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Hypnosis decreases presurgical distress in excisional breast biopsy patients.

AbstractBACKGROUND:
Excisional breast biopsy is associated with presurgical psychological distress. Such distress is emotionally taxing, and may have negative implications for postsurgical side effects and satisfaction with anesthesia. We investigated the ability of a brief hypnosis session to reduce presurgical psychological distress in excisional breast biopsy patients.
METHODS:
Ninety patients presenting for excisional breast biopsy were randomly assigned to receive either a 15-minute presurgery hypnosis session (n = 49, mean age: 46.4 (95% CI: 42.3-50.4)) or a 15-minute presurgery attention control session (n = 41, mean age: 45.0 (95% CI: 40.8-49.2)). The hypnosis session involved suggestions for increased relaxation and decreased distress. The attention control session involved nondirective empathic listening. Presurgery distress was measured using visual analog scales (VAS) and the short version of the Profile of Mood States (SV-POMS). Data were analyzed using analysis of variance and chi2 procedures.
RESULTS:
Groups did not differ in terms of the following: demographics (age, education, ethnicity, marital status, all P's > 0.28); medical variables (presurgery diagnosis, previous excisional biopsy, previous breast cancer, all P's > 0.11); or preintervention distress (SV-POMS P > 0.74) assessed on the day of surgery. Postintervention, and before surgery, patients in the hypnosis group had significantly lower mean values for presurgery VAS emotional upset (16.5 vs 38.2, P < 0.0001, d = .85), VAS depressed mood (6.6 vs 19.9, P < 0.02, d = .67), and SV-POMS anxiety (10.0 vs 5.0, P < 0.0001, d = 0.85); and significantly higher levels for VAS relaxation (75.7 vs 54.2, P < 0.001, d = -0.76) than attention controls.
CONCLUSIONS:
The study results indicate that a brief presurgery hypnosis intervention can be an effective means of controlling presurgical distress in women awaiting diagnostic breast cancer surgery.
AuthorsJulie B Schnur, Dana H Bovbjerg, Daniel David, Kristin Tatrow, Alisan B Goldfarb, Jeffrey H Silverstein, Christina R Weltz, Guy H Montgomery
JournalAnesthesia and analgesia (Anesth Analg) Vol. 106 Issue 2 Pg. 440-4, table of contents (Feb 2008) ISSN: 1526-7598 [Electronic] United States
PMID18227298 (Publication Type: Comparative Study, Journal Article, Randomized Controlled Trial, Research Support, N.I.H., Extramural, Research Support, Non-U.S. Gov't)
Topics
  • Adult
  • Anxiety (physiopathology, prevention & control, psychology)
  • Attention (physiology)
  • Biopsy
  • Breast (pathology)
  • Breast Neoplasms (diagnosis, pathology)
  • Female
  • Humans
  • Hypnosis (methods)
  • Middle Aged
  • Pain Measurement (methods)
  • Preoperative Care (methods)

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