Breast Cancer
Conditions
Brief summary
The main objective is to assess the feasibility of an intervention based on medical Ericksonian hypnosis as a complementary therapy in patients treated with surgery after a diagnosis of breast cancer, followed by an indication of adjuvant chemotherapy and radiotherapy
Detailed description
In the field of management of cancer, many approaches have been used since tens of years, particularly in regard of pain management, both in achieving surgical or invasive procedures in the pain induced by the disease itself. the investigators owe the first description in 1829 Chapelin and col who used hypnosis in a patient with breast cancer in which a mastectomy should be performed. Meta-analysis (2000) showed the positive impact of analgesia obtained through hypnosis on the perception of pain intensity. In children in whom regular venous punctures is performed, using hypnosis seems indisputable on the management of anticipatory anxiety, leading to a better experience of the act itself. Regarding the nausea and vomiting induced by chemotherapy, numerous studies are old, not always randomized and performed often before the era of the setrons; but seems favorable impact on anticipated nausea and vomiting, the updated studies should emerge on the issue of delayed emesis which remain a serious adverse event and not completely resolved. Mark to improve the EORTC validated tools of quality of life measurement widely used for example in ovarian cancer. The impact of hypnosis on the quality of life or the side effects of treatment or rehospitalization for toxicity remains controversial (Judson, 2011). A meta-analysis combining the tests carried out before and after the era of setrons (Richardson, 2007) concluded that the effectiveness of the anticipated nausea and vomiting. In this context,the investigators proposed to conduct a feasibility study to evaluate the role and impact of medical Ericksonian hypnosis on acute and delayed adverse event (incl nausea and vomiting) in female patients treated by adjuvant chemotherapy for breast cancer. The main objective is to assess the feasibility of an intervention based on medical Ericksonian hypnosis as a complementary therapy in patients treated with surgery after a diagnosis of breast cancer, followed by an indication of adjuvant chemotherapy and radiotherapy
Interventions
BEHAVIORALhypnosis
The patient achieve self-hypnosis sessions in these chemotherapy treatments
Sponsors
Institut du Cancer de Montpellier - Val d'Aurelle
Study design
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
PREVENTION
Masking
NONE
Eligibility
Sex/Gender
FEMALE
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* • Female, age \> 18 years-old * Without previous practice of hypnosis * Patient with diagnosis of breast cancer * Patient receiving an adjuvant chemotherapy for at least 3 months with an indication of radiotherapy after chemotherapy * Patient accepting the principle of the study with a signed written informed consent * Patient affiliated to French Social Security
Exclusion criteria
* • Male * Age \< 18 years * Patient refusing hypnosis * Pregnancy, breast-feeding, or lack of effective contraception in female patients with reproductive potential. * Patient with psychological or mental disorders under psychotropic treatments (lithium, neuroleptics) * Not ability to speak and read French, deaf and/or mute
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| proportion of patients rated as being compliant to self-hypnosis | through study completion, an average of 2 years | The main objective is to assess the feasibility of an intervention based on medical Ericksonian hypnosis as a complementary therapy in patients treated with surgery after a diagnosis of breast cancer, followed by an indication of adjuvant chemotherapy and radiotherapy. Primary endpoint is the proportion of patients rated as being compliant to self-hypnosis sessions during adjuvant chemotherapy (6 sessions). A patient is considered as compliant if it achieves at least 2/3 of the planned self-hypnosis sessions, that is, 4 of 6 planned sessions. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Impact of hypnosis on the tolerance of the CT | through study completion, an average of 2 years | The secondary objective is to describe its impact on the tolerance of the CT |
Countries
France
Outcome results
None listed