20 augustus 2009. Bron: 1: J Clin Psychol. 2009 Apr;65(4):443-55

Twee gerandomiseerde studies tonen aan dat vrouwen met borstkanker die vooraf aan bestraling cognitieve gedragstherapie plus hypnose krijgen later beduidend minder last van vermoeidheid hebben.  De aanvullende aanpak gaf een verdubbeling te zien in efectiviteit. op vermoeidheid.

1: J Clin Psychol. 2009 Apr;65(4):443-55.Click here to read Links



A randomized trial of a cognitive-behavioral therapy and hypnosis intervention on positive and negative affect during breast cancer radiotherapy.
Schnur JB, David D, Kangas M, Green S, Bovbjerg DH, Montgomery GH.
Department of Oncological Sciences, Mount Sinai School of Medicine, New York, New York 10029-6574, USA. julie.schnur@mssm.edu
Breast cancer radiotherapy can be an emotionally difficult experience. Despite this, few studies have examined the effectiveness of psychological interventions to reduce negative affect, and none to date have explicitly examined interventions to improve positive affect among breast cancer radiotherapy patients. The present study examined the effectiveness of a multimodal psychotherapeutic approach, combining cognitive-behavioral therapy and hypnosis (CBTH), to reduce negative affect and increase positive affect in 40 women undergoing breast cancer radiotherapy. Participants were randomly assigned to receive either CBTH or standard care. Participants completed weekly self-report measures of positive and negative affect. Repeated and univariate analyses of variance revealed that the CBTH approach reduced levels of negative affect [F(1, 38)=13.49; p=.0007, omega(2)=.56], and increased levels of positive affect [F(1, 38)=9.67; p=.0035, omega(2)=.48], during the course of radiotherapy. Additionally, relative to the control group, the CBTH group demonstrated significantly more intense positive affect [F(1, 38)=7.09; p=.0113, d=.71] and significantly less intense negative affect [F(1, 38)=10.30; p=.0027, d=.90] during radiotherapy. The CBTH group also had a significantly higher frequency of days where positive affect was greater than negative affect (85% of days assessed for the CBTH group versus 43% of the Control group) [F(1, 38)=18.16; p=.0001, d=1.16]. Therefore, the CBTH intervention has the potential to improve the affective experience of women undergoing breast cancer radiotherapy.
PMID: 19226611 [PubMed - indexed for MEDLINE]


1: Health Psychol. 2009 May;28(3):317-22.Click here to read Links


Fatigue during breast cancer radiotherapy: an initial randomized study of cognitive-behavioral therapy plus hypnosis.
Montgomery GH, Kangas M, David D, Hallquist MN, Green S, Bovbjerg DH, Schnur JB.
Department of Oncological Sciences, Mount Sinai School of Medicine, New York, NY 10029-6574, USA. guy.montgomery@mssm.edu
OBJECTIVE: The study purpose was to test the effectiveness of a psychological intervention combining cognitive-behavioral therapy and hypnosis (CBTH) to treat radiotherapy-related fatigue. DESIGN: Women (n = 42) scheduled for breast cancer radiotherapy were randomly assigned to receive standard medical care (SMC) (n = 20) or a CBTH intervention (n = 22) in addition to SMC. Participants assigned to receive CBTH met individually with a clinical psychologist. CBTH participants received training in hypnosis and CBT. Participants assigned to the SMC control condition did not meet with a study psychologist. MAIN OUTCOME MEASURES: Fatigue was measured on a weekly basis by using the fatigue subscale of the Functional Assessment of Chronic Illness Therapy (FACIT) and daily using visual analogue scales. RESULTS: Multilevel modeling indicated that for weekly FACIT fatigue data, there was a significant effect of the CBTH intervention on the rate of change in fatigue (p < .05), such that on average, CBTH participants' fatigue did not increase over the course of treatment, whereas control group participants' fatigue increased linearly. Daily data corroborated the analyses of weekly data. CONCLUSION: The results suggest that CBTH is an effective means for controlling and potentially preventing fatigue in breast cancer radiotherapy patients.
PMID: 19450037 [PubMed - indexed for MEDLINE



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Reageer op "Cognitieve gedragstherapie samen met hypnose voorkomt stress en vermindert significant vermoeidheid na bestraling bij borstkanker in vergelijking met standaard zorg, aldus 2 gerandomiseerde studies."

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