Randomized controlled trial of an 8-week intervention combining self-care and hypnosis for post-treatment cancer patients: study protocol
Open accessAbstract
BACKGROUND: Cancer has a lot of consequences on patients' quality of life (such as cancer-related fatigue (CRF), sleep difficulties and emotional distress) and on patients' partners and their relationship, such as distress and communication difficulties. These consequences are undertreated, and interventions based on hypnosis often focus on breast cancer patients only. This paper describes the study protocol of a longitudinal randomized controlled trial aiming to assess the efficacy of an 8-week intervention combining hypnosis and self-care to improve cancer patients' CRF, sleep and emotional distress and to indirectly improve their partners' distress. METHODS: A power analysis required a total sample of 88 patients. To test the efficacy of the intervention, results of the experimental group receiving the intervention will be compared to those of the control group. Data will be collected by questionnaires, relaxation tasks, an attentional bias task, and everyday life assessments measured at four different times: 1.) before inclusion in the study (baseline); 2.) after the intervention; and 3.) at 4- and 12-month follow-up. Partners' symptoms will also be evaluated with questionnaires at the same measurement times. DISCUSSION: There is a growing interest in alternative approaches (such as hypnosis) in addition to standard therapies in oncology settings. The results of this study should be useful for improving knowledge about long-term efficacy of hypnosis-based group interventions for CRF, sleep and distress among all types of cancer patients and their partners, and to better understand the mechanisms of emotional regulation in cancer patients through the attentional bias task. TRIAL REGISTRATION: ClinicalTrials.gov (NCT03144154). Retrospectively registered on the 1st of May, 2017.
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Most of the evidence supporting hypnosis derives from adjacent domains involving procedural distress, expectancy modulation, and stress regulation.
“Most of the evidence supporting hypnosis derives from adjacent domains involving procedural distress, expectancy modulation, and stress regulation (15, 27, 36, 37).”
From Mindfulness and clinical hypnotherapy in sexual desire disorders: mechanisms, psychophysiological pathways, and integrative therapeutic sequencing (2026) · cites this paper as [36]
The Background reports studies of hypnosis for cancer-related fatigue, sleep, and distress, and the Discussion describes possible effects on emotional regulation. Neither section establishes that most supporting evidence comes from adjacent domains involving procedural distress, expectancy modulation, and stress regulation; the paper instead says most of the studies it discusses focus on breast cancer patients. (LLM, conf=0.79)
Experimental — accuracy not yet measuredEvidence from adjacent medical domains supports mechanistic plausibility regarding stress regulation and attentional modulation.
“Evidence from adjacent medical domains supports mechanistic plausibility regarding stress regulation and attentional modulation (15, 19, 27, 34, 36, 37).”
From Mindfulness and clinical hypnotherapy in sexual desire disorders: mechanisms, psychophysiological pathways, and integrative therapeutic sequencing (2026) · cites this paper as [36]
The Discussion (page unavailable) proposes that hypnosis could influence cognition and emotional regulation and hypothesizes a link between reduced distress and attentional bias. The Methods and design > Assessments section describes measures of anxiety regulation and attentional bias. Because this is a study protocol, it offers a rationale for mechanistic plausibility, not results demonstrating stress regulation or attentional modulation. (LLM, conf=0.82)
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Grégoire, C., Faymonville, M.-É., Vanhaudenhuyse, A., Charland‐Verville, V., Jérusalem, G., Willems, S. J., & Bragard, I. (2020) · Psycho-Oncology · doi:10.1002/pon.5395 · Cited by 54 · see citing works
Self-citationGrégoire, C., Faymonville, M.-É., Vanhaudenhuyse, A., Jérusalem, G., Willems, S. J., & Bragard, I. (2020) · Quality of Life Research · doi:10.1007/s11136-020-02655-7 · Cited by 26 · see citing works
Self-citationRecent Insight on How the Neuroscientific Approach Helps Clinicians
Vanhaudenhuyse, A., Nyssen, A.-S., & Faymonville, M.-E. (2020) · OBM Integrative and Complementary Medicine · doi:10.21926/obm.icm.2002028 · Cited by 22 · see citing works
Self-citationGrégoire, C., Marie, N., Sombrun, C., Faymonville, M.-É., Kotsou, I., van Nitsen, V., de Ribaucourt, S., Jérusalem, G., Laureys, S., Vanhaudenhuyse, A., et al. (2022) · Frontiers in Psychology · doi:10.3389/fpsyg.2022.807741 · Cited by 21 · see citing works
Self-citationGrégoire, C., Faymonville, M.-É., Vanhaudenhuyse, A., Jérusalem, G., Willems, S. J., & Bragard, I. (2022) · International Journal of Clinical and Experimental Hypnosis · doi:10.1080/00207144.2022.2049973 · Cited by 20 · see citing works
Self-citationNetwork Analyses Applied to the Dimensions of Cancer‐Related Fatigue in Women With Breast Cancer
Baussard, L., Ernst, M., Diep, A. N., Jérusalem, G., Vanhaudenhuyse, A., Marie, N., Bragard, I., Faymonville, M.-É., Gosseries, O., & Grégoire, C. (2024) · Cancer Medicine · doi:10.1002/cam4.70268 · Cited by 10 · see citing works
Self-citationSelf-Compassion-Based Interventions in Oncology: A Review of Current Practices
Grégoire, C., Paye, A., & Vanhaudenhuyse, A. (2024) · OBM Integrative and Complementary Medicine · doi:10.21926/obm.icm.2401007 · Cited by 7 · see citing works
Self-citationGrégoire, C., Faymonville, M.-É., Vanhaudenhuyse, A., Jérusalem, G., Monseur, J. J., & Bragard, I. (2023) · International Journal of Clinical and Experimental Hypnosis · doi:10.1080/00207144.2023.2249044 · Cited by 5 · see citing works
Self-citationGrégoire, C., Faymonville, M.-É., Vanhaudenhuyse, A., Charland‐Verville, V., Jérusalem, G., Willems, S. J., & Bragard, I. (2021) · International Journal of Clinical and Experimental Hypnosis · doi:10.1080/00207144.2021.1878897 · Cited by 5 · see citing works
Self-citationHypnosis in the self-regulation of feeling states
Mouheb, Y., Axel Cleeremans, B., Faymonville, M.-É., & Vanhaudenhuyse, A. (2025) · International review of neurobiology · doi:10.1016/bs.irn.2025.08.003 · Cited by 3 · see citing works
Self-citationSun, L., Xu, H., & Wáng, Q. (2023) · Cellular and Molecular Biology · doi:10.14715/cmb/2023.69.7.15 · Cited by 1 · see citing works
Stompe, T., Ritter, N., & Kostenwein, W. (2026) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2026.1798650
“Most of the evidence supporting hypnosis derives from adjacent domains involving procedural distress, expectancy modulation, and stress regulation (15, 27, 36, 37).”
Manco-Avila, E., Valles, L. M., Berrocal, I. H., Ochoa, P. C., Porta, E., Umeres, J., Oviedo, R., & Silva-Dominguez, D. S. (2024) · Revista Peruana de Investigación Materno Perinatal · doi:10.33421/inmp.2024382
- Authors
- Grégoire, C., Faymonville, M.-E., Vanhaudenhuyse, A., Charland-Verville, V., Jerusalem, G., & Bragard, I.
- Affiliations
- University of Liège (BE)
- Corresponding author
- Grégoire, Charlotte
- Venue
- BMC Cancer
- Published
- 2018-11-15
- Volume
- 18
- Issue
- 1
- Pages
- 1113-1113
- ISSN
- 1471-2407 (ISSN-L)
- PMC
- PMC6238378
- OpenAlex
- W2901686673
- Cited by
- 14
- References
- 97
- Citations by year
- 2026: 1 · 2025: 1 · 2024: 3 · 2023: 2 · 2022: 2 · 2021: 1 · 2020: 4
- FWCI
- 0.47
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- BMC Cancer (publishedVersion, cc-by)
- Europe PMC (PubMed Central) (publishedVersion, other-oa)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- ORBi (University of Liège) (submittedVersion, other-oa)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Funders
- Fondation Roi Baudouin (2016-J5120580-205427)
- Plan National Cancer of Belgium (138)
- Fonds De La Recherche Scientifique - FNRS
- Topics
- Health Sciences › Medicine › Oncology › Cancer survivorship and care
- Life Sciences › Neuroscience › Cognitive Neuroscience › Pain Management and Placebo Effect
- Social Sciences › Psychology › Clinical Psychology › Mindfulness and Compassion Interventions
- Keywords
- hypnosis, self-care, cancer-related fatigue, sleep disorders, emotional distress, cancer patients, partners of cancer patients, attentional bias, emotion regulation, quality of life, long-term efficacy
- MeSH terms
- Adult, Belgium, Fatigue, Humans, Hypnosis, Neoplasms, Quality of Life, Surveys and Questionnaires, Research Design, Self Care, Sleep, Stress, Psychological, Antineoplastic Protocols, Young Adult
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