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Behavioral intervention for cancer treatment side effects.
W H Redd1, G H Montgomery, K N DuHamel
1Program for Cancer Prevention and Control, Derald H. Ruttenberg Cancer Center, Mount Sinai School of Medicine, New York, NY 10029-6574, USA. william.redd@mssm.edu
Journal of the National Cancer Institute
|June 8, 2001
Summary
Behavioral interventions effectively manage anticipatory nausea and vomiting in cancer patients. They also reduce anxiety and distress, with hypnotic-like methods showing promise for acute pain control.
Area of Science:
- Oncology
- Behavioral Medicine
- Pain Management
Background:
- Cancer treatments have become more aggressive, increasing the need for managing side effects.
- Non-pharmacologic interventions based on behavioral science offer a promising approach.
Purpose of the Study:
- To review the effectiveness of behavioral interventions for managing cancer treatment side effects.
- To synthesize findings from 54 published studies on behavioral interventions in oncology.
Main Methods:
- Systematic review of 54 studies.
- Analysis of various research designs evaluating behavioral interventions.
- Focus on pain, nausea, vomiting, anxiety, and distress.
Main Results:
- Behavioral interventions effectively control anticipatory nausea and vomiting in chemotherapy patients.
- Combined behavioral methods reduce anxiety and distress from invasive treatments.
- Hypnotic-like methods (relaxation, suggestion, imagery) show promise for acute pain, but evidence for prolonged pain is limited.
Conclusions:
- Behavioral interventions are crucial for managing aversive side effects in cancer patients.
- Specific methods like hypnotic-like techniques are most effective for pain.
- Further research is needed for prolonged pain management using behavioral interventions.