Cited by 451Cancer survivorship and carePain Management and Placebo EffectPain Management and Opioid Use

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Group Therapy and Hypnosis Reduce Metastatic Breast Carcinoma Pain

Spiegel, David, Bloom, Joan R.·1983·Psychosomatic Medicine

DOI 10.1097/00006842-198308000-00007

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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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Authors: Spiegel, D., & Bloom, J. R.
Affiliations: Stanford Medicine (US)
ORCID: Spiegel, David
Venue: Psychosomatic Medicine
Publisher: Ovid Technologies (Wolters Kluwer Health)
Published: 1983-08
Volume: 45
Issue: 4
Pages: 333-339
ISSN: 0033-3174 (ISSN-L)
DOI: 10.1097/00006842-198308000-00007
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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Group Therapy and Hypnosis Reduce Metastatic Breast Carcinoma Pain

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