In this randomised controlled trial, the authors recruited 96 women from breast clinics in London, UK, who had problematic HFNS (minimum ten problematic episodes a week) after breast-cancer treatment. Participants were randomly allocated to receive either usual care (49) or usual care plus group CBT (47). Group CBT comprised one 90 min session a week for 6 weeks, and included psycho-education, paced breathing, and cognitive and behavioural strategies to manage HFNS. Assessments were done at baseline, 9 weeks, and 26 weeks after randomisation. The primary outcome was the adjusted mean difference in HFNS problem rating (1-10) between CBT and usual care groups at 9 weeks after randomisation. Usual care is having access to nurses and oncologists, as well as survivorship telephone support programmes and cancer support services.
The authors found that group CBT significantly reduced HFNS problem rating at 9 weeks after randomisation compared with usual care. Encouragingly, these improvements were maintained at 26 weeks. Scores out of 10 for CBT declined from an initial average of 6.5 to 3.5 at 9 weeks (46% reduction) and to 3.1 at 26 weeks (52% reduction); equivalent usual care scores were 6.1, 5.0 and 4.6 (representing reductions of 19% and 25%).
The authors conclude: "Our findings show that group CBT can reduce the effect of hot flushes and night sweats for women who have had breast cancer treatment. These reductions were sustained and associated with improvements in mood, sleep, and quality of life. Group CBT seems to be a safe, acceptable, and effective treatment option which can be incorporated into breast cancer survivorship programmes and delivered by trained breast cancer nurses."
In a linked Comment, Dr Holly G Prigerson, Center for Psycho-Oncology and Palliative Care Research, Dana-Farber Cancer Institute, Boston, MA, USA, says: "results of this study provide solid evidence on which to base recommendations for the use of cognitive restructuring techniques in the effective management of menopausal symptoms in breast cancer survivors."
She adds: "The adaptation of the examined face-to-face, group CBT intervention to an online, CBT-based self-management intervention might be more cost-effective, offer greater flexibility in the timing and location of participation, enhance access, and potentially prove more sustainable."
Professor Hunter is currently working on a study to develop a CBT online strategy specifically for women who have had breast cancer treatment, with colleagues in the Netherlands.
More information: http://www.thelanc … 1470-2045(11)70364-3/abstract
Provided by Lancet
See the original post here:
Cognitive behavioral therapy is safe, effective for women having hot flushes, night sweats following breast cancer treat
- Bio Identical Hormone replacement therapy "alternative medicine" OMT [Last Updated On: June 1st, 2010] [Originally Added On: June 1st, 2010]
- Healthbeat - Hormone Replacement Therapy [Last Updated On: August 5th, 2010] [Originally Added On: August 5th, 2010]
- Does Hormone Replacement Therapy increase breast cancer risks? [Last Updated On: August 11th, 2010] [Originally Added On: August 11th, 2010]
- Hormone replacement therapy increases risk of cancer [Last Updated On: October 20th, 2010] [Originally Added On: October 20th, 2010]
- Hormone Replacement Therapy Risky For Women [Last Updated On: October 20th, 2010] [Originally Added On: October 20th, 2010]
- Can Hormone Replacement Therapy Lead To Breast Cancer? [Last Updated On: January 31st, 2011] [Originally Added On: January 31st, 2011]
- Women Turning To Holistic Hormone Replacement Therapy [Last Updated On: February 18th, 2011] [Originally Added On: February 18th, 2011]
- Is Hormone Replacement Therapy Dangerous? [Last Updated On: March 17th, 2011] [Originally Added On: March 17th, 2011]
- Hormone Replacement Therapy Complications [Last Updated On: May 8th, 2011] [Originally Added On: May 8th, 2011]
- Hormone Replacement Therapy [Last Updated On: May 10th, 2011] [Originally Added On: May 10th, 2011]
- The New Growth Hormone Replacement Therapy - John Crisler, DO [Last Updated On: May 13th, 2011] [Originally Added On: May 13th, 2011]
- Suzanne Somers on hormone therapy for menopause, part 2 of 6 [Last Updated On: May 20th, 2011] [Originally Added On: May 20th, 2011]
- Symptoms of Menopause (Menopause #2) [Last Updated On: May 20th, 2011] [Originally Added On: May 20th, 2011]
- How to Relieve Menopause Symptoms : Hormonal Replacement Therapy for Menopause [Last Updated On: May 20th, 2011] [Originally Added On: May 20th, 2011]
- HRT - Hormone Replacement Therapy [Last Updated On: May 20th, 2011] [Originally Added On: May 20th, 2011]
- What is hormone replacement therapy? [Last Updated On: May 20th, 2011] [Originally Added On: May 20th, 2011]
- Hormone Replacement Therapy and Breast Cancer [Last Updated On: May 20th, 2011] [Originally Added On: May 20th, 2011]
- Natural Treatments Instead of Hormone Replacement Therapy [Last Updated On: May 20th, 2011] [Originally Added On: May 20th, 2011]
- Suzanne Somers on hormone therapy for menopause, part 1 of 6 [Last Updated On: May 23rd, 2011] [Originally Added On: May 23rd, 2011]
- Hormone Replacement Therapy for post-menopausal women [Last Updated On: June 19th, 2011] [Originally Added On: June 19th, 2011]
- Joe Rogan talking about hormone replacement therapy 6-14-2011 [Last Updated On: June 25th, 2011] [Originally Added On: June 25th, 2011]
- Hormone Replacement Therapy and Weight [Last Updated On: June 25th, 2011] [Originally Added On: June 25th, 2011]
- HRC Hormone Replacement Therapy [Last Updated On: June 25th, 2011] [Originally Added On: June 25th, 2011]
- Study Hormone Replacement Therapy Increases Breast Cancer Risk - kdka.com [Last Updated On: June 25th, 2011] [Originally Added On: June 25th, 2011]
- 020 - Neo Hormones [Last Updated On: July 1st, 2011] [Originally Added On: July 1st, 2011]
- Making Sense of Hormone Replacement Therapy [Last Updated On: July 28th, 2011] [Originally Added On: July 28th, 2011]
- HRT MTF Transition Report Week 10 [Last Updated On: July 29th, 2011] [Originally Added On: July 29th, 2011]
- Hormone Replacement - Part 2 [Last Updated On: July 30th, 2011] [Originally Added On: July 30th, 2011]
- Hormone Replacement - Part 1 [Last Updated On: July 30th, 2011] [Originally Added On: July 30th, 2011]
- Goldie Lookin Chain - HRT [Last Updated On: August 9th, 2011] [Originally Added On: August 9th, 2011]
- Natural Hormone Replacement Therapy [Last Updated On: September 23rd, 2011] [Originally Added On: September 23rd, 2011]
- Testosterone Replacement Therapy (TRT): Optimizing Clinical Outcomes - Michael Aziz, MD [Last Updated On: September 24th, 2011] [Originally Added On: September 24th, 2011]
- Thyroid Replacement Therapy - Ronald Rothenberg, MD [Last Updated On: September 24th, 2011] [Originally Added On: September 24th, 2011]
- Dr. Ralph Turner discusses Hormone Replacement Therapy. [Last Updated On: September 24th, 2011] [Originally Added On: September 24th, 2011]
- 1 year on HRT [Last Updated On: September 24th, 2011] [Originally Added On: September 24th, 2011]
- The Wiley Protocol [Last Updated On: September 24th, 2011] [Originally Added On: September 24th, 2011]
- My Journal with Low Testosterone TRT Replacement Therapy [Last Updated On: September 24th, 2011] [Originally Added On: September 24th, 2011]
- 12 years of HRT: My Transition in photos [Last Updated On: September 24th, 2011] [Originally Added On: September 24th, 2011]
- Dr. Steven Jepson talks about Bio-identical Hormone Replacment Therapy [Last Updated On: September 25th, 2011] [Originally Added On: September 25th, 2011]
- Estradiol Valerate Injection HRT (Part 3)of(3) [Last Updated On: September 25th, 2011] [Originally Added On: September 25th, 2011]
- Study: Post-Menopausal Hormone Therapy Increases Cancer Risk [Last Updated On: September 25th, 2011] [Originally Added On: September 25th, 2011]
- Bio-identical Hormone Replacement (anti-aging) Therapy - Westchase, Tampa, Florida [Last Updated On: September 25th, 2011] [Originally Added On: September 25th, 2011]
- natural hormone replacement [Last Updated On: September 28th, 2011] [Originally Added On: September 28th, 2011]
- 6 Month Hormone Effects (before and after) [Last Updated On: September 28th, 2011] [Originally Added On: September 28th, 2011]
- Jeff Life, MD - Cenegenics, Hormone Replacement Therapy [Last Updated On: September 29th, 2011] [Originally Added On: September 29th, 2011]
- Huge [Last Updated On: September 30th, 2011] [Originally Added On: September 30th, 2011]
- Transsexual hormones,Intramuscular injection, Progynon Depot,Estradiol [Last Updated On: October 2nd, 2011] [Originally Added On: October 2nd, 2011]
- Dr Whiting on Menopause and the Dangers of HRT [Last Updated On: October 12th, 2011] [Originally Added On: October 12th, 2011]
- Ahuviya Harel (ADF-Fuensalida) to Start Hormone Replacement Therapy [Last Updated On: October 13th, 2011] [Originally Added On: October 13th, 2011]
- Clomid Defined - Video [Last Updated On: October 14th, 2011] [Originally Added On: October 14th, 2011]
- Thyroid Hormone Replacement Therapy - Dr. Denis Rebic - Video [Last Updated On: October 14th, 2011] [Originally Added On: October 14th, 2011]
- Hormone Replacement Therapy - Video [Last Updated On: October 14th, 2011] [Originally Added On: October 14th, 2011]
- Dr. Pamela Smith - Bio-Identical Hormone Replacement - Video [Last Updated On: October 15th, 2011] [Originally Added On: October 15th, 2011]
- Jasper Carrott - Traffic [Last Updated On: October 22nd, 2011] [Originally Added On: October 22nd, 2011]
- VIDEO: Breast Cancer, Hormone Replacement Therapy Connection - Video [Last Updated On: October 24th, 2011] [Originally Added On: October 24th, 2011]
- Menopause and Hormone Replacement Therapy with Dr. Sulak - Video [Last Updated On: October 24th, 2011] [Originally Added On: October 24th, 2011]
- Menopause [Last Updated On: October 24th, 2011] [Originally Added On: October 24th, 2011]
- bio identical hormone replacement therapy raleigh durcham chaepl hill north carolina - Video [Last Updated On: October 24th, 2011] [Originally Added On: October 24th, 2011]
- Endocrine Related Hair Loss, Can Hormone Replacement Therapy Help Treat This? Friedman - Video [Last Updated On: October 24th, 2011] [Originally Added On: October 24th, 2011]
- Dr. Navarro Discusses Bio Identical Hormone Replacement Therapy - Video [Last Updated On: October 24th, 2011] [Originally Added On: October 24th, 2011]
- Hormone Replacement Therapy by the Book - Eldred Taylor, MD - Video [Last Updated On: October 24th, 2011] [Originally Added On: October 24th, 2011]
- Sangeeta Pati, MD, FACOG, discusses Hormone Replacement - Video [Last Updated On: October 24th, 2011] [Originally Added On: October 24th, 2011]
- Active Center's Dr. Gross Discusses Bio-Identical Hormone Replacement Therapy on NEWS 12 NJ - Video [Last Updated On: October 28th, 2011] [Originally Added On: October 28th, 2011]
- DALLAS ANTI-AGING MEDICINE BIO-IDENTICAL HORMONE THERAPY - Video [Last Updated On: October 29th, 2011] [Originally Added On: October 29th, 2011]
- Hormone Replacement Therapy and Menopause in Women - Video [Last Updated On: November 8th, 2011] [Originally Added On: November 8th, 2011]
- Amberen - Natural HRT Alternative Commercial - Video [Last Updated On: November 9th, 2011] [Originally Added On: November 9th, 2011]
- The Dangers of HRT - Video [Last Updated On: November 11th, 2011] [Originally Added On: November 11th, 2011]
- The Benefits and Risks of Male Hormone Replacement Therapy - Video [Last Updated On: November 16th, 2011] [Originally Added On: November 16th, 2011]
- Natural Menopause Treatment - Herbal HRT Alternative - Video [Last Updated On: November 23rd, 2011] [Originally Added On: November 23rd, 2011]
- Dr. Ian Thorneycroft - Hormone Replacement Therapy - Video [Last Updated On: November 24th, 2011] [Originally Added On: November 24th, 2011]
- Sarah,MTF Transgender 3months HRT - Video [Last Updated On: November 24th, 2011] [Originally Added On: November 24th, 2011]
- 26. ftm 1 month on t - Video [Last Updated On: November 24th, 2011] [Originally Added On: November 24th, 2011]
- Dr. Quint Jardine - Hormone Replacement Therapy with Pellets - Video [Last Updated On: November 24th, 2011] [Originally Added On: November 24th, 2011]
- 6 Month Changes MTF HRT - Video [Last Updated On: November 24th, 2011] [Originally Added On: November 24th, 2011]
- Medical Mondays: Will hormone replacement therapy increase my risk of breast cancer? - Video [Last Updated On: December 6th, 2011] [Originally Added On: December 6th, 2011]
- HRT EXPERIENCES NOT ALL GOOD - Video [Last Updated On: December 8th, 2011] [Originally Added On: December 8th, 2011]
- Sarah, MTF transgender 9 months HRT - Video [Last Updated On: December 9th, 2011] [Originally Added On: December 9th, 2011]
- Full: Effect of Testosterone Replacement Therapy on Prostate Tissue in Men with Late-Onset Hypogonadism (Dramatic Health) - Video [Last Updated On: December 10th, 2011] [Originally Added On: December 10th, 2011]
- Suzanne Somers on hormone therapy for menopause, part 3 of 6 - Video [Last Updated On: December 11th, 2011] [Originally Added On: December 11th, 2011]
- 1 Year HRT MTF Transition - Video [Last Updated On: December 12th, 2011] [Originally Added On: December 12th, 2011]