had received psychoeducational interventions, including relaxation, demonstrated an overall improvement in vasomotor symptoms. However, the experimental group in two studies, which had the greatest number of patients, also received pharmacologic therapies [70].…”

Section: Relaxation Techniquesmentioning

confidence: 99%

Hot Flashes: A Review of Pathophysiology and Treatment Modalities

2011

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“…AEs are also the main reason for non-adherence to oncologic treatment [12]. Both pharmacologic and non-pharmacologic interventions have been used to alleviate the AEs [13][14][15][16][17]. However, pharmacotherapy agents for resolving distress may produce adverse effects such as dry mouth, somnolence, drowsiness, skin rash, heart palpitations, peripheral oedema, and gastrointestinal symptoms and hence have low patient acceptance [18].…”

mentioning

confidence: 99%

The efficacy of acupoint stimulation for the management of therapy-related adverse events in patients with breast cancer: a systematic review

Chao

Zhang

Liu

et al. 2009

Breast Cancer Res Treat

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The aim of the present study was to scrutinize the evidence on the use of acupoint stimulation for managing therapy-related adverse events in breast cancer. A comprehensive search was conducted on eight English and Chinese databases to identify clinical trials designed to examine the efficacy of acupressure, acupuncture, or acupoint stimulation (APS) for the management of adverse events due to treatments of breast cancer. Methodological quality of the trials was assessed using a modified Jadad scale. Using pre-determined keywords, 843 possibly relevant titles were identified. Eventually 26 papers, 18 in English and eight in Chinese, satisfied the inclusion criteria and entered the quality assessment stage. The 26 articles were published between 1999 and 2008. They assessed the application of acupoint stimulation on six disparate conditions related to anticancer therapies including vasomotor syndrome, chemotherapy-induced nausea and vomiting, lymphedema, post-operation pain, aromatase inhibitors-related joint pain and leukopenia. Modalities of acupoint stimulation used included traditional acupuncture, acupressure, electroacupuncture, and the use of magnetic device on acupuncture points. Overall, 23 trials (88%) reported positive outcomes on at least one of the conditions examined. However, only nine trials (35%) were of high quality; they had a modified Jadad score of 3 or above. Three high quality trials revealed that acupoint stimulation on P6 (NeiGuang) was beneficial to chemotherapy-induced nausea and vomiting. For other adverse events, the quality of many of the trials identified was poor; no conclusive remarks can be made. Very few minor adverse events were observed, and only in five trials. APS, in particular acupressure on the P6 acupoint, appears beneficial in the management of chemotherapy-induced nausea and vomiting, especially in the acute phase. More well-designed trials using rigorous methodology are required to evaluate the effectiveness of acupoint stimulation interventions on managing other distress symptoms.

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Psychoeducational interventions to alleviate hot flashes

Cited by 67 publications

References 34 publications

Symptoms: Menopause, Infertility, and Sexual Health

Symptoms: Menopause, Infertility, and Sexual Health

Hot Flashes: A Review of Pathophysiology and Treatment Modalities

The efficacy of acupoint stimulation for the management of therapy-related adverse events in patients with breast cancer: a systematic review

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