Group therapy and hypnosis reduce metastatic breast carcinoma pain
Abstract
The pain and mood disturbance of 54 women with metastatic carcinoma of the breast were studied over the course of one year. A random sample was offered weekly group therapy during the year, with or without self-hypnosis training directed toward enhancing their competence at mastering pain and stress related to cancer. Both treatment groups demonstrated significantly less self-rated pain sensation (t = 2.5 p less than 0.02) and suffering (t = 2.17, p less than 0.03) than the control sample. Those who were offered the self-hypnosis training as well as group therapy fared best in controlling the pain sensation (F = 3.1, p less than 0.05). Pain frequency and duration were not affected. Changes in pain measures were significantly correlated with changes in self-rated total mood disturbance on the Profile of Mood States and with its anxiety, depression, and fatigue subscales. Possible mechanisms for the effectiveness of these interventions are discussed.
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Meta-analyses, narrative reviews, and randomized clinical studies support the potential clinical utility of hypnosis with surgical patients.
“Furthermore, meta-analyses [33], narrative reviews [34,35], and randomized clinical studies [36–39] all support the potential clinical utility of hypnosis with surgical patients.”
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Evans, R. L., & Connis, R. T. (1995) · Europe PMC (PubMed Central) · Cited by 112 · see citing works
Hypnosis in Breast Cancer Care: A Systematic Review of Randomized Controlled Trials
Cramer, H., Lauche, R., Paul, A., Langhorst, J., Kümmel, S., & Dobos, G. J. (2015) · Integrative Cancer Therapies · doi:10.1177/1534735414550035 · Cited by 111 · see citing works
Does psychosocial intervention improve survival in cancer? A meta-analysis
Chow, E., Tsao, M. N., & Harth, T. (2004) · Palliative Medicine · doi:10.1191/0269216304pm842oa · Cited by 110 · see citing works
Health caring. Psychosocial support for patients with cancer
Spiegel, D. (1994) · Cancer · doi:10.1002/1097-0142(19940815)74:4+ · Cited by 109 · see citing works
Self-citationZimmermann, T., Heinrichs, N., & Baucom, D. H. (2007) · Annals of Behavioral Medicine · doi:10.1007/bf02874548 · Cited by 107 · see citing works
Trauma, Dissociation, and Memory
Spiegel, D. (1997) · Annals of the New York Academy of Sciences · doi:10.1111/j.1749-6632.1997.tb48282.x · Cited by 106 · see citing works
Self-citationPsychosocial factors in the development and progression of breast cancer
Hilakivi-Clarke, L. A., Rowland, J. H., Clarke, R. C., & Lippman, M. E. (1994) · Breast Cancer Research and Treatment · doi:10.1007/bf00665676 · Cited by 105 · see citing works
Butler, L. D., Koopman, C., Cordova, M. J., Garlan, R. W., Dimiceli, S., & Spiegel, D. (2003) · Psychosomatic Medicine · doi:10.1097/01.psy.0000041472.77692.c6 · Cited by 103 · see citing works
Self-citationPsychosocial intervention for rural women with breast cancer
Angell, K. L., Kreshka, M. A., McCoy, R., Donnelly, P., Turner‐Cobb, J. M., Graddy, K., KRAEMER, H. C., & Koopman, C. (2003) · Journal of General Internal Medicine · doi:10.1046/j.1525-1497.2003.20316.x · Cited by 102 · see citing works
Pain Management for Patients With Advanced Cancer in the Opioid Epidemic Era
Dalal, S., & Bruera, E. D. (2019) · American Society of Clinical Oncology Educational Book · doi:10.1200/edbk_100020 · Cited by 101 · see citing works
Distress, Coping, and Social Support Among Rural Women Recently Diagnosed with Primary Breast Cancer
Koopman, C., Angell, K. L., Turner‐Cobb, J. M., Kreshka, M. A., Donnelly, P., McCoy, R., Turkseven, A., Graddy, K., Giese‐Davis, J., & Spiegel, D. (2001) · The Breast Journal · doi:10.1046/j.1524-4741.2001.007001025.x · Cited by 99 · see citing works
Self-citationAndersen, B. L. (1993) · Cancer · doi:10.1002/cncr.2820710437 · Cited by 99 · see citing works
Gautier, H., Fobair, P., Neri, E., Festa, B., Hawn, M., Andrews, A., Hirshberger, N., Selim, S., Spiegel, D., & Rosenbaum, E. H. (2004) · Supportive Care in Cancer · doi:10.1007/s00520-004-0599-0 · Cited by 98 · see citing works
Self-citationComplementary and alternative medicine in cancer pain management: A systematic review
Singh, P., & Chaturvedi, A. (2015) · Indian Journal of Palliative Care · doi:10.4103/0973-1075.150202 · Cited by 98 · see citing works
Jacobson, J. S., Workman, S., & Kronenberg, F. (2000) · Journal of Clinical Oncology · doi:10.1200/jco.2000.18.3.668 · Cited by 96 · see citing works
- Authors
- Spiegel, D., & Bloom, J. R.
- Affiliations
- Stanford Medicine (US)
- ORCID
- Spiegel, David
- Venue
- Psychosomatic Medicine
- Published
- 1983-08
- Volume
- 45
- Issue
- 4
- Pages
- 333-339
- ISSN
- 0033-3174 (ISSN-L)
- OpenAlex
- W1990401128
- Cited by
- 451
- References
- 23
- Citations by year
- 2026: 2 · 2024: 6 · 2023: 3 · 2022: 7 · 2021: 7 · 2020: 7 · 2019: 9 · 2018: 10 · 2017: 11 · 2016: 10 · 2015: 9 · 2014: 13 · 2013: 12 · 2012: 15
- FWCI
- 3.11
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Psychosomatic Medicine (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Oncology › Cancer survivorship and care
- Life Sciences › Neuroscience › Cognitive Neuroscience › Pain Management and Placebo Effect
- Health Sciences › Medicine › Anesthesiology and Pain Medicine › Pain Management and Opioid Use
- Keywords
- metastatic breast cancer, cancer pain, group therapy, self-hypnosis, pain coping, mood disturbance, anxiety, depression, fatigue, psychosocial interventions
- MeSH terms
- Affective Symptoms, Analgesics, Breast Neoplasms, Female, Humans, Hypnosis, Neoplasm Metastasis, Prospective Studies, Psychotherapy, Group, Random Allocation, Pain Management
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