Phase II randomized controlled trial of hypnosis versus progressive muscle relaxation for body image after breast or gynecologic cancer.

Autor: Barton, Debra L., Brooks, Trevor M., Cieslak, Alison, Elkins, Gary R., Clark, Patricia M., Baydoun, Mohamad, Smith, Asa B., Van Poznak, Catherine H.
Zdroj: Breast Cancer Research & Treatment; Nov2019, Vol. 178 Issue 2, p357-365, 9p
Abstrakt: Background: Sexual dysfunction, fueled by body image stress, is prevalent in women with a history of breast or gynecologic cancer. Preliminary data support that mind–body connections may improve sexual health outcomes through improving body image. Objective: This randomized controlled trial compared hypnosis to progressive muscle relaxation (PMR). The primary outcome was body image at week 6 as measured by the Impact of Treatment Scale for women who have or have had breast or gynecologic cancer. Interventions/Methods: Consented participants were randomized 2:1 to hypnosis or PMR. Both arms consisted of three face-to-face sessions delivered by a trained therapist. Sessions were every 2 weeks for 6 weeks; participants practiced at home between sessions using an audio recording. Results: Eighty-seven women were randomized, 59 to hypnosis and 28 to PMR. Both groups reported significant improvements on body image over time (within group effect size Cohen's d = 0.49–0.75) with no significant difference between groups (p = 0.15). Secondary outcomes were not significantly different between groups. The hypnosis group improved more in sexual satisfaction and sexual interest while the PMR group improved more in positive affect. Conclusions: Interventions facilitating mind–body connections such as hypnosis and PMR may help to improve body image. This study suggests that stress relieving strategies of hypnosis and PMR may contribute to providing a re-connection to one's body, improved positive affect, and overall better sexual health. [ABSTRACT FROM AUTHOR]
Databáze: Complementary Index