[To test the impact of hypnotherapy upon immunity and circadian rhythms among palliative cancer patients: a promising goal?].
Identifieur interne : 001B40 ( Main/Corpus ); précédent : 001B39; suivant : 001B41[To test the impact of hypnotherapy upon immunity and circadian rhythms among palliative cancer patients: a promising goal?].
Auteurs : F. Kwiatkowski ; Y-J BignonSource :
- Pathologie-biologie [ 0369-8114 ]
English descriptors
- KwdEn :
- MESH :
- physiology : Circadian Rhythm.
- psychology : Neoplasms.
- therapy : Neoplasms.
- Affect, Clinical Trials as Topic, Humans, Hypnosis, Immunity, Life Change Events, Palliative Care, Self Concept.
Abstract
Epidemiological and clinical researches in the borderline domain between psychology and cancer have produced consequent results, despite the large variety of employed approaches and aimed goals: these results permit to define domains where new investigations still appear promising. If randomized prospective controlled trials that test the impact of psychosocial interventions, constitute to our mind a strategy that must not be bypassed, a special attention should be focussed on the following topics: 1) it seems necessary to add to standard goals (survival and quality of life) the evaluation of the impact on immunity and main biological rhythms (circadian and ultradian). Specific questionnaires should be included (pain, sleep, mood, self-esteem, life events...) and others may need to be developed or adapted (sexuality, spirituality, coping with death); 2) among types of psychosocial management, hypnosis and/or learning of self-hypnosis appears to be a modality of choice since some results have already been obtained on immune pathologies and also on cancer. Mixed to an approach of clinical psychology, such a management could arouse behavior changes toward pathology but also promote an improvement of biological rhythms (action on sleep...) and perhaps, by the way, an immune rebound; 3) on a methodological point of view, trials cannot be double-blind. The effort must then concern sample sizes, that were often insufficient in many trials, but also targeted populations: palliative cancer patients with a good performance status seem more relevant for this type of investigation, since psychosocial interventions usually improve quality of life.
DOI: 10.1016/j.patbio.2006.12.006
PubMed: 17391864
Links to Exploration step
pubmed:17391864Le document en format XML
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Kwiatkowski</name><affiliation><nlm:affiliation>Centre Jean-Perrin, centre de lutte contre le cancer, 58, rue Montalembert, BP 392, 63011 Clermont-Ferrand, France. fabrice.kwiatkowski@cjp.fr</nlm:affiliation></affiliation></author><author><name sortKey="Bignon, Y J" sort="Bignon, Y J" uniqKey="Bignon Y" first="Y-J" last="Bignon">Y-J Bignon</name></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2007">2007 Apr-May</date><idno type="RBID">pubmed:17391864</idno><idno type="pmid">17391864</idno><idno type="doi">10.1016/j.patbio.2006.12.006</idno><idno type="wicri:Area/Main/Corpus">001B40</idno><idno type="wicri:explorRef" wicri:stream="Main" wicri:step="Corpus" wicri:corpus="PubMed">001B40</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">[To test the impact of hypnotherapy upon immunity and circadian rhythms among palliative cancer patients: a promising goal?].</title><author><name sortKey="Kwiatkowski, F" sort="Kwiatkowski, F" uniqKey="Kwiatkowski F" first="F" last="Kwiatkowski">F. Kwiatkowski</name><affiliation><nlm:affiliation>Centre Jean-Perrin, centre de lutte contre le cancer, 58, rue Montalembert, BP 392, 63011 Clermont-Ferrand, France. fabrice.kwiatkowski@cjp.fr</nlm:affiliation></affiliation></author><author><name sortKey="Bignon, Y J" sort="Bignon, Y J" uniqKey="Bignon Y" first="Y-J" last="Bignon">Y-J Bignon</name></author></analytic><series><title level="j">Pathologie-biologie</title><idno type="ISSN">0369-8114</idno></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Affect (MeSH)</term><term>Circadian Rhythm (physiology)</term><term>Clinical Trials as Topic (MeSH)</term><term>Humans (MeSH)</term><term>Hypnosis (MeSH)</term><term>Immunity (MeSH)</term><term>Life Change Events (MeSH)</term><term>Neoplasms (psychology)</term><term>Neoplasms (therapy)</term><term>Palliative Care (MeSH)</term><term>Self Concept (MeSH)</term></keywords><keywords scheme="MESH" qualifier="physiology" xml:lang="en"><term>Circadian Rhythm</term></keywords><keywords scheme="MESH" qualifier="psychology" xml:lang="en"><term>Neoplasms</term></keywords><keywords scheme="MESH" qualifier="therapy" xml:lang="en"><term>Neoplasms</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Affect</term><term>Clinical Trials as Topic</term><term>Humans</term><term>Hypnosis</term><term>Immunity</term><term>Life Change Events</term><term>Palliative Care</term><term>Self Concept</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Epidemiological and clinical researches in the borderline domain between psychology and cancer have produced consequent results, despite the large variety of employed approaches and aimed goals: these results permit to define domains where new investigations still appear promising. If randomized prospective controlled trials that test the impact of psychosocial interventions, constitute to our mind a strategy that must not be bypassed, a special attention should be focussed on the following topics: 1) it seems necessary to add to standard goals (survival and quality of life) the evaluation of the impact on immunity and main biological rhythms (circadian and ultradian). Specific questionnaires should be included (pain, sleep, mood, self-esteem, life events...) and others may need to be developed or adapted (sexuality, spirituality, coping with death); 2) among types of psychosocial management, hypnosis and/or learning of self-hypnosis appears to be a modality of choice since some results have already been obtained on immune pathologies and also on cancer. Mixed to an approach of clinical psychology, such a management could arouse behavior changes toward pathology but also promote an improvement of biological rhythms (action on sleep...) and perhaps, by the way, an immune rebound; 3) on a methodological point of view, trials cannot be double-blind. The effort must then concern sample sizes, that were often insufficient in many trials, but also targeted populations: palliative cancer patients with a good performance status seem more relevant for this type of investigation, since psychosocial interventions usually improve quality of life.</div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">17391864</PMID><DateCompleted><Year>2007</Year><Month>09</Month><Day>12</Day></DateCompleted><DateRevised><Year>2007</Year><Month>11</Month><Day>15</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Print">0369-8114</ISSN><JournalIssue CitedMedium="Print"><Volume>55</Volume><Issue>3-4</Issue><PubDate><MedlineDate>2007 Apr-May</MedlineDate></PubDate></JournalIssue><Title>Pathologie-biologie</Title><ISOAbbreviation>Pathol Biol (Paris)</ISOAbbreviation></Journal><ArticleTitle>[To test the impact of hypnotherapy upon immunity and circadian rhythms among palliative cancer patients: a promising goal?].</ArticleTitle><Pagination><MedlinePgn>186-93</MedlinePgn></Pagination><Abstract><AbstractText>Epidemiological and clinical researches in the borderline domain between psychology and cancer have produced consequent results, despite the large variety of employed approaches and aimed goals: these results permit to define domains where new investigations still appear promising. If randomized prospective controlled trials that test the impact of psychosocial interventions, constitute to our mind a strategy that must not be bypassed, a special attention should be focussed on the following topics: 1) it seems necessary to add to standard goals (survival and quality of life) the evaluation of the impact on immunity and main biological rhythms (circadian and ultradian). Specific questionnaires should be included (pain, sleep, mood, self-esteem, life events...) and others may need to be developed or adapted (sexuality, spirituality, coping with death); 2) among types of psychosocial management, hypnosis and/or learning of self-hypnosis appears to be a modality of choice since some results have already been obtained on immune pathologies and also on cancer. Mixed to an approach of clinical psychology, such a management could arouse behavior changes toward pathology but also promote an improvement of biological rhythms (action on sleep...) and perhaps, by the way, an immune rebound; 3) on a methodological point of view, trials cannot be double-blind. 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