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A systematic review of guided imagery as an adjuvant cancer therapy

By L. Roffe, K. Schmidt and E. Ernst


Aim: The aim of this paper is to summarise and critically evaluate the evidence available from controlled clinical trials regarding the use of guided imagery as a sole adjuvant therapy for cancer patients. <br/>Methods: Electronic searches for controlled clinical trials were carried out in eight databases and two clinical trial registers. Trials that featured guided imagery as a sole adjuvant therapy were included. No language restrictions were imposed. Data were extracted and validated independently by two researchers. <br/>Results: Six randomised clinical trials were included. Detailed results were available for four studies only. Poor reporting and heterogeneous populations, interventions and outcome measures across trials precluded statistical pooling of results. The methodological quality was on average low. Three studies reported significant differences in measures of anxiety, comfort or emotional response to chemotherapy for patients who received guided imagery over the control groups. Two studies showed no differences between guided imagery and other interventions in any of the outcome measures. <br/>Conclusion: Guided imagery, as a sole adjuvant cancer therapy may be psycho-supportive and increase comfort. There is no compelling evidence to suggest positive effects on physical symptoms such as nausea and vomiting. The data seem sufficiently encouraging for the use of guided imagery as an adjuvant cancer therapy to merit further research

Topics: RT
Year: 2005
OAI identifier:
Provided by: e-Prints Soton

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  9. (2002). Diagnostic efficiency of the hospital anxiety and depression scale in women with early breast cancer.
  10. (2001). Effect of music therapy and inner image relaxation on quality of life in cancer patients receiving chemotherapy.
  11. (1981). Effectiveness of relaxation training in reducing adverse reactions to cancer chemotherapy.
  12. (1994). Effects of cognitive-behavioural strategies on pain in cancer patients.
  13. (1982). Efficacy of relaxation training and guided imagery in reducing the aversiveness of cancer chemotherapy.
  14. (2002). Flower remedies: A systematic review of the clinical evidence.
  15. (1997). Guided imagery and relaxation can modify host defences in women receiving treatment for locally advanced breast cancer.
  16. (1997). Guided imagery as a coping strategy for preoperative patients.
  17. (1999). Guided imagery as supportive therapy in cancer treatment.
  18. (1991). Guided imagery, hypnosis and recovery from head and neck cancer surgery: An exploratory study.
  19. (1997). Guided imagery: A significant advance in the care of patients undergoing elective colorectal surgery.
  20. (1985). Imagery in Healing: Shamanism in Modern Medicine.
  21. (2002). Imagery. In Alternative/Complementary Interventions: A Guide for Nurses (2nd edn),
  22. (1998). Imaging Ability and Effective Use of Guided Imagery.
  23. (1993). Immunological responses of breast cancer patients to behavioral interventions.
  24. (1993). Living Beyond Limits: New Hope and Health for Facing Life Threatening Illness. Time Books:
  25. (1999). Maximising measurement quality: Principles of good questionnaire design.
  26. (2003). Mind–body medicine: State of the science, implications for practice.
  27. (2001). Outcome expectancy and success with cognitive behavioural interventions:
  28. (1991). Preparing patients for cancer chemotherapy: Effect of coping preparation and relaxation interventions.
  29. (1996). Psychoimmune response to imagery and support in breast cancer. World Congress of Psycho-Oncology,
  30. (2001). Psychological intervention in cancer patients: A randomized study.
  31. (1999). Psychological, clinical and pathological effects of relaxation training and guided imagery during primary chemotherapy.
  32. (1995). Relaxation and imagery and cognitivebehavioural training reduce pain during cancer treatment: A controlled clinical trial.
  33. (2002). Relaxation and imagery for anxiety and depression control in community patients with advanced cancer.
  34. (1994). Screening for anxiety and depression in cancer patients: The effects of disease and treatment.
  35. (2001). The effect of psycho-behavioral intervention on the emotional reaction and immune function in breast cancer patients undergoing radiotherapy.
  36. (2001). The effectiveness of relaxation training in reducing treatment-related symptoms and improving emotional adjustment in acute non-surgical cancer treatment: A meta-analytical review.
  37. (1999). The effects of guided imagery on comfort of women with early stage breast cancer undergoing radiation therapy.
  38. (2002). The effects of the Bonny method of guided imagery and music on the mood and life quality of cancer patients.
  39. (2002). The efficacy of a mind-body spirit group for women with breast cancer: A randomized controlled trial.
  40. (1993). The influence of guided imagery on chemotherapy-related nausea and vomiting.
  41. (1990). The role of imagery in the hypnotic treatment of adverse reactions to cancer therapy.
  42. (1999). The role of imaging ability in successful use of guided imagery for cancer related pain.
  43. (1998). The role of sense of coherence in mediating the effects of mental imagery on immune function, cancer outcome and quality of life.
  44. (1990). Time, Energy and the Psychology of Healing.
  45. (1994). You Don’t Have to Suffer: A Complete Guide to Relieving Cancer Pain for Patients and their Families.

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