Evidence map›Paper›PMID 16959427›Full record

Trial reportPain2006

Adjunctive self-hypnotic relaxation for outpatient medical procedures: a prospective randomized trial with women undergoing large core breast biopsy.

Elvira V Lang, Kevin S Berbaum, Salomao Faintuch, Olga Hatsiopoulou, Noami Halsey, Xinyu Li, Michael L Berbaum, Eleanor Laser, Janet Baum

4 registry-linked trialsOpen access · greenAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Pain, 2006. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 4 registered trials, which are not on this map. Cited by 65 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
65citing papers in PubMed, 4 pooled it
5.3field-weighted citation impact, top 4% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT00122369 phase2completednot on this map

Self Hypnotic Relaxation As An Adjunct To Local Anesthesia During Large Core Breast Biopsy

TypeinterventionalSponsorBeth Israel Deaconess Medical CenterRan2002 to 2004Enrolled240ConditionsBreast Cancer, Anxiety, PainArmsSelf-hypnotic Relaxation, Empathic Attention
NCT02347748 nacompletednot on this mapstarted 2015, after this paper: background citation

The Impact of Comfort Talk on Anxiety Levels and Procedural Experience in a Pediatric Population Undergoing Cardiac Catheterization: A Prospective Randomized Controlled Trial

TypeinterventionalSponsorThe Hospital for Sick ChildrenRan2015 to 2018Enrolled160ConditionsAnxiety, Pain, Adaptation, Psychological, Stress, PsychologicalArmsReading pre-procedure script, Reading pre-extubation script, Reading 2 scripts
NCT03429296 nacompletednot on this mapstarted 2018, after this paper: background citation

Prospective, Randomized Study Aiming to Assess the Benefit of Autohypnosis Learning in the Care of Patients Treated by Adjuvant Chemotherapy for Colorectal or Breast Cancer.

TypeinterventionalSponsorGroupe Hospitalier Mutualiste de GrenobleRan2018 to 2022Enrolled120ConditionsColorectal Cancer, Breast CancerArmsAutohypnosis learning
NCT05194449 nawithdrawnnot on this mapstarted 2022, after this paper: background citation

Nonpharmacologic Reduction of Periprocedural Pain, Anxiety, and Prescription Drug Use Phase II

TypeinterventionalSponsorHypnalgesics, LLCRan2022 to 2024Enrolled0ConditionsDental Anxiety, Dental Pain, Root WorkArmsComfort Talk® App, Placebo App
3 · Its place in the literature

Who cites it

65 citing papers in PubMed, 4 syntheses or guidelines pooled it, 235 citations in OpenAlex.

  1. Pooled it
  2. Multidimensional Treatment of Cancer Pain.Current oncology reports · 2017
    Pooled it
  3. The Efficacy, Safety and Applications of Medical Hypnosis.Deutsches Arzteblatt international · 2016
    Pooled it
  4. Hypnosis for Symptom Control in Cancer Patients at the End-of-Life: A Systematic Review.The International journal of clinical and experimental hypnosis
    Pooled it
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  13. The effects of a presurgical stress management intervention for men with prostate cancer undergoing radical prostatectomy.Journal of clinical oncology : official journal of the American Society of Clinical Oncology · 2009
    Trial
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  17. Article
  18. Article
  19. Article
  20. Is there a role for hypnosis in palliative care?Palliative care and social practice · 2025
    Review

5 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

9 authors at 5 institutions in 1 country.

Elvira V LangBeth Israel Deaconess Medical Center/Harvard Medical School, Department of Radiology, Boston, MA, USA. elang@caregroup.harvard.edu
Kevin S Berbaum
Salomao Faintuch
Olga Hatsiopoulou
Noami Halsey
Xinyu Li
Michael L Berbaum
Eleanor Laser
Janet Baum
Harvard University · USBeth Israel Deaconess Medical Center · USUniversity of Illinois Chicago · USUniversity of Illinois Urbana-Champaign · USUniversity of Iowa · US

Funding

NONPHARMACOLOGIC ANALGESIA FOR INVASIVE PROCEDURESR01AT000002 · NCCIH · BETH ISRAEL DEACONESS MEDICAL CENTER · PI LANG, ELVIRA VALENTINA · 1999 to 2005
$1.7M
Midcareer Development in Nonpharmacologic AnalgesiaK24AT001074 · NCCIH · BETH ISRAEL DEACONESS MEDICAL CENTER · PI LANG, ELVIRA VALENTINA · 2002 to 2006
$657k
NCCIH NIH HHS 1K24 AT 01074NCCIH NIH HHS K24 AT001074NCCIH NIH HHS R01 AT000002NCCIH NIH HHS R01-AT-0002-07
6 · The paper itself

Abstract

Medical procedures in outpatient settings have limited options of managing pain and anxiety pharmacologically. We therefore assessed whether this can be achieved by adjunct self-hypnotic relaxation in a common and particularly anxiety provoking procedure. Two hundred and thirty-six women referred for large core needle breast biopsy to an urban tertiary university-affiliated medical center were prospectively randomized to receive standard care (n=76), structured empathic attention (n=82), or self-hypnotic relaxation (n=78) during their procedures. Patients' self-ratings at 1 min-intervals of pain and anxiety on 0-10 verbal analog scales with 0=no pain/anxiety at all, 10=worst pain/anxiety possible, were compared in an ordinal logistic regression model. Women's anxiety increased significantly in the standard group (logit slope=0.18, p<0.001), did not change in the empathy group (slope=-0.04, p=0.45), and decreased significantly in the hypnosis group (slope=-0.27, p<0.001). Pain increased significantly in all three groups (logit slopes: standard care=0.53, empathy=0.37, hypnosis=0.34; all p<0.001) though less steeply with hypnosis and empathy than standard care (p=0.024 and p=0.018, respectively). Room time and cost were not significantly different in an univariate ANOVA despite hypnosis and empathy requiring an additional professional: 46 min/161 dollars for standard care, 43 min/163 dollars for empathy, and 39 min/152 dollars for hypnosis. We conclude that, while both structured empathy and hypnosis decrease procedural pain and anxiety, hypnosis provides more powerful anxiety relief without undue cost and thus appears attractive for outpatient pain management.

Indexed as

Biopsy, NeedleHypnosisRelaxation TherapyAdultAgedAged, 80 and overAnxietyBreastEmpathyFemaleHealth Care CostsHumansMiddle AgedPainPatients' RoomsTime Factors

Identifiers

PMID16959427
PMCPMC2656356
OpenAlexW2055187573

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.