KMCRIC

Hypnosis and relaxation interventions for chronic pain management in cancer survivors: a randomized controlled trial.

Eaton LH, Jang MK, Jensen MP, Pike KC, Heitkemper MM, Doorenbos AZ.

Support Care Cancer.

2022

31(1)

50.

10.1007/s00520-022-07498-1.

36526937

http://www.ncbi.nlm.nih.gov/pubmed/36526937

Adult
Cancer Survivors*
Chronic Pain* / etiology
Chronic Pain* / therapy
Fatigue
Humans
Hypnosis* / methods
Neoplasms* / complications
Pain Management
Sleep Wake Disorders* / complications

Cancer survivor; Chronic pain; Hypnosis; Nonpharmacological intervention; Relaxation

없음

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Purpose: Nonpharmacological interventions such as hypnosis show promising evidence for the self-management of pain and pain-related sequelae among cancer survivors. The purpose of this study was to evaluate the efficacy of a 4-week recorded hypnosis intervention in reducing pain intensity compared to a recorded relaxation intervention in cancer survivors with chronic pain.

Methods: Adult cancer survivors were randomly assigned to listen to hypnosis (n = 55) or relaxation recordings (n = 54) daily for 28 days. Primary (pain intensity) and secondary outcomes (pain interference, anxiety, depression, fatigue, sleep disturbance) measures were completed pre- and post-treatment. Treatment effects were evaluated using a series of analyses of covariance.

Results: Both hypnosis and relaxation provided significant and moderate to large improvements in the primary outcome and the secondary outcomes of pain interference and anxiety (ds = 0.44-0.88). The hypnosis group also experienced a moderate improvement in fatigue (d = 0.47) and sleep disturbance (d = 0.54). The effect size for pain reduction from pre- to post-treatment for the hypnosis group was d = 0.86 and for the relaxation group, d = 0.88. There were no significant between-group differences in primary and secondary outcomes from pre- to post-treatment.

Conclusions: The results support that recorded hypnosis and relaxation interventions are similarly effective in reducing pain and the pain-related sequelae of pain interference and anxiety among cancer survivors with chronic pain. The hypnosis intervention also reduced fatigue and sleep disturbance. Audio recordings can provide a convenient delivery method of nonpharmacological interventions to self-manage chronic pain.

Trial registration: ClinicalTrials.gov Identifier: NCT03867760, registered March 8, 2019.

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