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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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“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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Self-citation
Metadata
- 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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