Efficacy of Preparation in Self-Hypnosis by Anchoring Versus Conversational Hypnosis, Used Alone or Combined, in Patients Undergoing Breast Macrobiopsies

Efficacy of Preparation in Self-Hypnosis by Anchoring Versus Conversational Hypnosis, Used Alone or Combined, in Patients Undergoing Breast Macrobiopsies

Efficacy of Preparation in Self-Hypnosis by Anchoring Versus Conversational Hypnosis, Used Alone or Combined, in Patients Undergoing Breast Macrobiopsies: a Randomized Study

The incidence of breast cancer and its mortality are reduced thanks in particular to early detection. Often performed after a screening test, stereotactic macrobiopsies are used to characterize abnormalities detected on mammography. This anxiety-inducing and painful examination leads to significant physiological and psychological modifications for these women who logically apprehend the realization of this act. Faced with this observation, investigators wondered what could be done to improve the experience of the patients during this examination. Investigators were interested in hypnosis because its effectiveness as a complementary practice has been validated by numerous studies with benefits on pain and stress management. However, today, there are no convincing results confirming which hypnosis method would be the best to manage patients' anxiety and pain during this examination.

conversational hypnosis support during the examination by a radiology technician and a radiologist specifically trained

1-hour consultation with a hypnopractor just before the examination and conversational hypnosis support during the examination by a radiology technician and a radiologist specifically trained

Preparation in Self-Hypnosis by anchoring just before examination combied with Conversational Hypnosis during examination

Score (from 20 to 80) measured on the State-Trait Anxiety Inventory for state anxiety (STAI-Y1), how respondent feels right now, at this moment. Total scores can be categorized into five levels: > 65 (very high), from 56 to 65 (high), from 46 to 55 (medium), from 36 to 45 (low), < 35 (very low). Higher scores mean a worse outcome.

measured on satisfaction visual analog scale from 0 (poor experience quality) to 10 (very good experience quality)

measured on satisfaction visual analog scale from 0 (poor experience quality) to 10 (very good experience quality)

STAI-Y2 (score from 20 to 80 measured on the STAI for trait anxiety), how respondent generally feel Total scores can be categorized into five levels: > 65 (very high), from 56 to 65 (high), from 46 to 55 (medium), from 36 to 45 (low), < 35 (very low). Higher scores mean a worse outcome.

Inclusion Criteria: aged 18 or over, referred to the medical imaging department of Saint-Joseph hospital for breast macrobiopsy, naive of any hypnosis, having given free, informed and written consent, being affiliated to a social security scheme or beneficiary of such scheme Exclusion Criteria: having a major hearing loss, suffering from identified mental or psychotic disorders, not understanding the French language, having already had hypnosis practices, having an ongoing pregnancy, being the subject of a safeguard measure