Study: Therapy Eases Hot Flashes After Breast Cancer Treatment
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Comstock/Thinkstock(LONDON) — Up to 85 percent of women treated for breast cancer experience hot flashes and night sweats, the often debilitating symptoms of menopause brought on by hormone-disrupting cancer treatments.
Certain drugs can provide some relief, but they don’t work for everyone.
“Hormone therapy generally isn’t recommended for these women because of its association with breast cancer,” said Myra Hunter, a professor of clinical health psychology at King’s College London’s Institute of Psychiatry. “And many women want to take a non-medical approach.”
Hunter and colleagues investigated whether group cognitive-behavioral therapy, a psychotherapy aimed at tackling perceptions rather than physical symptoms, could help breast cancer survivors cope with hot flashes and night sweats by changing the way they think about them.
“There is some evidence that cognitive-behavioral therapy can help well women [who do not have breast cancer] cope with hot flashes and night sweats related to menopause,” said Hunter. “If we can help them to counter their negative thoughts, they can learn to really let the flash flow over them.”
In a study of 96 breast cancer survivors, women who received six 90-minute cognitive-behavioral therapy sessions reported significantly fewer problems with hot flashes and night sweats than women who received the usual care. The findings were published Tuesday in the Lancet Oncology.
“They’re still having hot flashes, but they don’t notice them as much,” said Hunter.
Using relaxation techniques such as “paced breathing,” the women learned to counteract the stress and embarrassment of hot flashes and their effects on mood and sleep.
Holly Prigerson, director of psychosocial oncology at the Dana-Farber Cancer Institute, said the study “demonstrates the power of the mind as medicine.”
“By encouraging someone to think about physical symptoms in a different way — a way that’s less stigmatizing and more normalizing — you can substantially improve her quality of life,” said Prigerson, who wrote an editorial accompanying the study. “Just like anxiolytics or antidepressants, how you think about something can have a dramatic influence on how you feel physically and mentally.”
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