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Erschienen in:

09.08.2019 | Clinical trial

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

verfasst von: Debra L. Barton, Trevor M. Brooks, Alison Cieslak, Gary R. Elkins, Patricia M. Clark, Mohamad Baydoun, Asa B. Smith, Catherine H. Van Poznak

Erschienen in: Breast Cancer Research and Treatment | Ausgabe 2/2019

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Abstract

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.

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Titel: Phase II randomized controlled trial of hypnosis versus progressive muscle relaxation for body image after breast or gynecologic cancer
verfasst von: Debra L. Barton
Trevor M. Brooks
Alison Cieslak
Gary R. Elkins
Patricia M. Clark
Mohamad Baydoun
Asa B. Smith
Catherine H. Van Poznak
Publikationsdatum: 09.08.2019
Verlag: Springer US
Erschienen in: Breast Cancer Research and Treatment / Ausgabe 2/2019
Print ISSN: 0167-6806
Elektronische ISSN: 1573-7217
DOI: https://doi.org/10.1007/s10549-019-05395-6

Springer Medizin

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