Cognitive-Behavioral Therapy Plus Hypnosis for Distress During Breast Radiotherapy: A Randomized Trial.
Cognitive-Behavioral Therapy Plus Hypnosis for Distress During Breast Radiotherapy: A Randomized Trial.
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认知行为疗法加催眠治疗乳房放射治疗期间的痛苦:一项随机试验。
DOI:
10.1080/00029157.2017.1335635
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发表时间:
2017
期刊:
影响因子:
--
通讯作者:
Schnur,JulieB
中科院分区:
文献类型:
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作者:
Montgomery,GuyH;Sucala,Madalina;Dillon,MatthewJ;Schnur,JulieB
Radiotherapy is a common and effective treatment for women with breast cancer. However, radiotherapy has also been shown to adversely affect patients’ emotional well-being. Currently, few mind-body interventions are designed to improve patients’ quality of life during radiotherapy. One intervention which has demonstrated clinical efficacy in the breast cancer radiotherapy setting is CBTH (Cognitive-Behavioral Therapy plus Hypnosis). The goal of this study was to investigate the impact of CBTH on emotional distress in women with breast cancer undergoing radiotherapy. One hundred patients were randomly assigned to either the CBTH (n=50) or Attention Control (AC) (n=50) group. Results revealed significant benefits of CBTH on emotional distress at the midpoint (d=0.54), the conclusion (d=0.64), and four weeks following the conclusion (d=0.65) of radiotherapy (all ps < .05). In conclusion, results support further study of CBTH as an evidence-based intervention to reduce emotional distress women with breast cancer. CBTH has the benefits of being brief, noninvasive, lacking side-effects, and producing beneficial effects which last beyond the conclusion of radiotherapy. Given these strengths, we propose that CBTH is a strong candidate for greater dissemination and implementation in cancer populations.