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Efficacy of complementary and alternative medicine therapies in relieving cancer pain
Despite widespread popular use of complementary and alternative medicine (CAM) therapies, a rigorous evidence base about their efficacy for cancer-related pain is lacking. This is a systematic review of randomized controlled trials (RCTs) evaluating CAM therapies for cancer-related pain. METHODS: RCTs using CAM interventions for cancer-related pain were abstracted using Medline, EMBASE, CINAHL, AMED, and Cochrane database. RESULTS: Eighteen trials were identified (eight poor, three intermediate, and seven high quality based on Jadad score), with a total of 1,499 patients. Median sample size was 53 patients, and median intervention duration was 45 days. All studies were from single institutions, four had sample size justification, and none reported any adverse effects. Seven trials reported significant benefit for the following CAM therapies: acupuncture (n = 1), support groups (n = 2), hypnosis (n = 1), relaxation/imagery (n = 2), and herbal supplement/HESA-A (n = 1, but study was of low quality without control data). Seven studies reported immediate postintervention or short-term benefit of the following CAM interventions: acupuncture (n = 2), music (n = 1), herbal supplement/Ai-Tong-Ping (n = 1), massage (n = 1), and healing touch (n = 2). Four studies reported no benefit of CAM interventions (music, n = 2; massage, n = 2) in reducing cancer pain compared with a control arm. CONCLUSION: There is paucity of multi-institutional RCTs evaluating CAM interventions for cancer pain with adequate power, duration, and sham control. Hypnosis, imagery, support groups, acupuncture, and healing touch seem promising, particularly in the short term, but none can be recommended because of a paucity of rigorous trials. Future research should focus on methodologically strong RCTs to determine potential efficacy of these CAM interventions.
Department of Internal Medicine, Mayo Clinic College of Medicine, Rochester, MN, USA.
Overcome Your Fear Of Dentists.This hypnosis session will allow you to easily&calmly go to your dental appointments and relax.You will focus on your taking care of your teeth&find that negative associations with the dentists disappear.
Wellbeing starts in the mind. Hypnosis is extremely effective at helping you build the basis of a healthy life because it works at the deep inner mind level to reprogram your mind to expect and welcome health into your life.
How can hypnosis used to affect community health? Community health is a public health concept that involves the betterment of health in a variety of communities. As health, which the same thing as well-being, can be influenced by cultural phenomena, it should be rather obvious that it is related to prevailing attitudes and values. These are patterns. As every hypnotist knows, patterns may be healthy or unhealthy.
Individuals and families have very specific attitudes when it comes to diet, social interaction, exercise, sanitation, immunization, in sexual activity. If someone were to study...
When you perceive that the difficulty of a situation exceeds your capabilities, then your body goes through a reaction called stress. While in some cases stress may excite and even motivate you to do your best, it can also become a negative factor and challenge your ability to be healthy, happy, and successful in life.
In the definition that I just gave you I started off by using the word “perceive.” This means that what is causing your stress – and how you react to it – may not be the result of a reality. In fact, how your brain perceives things is often a result of how your mind was...
What is fear? The fear that we experience is a product of a combination of our ability to anticipate and our instinctual drive to survive. This involves two parts of our brain. The first is it the area of our brain that allows us to anticipate and simulate. It is the part of the brain that allows us to use imagination and suggestion. When allowed to run amok, this part of the brain will cause high levels of misery. The second part of the brain that is involved with fear helps us to react to any threats to our safety. Unfortunately, in many instances our ability to anticipate may cause...