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Fatigue during breast cancer radiotherapy: An initial randomized study of CBT plus hypnosis.
The study purpose was to test the effectiveness of a psychological intervention combining cognitive-behavioral therapy and hypnosis (CBTH) to treat radiotherapy-related fatigue. Design: Women (n = 42) scheduled for breast cancer radiotherapy were randomly assigned to receive standard medical care (SMC) (n = 20) or a CBTH intervention (n = 22) in addition to SMC. Participants assigned to receive CBTH met individually with a clinical psychologist. CBTH participants received training in hypnosis and CBT. Participants assigned to the SMC control condition did not meet with a study psychologist. Main Outcome Measures: Fatigue was measured on a weekly basis by using the fatigue subscale of the Functional Assessment of Chronic Illness Therapy (FACIT) and daily using visual analogue scales. Results: Multilevel modeling indicated that for weekly FACIT fatigue data, there was a significant effect of the CBTH intervention on the rate of change in fatigue (p < .05), such that on average, CBTH participants' fatigue did not increase over the course of treatment, whereas control group participants' fatigue increased linearly. Daily data corroborated the analyses of weekly data. Conclusion: The results suggest that CBTH is an effective means for controlling and potentially preventing fatigue in breast cancer radiotherapy patients. (PsycINFO Database Record (c) 2009 APA, all rights reserved).
Health Psychol. 2009 May;28(3):317-22. Montgomery GH, Kangas M, David D, Hallquist MN, Green S, Bovbjerg DH, Schnur JB. Department of Oncological Sciences, Mount Sinai School of Medicine.
Very simply, stress is a situation when the perceived difficulty of a situation exceeds a person’s perceived abilities. Many times this may be a positive and enjoyable situation. A business challenge, a video game, or an enjoyable game of chess or golf represents times when a person may seek and appreciate a stressful situation. However, in our society, that is not always the case.
There are two instinctual attributes that are hardwired into our brain that may result in constant and recurring stress that may be harmful to our mental and physical health. The first is our survival instinct...
TMJ is the acronym for temporomandibular joint. Frequently people say that they have TMJ. However, what they actually mean is that they have TMD, which means temporomandibular disorder. The TMJ is the hinge joint that connects the lower jaw to temporal bone of the skull. TMD occurs when there are problems with the jaw, jaw joint, and the surrounding muscles.
TMD can occur due to numerous causes. These include accidents, clinching or grinding the teeth, arthritis, or stress. While the use of hypnotherapy normally focuses on stress alleviation, it should not be ruled out as part of the...
Most people immediately think of hypnosis as being something involving a stage show. They think of people quacking like a duck or heating and onion or lemon and believing that it is something sweet. However, hypnosis is actually much more than that. When used by a qualified and talented hypnotherapist it can be used for a wide range of mental health, medical, and performance-oriented applications. Therefore, the primary uses of hypnosis are healing the body, healing the mind, and self-actualization.
Medical applications of hypnosis include stress management and the direct influence of...