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Menopausal symptoms in breast cancer patients may be alleviated by nurse-provided CBT

Menopausal symptoms-hot and night sweats- Breast cancer woman New clinical trials show that group cognitive-behavioral therapy (CBT) provided by breast cancer nurses can alleviate it.

Up to 85% of women with breast cancer suffer from chemotherapy and hormone therapy and night sweats. These side effects are often more extreme and can last longer in women with breast cancer than in women who experience them due to natural menopause. Hormone replacement therapy (HRT) may be offered to relieve menopausal symptoms, but it is usually not recommended for women with breast cancer because it may increase the risk of recurrence of the disease. Therefore, it is a safe and effective alternative to reduce side effects and ensure quality of life. Urgent request.

Breast Cancer Now-funded researchers report that women with breast cancer who received a 6-week group CBT from a breast cancer nurse reported significantly less pain in menopausal symptoms and fewer problems. I found. Their frequency also decreased by more than a quarter (28%). This more than doubles the reduction in symptoms reported by women receiving standard care, and often women receiving extraordinary advice (11%). In addition, these life-changing benefits lasted for months for women who received CBT from nurses.

For many women with breast cancer, the side effects of menopause can have devastating effects on both quality of life and mental health. As a result, some women discontinue treatment that may help prevent the recurrence of breast cancer. However, the study reported that women were almost twice as easy to deal with night sweats and burning after receiving CBT from a nurse. They also experienced significant improvements in sleep quality and reduced levels of depression and anxiety.

Led by Professor Deborah Fenlon of Swansea University, in collaboration with the Southampton Clinical Trials Unit and Institute at the University of Southampton PsychiatryThe Psychology and Neuroscience exam at King’s College London, London, enrolled 127 women from six UK hospitals. All participants had an early type of disease, primary breast cancer or ductal carcinoma in situ (DCIS), and experienced severe and frequent burning or night sweats.

Participants participated in six 90-minute sessions provided by 11 different breast care nurses specially trained to provide CBT by a clinical psychologist. The session covered topics such as stress management, paced breathing, improving health, burning, night sweats, and strategies for managing certain side effects of sleep disorders.

Once pressure on the NHS has begun to ease and capacity and resources have been considered, Breast Cancer Now will allow Trusts and Health Boards across the UK to provide group CBT to patients suffering from the side effects of these menopausal treatments. I want to support breast care nurses. .. If this intervention is possible, it improves quality of life and, decisively, helps women continue treatment that helps reduce their chances of cancer recurrence.

Professor Myra Hunter of King’s IoPPN, who developed Group CBT and trained nurses in the exam, said:

“Previous studies have shown that clinical psychologist-provided group CBT is an effective way to relieve menopausal symptoms in women treated for breast cancer. Nursing that women may already know. There are obvious benefits to accessing this support from a teacher, so demonstrating that this therapy is just as effective when provided by a trained breast care nurse is a significant step forward. With the publication of treatment manuals and training courses with the British Menopause Association, this treatment is available to medical professionals and can reach more women who may benefit from it. . “

Menopausal symptoms such as hot flashes and night sweats can have a significant impact on the quality of life of women with breast cancer. It is very exciting that the CBT provided by breast cancer nurses can help women who have had difficult experiences in diagnosing breast cancer. The COVID-19 pandemic has thrown us into an unprecedented era. But one thing that hasn’t changed is through research to find ways to prevent breast cancer and save lives, as well as discoveries that mean that 600,000 people currently living with the disease are as alive as possible. It is a serious need to work hard to do. ..

I am grateful that the NHS is currently working vigorously under heavy burden, but when the pressure on breast cancer nurses began to ease, the results of this innovative study affected breast cancer. We hope that CBT will be available so that women who have been affected can enjoy better quality. Of life. Our world-class research is possible only thanks to public support. Due to the impact of COVID-19, funding revenue for this year is projected to decline by 43%. That is, it cannot fund new research that could change the lives of people affected by breast cancer. We need your support more than ever. For more information and donations, please visit: www.breastcancernow.org/donate.. “

Dr. Simon Vincent, currently Director of Breast Cancer Research, Support and Influence

Natalie Richards (39 years old, two mothers) from London, who was diagnosed with triple-negative breast cancer in April 2019 and experienced intense burning and night sweats during chemotherapy. She said:

“I was shocked to hear that I had breast cancer. Treatment started immediately and my period stopped as soon as I started chemotherapy. I was aware of the side effects I would experience. did not.

“I had hot days and nights. I felt like every 30 minutes. In addition to all the other side effects of chemotherapy, I sweated completely, regardless of time or weather. However, I have never mentioned or discussed this side effect. When I explained that I was suffering from burning, I felt it was rejected without any advice on how to mitigate this disastrous side effect. ..

“The heat and night sweats consumed and overwhelmed me, which made me very depressed and anxious. I was very embarrassed when it happened in public. I don’t know how I managed it. But just trying to take it day by day allowed me to focus on my daughters. It was the best part of the year before these symptoms subsided.

“I didn’t know much about the side effects of these menopausal symptoms, and they seemed to be overlooked. Still, to me, they were as painful as hair loss, probably because they were so unexpected. More so. I had a very nice breast care nurse. I think it could make a big difference if she provided special support for my menopausal symptoms. I will. “

Other ways to manage hot and night sweats can be found on the Breast Cancer Now website. Here..

Anyone seeking information and support can talk to a Breast Cancer Now specialist nurse by calling the charity’s free helpline at 0808 800 6000.

Breast Cancer Now would like to thank Walk the Walk for his generous financial support for Professor Fenlong’s project.

Source:

Journal reference:

Fenron, D. , et al. (2021) Efficacy of nurse-led group CBT for women with breast cancer and night sweats: MENOS4 randomized controlled trial results. Psycho-oncology.. doi.org/10.1002/pon.5432..

Menopausal symptoms in breast cancer patients may be alleviated by nurse-provided CBT

Source link Menopausal symptoms in breast cancer patients may be alleviated by nurse-provided CBT

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