Article: PDF OnlyHypnosis or cognitive behavioral training for the reduction of pain and nausea during cancer treatment: a controlled clinical trialSyrjala, Karen L.∗,a,b; Cummings, Claudetteb; Donaldson, Gary W.aAuthor Information aFred Hutchinson Cancer Research Center, Seattle, WA 98104 USA bDepartment of Psychiatry and Behavioral Sciences, University of Washington, Seattle, WA 98195 USA ∗Correspondence to: Karen Syrjala, Ph.D., Fred Hutchinson Cancer Research Center, FB600, 1124 Columbia Street, Seattle, WA 98104, USA. (Received 6 November 1990; revised 23 April 1991; accepted 3 May 1991.) Pain: February 1992 - Volume 48 - Issue 2 - p 137-146 doi: 10.1016/0304-3959(92)90049-H Buy Metrics Abstract Few controlled clinical trials have tested the efficacy of psychological techniques for reducing cancer pain or post-chemotherapy nausea and emesis. In this study, 67 bone marrow transplant patients with hematological malignancies were randomly assigned to one of four groups prior to beginning transplantation conditioning: hypnosis training (HYP); cognitive behavioral coping skills training (CB); therapist contact control (TC); or treatment as usual (TAU; no treatment control). Patients completed measures of physical functioning (Sickness Impact Profile; SIP) and psychological functioning (Brief Symptom Inventory; BSI), which were used as covariates in the analyses. Biodemographic variables included gender, age and a risk variable based on diagnosis and number of remissions or relapses. Patients in the HYP, CB and TC groups met with a clinical psychologist for two pre-transplant training sessions and ten in-hospital “booster” sessions during the course of transplantation. Forty-five patients completed the study and provided all covariate data, and 80% of the time series outcome data. Analyses of the principal study variables indicated that hypnosis was effective in reducing reported oral pain for patients undergoing marrow transplantation. Risk, SIP, and BSI pre-transplant were found to be effective predictors of inpatient physical symptoms. Nausea, emesis and opioid use did not differ significantly between the treatment groups. The cognitive behavioral intervention, as applied in this study, was not effective in reducing the symptoms measured. © Lippincott-Raven Publishers.