86992
document
Relaxation and imagery and cognitive-behavioral training reduce pain during cancer treatment : a controlled clinical trial . Few controlled clinical trials of psychological interventions for cancer pain relief exist in spite of frequent support for their importance as adjuncts to medical treatment . This study compared oral mucositis pain levels in 4 groups of cancer patients receiving bone marrow transplants ( BMT ) : ( 1 ) treatment as usual control , ( 2 ) therapist support , ( 3 ) relaxation and imagery training , and ( 4 ) training in a package of cognitive-behavioral coping skills which included relaxation and imagery . A total of 94 patients completed the study which involved two training sessions prior to treatment and twice a week 'booster ' sessions during the first 5 weeks of treatment . Results confirmed our hypothesis that patients who received either relaxation and imagery alone or patients who received the package of cognitive-behavioral coping skills would report less pain than patients in the other 2 groups . The hypothesis that the cognitive-behavioral skills package would have an additive effect beyond relaxation and imagery alone was not confirmed . Average visual analogue scale ( VAS ) report of pain within the therapist support group was not significantly lower than the control group ( P = 0.103 ) nor significantly higher than the training groups . Patient reports of relative helpfulness of the interventions for managing pain and nausea matched the results of VAS reports . From these results , we conclude that relaxation and imagery training reduces cancer treatment-related pain ; adding cognitive-behavioral skills to the relaxation with imagery does not , on average , further improve pain relief .
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Intervention_Educational
Relaxation and imagery and cognitive-behavioral training
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Intervention_Control
treatment as usual control
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Intervention_Educational
therapist support , ( 3 ) relaxation and imagery training , and ( 4 ) training in a package of cognitive-behavioral coping skills which included relaxation and imagery
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Outcome_Pain
pain
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Outcome_Pain
cancer pain relief
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Outcome_Pain
pain
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Outcome_Pain
Average visual analogue scale ( VAS ) report of pain
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Outcome_Pain
pain
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Outcome_Pain
nausea
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Outcome_Pain
cancer treatment-related pain
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Outcome_Pain
pain relief